Abstract

ECHEVERRIA, Gabriel et al. Duodenitis in patients with dyspepsia: Endoscopic and histological correlation. Gen [online]. 2012, vol.66, n.3, pp.147-150. ISSN 0016-3503.

Introduction: Duodenitis is a common condition, with the development of digestive endoscopy different nomenclatures have been proposed for their description, without an effective unanimity of concepts and the clinic-histopathological association is unclear. Objective: Evaluate the endoscopic and histopathological correlation of duodenitis in ambulatory patients with symptoms of dyspepsia. Patients and methods: Descriptive, prospective, cross-sectional and analytical study. Upper digestive diagnostic endoscopy was performed in 39 patients with symptoms of dyspepsia of the Gastroenterology consultation, with sampling of the duodenal mucosa for histopathological analysis. The degree of duodenitis was established according the adjusted endoscopic classification (Sydney System) and the correlation between the degree of endoscopic duodenitis and the histopathological diagnosis was determined. Results: 32 patients were included, 18 female (56.25%) and 14 male (43.75%). The mean age was 47.5 ± 15.4 years; the predominant symptom was Epigastric pain (59.36%). There was 100% concordance between the endoscopic abnormalities and the histopathological alterations (p < 0.01). The sensitivity of the endoscopic alterations compared to the histopathological was 97% and the specificity 100%. The relation between the endoscopic findings and the histopathological report was statistically significant, p < 0.01, with a high positive substantial correlation, c = 0.74. Conclusion: Upper digestive endoscopy allowed evaluate and correctly classify the presence of duodenitis, with a high correlation with the histopathological diagnosis.

Keywords : Duodenitis; Endoscopic-Histological Correlation.