Upper Gastrointestinal Endoscopy in ENT Practice: How Worth is It?

JOURNAL TITLE: International Journal of Phonosurgery & Laryngology

Author
1. MC Anup Kumar
2. Lavanya Karanam
ISSN
2230-7508
DOI
10.5005/jp-journals-10023-1058
Volume
3
Issue
2
Publishing Year
2013
Pages
4
Author Affiliations
    1. Department of General Surgery, JJM Medical College Davangere, Karnataka, India
  • Article keywords

    Abstract

    Objective

    The need for upper gastrointestinal (GI) endoscopy in the evaluation of hoarseness.

    Study design

    Prospective study, conducted during the period from June 2012 to February 2013.

    Setting

    Tertiary referral center.

    Results

    A total of 125 patients were selected for the study and they were evaluated with appropriate history and clinical examination. Out of 125 patients, 41 (32.8%) patients showed laryngeal findings leading to hoarseness, 13 (10.4%) patients showed features of suspected malignancy in other adjacent regions which was confirmed later, two (1.6%) patients showed phonetic gap and 69 (55.2%) patients showed normal laryngeal inlet on indirect laryngoscopy examination. Of the 69 normal patients which were treated conservatively and since they did not show any response they were subjected to upper GI endoscopy. Out of 69 patients, 41 (60%) patients showed features of gastritis, 28 (40%) patients showed features of duodenitis.

    Conclusion

    It is estimated that more than 50% of patients presenting to the ENT OPD for hoarseness are because of GI problems. We strongly advise upper GI endoscopy for the symptomatic otorhinolaryngological patients with a normal laryngeal finding on indirect laryngoscopy for treating the condition accurately or near accurately. Adding to this upper GI endoscopy has the additional advantages of documentation and medicolegal aspect in the present day scenario.

    How to cite this article

    Santosh UP, Kumar MCA, Karanam L. Upper Gastrointestinal Endoscopy in ENT Practice: How Worth is It? Int J Phonosurg Laryngol 2013;3(2):35-38.

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