Endoscopic findings in patients with refractory dyspepsia at A Tertiary Care Hospital in Peshawar, KPK Province, Pakistan.

  • Wajeeha Qayyum Rehman Medical Institute, Peshawar.
  • Mohammad Naveed Anwar Rehman Medical Institute, Peshawar.
  • Mawara Iftikhar Rehman Medical Institute, Peshawar.
  • Muhammad Fozan Khan Rehman Medical Institute, Peshawar.
  • Mohammad Jawad Khyber Medical University, Peshawar.
  • Laraib Saeed Rehman Medical Institute, Peshawar.
Keywords: Dyspepsia (MeSH), Endoscopy (MeSH), Gastritis (MeSH)


Objectives: This study was aimed to describe the endoscopic findings in patients with refractory dyspepsia. Study Design: Observational study. Setting: Rehman Medical Institute Peshawer. Period: March 2017- Feb 2019. Material & Methods: All the patients who were referred for endoscopy for refractory dyspepsia were included by consecutive non probability sample technique. Data was entered and analyzed on SPSS version 22. Results: Out of 727 patients, 51.6% (n=375) were male. Mean age was 43.09±15. 54.30% (n=395) endoscopies were normal. Antral gastritis, Fundal gastritis and Pangastritis were noted in 14% (n=102), 4.40% (n=32) and 8.50% (n=62) patients respectively. Gastroenteritis was found in 5.40 %( n= 39) while 3.20 %( n=23) patients had duodenitis. Reflux oesophagitis was observed in 2.50% (n=18) patients. 1.20 %( n= 9) had erosions while 0.80% (n=6) had gastric ulcers, 1.20% (n=9) had carcinoma, 2.30% (n=17) had hiatal hernia and 2.10% (n=15) had other gastric pathologies. Functional dyspepsia was seen in 89.9% patients. It was observed more in young age, female gender, and in patients from Afghanistan, frequency being 66.3%, 63.4% and 59% respectively. Conclusion: Most patients with refractory dyspepsia had normal endoscopy, it was common in females, young age and Afghanistan patients. Reflux oesophagitis was common pathological finding with predominance in elderly.

Author Biographies

Wajeeha Qayyum, Rehman Medical Institute, Peshawar.


Senior Registrar Medicine & Allied

Mohammad Naveed Anwar, Rehman Medical Institute, Peshawar.


Consultant Gastroenterologist

Mawara Iftikhar, Rehman Medical Institute, Peshawar.


House Officer Medicine & Allied

Muhammad Fozan Khan, Rehman Medical Institute, Peshawar.


Consultant Physician Medicine & Allied

Mohammad Jawad, Khyber Medical University, Peshawar.



Laraib Saeed, Rehman Medical Institute, Peshawar.


Trainee Medicine