Vol. 4, Issue 6 (2015)

Material and method: The patients were given topicoal 4% lignocaine gargles 15 mins before the procedure. They were given I.V. injection Diazepam 2.5 to 5 mg just prior to introduction of the scope. The I.V. sedation was always kept minimal and altogether omitted in frail, elderly and morbened patients. The pulse, respiration and consciousness were constantly monitored during the procedure and 1/2 hour after the procedure I.V. injection Buscopan 10 mg was given to decrease the gastric and duodenal motility.

Result: The incidence of upper gastrointestinal symptoms was maximum in the age group between 51-60 years. it is observed that 67.5% of patients had definite upper G.I. pathology.it is observed that epigastric pain/upper abdominal discomfort was the commonest symptom (20.5%). More than one symptom was seen in 34.5% of cases.

Conclusion: Thus the endoscopic examination of the upper gastrointestinal tract is diagnostic with a very few limitations, contraindications and a negligible morbidity and mortality. Clinical examination and endoscopy help in planning the mode of investigation and operative intervention which is most suitable for the patient. It is a valuable asset to the surgeon for the diagnosis of various upper gastrointestinal tract diseases.