A THREE-YEAR AUDIT OF RIGID OESOPHAGOSCOPY AT LADY READING HOSPITAL PESHAWAR
AbstractBackground: The number of oesophagoscopies performed annually provides an indication of theextent of oesophageal disorders in any particular setting. The present study aimed to provide suchdata for rigid oesophagoscopy at the only referral centre for this procedure in Peshawar.Methodology: An audit of all available records of patients undergoing rigid oesophagoscopiesfrom January 2002 to December 2004, at the Lady Reading Hospital Peshawar was performed.Results: A total of 200 cases of rigid oesophagoscopies were performed during this three-yearperiod of study. The ages of patients ranged from 1 to 90 years, with a two fold malepreponderance. The main indication was dysphagia, with major causes being oesophagealcarcinoma (115, 57.5%), reflux oesophagitis (56, 28%), strictures of various aetiologies (19, 9.5%)and foreign bodies (10, 5%). Successful dilatation was possible in 70% of cases; the morbidity ratewas 4.5% due to perforation observed in 9 cases. The mortality rate was 1.5% due to septicemia in3 cases. Conclusion: A high rate of rigid oesophagoscopies was observed indicating an increasedfrequency of oesophageal disorders in this setting. The morbidity and mortality rates observed arewithin acceptable ranges for this procedure.Key Words: Dysphagia, Oesophageal Carcinoma, Peptic Stricture, Oesophageal Perforation,Oesophagoscopy
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