Endoscopy 2019; 51(04): S199
DOI: 10.1055/s-0039-1681760
ESGE Days 2019 ePosters
Friday, April 5, 2019 09:00 – 17:00: Clinical Endoscopic Practice ePosters
Georg Thieme Verlag KG Stuttgart · New York

USE OF MOBILE PORTABLE ENDOSCOPY UNIT FOR GASTRO-INTESTINAL DISEASES IN RESOURCE LIMITED RURAL REGION OF INDIA: WHAT WERE THE OUTCOMES?

H Chaudhari
1   Shobha Hospital and Superspeciality Gastroenterology Center, Jalgaon, India
,
Y Chaudhari
1   Shobha Hospital and Superspeciality Gastroenterology Center, Jalgaon, India
,
S Chaudhari
1   Shobha Hospital and Superspeciality Gastroenterology Center, Jalgaon, India
,
M Chaudhari
1   Shobha Hospital and Superspeciality Gastroenterology Center, Jalgaon, India
,
S Zagde
2   Sahyog Hospital, Buldhana, India
,
S Sawdatkar
3   Sawdatkar Hospital, Buldhana, India
,
A Salok
2   Sahyog Hospital, Buldhana, India
,
V Atriwal
4   Atriwal Hospital, Khandwa, India
,
A Atriwal
4   Atriwal Hospital, Khandwa, India
,
B Atriwal
4   Atriwal Hospital, Khandwa, India
,
P Badhe
1   Shobha Hospital and Superspeciality Gastroenterology Center, Jalgaon, India
,
P Badhe
1   Shobha Hospital and Superspeciality Gastroenterology Center, Jalgaon, India
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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Aims:

The aim of this study was to evaluate the role of mobile portable endoscopy unit in patients with gastro-intestinal diseases in resource limited areas of rural India.

Methods:

The current study is a retrospective cohort study which included patients from rural areas of central part of country in two states from four centers during period of May 2017 to September 2018. Endoscopic procedures were performed in patients with gastrointestinal complaints either for outpatients or admitted inpatients, using portable mobile endoscopy unit (TELE PACK X GI by Karl Storz Endoskope, Germany).

Results:

Total 256 endoscopic procedures were performed in 248 patients. Endoscopic procedures were performed for both inpatients and out patients were 22.3% (57/256) and 77.7% (199/256) respectively. Of the 256 procedures, 162 were males, and 86 were females. Upper GI endoscopy (UGIE) was performed in 184 and Colonoscopy in 72 patients. Dyspepsia (27%) and altered bowel habits (20.6%) was the most common symptom for performing upper GI endoscopy and colonoscopy. Reflux esophagitis (44.6%) was the most common finding in UGIE performed. The incidence of esophageal varices – 22.8%, hiatus hernia and gastric varices – 9.8%, the incidence of carcinoma esophagus was more than carcinoma that is, 2.1% and 1.1% respectively. Incidence of colonic polyp was 7.2%. Therapeutic procedures during UGIE 28.3% (52/184) and colonoscopy 11.1% (08/82) were also performed under propofol sedation and monitored by trained anesthesiologist. No procedure or sedation related complications occurred. Endoscopic variceal band ligation and polypectomy were the most common therapeutic procedures performed in 56.6% and 11.6 respectively.

Conclusions:

Reflux esophagitis was the most common finding in diagnostic study and variceal band ligation was most common therapeutic procedure performed. Performing both diagnostic and therapeutic endoscopy using mobile portable endoscopy unit is safe and carries significant positive health impact on population in resource limited rural areas.