gastro-congress-2016_scientifictracks-abstracts

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Volume 6, Issue 7(Suppl) J Gastrointest Dig Syst 2016
ISSN: 2161-069X JGDS, an open access journal
Page 33
Notes:
Gastro Congress 2016
October 24-25, 2016
conferenceseries.com
October 24-25, 2016 Valencia, Spain
9th Euro Global
Gastroenterology Conference
Endoscopic finding of minimal change esophagitis and its role in the diagnosis of NERD patients
K Abdelwali, N Elkhabiz, Fz Momayaz, A Rahaoui, M Ferwana, N Elnakeeb and S Shalabi
Ibn Sina University Hospital, Rabat, Morocco
Background: Gastro esophageal reflux disease (GERD) is the reflux of gastric contents into the esophagus, leading to
esophagitis, reflux symptoms sufficient to impair the quality of life, and increased risk of long-term complications. GERD is
divided into erosive (ERD) and non-erosive (NERD) reflux disease, NERD has been regarded as reflux symptoms with the
absence of mucosal breaks in the esophagus at endoscopy. However, NERD has been divided into normal and minimal changes
based on endoscopic finding.
Objectives: To evaluate the clinical significance of minimal changes at endoscopy and examine whether such changes have
diagnostic value in gastro esophageal reflux disease (NERD) or not.
Methods: 60 patients were recruited in this study, they were divided into 2 groups, Group I: Included 30 patients with GERD
symptoms in form of heartburn and/or regurgitation more than twice a week with minimal duration of 8 consecutive weeks
and troublesome symptoms affecting the daily life activities who were identified by specific questionnaire but negative mucosal
breaks at upper GI endoscopy (NERD) as patient group. Group II: Included 30 patients without GERD symptoms attending
for upper GI endoscopy for any other reason as a control group. Both of them were subjected to full history taking. Full
clinical examination with special stress on BMI (weight/height); (normal 19-25 and over weight >25); and diagnostic upper GI
endoscopy by expert endoscopists after patient consent was done.
Results: We identified two of the six minimal changes in esophagitis endoscopically as being more common in the patient
group with GERD symptoms compared with the other findings which are erythema and white turbid discoloration.
Conclusion: According to our study, there is no clinical relevance in the diagnosis of NERD depending on endoscopic minimal
change esophagitis.
Biography
K Abdelwali completed his MBBCh in 2005, Faculty of Medicine, Assuit University and then worked in Assuit University Hospital for 1 year, after that he started
working in Manshyet Elbakry Hospital in Cairo, Egypt in the Department of Gastroenterology and Liver Diseases, and then a part time Physiology Lecturer in Misr
International University. He finished his Diploma in Internal Medicine in 2014 at Ain Shams University, Egypt. He moved to the Department of Gastroenterology
and Liver Diseases in “Sheikh Zayed Al Nahyan” General and Specialized Hospital, Cairo. Now, he is resident in the Department of Gastroenterology and Liver
Diseases, Ibn Sina University Hospital, Rabat, Morocco.
K Abdelwali, J Gastrointest Dig Syst 2016, 6:7(Suppl)