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Giardiasis in patients with dyspeptic symptoms
World Journal of Gastroenterology
  • Javed Yakoob, Aga Khan University
  • Wasim Jafri, Aga Khan University
  • Shahab Abid, Aga Khan University
  • Nadim Jafri, Aga Khan University
  • Saeed Hamid, Aga Khan University
  • Hasnain Ali Shah, Aga Khan University
  • Lubna Rizvi, Aga Khan University
  • Muhammad Islam, Aga Khan University
  • Hizbullah Shaikh, Aga Khan University
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AIM: To investigate the prevalence of giardiasis in patients with dyspeptic symptoms. METHODS: Clinical records of consecutive patients who attended Gastroenterology Department at Aga Khan University Hospital from January 2000 to June 2003 and had esophagogastroduodenoscopy (EGD) with duodenal biopsies and international classification of diseases 9th revision with clinical modifications (ICD-9-CM) coded with giardiasis were studied. RESULTS: Two hundred and twenty patients fulfilled the above criteria. There were 44% (96/220) patients who were giardiasis positive, 72% (69/96) of them were males and 28% (27/96) of them were females. There were 65% (81/124) males and 35% (43/124) females who were giardiasis negative. The mean age of patients with giardiasis was 28+/-17 years, while that of giardiasis negative patients was 40+/-18 years (P<0.001). In patients with giardiasis, abdominal pain was present in 71% (68/96) of patients (P = 0.02) and diarrhea in 29% (28/96) (P = 0.005); duodenitis in 25% (24/96) on EGD (P = 0.006) and in 68% (65/96) on histopathology (P = 0.002). CONCLUSION: Giardiasis occurs significantly in young people with abdominal pain, while endoscopic duodenitis is seen in only 25% of giardiasis positive cases, which supports routine duodenal biopsy.
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Citation Information
Javed Yakoob, Wasim Jafri, Shahab Abid, Nadim Jafri, et al.. "Giardiasis in patients with dyspeptic symptoms" World Journal of Gastroenterology Vol. 11 Iss. 42 (2005) p. 6667 - 6670
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