Frequency of Gastroesophageal reflux disease in patients with Chronic Obstructive Pulmonary disease admitted to Pulmonology Ward Khyber Teaching Hospital

Abdul Wahab, Zia Ul Haq, Waqas Ahmad, Saadia Ashraf, Rukhsana Farooqi, Raza Ullah

Abstract


Background: Chronic obstructive pulmonary disease (COPD) is a type of obstructive lung disease characterized by partially reversible airflow limitation. COPD has two clinico-pathological types including emphysema and chronic bronchitis. These two factors vary from person to person. If frequency of Gastroesophageal reflux disease (GERD) is found to be higher in COPD patients it will help in deciding whether to routinely assess COPD patients for the likelihood ofGERDor not and manage adequately.

Objective: To know about the frequency of GERD in patients with COPD effect relationship between GERD and COPD regarding the clinical significance of GERD in patients with COPD as it has a prognostic value in patients admitted to PulmonologyWard KTH.

Methodology: A Descriptive cross-sectional study conducted at ChestWard, Khyber Teaching Hospital (KTH), Peshawar from April 2017 till October 2017. In this study 217 patients were observed. Patients (aged 18-70 years) were worked up with detailed history and clinical examination. Then, those satisfying the inclusion and exclusion criteria were subjected to spirometry and the Q-questionnaire. Spirometry was performed by the same qualified technician for all patients and interpreted by the same consultant of Pulmonology, who was a fellow of CPSP and graded according to GOLD guidelines into grade 1-4 on the basis of post bronchodilator FEV1. After filling the Q-questionnaire in patients with established COPD, the frequency of GERD were calculated among the total cases ofCOPDincluded in the study.

Results: In performed study, the mean age was 61.92 years with standard deviation ± 11.619. Forty two percent patients were male and 57.6% patients were female. The frequency ofGERDwas 53.5% in patients with COPD.

Conclusion: Our study concludes that the frequency of gastro-esophageal reflux disease (GERD) was 53.5% in patients with COPD.


Keywords


Gastro-esophageal reflux disease; Chronic obstructive pulmonary disease; Peshawar; Pakistan

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