PP43 - 10 YEAR AUDIT OF OESOPHAGOGASTRODUODENOSCOPY : A HOSPITAL KUALA LUMPUR EXPERIENCE Poster #48

R.Puthashanan Rajamanickam, M.Radzi Abu Hassan
HOSPITAL SULTANAH BAHIYAH, ALOR SETAR

Objective(s):
The objective of this study is to show MGIR as an effective web based gastrointestinal endoscopy information system in planning and evaluating gastrointestinal services.

Methodology:
The Malaysian Gastrointestinal Registry (MGIR) which was established in 2009 has been widely used to generate data gathered by endoscopy unit of HKL. This is a standardised electronic data entry. Data from the past 10 years(2009-2018) were then tabulated for statistical analysis. In this audit we will focus on the OGDS procedures' analysis.

Results:
In all the 34768 OGDS performed, 28% were indicated for dyspepsia followed by upper gastrointestinal bleeding at 22.8%. Investigation of iron deficiency anemia stands low at 8.1% whereas suspected upper gastrointestinal malignancy at lowest 2.7%. Abnormalities at gastric region were commonest at 78% and the lowest at duodenum 27%. Gastric or oesophageal tumours were very low detection (<1%). 61.4% OGDS were performed mainly for diagnostic purpose. OGDS safety profile has been proven to be very low. Complication rate of bleeding stands at 0.3%. Perforation and death was none.

Discussion and Conclusions
MGIR proves to be an effective web based tool for an effective data tabulation to the benefit of gastrointestinal services in Hospital Kuala Lumpur. Thus, this registry should be made available nationwide as a standardised system for data entry.