Upper Gastrointestinal Endoscopy in a Sub-Urban Population of South-East Nigeria: A 2.5 Year Analysis
Published: 2023-11-14
Page: 158-163
Issue: 2023 - Volume 6 [Issue 1]
Christopher Nonso Ekwunife *
Department of Surgery, Federal Medical Centre, Umuahia, Nigeria.
Uchechi Chukwudike Ekpemiro
Department of Surgery, Federal Medical Centre, Umuahia, Nigeria.
Ifeanyichukwu Emmanuel Ihedoro
Department of Surgery, Federal Medical Centre, Umuahia, Nigeria.
Cornelius C. Chukwuegbo
Department of Anatomical Pathology, Federal Medical Centre, Umuahia, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Background: Gastrointestinal endoscopy is a diagnostic and therapeutic procedure vital for the management of gastrointestinal pathologies. This is indispensable in modern medicine. We report our early experience with video gastrointestinal endoscopy at the Federal Medical Centre Umuahia, a tertiary hospital in southeast Nigeria.
Methods: A cross-sectional observational study of all patients who underwent esophagogastroduodenoscopy(OGD) at the Federal Medical Centre Umuahia in the two and half year period between July 2020 and December 2022 was done.
Results: The patients comprised 60 females (51.7%) and 56 males(48.3%). The mean age of the patients was 55.3 ± 17.0 with a range of 14-90 years. Dyspepsia and gastrointestinal haemorrhage accounted for over three-quarters of the indication for endoscopy. The most frequent findings at endoscopy were features of gastritis, followed by gastroduodenal erosions. Twenty-three (19.8%) of the patients had normal findings at endoscopy. Mass lesions were seen in 9.5% of the cases.
Conclusion: The diagnostic yield of endoscopy is high in appropriate indications. The appreciable proportion of oesophago-gastric tumours seen should stimulate further research. Despite the infancy of our practice, our outcomes were similar to other established centres in our nation.
Keywords: Gastrointestinal endoscopy, oesophago-gastric tumours, therapeutic procedure, endoscopy
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References
Hassan C, Aabakken L, Ebigbo A, Karstensen JG, Guy C, Dinis-Ribeiro M, Le Moine O, Vilmann P, Ponchon T. Partnership with African Countries: European Society of Gastrointestinal Endoscopy (ESGE) – Position Statement. Endoscopy International Open. 2018;6(10):E1247-E1255 DOI: 10.1055/a-0677-2026
Chuks NS. Challenges of gastrointestinal endoscopy in resource-poor countries. IntechOpen; 2011.
Hassan CMD, Bersani GMD, Buri LMD, Zullo AMD, Anti MMD, Bianco MAMD, Di Giulio EMD, Ficano LMD, Morini SMD, Di Matteo GMD, Loriga PMD, Pietropaolo VMD, Cipolletta LMD, Costamagna GMD. Appropriateness of upper-GI endoscopy: An Italian survey on behalf of the Italian Society of Digestive Endoscopy. Gastrointestinal Endoscopy. 2007;65(6): 767-774 DOI: 10.1016/j.gie.2006.12.058
Dakubo JC, Clegg-Lamptey JN, Sowah P. Appropriateness of referrals for upper gastrointestinal endoscopy. West African Journal of Medicine. 2011;30(5):342-347
Perl D, Leddin D, Bizos D, Veitch A, N'Dow J, Bush-Goddard S, Njie R, Lemoine M, Anderson ST, Igoe J, Anandasabapathy S, Shah B. Endoscopic capacity in West Africa. African Health Sciences. 2016;16(1):329-338 DOI: 10.4314/ahs.v16i1.44
Mwachiro M, Topazian HM, Kayamba V, Mulima G, Ogutu E, Erkie M, Lenga G, Mutie T, Mukhwana E, Desalegn H, Berhe R, Meshesha BR, Kaimila B, Kelly P, Fleischer D, Dawsey SM, Topazian MD. Gastrointestinal endoscopy capacity in Eastern Africa. Endoscopy International Open 2021;9(11):E1827-E1836
DOI: 10.1055/a-1551-3343
Malu AO. Gastrointestinal endoscopy in Nigeria. Niger J Gastroenterol Hepatol. 2020;12(2):33-39
Ijarotimi O, Soyoye DO, Adekanle O, Ndububa DA, Umoru BI, Alatise OI. Declining prevalence of duodenal ulcer at endoscopy in Ile-Ife, Nigeria. South African Medical Journal. 2017;107(9): 750 DOI: 10.7196/SAMJ.2017.v10719.12342
Ismaila BO, Misauno MA. Gastrointestinal endoscopy in Nigeria--A prospective two year audit. The Pan African Medical Journal. 2013;14(22):22-22 DOI:10.11604/pamj.2013.14.22.1865
Oluseyi Akande K, Oke To, Afuwape O, Adigun TA, Akere A, Aje A, Ola SO, Otegbayo JA. Spectrum and pattern of distribution of findings in patients with dyspepsia undergoing oesophago-gastro-duodenoscopy at a Tertiary Hospital in Ibadan, south west, Nigeria. Alexandria Journal of Medicine 2021; 57(1):151-156 . DOI: 10.1080/20905068.2021.1913890
Gyedu A, Yorke J. Upper gastrointestinal endoscopy in the patient population of Kumasi, Ghana: indications and findings. The Pan African Medical Journal. 2014;18(327):327-327. DOI: 10.11604/pamj.2014.18.327.4806
Odeghe EA, Adeniyi OF, Oyeleke GK, Keshinro SO. Use of alarm features in predicting significant endoscopic findings in Nigerian patients with dyspepsia. The Pan African Medical Journal 2019; 34(66): 66-66 DOI: 10.11604/pamj.2019.34.66.18848
Agbakwuru EA, Fatusi AO, Ndububa DA, Alatise OI, Arigbabu OA, Akinola DO. Pattern and Validity of Clinical Diagnosis of Upper Gastrointestinal Diseases in South-west Nigeria. African Health Sciences. 2006; 6(2):98-103
Oluwagbenga OO. Upper Gastrointestinal Endoscopy In Ido-Ekiti, Nigeria: A four-year review. Open journal of Gastroenterology and Hepatology. 2020:35. DOI: 10.28933/ojgh-2020-04-0905
Agyei-Nkansah A, Duah A, Alfonso M. Indications and findings of upper gastrointestinal endoscopy in patients presenting to a District Hospital, Ghana. The Pan African Medical Journal 2019; 34(82):82-82 DOI: 10.11604/pamj.2019.34.82.18002
Doe MJ, Bua E, Obbo JS, Bisso F, Olupot-Olupot P. Upper gastrointestinal endoscopy findings in Mbale Regional Referral Hospital, Eastern Uganda: A 10-year retrospective analysis. African Health Sciences 2021;21(2):919-926 . DOI: 10.4314/ahs.v21i2.54
Nwokediuko SC, Ijoma U, Obienu O, Picardo N. Time trends of upper gastrointestinal diseases in Nigeria. Annals of Gastroenterology. 2012; 25(1):52-56.
Ray-Offor E, Opusunju KA. Current status of peptic ulcer disease in Port Harcourt metropolis, Nigeria. African Health Sciences. 2020;20(3):1446-1451. DOI: 10.4314/ahs.v20i3.50
Kayamba V, Sinkala E, Mwanamakondo S, Soko R, Kawimbe B, Amadi B, Zulu I, Nzaisenga J-B, Banda T, Mumbwe C, Phiri E, Munkonge P, Kelly P. Trends in upper gastrointestinal diagnosis over four decades in Lusaka, Zambia: A retrospective analysis of endoscopic findings. BMC Gastroenterology 2015;15(1):127-127 DOI: 10.1186/s12876-015-0353-8