Upper gastrointestinal endoscopy at the Korle Bu Teaching Hospital, Accra, Ghana
Ghana Med. J. (Online)
; 41(1): 12-16, 2007. ilus
Article
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| AIM
| ID: biblio-1262255
Biblioteca responsable:
CG1.1
ABSTRACT
Objectives:
To study the indications for endo-scopy, the endoscopic diagnosis and other lessons learnt..Methods:
A retrospective and prospective audit of all upper gastrointestinal endoscopies performed in the Endoscopy Unit of the Korle-Bu Teaching Hospital from January 1995 to December 2002 was performed.Results:
A total of 6977 patients, 3777 males and 3200 females with age range 1 year 8 months to 93 years were endoscoped. The mean age of males was 43.5 + 0.5 and females 43.7 + 0.6 years. Epi-gastric pain (42.5%), dyspepsia (32.8%) and haematemesis and melaena (14.2%) were the commonest reasons for endoscopy. Chronic duo-denal ulcer (19.6%), acute gastritis (12.7%), duo-denitis (10.2%), oesophagitis (7.5%) were the commonest diagnoses. Normal endoscopy was reported in 41.1% patients, and was higher in the younger age group compared to the older (R = 0.973, P<0.001). Nine hundred and ninety (14.2%) patients were endoscoped for haematemesis and melaena of which chronic duodenal ulcer (32.1%), gastritis/gastric erosions (12.8%), oesophageal varices (9.8%), carcinoma of the stomach (6.4%), and duodenitis (4.2%), were the commonest causes. No lesion was found in 20.6% of these patients. Urease test was positive in 75% of all biopsy specimen and 85% in chronic duodenal ulcer, gastritis and duodenitis.Conclusion:
The normal endoscopy rate is high and needs to be reduced in order to help prolong the lives of the endoscopes. Chronic duodenal ul-cer is usually associated with H. pylori infection and is the commonest cause of upper gastrointesti-nal bleeding
Texto completo:
1
Base de datos:
AIM
Asunto principal:
Endoscopía Gastrointestinal
/
Tracto Gastrointestinal Superior
/
Endoscopía
/
Ghana
País/Región como asunto:
Africa
Idioma:
En
Revista:
Ghana Med. J. (Online)
Año:
2007
Tipo del documento:
Article