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Clinical and endoscopic characteristics of patients undergoing gastrointestinal endoscopic procedures in Egypt: a nationwide multicenter study.
Elbadry, Mohamed; El-Raey, Fathiya; Alboraie, Mohamed; Abdel-Samiee, Mohamed; Abdeltawab, Doaa; Ahmed, Mohammed Hussien; Sherief, Ahmed F; Eliwa, Ahmed; Tharwat, Mina; Abdelmawgod, Amira; Ahmed, Ossama Ashraf; Abdelsameea, Eman; Mahros, Aya; Moussa, Abdelmajeed M; Eid, Alshaimaa; Raafat, Khaled; Yousef, Ahmed; Rafea, Saad A S; Alazzaq, Youssef; Mare'y, Mohamed; Abdelaziz, Ahmed; Ibrahim, El Sayed Abouzid; El Dayem, Waleed A Abd; Abdelmoati, Ahmed A; Tawheed, Ahmed; Amer, Mohammad; Zaky, Samy; El-Kassas, Mohamed.
Afiliación
  • Elbadry M; Endemic Medicine Department, Faculty of Medicine, Helwan University, Ain Helwan, Cairo, 11795, Egypt.
  • El-Raey F; Hepatogastroenterology and Infectious Diseases Department, Al-Azhar University, Damietta, Egypt.
  • Alboraie M; Internal Medicine Department, Al-Azhar University, Cairo, Egypt.
  • Abdel-Samiee M; Hepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Shebin El-Kom, Egypt.
  • Abdeltawab D; Tropical Medicine and Gastroenterology Department, Assiut University, Assiut, Egypt.
  • Ahmed MH; Hepatology, Gastroenterology, and Infectious Diseases Department, Kafrelsheikh University, Kafrelsheikh, Egypt.
  • Sherief AF; Tropical Medicine Department, Ain Shams University, Cairo, Egypt.
  • Eliwa A; Internal Medicine Department, Al-Azhar University, Cairo, Egypt.
  • Tharwat M; Tropical Medicine and Gastroenterology Department, Aswan University, Aswan, Egypt.
  • Abdelmawgod A; Tropical Medicine and Gastroenterology Department, Assiut University, Assiut, Egypt.
  • Ahmed OA; Internal Medicine Department, Ain Shams University, Cairo, Egypt.
  • Abdelsameea E; Hepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Shebin El-Kom, Egypt.
  • Mahros A; Hepatology, Gastroenterology, and Infectious Diseases Department, Kafrelsheikh University, Kafrelsheikh, Egypt.
  • Moussa AM; Tropical Medicine and Gastroenterology Department, Aswan University, Aswan, Egypt.
  • Eid A; Hepatogastroenterolgy and Infectious Diseases Department, AL-Azhar University, Cairo, Egypt.
  • Raafat K; Internal Medicine Department, Ain Shams University, Cairo, Egypt.
  • Yousef A; Public Health and Community Medicine Department, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
  • Rafea SAS; Tropical Medicine Department, Ain Shams University, Cairo, Egypt.
  • Alazzaq Y; Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
  • Mare'y M; Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
  • Abdelaziz A; Hepatogastroenterology and Infectious Diseases Department, Al-Azhar University, Damietta, Egypt.
  • Ibrahim ESA; Internal Medicine Department, Al-Azhar University, Damietta, Egypt.
  • El Dayem WAA; Tropical Medicine Department, Zagazig University, Zagazig, Egypt.
  • Abdelmoati AA; Tropical Medicine Department, Zagazig University, Zagazig, Egypt.
  • Tawheed A; Endemic Medicine Department, Faculty of Medicine, Helwan University, Ain Helwan, Cairo, 11795, Egypt.
  • Amer M; Hepatology & Gastroenterology, Shebin Teaching Hospital, Shebin El Kom, Egypt.
  • Zaky S; Hepatogastroenterolgy and Infectious Diseases Department, AL-Azhar University, Cairo, Egypt.
  • El-Kassas M; Endemic Medicine Department, Faculty of Medicine, Helwan University, Ain Helwan, Cairo, 11795, Egypt. m_elkassas@hq.helwan.edu.eg.
BMC Gastroenterol ; 24(1): 186, 2024 May 28.
Article en En | MEDLINE | ID: mdl-38807055
ABSTRACT

BACKGROUND:

Egypt faces a significant public health burden due to chronic liver diseases (CLD) and peptic ulcer disease. CLD, primarily caused by Hepatitis C virus (HCV) infection, affects over 2.9% of the population nationwide, with regional variations. Steatotic liver disease is rapidly emerging as a significant contributor to CLD, especially in urban areas. Acid-related disorders are another widespread condition that can significantly impact the quality of life. These factors and others significantly influence the indications and findings of gastrointestinal endoscopic procedures performed in Egypt.

AIM:

We aimed to evaluate the clinico-demographic data, indications, and endoscopic findings in Egyptian patients undergoing gastrointestinal endoscopic procedures in various regions of Egypt.

METHODS:

This study employed a retrospective multicenter cross-sectional design. Data was collected from patients referred for gastrointestinal endoscopy across 15 tertiary gastrointestinal endoscopy units in various governorates throughout Egypt.

RESULTS:

5910 patients aged 38-63 were enrolled in the study; 75% underwent esophagogastroduodenoscopy (EGD), while 25% underwent a colonoscopy. In all studied patients, the most frequent indications for EGD were dyspepsia (19.5%), followed by hematemesis (19.06%), and melena (17.07%). The final EGD diagnoses for the recruited patients were portal hypertension-related sequelae (60.3%), followed by acid-related diseases (55%), while 10.44% of patients had a normally apparent endoscopy. Male gender, old age, and the presence of chronic liver diseases were more common in patients from upper than lower Egypt governorates. Hematochezia (38.11%) was the most reported indication for colonoscopy, followed by anemia of unknown origin (25.11%). IBD and hemorrhoids (22.34% and 21.86%, respectively) were the most prevalent diagnoses among studied patients, while normal colonoscopy findings were encountered in 18.21% of them.

CONCLUSION:

This is the largest study describing the situation of endoscopic procedures in Egypt. our study highlights the significant impact of regional variations in disease burden on the utilization and outcomes of GI endoscopy in Egypt. The high prevalence of chronic liver disease is reflected in the EGD findings, while the colonoscopy results suggest a potential need for increased awareness of colorectal diseases.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Endoscopía Gastrointestinal Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: BMC Gastroenterol Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Endoscopía Gastrointestinal Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: BMC Gastroenterol Asunto de la revista: GASTROENTEROLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Egipto Pais de publicación: Reino Unido