Upper Gastrointestinal Endoscopy in Abuja, North-central Nigeria: A 5-Year Institutional Review of Indications and Pathological Outcomes
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Abstract
Background: Oesophagogastroduodenoscopy (OGD) is a powerful diagnostic and therapeutic tool in the management of upper gastrointestinal tract diseases. Apart from clear mucosal views, OGD allows mucosal biopsies for histological examination or detection of Helicobacter pylori infection, brushings for cytology and aspirates for microbiological culture.
Objectives: To review the indications, endoscopic findings and histopathological outcomes of the OGDs in a private hospital in Abuja, Nigeria.
Methods: A retrospective observational study of retrieved records of all the patients who had upper gastrointestinal endoscopy for both diagnostic and therapeutic indications between January 2017 and December 2021.
Results: One hundred and thirty patients had oesophagogastroduodenoscopy done. Their ages ranged from 15 to 82 years with a mean of 48.5 ± 15.6 SD. Out of 130 patients, 62(47.7%) were males and 68(52.3%) females giving a near-equal M:F ratio 1:1. Most patients 99(90%) were negative for H. pylori test. The commonest indications were epigastric pain 75(28.3%) and upper GI bleeding 66(24.9%). Epigastric mass, and postprandial vomiting were the least 2(0.8%). Therapeutic indications were insertion of gastric balloon 18(6.7%) and balloon dilatation 2(0.8%). Majority 60(46.0%) had gastritis; oesophageal varices and duodenal polyp were the least 3(2.3%). Normal OGD was 20(15.4%). Histological diagnosis of severe chronic gastritis was 71(63.4%), adenocarcinoma of the stomach 5(4.5%). Barrett’s oesophagus and gastrointestinal stromal tumour were the least, 1(0.9%) each. Vomiting 3(2.3%) was the only morbidity. There was no mortality.
Conclusion: The commonest indication was chronic gastritis and OGD is safe. Therapeutic indication like gastric balloon insertion for weight reduction is increasing.
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Lindsay JO, Woodland P. Gastrointestinal endoscopy in Vol. 1 Part 2: Investigation and diagnosis. In: Williams NS, O’Connell PR, McCaskie AW (Editors). Bailey and Love’s Short Practice of Surgery. International Students 27th Edition. Taylor & Francis Group, 6000 Broken Sound Parkway, NW, Suite 300 Boca Raton, FL, United States. CRC Press. 2018 (1); Chapter 15: pp 215-225.
Wells CW. The characteristics of an excellent endoscopy trainer. Frontline Gastroenterol. 2010; 1:13–18.
Ackermann RJ. Performance of gastrointestinal tract endoscopy by primary care physicians. Arch Fam Med. 1997; 6(1):52–58.
Hilsden RJ, Tepper J, Moayyedi P, Rabeneck L. Who provides gastrointestinal endoscopy in Canada? Can J Gastroenterol. 2007; 21(12):843–846.
Ismaila BO, Misauno MA. Gastrointestinal endoscopy in Nigeria-a prospective two-year audit. Pan Afr Med J. 2013; 14:22.
Irabor DO. Surgical gastrointestinal endoscopy in Ibadan, Nigeria. Nigerian Journal of Surgical Research. 2006; 8(3-4):161-162.
Aduful H, Naaeder S, Darko R, Baako B, Clegg-Lamptey J, Nkrumah K et al. Upper gastrointestinal endoscopy at the Korle Bu teaching hospital, Accra, Ghana. Ghana Med J. 2007; 41(1):12-6.
Onyekwere CA, Hameed H, Anomneze EE, Chibututu C. Upper gastrointestinal endoscopy findings in Nigerians: a review of 170 cases in Lagos. Niger Postgrad Med J. 2008; 15(2):1 26-9.
Gyedu A, Yorke J. Upper gastrointestinal endoscopy in the patient population of Kumasi, Ghana:Indications and findings. Pan African Medical Journal. 2014;18:327
Malu AO, Wali SS, Kazmi R, Macauley D, Fakunle YM. Upper gastrointestinal endoscopy in Zaria, northern Nigeria. West Afr J Med. 1990; 9(4):279-84.
Okoloba AB, Bojuwoye BJ. Indications for oesophagogastroduodenoscopy in Ilorin, Nigeria-a 30-month review. Niger J Clin Pract. 2010; 13(3):260-3.
Dronfield MW, Langman MJS, Atkinson M, Balfour TW, Bell GD, Vellacot KD et al. Outcome of endoscopy and barium radiography for upper gastrointestinal bleeding: control trial in 1037 patients. Br Med J. 1982; 284:545–548.
Dronfield MW, McIllmurray MB, Ferguson R, Atkinson M, Langman MJS. A prospective randomised study of endoscopy and radiology in acute upper-gastrointestinal-tract bleeding. The Lancet. 1977:1167–1169.
Dakubo JC, Clegg-Lamptey JN, Sowah P. Appropriateness of referrals for upper gastrointestinal endoscopy. West Afr J Med, 2011: 30(5):342-7.