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Endoscopy for upper gastrointestinal bleeding in a tertiary hospital in Kaduna, North-West Nigeria: Experience and findings.
- Source :
-
Annals of African medicine [Ann Afr Med] 2022 Jul-Sep; Vol. 21 (3), pp. 262-268. - Publication Year :
- 2022
-
Abstract
- Background: Upper gastrointestinal bleeding (UGIB) is a common medical emergency and upper gastrointestinal endoscopy (UGIE) makes diagnosis and treatment possible; performing this procedure within 24 h of bleeding is considered the standard of care for managing this condition. Access to upper endoscopy improves the prognosis of the disease.<br />Methods: We present our experience and findings of performing UGIE in patients referred for UGIB to a new endoscopy unit in a tertiary center in North-West Nigeria. The age, gender, reasons for referral, interval between endoscopy, and last known episode of bleeding and endoscopic findings were obtained from endoscopy records.<br />Results: We performed UGIE in 204 patients for UGIB over a 7-year period: Mean age 45.5 years (range 10-88 years), 61.8% male, 54.8% <50 years. Most patients (81.3%) had endoscopy seven or more days after the last known episode of bleeding and none had endoscopy within 24 h. Esophageal and gastric varices were found in almost 30% of patients while peptic ulcer disease was found in 23%. Portal hypertensive gastropathy was found in 12.7% of patients all of whom also had esophageal or gastric varices. Gastric mucosal erosions (7.4%) and gastric malignancy (6.4%) were other notable findings. No significant abnormalities were detected in 11.8% of patients.<br />Conclusion: Bleeding from esophageal/gastric varices and peptic ulcer disease were the most common finding in our patients. There was delay in performing endoscopy and improving access and training for endoscopy will go a long way in addressing some of the challenges we identified.<br />Competing Interests: None
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Child
Endoscopy, Gastrointestinal methods
Female
Gastrointestinal Hemorrhage diagnosis
Gastrointestinal Hemorrhage etiology
Gastrointestinal Hemorrhage therapy
Humans
Male
Middle Aged
Nigeria epidemiology
Tertiary Care Centers
Young Adult
Esophageal and Gastric Varices diagnosis
Esophageal and Gastric Varices therapy
Peptic Ulcer therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0975-5764
- Volume :
- 21
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Annals of African medicine
- Publication Type :
- Academic Journal
- Accession number :
- 36204913
- Full Text :
- https://doi.org/10.4103/aam.aam_64_21