An Evaluation of 605 Endoscopic Examination in a Rural Setting, Lacor Hospital in Northern Uganda
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Date
2016
Journal Title
Journal ISSN
Volume Title
Publisher
British Journal of Medicine & Medical Research
Abstract
Introduction: The aim of this study was to evaluate the profile of esophagogastroduodenal
(EGDS) diseases diagnosed by upper endoscopy in a rural area of Uganda in a retro-protective
study of 605 patients.
Results: The mean age of patients with digestive symptoms was 39.7yrs (SD +/-16.11) and female
gender predominated by 60% compared to the male (P value 0.000). Peasant farmers were the
commonest group with GI symptoms requiring EGDS compared to the rest 72.1% v 27.9%.
Epigastric pain was the commonest indication (58%) for EGDS, followed by chest pain (11%),
abdominal pain (8.8%), dyspahgia (7.6%) and hematemesis (7.3%). The commonest endoscopy
finding was gastritis (47.9%) followed by esophagitis (14.4%), cancer esophagus (5.1%),
esophageal varicose (4%), PUD (2.3%), gastric cancer (1%). However 19.5% of patients had
normal EGDS. There was a significant correlation between the outpatient diagnosis and endoscopy finding (P value 0.01, r = 0.144) and between endoscopy finding and histology findings
(P value 0.001, r = 0.236). H. pylori was positive in 53% of patients with gastritis.
Conclusion: Gastritis is the commonest lesion (47.9%) of which 53% have H pylori and Cancer
esophagus account for 5.1% of GI lesion in our setting. Cancer stomach is rare in our setting.
Description
Keywords
Upper Gi-endoscopy, indication, findings, gastritis, peptic ulcer, H. pylori
Citation
Okello, T. R., Ogwang, D. M., Alema, N. O., & Pecorella, I. (2016). An Evaluation of 605 Endoscopic Examination in a Rural Setting, Lacor Hospital in Northern Uganda. Journal of Advances in Medicine and Medical Research, 1-7.