| Title : | Upper gastrointestinal endoscopy at the Korle Bu Teaching Hospital, Accra, Ghana | | Authors: | H. K. Aduful ; S. B. Naaeder, Author ; R. Darko, Author ; B. N. Baako, Author ; J. N. A. Clegg-Lamptey, Author ; K. N. Nkrumah, Author ; N. A. Adu-Aryee, Author ; M. Kyere, Author | | Publisher: | Accra [Ghana] : Ghana Medical Association | | Publication Date: | 2007 | | Series: | Ghana Medical Journal, ISSN 2616-163X No. 41(1)  | | Pagination: | p.12-16, fig., tab. | | Layout: | Journal Article | | ISSN (or other code): | 0016-9560 | | Languages : | English | | Keywords: | Upper Gastrointestinal Tract - surgery Endoscopy, Gastrointestinal Endoscopy - complications Ghana - Accra | | 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 |
Upper gastrointestinal endoscopy at the Korle Bu Teaching Hospital, Accra, Ghana [] / H. K. Aduful ; S. B. Naaeder, Author ; R. Darko, Author ; B. N. Baako, Author ; J. N. A. Clegg-Lamptey, Author ; K. N. Nkrumah, Author ; N. A. Adu-Aryee, Author ; M. Kyere, Author . - Accra (1596, Ghana) : Ghana Medical Association, 2007 . - p.12-16, fig., tab. : Journal Article. - ( Ghana Medical Journal, ISSN 2616-163X; 41(1)) . ISSN : 0016-9560 Languages : English | Keywords: | Upper Gastrointestinal Tract - surgery Endoscopy, Gastrointestinal Endoscopy - complications Ghana - Accra | | 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 |
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