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Author Ismaila, Bashiru Omeiza ♦ Misauno, Michael Ayedima
Source World Health Organization (WHO)-Global Index Medicus
Content type Text
Publisher African Field Epidemiology Network
File Format HTM / HTML
Language English
Difficulty Level Medium
Subject Domain (in DDC) Social sciences ♦ Economics ♦ Microeconomics & related topics ♦ Social problems & services; associations ♦ Social welfare problems & services ♦ Natural sciences & mathematics ♦ Life sciences; biology ♦ Natural history of organisms ♦ Technology ♦ Medicine & health ♦ Diseases ♦ Management & auxiliary services ♦ General management ♦ Manufacture for specific uses ♦ Precision instruments & other devices
Subject Domain (in MeSH) Eukaryota ♦ Organisms ♦ Neoplasms ♦ Digestive System Diseases ♦ Nervous System Diseases ♦ Pathological Conditions, Signs and Symptoms ♦ Diseases ♦ Diagnosis ♦ Investigative Techniques ♦ Analytical, Diagnostic and Therapeutic Techniques and Equipment ♦ Health Occupations ♦ Physical Sciences ♦ Persons ♦ Persons ♦ Health Care Facilities, Manpower, and Services ♦ Health Care Economics and Organizations ♦ Health Services Administration ♦ Health Care ♦ Geographic Locations ♦ Geographic Locations
Subject Keyword Discipline Medicine ♦ Endoscopy, Gastrointestinal ♦ Statistics & Numerical Data ♦ Gastrointestinal Diseases ♦ Diagnosis ♦ Abdominal Pain ♦ Adenocarcinoma ♦ Surgery ♦ Adenoma ♦ Adolescent ♦ Adult ♦ Aged ♦ Aged, 80 And Over ♦ Diagnosis-related Groups ♦ Adverse Effects ♦ Economics ♦ Education ♦ Utilization ♦ Female ♦ Gastrointestinal Hemorrhage ♦ Gastrointestinal Neoplasms ♦ Hospitals, University ♦ Humans ♦ Intestinal Polyps ♦ Male ♦ Medical Audit ♦ Medicine ♦ Middle Aged ♦ Nigeria ♦ Prospective Studies ♦ Young Adult ♦ Journal Article
Abstract INTRODUCTION: Gastrointestinal (GI) endoscopy is currently performed by different specialties. Information on GI endoscopy resources in Nigeria is limited. Training, cost, availability and maintenance of equipment are some unique challenges. Despite these challenges, the quality and completion rates are important. METHODS: Prospective audit of endoscopic procedures by an endoscopist in a Nigerian hospital over a 24 month period. RESULTS: One hundred and ninety endoscopic procedures were performed in 187 patients (109 male, 78 female) by a surgeon during this period. Mean age was 47.6 years (range 17 - 90 years). All patients were symptomatic. One hundred and twenty-two procedures (64.2%) were upper GI endoscopy, 52 (27.4%) colonoscopy and 16 (8.4%) sigmoidoscopy. Majority of endoscopies 182 (95.8%) were performed electively and only 7 (3.7%) were therapeutic. Upper GI endoscopy findings included 14 (11.5%) cases of peptic ulcer disease, 5 complicated by gastric outlet obstruction, and 21 (17.3%) cases of upper gastrointestinal cancer. Lower gastrointestinal endoscopy findings included 7 cases of polyps, 3 cases of colorectal cancer and 2 cases of diverticulosis. Commonest lesion on lower GI endoscopy was haemorrhoids (41.7%). Adjusted caecal intubation was 81.4% for colonoscopies performed. Overall adenoma detection rate for male and female patients were 18.2% and 5.3% respectively; in patients over 50 years these were 6.3% and 14.3%. Two complications, rupture of oesophageal varices, and respiratory arrest in bulbar palsy patient occurred. CONCLUSION: An endoscopist can perform GI endoscopy effectively in developing countries like Nigeria but attention to equipment need and training is important.
Spatial Coverage Nigeria
Description Country affiliation: Nigeria
Author Affiliation: Ismaila BO ( Department of Surgery, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.)
Educational Role Student ♦ Teacher
Age Range above 22 year
Educational Use Reading ♦ Research ♦ Self Learning
Interactivity Type Expositive
Education Level UG and PG
Learning Resource Type Article
Publisher Date 2013-01-01
Publisher Place Uganda
e-ISSN 19378688
Journal Pan African Medical Journal
Volume Number 14


Source: WHO-Global Index Medicus