original article

Vol. 10 No. 2

AN ANALYSIS OF GASTROENTEROLOGY REFERRALS AT THE UNIVERSITY COLLEGE HOSPITAL, IBADAN, NIGERIA

December 2018

— Temitope Oke and Samuel Ola

Abstract

Introduction: Worldwide, gastrointestinal diseases are a major burden on health sector resources. The aim of this study was to assess the pattern of gastroenterology referral and consultations as seen in the gastroenterology outpatient clinic (GEOPC) of the University College Hospital Ibadan, Nigeria.

Methods: This was a retrospective observational study in which all the referrals to the GEOPCover a 12- month period (January to December 2014) were evaluated. Demographic parameters and clinical diagnosis were retrieved using a clinical logbook. Data was recorded and analyzed using SPSS 21.

Results: Six hundred and ten patients referred to the gastroenterology clinic were evaluated. There were 319 males (52%) and 291 female patients (48%). The most frequent reasons for outpatient consultations were HBV infection (62.8%), Dyspepsia (21.8), Liver cancer (4.1%) andliver cirrhosis (3.6%). The relative prevalence of dyspepsia related diseases occurring in females was 2.3 folds while HBV prevalence was 2.5 folds in males. Self-employed patients had the highest prevalence of HBV infection (30.1%) while unemployed patients had the highest cases of Liver cirrhosis (31.8%) and liver cancer (32.0%) respectively.

Conclusion: HBV infection was the commonest cause of gastroenterology consultation and may reflect the high burden of the disease in this population.

Keywords: Gastrointestinal diseases, Consultations, UCH, Ibadan

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