original article

Vol. 10 No. 2

UTILISATION TREND OF GASTROINTESTINAL ENDOSCOPY IN PORT HARCOURT, SOUTHERN NIGERIA: A 5 YEAR REVIEW

December 2018

— Emeka Ray-Offor and Patrick O. Igwe

Abstract

Background: Gastrointestinal (GI) endoscopy is a notable advancement in the diagnosis of diseases in the digestive tract. It offers the advantage of biopsy and a range of cost-effective therapeutic options.

Aims: To study the range of GI endoscopy procedures, indications, spectrum of findings and outcome of GI endoscopy in two typical private specialist gastroenterology institutions in a developing country.

Patients and Method: This is a cross sectional observational study of patients referred for GI endoscopy to two referral health facilities in Port Harcourt metropolis of Rivers State, Nigeria from February 2012 to February 2017. The variables studied were demographics of the patients, indication, the type of endoscopic procedure carried out and outcome and outcome. Statistical analysis was done using SPSS version 20 (SPSS,
Chicago, IL, USA).

Results: Four hundred and ninety-six cases were performed during the study period comprising 313 males and 183 females. The age range was 15 months - 86years (mean age of 48.9 ± 16.2 years). Upper and lower gastrointestinal bleeding were the commonest indications for endoscopy referal- 181 (36.5%). The range of procedures performed included oesophagogastroduodenoscopy 266 (52.8%) and colonoscopy 177 (35.9%);
the therapeutic procedures carried out ranged from sclerotherapy 35(7%), polypectomy 24(5%), band ligation 6(1%), foreign body retrieval 6(1%)toa case of endoscopic mucosal resection EMR.

Conclusion: There is an increasing utilisation of gastrointestinal endoscopy in our experience and those of others who we are conversant with. In our experience, the practice is safe and with a high diagnostic yield and therapeutic achievement.

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