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Vol. 9 No. 2

Editorial

The Editorial Board of Nigerian Journal of Gastroenterology and Hepatology (NJGH) presents to our esteemed readers Volume 9, Number 2 of our Journal. This edition is a potpourri of hot topics drawn from various aspects of gastroenterology and hepatology.

Chronic gastritis is one of the most common clinico-pathologic entities encountered in gastroenterology practice but to date, it has no universally accepted classification system. The Sydney system was a watershed in the search for a system that would meet the needs of clinicians, pathologists and researchers as this system made it possible to integrate information on topographical distribution and morphological parameters in order to make aetiopathogenetic inferences. The search for a better classification system continues and in this issue of Nigerian Journal of Gastroenterology and Hepatology (NJGH) a discourse of some classification systems that have emerged in the post-Sydney era is featured.

Despite the introduction of new techniques in endoscopic hemostasis and potent acid suppressants in the last 3 decades, the mortality of peptic ulcer bleeding remains high. To underscore the importance of this subject, an article on the use of Forrest scoring system for risk stratification in patients with peptic ulcer bleeding from South West Nigeria is included in this issue.

Nigeria is one of the countries of the world with high prevalence of irritable bowel syndrome. Also featured is a paper on dietary associations in irritable bowel syndrome in Lagos residents.

Debate over the status of medicine as an Art or Science continues to gather steam. One thing that is incontrovertible is that it is common to encounter some overlaps between subjects that are traditionally grouped as science or humanities. For instance, the methods of inquiry in both fields are so similar. To drive this point home, a new perspective in the control of Hepatitis B virus infection is introduced in this issue of NJGH in the form of an original research. The main thrust of the study is the use of theatrical activities as interventions in improving awareness and knowledge of Hepatitis B virus.

One of the challenges faced by hepatologists in the management of inflammatory diseases of the liver is the assessment of the fibrotic evolution of chronic hepatitis. The diagnostic accuracy of some indirect markers of liver fibrosis in patients with chronic hepatitis B and C is one of the articles featured in this edition

Other interesting packages in this edition are case reports and abstracts presented at the 10th Annual Scientific Conference of Society for Gastroenterology and Hepatology in Nigeria (SOGHIN) held at Ado-Ekiti, July 25-28, 2017.

Enjoy your reading and feel free to send your observations and suggestions to our Editorial Office.

Original Article

Classification of Chronic Gastritis in the Post-Sydney Era: A Discourse

— SC Nwokediuko

Abstract:
Chronic gastritis is defined histologically as an increase in the number of lymphocytes and plasma cells in the gastric mucosa. The definition and classification of this entity had been a subject of intensive research, long before the discovery of Helicobacter pylori by Warren and Marshal. The Sydne...

Original Article

Upper Gastrointestinal Bleeding: Forrest Classification and Rebleeding in Patients with Peptic Ulcer Disease at a Teaching Hospital in Southwest Nigeria

— Akere A and Osundina MA

Abstract:
Background and Aim: Upper gastrointestinal bleeding (UGIB) is a common clinical emergency. In about 50-70% of cases, peptic ulcer is the aetiology. Scoring systems commonly used to stratify patients with UGIB are Rockall, Blatchford and Forrest grading system. The aim of this study was to stratify p...

Original Article

Role of Theatre for Development in Disseminating Information on HBV Infection in a Nigerian Community

— Benson AA and Otegbayo JA

Abstract:
Introduction: Developmental tools for disseminating information and raising awareness. It goes beyond performing plays and involves a target group as performers. This study considered the problem of Hepatitis B virus (HBV) within a university community in Nigeria and evaluated the effect of TfD inte...

Original Article

Irritable Bowel Syndrome Amongst Patients With Chronic Abdominal Pain in Lagos, Nigeria: Their Profile and Dietary Associations

— Duro-Emanuel A, Onyekwere C and Okeke E

Abstract:
Background: Irritable bowel syndrome (IBS) is a common functional gastrointestinal disorder in which bowel habits are altered in association with abdominal pain or discomfort. Reports of prevalence vary worldwide, with that of the sub-Sahara region ranging from 8% to 31% among apparently healthy sub...

Original Article

Diagnostic Accuracy of FIB-4, APRI and AST/ALT Ratio for Prediction of Fibrosis in Chronic Hepatitis B and C Patients

— Nisar A Shah. DM, Showkat Ahmad Kadla, Irfan Ahmad Mir, Bilal Ahmad Khan, Asif Iqbal Shah, Shabir Ahmad Shiekh and Khalid JavedBhat

Abstract:
Background and Objectives: Accurate assessment of liver fibrosis is essential for successful disease management for people with chronic hepatitis B (CHB) and chronic hepatitis C (CHC). Although liver biopsy remains gold standard for diagnosis of liver fibrosis, it has some limitations. To overcome t...

Case Reports

Small Bowel Gangrene Due to Inflamed Appendicular Band: A Case Report

— Ajiboye OA, Akinwumi AI, Adesina SA, Amole IO, Kolade SO and Agbakwuru EA

Abstract:
Appendicular band syndrome also called appendicular knot or tie is an extremely rare complication of acute appendicitis the world over. Adynamic small bowel obstruction or ileus is not uncommon in all forms of peritoneal inflammation but anatomical small intestinal obstruction or gangrene due to app...

Case Reports

Hydatid Cyst of Liver Diagnosed on Liver Biopsy

— Nisar Ahmad Shah, Showkat Ahmad Kadla, Zahid Zubair, Bilal Ahmad Khan, Shah AI and Shabir Ahmad

Abstract:
Hydatid disease of liver is caused by the larval cestode echinococcus granulosus. Liver is the first filter of Echinococcus Embryos and as a result the primary site for hydatid disease. Diagnosis of hydatid liver is usually simple and straight forward with the help of imaging, serological and immuno...

About Us

The Nigerian Journal of Gastroenterology and Hepatology, is a quarterly publication of the Society for Gastroenterology and Hepatology in Nigeria (SOGHIN), which publishes original research on the biology and diseases of the Gut, Liver, Pancreas, Peritoneum and Spleen both in humans and experimental animal models.

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