Abstract
An Evaluation of 605 Endoscopic Examination in a Rural Setting, Lacor Hospital in Northern Uganda
Highlights
The aim of this study was to evaluate the profile of esophagogastroduodenal (EGDS) diseases diagnosed by upper endoscopy in a rural area of Uganda in a retro-protective study of 605 patients
For all the age groups, the female gender predominated in patients undergoing EGDS procedure and overall a significant majority of patient undergoing EGDS in our setting are females 60% compared with their male counterpart (40%), (P value 0.000)
Peasant farmers significantly constitute the biggest proportion of patients who have GI symptoms requiring EGDS (P value 0.000, χ2 = 3295.754)
Summary
The aim of this study was to evaluate the profile of esophagogastroduodenal (EGDS) diseases diagnosed by upper endoscopy in a rural area of Uganda in a retro-protective study of 605 patients. Epigastric pain was the commonest indication (58%) for EGDS, followed by chest pain (11%), abdominal pain (8.8%), dyspahgia (7.6%) and hematemesis (7.3%). Conclusion: Gastritis is the commonest lesion (47.9%) of which 53% have H pylori and Cancer esophagus account for 5.1% of GI lesion in our setting. 39% of EGDS performed have inappropriate indications, better diagnostic yield depend appropriateness, patient gender and age, treatment setting, and symptoms [3]. Dyspepsia represent the commonest indication in the USA, Pakistan and Ethiopia [4,5,6] as well as in Nigeria and is followed by upper gastrointestinal bleeding [7]. Epigastralgia was found to represent the commonest indication for EDGS (47.7%) and it is followed by diffuse abdominal pain (21.8%) and repeat procedure (19.1%) [8]. 39% of procedures lead to the discovery of disease [8]
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