Abstract
ABSTRACTIntroduction ‘Hepatology’, as an independent discipline of medical science, has recently been established in Bangladesh. The aim of this study was to formulate the distribution of pattern of liver diseases in this country.Materials and methods In this retrospective study, data regarding patients of liver diseases from the seven different administrative divisions of Bangladesh between January 2012 and 2013 were compiled.Results The study included 59,227 patients (age ranged 15-95 years). Majority of the patients were males (67.9%). Although all patients appeared at the department of hepatology, 13.2% were diagnosed with liver diseases, but a vast majority of patients (77.35%) were suffering from nonulcer dyspepsia or irritable bowel syndrome. Patients with liver diseases were mostly suffering from chronic liver diseases (CLDs) (37 -69%). Complication of CLD, like hepatic encephalopathy, was less frequent in regions with better healthcare system. Nonviral infections, like liver abscess and biliary ascarisis, were not uncommon. Acute hepatitis was another very common entity and contributed to approximately 20% cases.Conclusion This study provides insight about heterogeneous distribution pattern of liver diseases in different regions of Bangladesh.How to cite this article: Rahman S, Ahmed MF, Alam MJ, Debnath CR, Hoque MI, Hussain MM, Shamsul Kabir AKM, Karim MF, Khondokar FA, Mahtab MA, Masud MG, Mollick MKU, Moben AL, Noor-E-Alam SM, Podder PK, Raha AK, Rahim MA, Rashid MHO, Zaki KMJ, Akbar SMF. Distribution of Liver Disease in Bangladesh: A Cross-country Study. Euroasian J Hepato-Gastroenterol 2014;4(1):25-30.
Highlights
After it is humble beginning in Bangladesh in the 1990s, the ‘Department of Hepatology’, as an independent discipline of medical science, has come a long way in this country
All the patients presented to their respective hepatology department assuming that they were suffering from some form of liver diseases
An important aspect of the study is that majority of the patients (86.8%) attending department of hepatology had no liver diseases; they thought that they were suffering from some form of liver diseases
Summary
After it is humble beginning in Bangladesh in the 1990s, the ‘Department of Hepatology’, as an independent discipline of medical science, has come a long way in this country. Independent hepatology departments have been functioning in all major medical colleges of the country, as well as in the only medical university of Bangladesh. Bangladesh is the first country in this region to introduce postgraduation course in hepatology. Mamun-Al-Mahtab et al Bangladesh has a more or less homogeneous population, it is one of the most densely populated countries of the world, accommodating over 160 million population in an area of approximately 1,44,000 square kilometers. The growth and resultant demographic changes are nonuniform, meaning that despite our homogeneous population, our disease patterns are likely to vary from one region to another. This is manifested in case distribution of liver diseases in different parts of Bangladesh
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