Upper Gastrointestinal Endoscopy Findings In Mbale Regional Referral Hospital, Eastern Uganda: A 10-Year Retrospective Analysis
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Date
2021
Journal Title
Journal ISSN
Volume Title
Publisher
African Health Sciences
Abstract
Endoscopy is required for formal diagnosis of many upper gastrointestinal (UGI) conditions including oe- sophageal cancer (OC). There is a paucity of data on endoscopy findings in East Africa as access to testing is challeng- ing for patients. We describe the findings of 10 years of UGI endoscopy in Mbale Regional Referral Hospital (MRRH). Records of patients that underwent UGI endoscopy in MRRH, November 2009 – March 2019 were retrospective- ly analysed. Indication, macroscopic findings, histology and patient demographics were retrieved. Sub-group analyses were performed on those with a histological diagnosis of oesophageal cancer.833 eligible patients received single UGI procedures during the study period. Mean age was 54.8 years, range 16-93 years and 56.9% of patients were male. The main indication was dysphagia (42%) and the most common findings OC (34%) and gastritis (28%). 151 patients had histologically proven OC with a median age of 60 years and a 2:1 male to female ratio. 145/151 (96%) of samples tested revealed squamous cell carcinoma (SCC). Those undergoing endoscopy in MRRH are most commonly male patients presenting in their 5th decade with dysphagia. There is a high proportion of significant findings including gastritis, peptic ulcer disease, and oesophageal cancer.
Description
Keywords
Gastrointestinal; OGD; LMIC; oesophageal cancer.
Citation
Doe, M. J., Bua, E., Obbo, J. S., Bisso, F., & Olupot-Olupot, P. (2021). Upper gastrointestinal endoscopy findings in Mbale Regional Referral Hospital, Eastern Uganda: a 10-year retrospective analysis. African Health Sciences, 21(2), 919-926.https://dx.doi. org/10.4314/ahs.v21i2.54