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. 2015 Sep;15(3):959-66.
doi: 10.4314/ahs.v15i3.33.

Upper gastrointestinal diseases in patients for endoscopy in South-Western Uganda

Siraji Obayo  1 , Conrad Muzoora  2 , Ponsiano Ocama  3 , Matthew M Cooney  4 , Tony Wilson  2 , Christopher S Probert  5
Affiliations

Upper gastrointestinal diseases in patients for endoscopy in South-Western Uganda

Siraji Obayo et al. Afr Health Sci. 2015 Sep.

Abstract

Background: There is a paucity of published data regarding upper gastrointestinal diseases in Ugandans with upper gastrointestinal symptoms referred for endoscopy.

Objectives: To study the presenting complaints, pathology and Helicobacter pylori prevalence among patients with upper gastrointestinal symptoms in South-Western Uganda.

Methods: Patients presenting with upper gastrointestinal symptoms underwent upper endoscopy and a urease test for Helicobacter Pylori, all suspicious lesions were biopsied for histopathology review as appropriate.

Results: The most common presenting complaints were epigastric pain (51.6%), dysphagia (13.6%) and odynophagia (7.1%). The most common endoscopy finding was gastritis (40.2%), followed by normal examination (15.2%), oesophageal cancer (13.6%), gastric ulcer (7.6%) and gastric cancer (7.1%). Patients older than 40 years (n=110) had significant findings including gastritis (50.9%), oesophageal cancer (22.7%) and gastric cancer (11.8%). However in younger patients, with the age range of 18-40 years (n=74), most examinations were normal (92.9%). Of the 176 patients able to undergo Helicobacter pylori testing 75.6% were positive. Helicobacter pylori infection was associated with statistically significant increase in gastritis, oesophageal cancer, gastric ulcer, gastric cancer, and duodenal ulcers (p-values< 0.05).

Conclusion: Gastritis, ulcerative disease, and upper gastrointestinal malignancies are common in South-Western Ugandans and are associated with a high prevalence of Helicobacter pylori.

Keywords: Endoscopy; Helicobacter pylori; Pathology; Uganda; Upper gastrointestinal symptoms; Urease test.

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Figures

Figure 1
Figure 1
Primary gastrointestinal symptoms at presentation before endoscopy.
Figure 2
Figure 2
The risk factors for upper gastrointestinal symptoms reported during patient's assessment on history.
See this image and copyright information in PMC

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