We conclude that polyps are probably not as rare among black Africans especially when they are above 50 years. Our histopathological finding of adenomatous change in a good proportion of the detected polyps show that they are likely to be associated with CRCs in our compatriots and as such we would recommend a routine screening colonoscopy for Nigerians aged 50 and above.

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Colonoscopy is the only major advancement in the diagnosis of colonic diseases since the first barium-enema examination was performed in 1905. The indications are many and contraindications few. If colonoscopy is performed with care, it is safe and the results are rewarding. Patient comfort, integrity, and dignity are essential for the success of the procedure. Five hundred sixty-two colonoscopies were performed during a four-year period in Ife, Nigeria (1978 to 1982). The indications for colonoscopy are discussed and the results presented.

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Four hundred and thirty five stomach mucosal biopsies were taken from 145 consecutive patients (3 from each patient) during investigations for dyspepsia in three hospitals in Western Nigeria. The aim was to determine the best suited rapid screening method to aid fast diagnosis of ulcer/gastritis in this environment, using Gram stain, CLO test kit (urease production test) and culture methods. Eighty‐nine (61.4%) biopsies were positive using Gram stain, 61 (42.1%) using CLO test kit and only 28 (19.3%) using culture. Based on the various limitations of CLO test kits and culture methods, Gram stain was adjudged the best suited rapid method. The clinical implication of this finding is discussed.

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