Appropriate use and diagnostic yield of upper gastrointestinal endoscopy in a tertiary referral hospital

Mudawi, Hatim; Khogalie, Asia A.; Tahir, M. A. El; Mohamed, Haitham M.E.

doi:10.1016/j.ajg.2012.08.009

“…14 The mean age of the patients was 46.3±17.752 yrs. This is similar to other studies.4,15-17 It was 46.5±17.9 years in Mudawi et al 18 and 36 years in Taye et al 19 This shows that the upper GI Problem is more prevalent in middle-aged populations. This result was comparable with the study done by Chhetri et al in Lumbini Medical College and Teaching Hospital (45.7 years, SD= 17.9).…”

Section: Discussionsupporting

confidence: 86%

Mirror of Upper Gastrointestinal Endoscopic Findings in Lumbini Provincial Hospital

Joshi¹,

Pokhrel²,

Thapaliya³

2020

JCMC

1

0

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Background: Upper Gastro Intestinal (UGI) endoscopy is a common and important procedure for UGI problems. In Nepal, especially to this region, there have not been many scientific studies about the pattern of diseases seen on UGI endoscopy. This study aimed to enlist patterns of upper GI endoscopic findings done in Lumbini Provincial Hospital. Methods: This was a retrospective study of 200 consecutive patients who underwent UGI endoscopy from August 2017 to February 2018. Data were retrieved retrospectively from prospectively maintained data in computer-based systems and analyzed with SPSS-20. Results: A total of 200 patients underwent UGI Endoscopy during the study period. Among them, females were 110 (55.0%) and males were 90(45.0%). The mean age of the study population was 46.3% (SD, 17.75). The pain abdomen was the most common indication for UGI endoscopy with 166 cases (83.0%) followed by gastrointestinal bleeding with 22 cases (11.0%). Benign lesions were seen in most of the cases which include non-ulcerative lesions 117(58.5%) and ulcerative benign lesions 72(36%). Malignancies found in 7(3.5%) cases and normal findings in 4 cases. Conclusions: This study outlines the most common indications for upper GI endoscopy in our set up and disease patterns in those patients. This study will be helpful for an epidemiological

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“…In this study of the appropriateness of gastroscopy in a sample of Nigerian patients, we determined that 82% of procedures were appropriate, while 18% were inappropriate. Similar rates were documented by Keren et al 1 (84%), Mudawi et al 3 (86%), Rajan et al 4 (85.9%), and Chan and Goh16 (88.3%) in studies from Israel, Sudan, India and Malaysia respectively. However, lower rates of appropriateness were reported by Tachi et al 6 (58.9%), Aljebreen et al 8 (69%) and Gupta et al 17 (24.6%).…”

Section: Discussionsupporting

confidence: 83%

Appropriateness and diagnostic yield of open access gastroscopy in two tertiary centers in South-western Nigeria

A Odeghe,

O Owoseni,

S Chukwudike

et al. 2023

Afr H. Sci.

1

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Background: There is need for the appropriate use of gastroscopy. Objective: To determine the appropriateness of upper gastrointestinal endoscopy, and its association with significant endoscopyfindings in our environment. Methods: This was a prospective study of subjects who underwent gastroscopy at two centers in south-western Nigeria betweenAugust 2020 and August 2021. Indications were classified as either appropriate or inappropriate according to the ASGE guidelines, gastroscopic findings as either significant or not significant, patients as either elderly (≥ 60 years) or not, inpatients or outpatients, and referrals as either gastroenterologist referral, or not. Results: There were 227 subjects, 131 (57.7%) females, mean age 45 ± 13.7 years. Fifteen percent were elderly, 65.6% were gastroenterologist referrals, 14.1% were inpatients, while 45.8% had co-morbidities. Endoscopy was appropriately indicated in 81.9%, and significant endoscopy findings were detected in 95.6%. Appropriateness was not associated with significant endoscopy findings. The sensitivity, specificity and AUROC of the ASGE guidelines were 10%, 82%, and 0.46 respectively. Conclusion: According to our study, most procedures are appropriately indicated. However, appropriateness did not determineendoscopy yield. Larger studies are needed to determine the utility of the ASGE guidelines in our environment. Keywords: Appropriateness; endoscopy; Nigeria.

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“…The mean age of the patients was 46.3±17.752 yrs. This is similar to other studies.4,15-17 It was 46.5±17.9 years in Mudawi et al18 and 36 years inTaye et al 19 This shows that the upper GI Problem is more prevalent in middle-aged populations. This result was comparable with the study done by Chhetri et al in Lumbini Medical College and Teaching Hospital (45.7 years, SD= 17.9) 8.…”

supporting

confidence: 86%

Mirror of upper gastrointestinal endoscopic findings in Lumbini Provincial Hospital

Joshi¹,

Pokhrel²,

Thapaliya³

2020

JCMC

0

View full text Add to dashboard Cite

Background: Upper Gastro Intestinal (UGI) endoscopy is a common and important procedure for UGI problems. In Nepal, especially to this region, there have not been many scientific studies about the pattern of diseases seen on UGI endoscopy. This study aimed to enlist patterns of upper GI endoscopic findings done in Lumbini Provincial Hospital. Methods: This was a retrospective study of 200 consecutive patients who underwent UGI endoscopy from August 2017 to February 2018. Data were retrieved retrospectively from prospectively maintained data in computer-based systems and analyzed with SPSS-20. Results: A total of 200 patients underwent UGI Endoscopy during the study period. Among them, females were 110 (55.0%) and males were 90(45.0%). The mean age of the study population was 46.3% (SD, 17.75). The pain abdomen was the most common indication for UGI endoscopy with 166 cases (83.0%) followed by gastrointestinal bleeding with 22 cases (11.0%). Benign lesions were seen in most of the cases which include non-ulcerative lesions 117(58.5%) and ulcerative benign lesions 72(36%). Malignancies found in 7(3.5%) cases and normal findings in 4 cases. Conclusions: This study outlines the most common indications for upper GI endoscopy in our set up and disease patterns in those patients. This study will be helpful for an epidemiological study.

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Appropriate use and diagnostic yield of upper gastrointestinal endoscopy in a tertiary referral hospital

Cited by 5 publications

References 12 publications

Mirror of Upper Gastrointestinal Endoscopic Findings in Lumbini Provincial Hospital

Mirror of Upper Gastrointestinal Endoscopic Findings in Lumbini Provincial Hospital

Appropriateness and diagnostic yield of open access gastroscopy in two tertiary centers in South-western Nigeria

Mirror of upper gastrointestinal endoscopic findings in Lumbini Provincial Hospital

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