Incidence of hiatus hernia and gastro-oesophageal reflux in 1030 prospective barium meal examinations in adult Nigerians.

Bassey, Okon; Eyo, Ekpe; Akinhanmi, G. A.

doi:10.1136/thx.32.3.356

Cited by 18 publications

(5 citation statements)

References 13 publications

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“…24 A prospective study that examined the incidence of hiatus hernia and gastroesophageal reflux in 1030 consecutive symptomatic adult Nigerian patients undergoing barium meal examination was reported in 1977. 25 The results show a very low incidence of hiatus hernia (0.39%) and an equally low incidence of gastroesophageal reflux (2.2%). It has been suggested that there is an increasing trend in the prevalence of GERD in the world over the last two decades 26 and that reflux disease is more common in Asian countries than previously recognized.…”

Section: Discussionmentioning

confidence: 84%

“…A South African study reported a prevalence rate of erosive esophagitis of only 0.7% 24 . A prospective study that examined the incidence of hiatus hernia and gastroesophageal reflux in 1030 consecutive symptomatic adult Nigerian patients undergoing barium meal examination was reported in 1977 25 . The results show a very low incidence of hiatus hernia (0.39%) and an equally low incidence of gastroesophageal reflux (2.2%).…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of gastroesophageal reflux in a Tunisian primary care population determined by patient interview

Chaabane

Jeridi

Salem

et al. 2011

Diseases of the Esophagus

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Although gastresophageal reflux disease (GERD) is highly prevalent in Western countries, we have very little data about it in African countries. The aim of the study is to determine the prevalence and severity of GERD symptoms among Tunisian subjects and report its characteristics, consultation rate, management modes, as well as patients' satisfaction. Five hundred subjects living in Tunisia were interviewed face to face. The study was conducted at seven centers of primary care at Monastir's department by six interviewer doctors. The questionnaire consisted of 30 questions relating to subject attributes, lifestyle factors, medical history, reflux-related symptom characteristics, consultation behavior, previous treatments for GERD, and description of the last episode. Symptoms were defined as 'frequent' if they occurred at least weekly and 'occasional' if they occurred less frequently during the last year. The mean age was 42.3 ± 17.3 years and 75.6% were females. Over the previous year, 60% of the respondents reported suffering any GERD symptom. The prevalence of frequent GERD is 24%. Female gender (odds ratio [OR]: 1.97[1.15-3.37]) and body mass index ≥ 25 (OR: 1.54[1.042-2.29]) were associated with increased risk of GERD symptom. Only 22.3%, sought medical advice about GERD symptoms in the last year. In the univariate and multivariate analysis, work status, frequency and intensity of symptoms, duration of symptom, and association of atypical symptoms were associated with a higher frequency of medical consultation for GERD symptoms. Among the subjects complaining about heartburn, 34% took medications. GERD symptoms are common among Tunisian subjects. Few heartburn sufferers seek medical attention, and most do not take medications for symptomatic control.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

Prevalence of gastroesophageal reflux in a Tunisian primary care population determined by patient interview

Chaabane

Jeridi

Salem

et al. 2011

Diseases of the Esophagus

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“…Of 1319 barium meals performed by a single radiologist in Kenya, East Africa from 1961 to 1965, hiatus hernia was detected in only one patient (0.07%) and gastro‐oesophageal reflux (GER) also in one patient (0.07%), although these conditions were specifically looked for 79 . A prospective study examining the frequency of hiatus hernia and GER in 1030 consecutive barium meal examinations in Nigeria, West Africa, from 1970 to 1972, found only four cases of hiatus hernia (0.39%) and 23 patients with GER (2.2%) 80 . Of 216 consecutive patients with Barrett's oesophagus in an oesophageal clinic in Johannesburg, South Africa, only 11 (5%) were black, although the ratio of black to white individuals in the city was 5:1 81 .…”

Section: Studies and Anecdotal Reports Comparing Different Ethnic Groupsmentioning

confidence: 99%

Geographical and ethnic differences in gastro‐oesophageal reflux disease

Kang

2004

Aliment Pharmacol Ther

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SUMMARYBackground: 1 Many observers believe that gastro-oesophageal reflux disease is more common among white individuals compared with Asians and Afro-Caribbean subjects. Aim: To perform a asystemic review regarding geographical and ethnic factors in the prevalence of reflux symptoms, endoscopic oesophagitis, hiatus hernia and Barrett's oesophagus. Results: Differences in definitions and methodology make comparison between studies difficult. Overall, however, the community prevalence of reflux symptoms, as well as the prevalence of endoscopic oesophagitis, hiatus hernia and Barrett's oesophagus among

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“…Contrary to those data, the disease is extremely rare in rural African communities. Such abnormal stomach position was revealed in four out of 1,030 examined Nigerians [ 4 ], one of 1,000 Kenyans [ 44 ] and one of 700 Tanzanians [ 19 ]. A low incidence was also reported throughout India, the Middle East and East Asia [ 9 ].…”

Section: Discussionmentioning

confidence: 99%

Anatomical classification of the shape and topography of the stomach

et al. 2011

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The aim of the study was to present the classification of anatomical variations of the stomach, based on the radiological and historical data. In years 2006–2010, 2,034 examinations of the upper digestive tract were performed. Normal stomach anatomy or different variations of the organ shape and/or topography without any organic radiologically detectable gastric lesions were revealed in 568 and 821 cases, respectively. Five primary groups were established: abnormal position along longitudinal (I) and horizontal axis (II), as well as abnormal shape (III) and stomach connections (IV) or mixed forms (V). The first group contains abnormalities most commonly observed among examined patients such as stomach rotation and translocation to the chest cavity, including sliding, paraesophageal, mixed-form and upside-down hiatal diaphragmatic hernias, as well as short esophagus, and the other diaphragmatic hernias, that were not found in the evaluated population. The second group includes the stomach cascade. The third and fourth groups comprise developmental variations and organ malformations that were not observed in evaluated patients. The last group (V) encloses mixed forms that connect two or more previous variations.

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Incidence of hiatus hernia and gastro-oesophageal reflux in 1030 prospective barium meal examinations in adult Nigerians.

Cited by 18 publications

References 13 publications

Prevalence of gastroesophageal reflux in a Tunisian primary care population determined by patient interview

Prevalence of gastroesophageal reflux in a Tunisian primary care population determined by patient interview

Geographical and ethnic differences in gastro‐oesophageal reflux disease

Anatomical classification of the shape and topography of the stomach

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