Malignant Gastrointestinal Tumours in South Western Nigeria: A Histopathologic Analysis of 713 Cases

Abdulkareem, F B; Faduyile, Francis Adedayo; Daramola, A O; Rotimi, Olorunda; Banjo, A A F; Elesha, S O; Anunobi, C C; Akinde, Olakanmi Raphael; Abudu, Emmanuel Kunle

doi:10.4314/wajm.v28i3.48478

Cited by 20 publications

(22 citation statements)

References 13 publications

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“…In this study, upper GI malignancies occur more commonly in the male gender compared to the female counter part (2.5:1) and peaked between 40 -60 year age group. This is in tandem with studies from Ibadan, Jos and some other parts of the world [2] [11]- [14]. The prevalence of oesophageal malignancies in this study was low (16.7%) in keeping with many African based studies where oesophageal carcinoma ranges from 13.3% to 27.85% of all malignant gastrointestinal tumors [15]- [18].…”

Section: Discussionsupporting

confidence: 89%

Pattern of Upper Gastrointestinal Malignancies as Seen at Endoscopy in Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria

Ajayi¹,

Ajayi²,

Solomon³

et al. 2016

OALib

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Aims and Objective: Gastrointestinal malignancies are among the most lethal of all malignancies and are equally notorious for rapidly progressing to advanced stages even in the absence of serious symptoms, thus leading to delayed diagnoses and dismal prognoses. The aim of this study was to determine the prevalence, type, pattern and the histologic characteristics of upper gastrointestinal tumors seen in patients who underwent upper gastrointestinal endoscopy at the

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Section: Discussionsupporting

confidence: 89%

Pattern of Upper Gastrointestinal Malignancies as Seen at Endoscopy in Ekiti State University Teaching Hospital, Ado-Ekiti, Nigeria

Ajayi¹,

Ajayi²,

Solomon³

et al. 2016

OALib

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“…There are no published population-based data on the prevalence of polyp in our setting, although an earlier study [22] had noted a higher polyp detection rates in the white population. Also low incidence of colon cancer reported in our population has been attributed to a number of factors including dietary and rarity of predisposing colonic lesion polyps inclusive [2]. Further studies are required to validate this low polyp detection rate.…”

Section: Discussionmentioning

confidence: 81%

“…Recent reports indicate that it is also not uncommon in sub-Saharan Africa including Nigeria [2]. Early detection of colorectal cancer (CRC) has been shown to improve disease outcome [3].…”

Section: Introductionmentioning

confidence: 99%

Colonoscopy Practice in Lagos, Nigeria: A Report of an Audit

Onyekwere

Odiagah

Ogunleye

et al. 2013

Diagnostic and Therapeutic Endoscopy

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Background. Colonoscopy effectiveness depends on the quality of the examination. Community-based report of quality of colonoscopy practice in a developing country will help in determining standard and also serve as a stimulus for improvement in service. Aim. To review the quality of colonoscopy practice and document pattern of colonic disease including polyp detection rate in Lagos, Nigeria. Method. A protocol that captured the patients' demographics, indication, and some quality indices of colonoscopy was developed and sent to all the identified colonoscopy units in Lagos to complete for all procedures performed between January 2011 and June 2012. All data were collated and analyzed. The quality indices studied were compared with guideline standard. Results. Twelve colonoscopy centers were identified but only nine centers responded. The gastroenterologist/endoscopists were physicians (3) and surgeons (5). Six hundred and seven colonoscopy procedures were performed during this period (M : F = 333 : 179) while the sex was not disclosed in 95 subjects. The examination indications were lower GI bleeding (24.2%), altered bowel habits (9.2%), lower abdominal pain (9.1%), screening for CRC (4.3%) and unspecified (46.8%). Conscious sedation was generally used while bowel preparation (good in 81.4%) was done with low residue diet and stimulant laxatives. Caecal intubation rate was 81.2%. Common endoscopic findings were haemorrhoids (43.2%), polyps/masses (13.4%), diverticulosis (11.1%), and no abnormality (23.4%). Polyp was detected in 6.8% of cases. Conclusion. Colonoscopy utilization is low, and the quality of practice is suboptimal; although limited resources could partly explain this, however it is not clear if the low rate of polyp detection is due to missed lesions or low population incidence.

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“…However, current reports indicate a rising global incidence [1]and a recent study showed an 81% increase in incidence over a period of two decades in Ibadan southwest Nigeria [4]. Other reports indicate that it is now the commonest [5]gastrointestinal cancer in Lagos Nigeria with late presentations [6] and poor outcome. This rising prevalence of CRC has been attributed to improved cancer awareness and a shift towards Western diet.…”

Section: Introductionmentioning

confidence: 99%