Presentation, distribution pattern, and management of diverticular disease in a Nigerian tertiary hospital

Alatise, OI; Ao, Arigbabu; Lawal, O O; Adetiloye, Victor A.; Agbakwuru, E A; Ndububa, DA

doi:10.4103/1119-3077.110152

Cited by 12 publications

(27 citation statements)

References 33 publications

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“…One of the reasons adduced for this increase in the prevalence of DD is the adoption of a Western diet which is low in fiber, but high in refined sugar products. 9 14 15 Of note also is that this study and those more recent ones quoted above were done in urban areas. The role of urbanization has long been espoused as a cause of increased rates of DD.…”

Section: Discussionmentioning

confidence: 68%

“…The average age of 68.2 years reported here agrees with that reported by other authors. 9 10 11 12 16 17 18 DD has long been believed to be a disease of the elderly. This may be due to the changes that occur in the colon with age such as reduced motility and constipation.…”

Section: Discussionmentioning

confidence: 99%

“…However, data emerging from the continent appear to show an increase in the prevalence. 9 Local studies have largely supported this view of a change in the traditional concept that DD was rare in Nigerian patients. 9 10 11 12 This study sought to examine the available data about DD from some endoscopy suites based in Lagos State, and detail the characteristics of the disease and those of its sufferers in the locality.…”

Section: Introductionmentioning

confidence: 97%

“… 9 Local studies have largely supported this view of a change in the traditional concept that DD was rare in Nigerian patients. 9 10 11 12 This study sought to examine the available data about DD from some endoscopy suites based in Lagos State, and detail the characteristics of the disease and those of its sufferers in the locality. Doing so, the study will attempt to fill an important gap in scientific knowledge about DD in our environment since there is very little published work that specifically addresses this field of interest.…”

Section: Introductionmentioning

confidence: 97%

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Diverticular disease at colonoscopy in Lagos State, Nigeria

Oluyemi

Odeghe

2016

Niger Med J

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Background:The upsurge in the reported cases of diverticular disease (DD) has led to a re-appraisal of the earlier held views that it was a rare entity in Nigeria. The advent of colonoscopy has contributed in no small way to this change. We sought to determine the clinical characteristics, indications for colonoscopy, and intra-procedural findings among these patients.Materials and Methods:A retrospective cross-sectional study was carried out on the colonoscopy records from four private endoscopy units based in Lagos State, Nigeria. The records were drawn from a 5-year period (August 2010 to July 2015). The endoscopy logs and reports were reviewed, and the bio data, indications, and colonoscopy findings were gleaned.Results:A total of 265 colonoscopies were carried out in the stated period. Of these, 28 (10.6%) had DD. Of the patients with DD, 5 (17.9%) were females while 23 (82.1%) were males. Their ages ranged from 46 to 94 years (mean = 68.2 ± 11 years). Fifteen patients had been referred for the procedure on account of hematochezia alone (15 = 53.6%). Other reasons for referral included abdominal pain alone (2 = 7%), hematochezia plus abdominal pain (5 = 17.9%), and change in bowel habits (3 = 10.8%). Ten (35%) patients had pan-colonic involvement. Regional disease involved the right side alone in only one case (3.5%) while the other combinations of sites are as follows; 6 (21.4%) in the sigmoid colon alone, 2 (7%) in the descending colon alone, 5 (17.9%) in the sigmoid–descending colon, 4 (14.3%) in the sigmoid-descending-transverse colon, thus the sigmoid colon was involved in 25 (89.3%) cases. Five cases (17.9%) had endoscopic features suggestive of diverticulitis.Conclusions:DD should no longer be regarded as a rare problem in the Nigerian patient. The study findings support the notion of higher prevalence among the elderly, in males, and of sigmoid colon involvement.

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Section: Discussionmentioning

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 97%

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Diverticular disease at colonoscopy in Lagos State, Nigeria

Oluyemi

Odeghe

2016

Niger Med J

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“…These studies are summarised in Table 4. [6][7][8][9]11,12] Whether our findings can be attributed solely to changes in dietary habits and socioeconomic changes is unclear. An additional explanation for such an increased prevalence could be that black patients in SA currently have better access to appropriate, modern diagnostic modalities than before democracy was instituted in 1994.…”

Section: Researchmentioning

confidence: 99%

An investigation of diverticular disease among black patients undergoing colonoscopy at Dr George Mukhari Academic Hospital, Pretoria, South Africa

2017

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Background. Diverticular disease was previously thought to be non-existent in the black African population. Studies over the past four decades, however, have shown a steady increase in the prevalence of the disease. Objective. To report on the profile and current prevalence of diverticular disease in the black South African (SA) population at Dr George Mukhari Academic Hospital, Pretoria, SA. Methods. A retrospective descriptive study was performed in black SA patients who were diagnosed with diverticular disease by colonoscopy between 1 January and 31 December 2015.Results. Of 348 patients who had undergone colonoscopies and who were eligible for inclusion in this study, 47 were diagnosed with diverticular disease -a prevalence of 13.50% (95% confidence interval 10.30 -17.50). The greatest number of patients diagnosed were in their 7th and 8th decades, with an age range of 46 -86 (mean 67) years. There was a female predominance of 57.45%. Lower gastrointestinal bleeding was the most common (65.96%) indication for colonoscopy. The left colon was most commonly involved (72.34%), followed by the right colon (55.31%). A substantial number of patients had pancolonic involvement (27.65%). Conclusion. This retrospective study suggests that there has been a considerable increase in the prevalence of diverticular disease among black South Africans, possibly owing to changes in dietary habits and socioeconomic status.

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Genetic Risk Factors for Diverticular Disease—Emerging Evidence

Maguire

2020

Journal of Gastrointestinal Surgery

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Presentation, distribution pattern, and management of diverticular disease in a Nigerian tertiary hospital

Abstract: Diverticular disease is no longer a rare disease in Nigeria. It is a common cause of lower gastrointestinal bleeding in elderly patients. High index of suspicion for diverticular disease of the colon and its complications should increase in the country.

Cited by 12 publications

References 33 publications

Diverticular disease at colonoscopy in Lagos State, Nigeria

Diverticular disease at colonoscopy in Lagos State, Nigeria

An investigation of diverticular disease among black patients undergoing colonoscopy at Dr George Mukhari Academic Hospital, Pretoria, South Africa

Genetic Risk Factors for Diverticular Disease—Emerging Evidence

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