Interdisciplinary investigation of occurrence of diverticular disease among patients referred for barium enema and colonoscopy studies at Dr. George Mukhari Academic Hospital, Ga-Rankuwa, Pretoria, South Africa

IF 0.1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING
J. Ozoh, M. Vally, Olakunle A Towobola
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引用次数: 1

Abstract

Background: Diverticular disease (DD) is believed to be a disease which is prevalent in developed countries. Contrary to this belief, DD has been reported with an increasing trend in prevalence in Africa for the past four decades. Objectives: The objective of this study was to highlight the increasing trend of DD and to corroborate barium enema findings obtained from Diagnostic Radiology Department, with colonoscopy results from the Surgery Department at Dr. George Mukhari Academic Hospital. Methods: Results for barium enema and colonoscopy investigations of all the patients referred over a 1-year period were retrospectively reviewed by two independent research groups; each of these groups was unaware of the research carried out in the Departments of Diagnostic Radiology and Surgery. Data from the records were analyzed with the Statistical Package for the Social Sciences (IBM SPSS, version 22.0), New York, USA, version 22.0. Results: Barium enema results of 166 patients were evaluated for DD, and out of these, 129 patients (77.7%) were negative, while 37 patients (22.3%) (95% confidence interval = 19.07–25.50) were positive. A review of 384 colonoscopy results also revealed positive evidence for 47 patients (13.5%) (95% confidence interval = 10.30–17.50) for DD and 337 patients (86.5%) were negative. The findings of barium enema and colonoscopy investigative studies were similar for female preponderance, diffuse pattern of distribution of DD and the mean age of patients. Conclusion: The two studies corroborate each other and have produced the highest number of diagnostic yield for DD in one year, in Africa.
在南非比勒陀利亚Ga-Rankuwa的Dr. George Mukhari学术医院进行钡灌肠和结肠镜检查的患者中憩室疾病发生的跨学科调查
背景:憩室病(DD)被认为是一种在发达国家普遍存在的疾病。与这种看法相反,据报道,在过去四十年中,DD在非洲的患病率呈上升趋势。目的:本研究的目的是强调DD的增加趋势,并证实诊断放射科的钡灌肠结果,以及Dr. George Mukhari学术医院外科的结肠镜检查结果。方法:由两个独立的研究小组回顾性分析1年内所有患者的钡灌肠和结肠镜检查结果;这些小组中的每一个都不知道在诊断放射学和外科进行的研究。使用美国纽约22.0版的Statistical Package for the Social Sciences (IBM SPSS, version 22.0)对记录中的数据进行分析。结果:166例患者钡灌肠检查DD,阴性129例(77.7%),阳性37例(22.3%)(95%可信区间= 19.07-25.50)。对384例结肠镜检查结果的回顾也显示47例(13.5%)患者(95%置信区间= 10.30-17.50)为DD阳性,337例(86.5%)为阴性。钡灌肠和结肠镜调查研究的结果在DD的女性优势、弥漫性分布模式和患者的平均年龄方面相似。结论:这两项研究相互印证,在非洲一年内DD的诊断率最高。
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来源期刊
West African Journal of Radiology
West African Journal of Radiology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
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