NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY最新文献_第2页

Soghin clinical practice guidelines for hepatocellular carcinoma Soghin肝细胞癌临床实践指南

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2023-01-01 DOI: 10.4103/njgh.njgh_6_23

D. Ndububa, F. Abdulkareem, S. Mustapha, C. Ekwunife, C. Omuemu

引用次数: 11

Intestinal obstruction caused by rectal stricture secondary to endometriosis: A case report 子宫内膜异位症继发直肠狭窄致肠梗阻1例

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2022-07-01 DOI: 10.4103/njgh.njgh_19_22

Bello Bashir, I. Abubakar, Akubo Aroume, Faruk Emetuma

引用次数: 1

Overuse of upper gastrointestinal endoscopy among young dyspeptic patients: A retrospective analysis in Karachi 年轻消化不良患者过度使用上消化道内窥镜:卡拉奇回顾性分析

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2022-07-01 DOI: 10.4103/njgh.njgh_14_22

Uzair Khawaja, Ramsha Naeem, Fahad Naeem, M. Ahmed

{"title":"Overuse of upper gastrointestinal endoscopy among young dyspeptic patients: A retrospective analysis in Karachi","authors":"Uzair Khawaja, Ramsha Naeem, Fahad Naeem, M. Ahmed","doi":"10.4103/njgh.njgh_14_22","DOIUrl":"https://doi.org/10.4103/njgh.njgh_14_22","url":null,"abstract":"Background: Dyspepsia, one of the most commonly encountered complaints across the world, can manifest as epigastric pain, burning sensations, bloating, or nausea. The primary aim of this study was to explore the prevalence of endoscopic findings in younger dyspeptic patients and compare these findings with those observed in aged people. Additionally, the research also aimed to assess the overuse of endoscopic procedures in these patients and to probably redefine standards for this invasive procedure in our setting. Materials and Methods: The study was a retrospective analysis of patients who had endoscopy for dyspepsia. The patients were categorized into low risk and high risk based on the age and the presence or absence of alarming features. The chi-square test was used to analyze the data. Results: The sample for this study includes 183 individuals with a mean age of 39.4 (±12.4); out of which 89 (%) were males and 94 (%) were females. Patients aged 45 years or older were at higher risk of having significant findings on endoscopy (18/51 patients, 35.3%) compared to patients younger than 45 years (20/132 patients, 15.1%; P = 0.003). Conclusions: Endoscopy in younger dyspeptic patients was found to have a low yield. Consequently, in these patients, approaches other than endoscopic that are less invasive or noninvasive should be considered for diagnosis and treatment before resorting to endoscopy.","PeriodicalId":354969,"journal":{"name":"NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126366529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic liver disease in HIV patients: Determinants and clinical manifestations HIV患者的慢性肝病:决定因素和临床表现

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2022-07-01 DOI: 10.4103/njgh.njgh_16_22

S. Abere, B. Oyan, Blessing Azukoye-Amadi, E. Amachree

{"title":"Chronic liver disease in HIV patients: Determinants and clinical manifestations","authors":"S. Abere, B. Oyan, Blessing Azukoye-Amadi, E. Amachree","doi":"10.4103/njgh.njgh_16_22","DOIUrl":"https://doi.org/10.4103/njgh.njgh_16_22","url":null,"abstract":"Background and Aim: Chronic liver disease (CLD) is a common cause of morbidity and mortality in medical wards of tertiary hospitals in Nigeria, and the etiology varies from viral hepatitis B and C, retroviral disease, alcoholic and non-alcoholic fatty liver disease, drug toxicity to several other causes. Liver diseases have also been recognized as a leading cause of death among HIV-infected persons. We aim to elucidate the pattern of clinical presentation of CLD in non-hepatitis B virus/hepatitis C virus patients who are HIV-seropositive with minimal alcohol consumption as well as to identify the prevalence and risk factors for CLD in the subjects. Materials and Methods: This was a retrospectively analyzed case–control study of 170 HIV-seropositive patients with age- and sex-matched controls seen at the medical outpatient department and wards of the University of Port Harcourt Teaching Hospital. Sociodemographic, anthropometric, clinical, and laboratory characteristics were extracted and were analyzed with SPSS version 21. Results: Sixty-three (37.1%) HIV patients had clinical manifestations of CLD with fatigue (51, 30%) and hepatomegaly (14, 8.2%) as the commonest symptom and sign, respectively. Chronic use of medications including highly active antiretroviral therapy (5.1 ± 1.6 years, P = 0.000) and herbal preparations (n = 20, 11.8%, P = 0.000) were the most significant determinants of CLD. Hypoalbuminemia and low CD4 counts were observed. Conclusion: CLD is common in HIV patients without viral hepatitis B and C. Early identification of risk factors and proper clinical evaluation can aid in its mitigation.","PeriodicalId":354969,"journal":{"name":"NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127096161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Teaching and pioneering endoscopic retrograde cholangiopancreatography at a tertiary center in Nigeria––Year 1 experience: The apprenticeship model––Is this a viable option for Africa? 尼日利亚高等教育中心的内窥镜逆行胰胆管造影术教学和先驱——第一年经验:学徒模式——这对非洲来说是一个可行的选择吗?

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2022-07-01 DOI: 10.4103/njgh.njgh_15_22

A. Asombang, O. Alatishe, A. Aderonmu, A. Owojuyigbe, A. Omisore, Germain O. Brissett, B. Etim, D. Ndububa, O. Ijarotimi, E. Green, K. Dua

{"title":"Teaching and pioneering endoscopic retrograde cholangiopancreatography at a tertiary center in Nigeria––Year 1 experience: The apprenticeship model––Is this a viable option for Africa?","authors":"A. Asombang, O. Alatishe, A. Aderonmu, A. Owojuyigbe, A. Omisore, Germain O. Brissett, B. Etim, D. Ndububa, O. Ijarotimi, E. Green, K. Dua","doi":"10.4103/njgh.njgh_15_22","DOIUrl":"https://doi.org/10.4103/njgh.njgh_15_22","url":null,"abstract":"Background: Nigeria is a West African country with a population of 190 million. It has approximately 110 endoscopists, of whom two perform endoscopic retrograde cholangiopancreatography (ERCP), with approximately 100 total ERCPs performed over 15 years. There is a perceived need by Nigerian physicians to increase ERCP capacity. Aim: Develop and assess a 1-year ERCP training program in Nigeria using didactics and quarterly formal (“bolus”) hands on training sessions. Materials and Methods: An introductory conference including didactic and hands on sessions was hosted in March 2018. From this introductory conference, six participants were selected for a 1-year training program. The program involved quarterly, in-country, week-long hands-on ERCP sessions. Sessions were led by an experienced interventional gastroenterologist trained and practicing in USA. A multidisciplinary meeting was held on day 1 of each session. Digital communication was used to transmit program information and request patient referrals from medical doctors. Results: ERCP conference attendees included 15 surgical and medical endoscopists, 3 surgical trainees, 3 GI trainees, 6 nurses, 2 anesthesiologists, 1 interventional radiologist and 6 radiology technicians. Six physicians selected for the ongoing 1-year training program include 1 hepatobiliary surgeon, 2 gastroenterologists, 1 gastroenterology fellow and 2 surgical residents. One participant had prior formal ERCP training including 6 weeks hands-on training abroad. There were 109 referrals over 1 year, with an increasing trend over the year. The farthest referral site was almost 900 km away. Conclusion: There is need for ERCP capacity in Nigeria. ERCP is feasible and safe in Nigeria. Awareness amongst healthcare providers to the available procedure resulted in increased patient referral.","PeriodicalId":354969,"journal":{"name":"NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130607501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Selected Abstracts Presented At The 14th Annual Scientific Conference Of Society For Gastroenterology And Hepatology In Nigeria, Kano, July 18–22, 2022 第14届胃肠病学和肝病学会年度科学会议精选摘要，于2022年7月18日至22日在尼日利亚卡诺举行

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2022-07-01 DOI: 10.4103/njgh.njgh_21_22

引用次数: 0

A rare case of gastrointestinal stromal tumor in an unusual location 罕见的胃肠道间质瘤病例，发生部位不寻常

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2022-07-01 DOI: 10.4103/njgh.njgh_6_22

O. Folaranmi, O. Odetunde

引用次数: 0

Alarm features for predicting significant endoscopic findings among patients with dyspepsia in Cameroon 在喀麦隆的消化不良患者中预测重要内窥镜检查结果的报警功能

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2022-07-01 DOI: 10.4103/njgh.njgh_11_22

Antonin Ndjitoyap Ndam, W. Bekolo, Y. Eng, Sandra Cheleu, Malika Mapiemfu, E. N. Ndjitoyap Ndam

{"title":"Alarm features for predicting significant endoscopic findings among patients with dyspepsia in Cameroon","authors":"Antonin Ndjitoyap Ndam, W. Bekolo, Y. Eng, Sandra Cheleu, Malika Mapiemfu, E. N. Ndjitoyap Ndam","doi":"10.4103/njgh.njgh_11_22","DOIUrl":"https://doi.org/10.4103/njgh.njgh_11_22","url":null,"abstract":"Introduction: Dyspepsia is the major indication for gastroscopy in sub-Saharan Africa. However, endoscopic devices are not available in rural areas, and the examination is invasive and expensive for the rural populations. The aim of this study is to assess the predictive value of some alarm features in the prediction of endoscopic findings among adult patients with dyspepsia in Cameroon. Materials and Methods: We carried out a retrospective study using all reports of patients who underwent gastroscopy for dyspeptic syndrome from July 1 to December 31, 2021 at the Yaoundé General Hospital, Cameroon. We documented the sociodemographic characteristics, clinical signs, the type of dyspepsia, and endoscopic findings. We also documented alarm features associated with significant pathology (presence of an ulcer and/or a malignant tumor) at the endoscopy. Results: Of the 310 gastroscopies, dyspeptic symptoms represented 226 indications (72.9%). There were 90 males (39.8%). The mean age was 46.4 ± 15.9 years (range 16–86). Signs associated with dyspepsia were gastrointestinal (GI) bleeding in 8 patients (3.5%), weight loss in 6 patients (2.7%), and persistent vomiting in 13 patients (5.8%). A significant endoscopy finding was observed among 53 patients (23.5%). On the univariate analysis, alarm features associated with a significant lesion were male gender (P = 0.004), persistent vomiting (P = 0.047), and marginally for GI bleeding (P = 0.072). On the multivariate analysis, only the male gender was significantly associated with the presence of a significant lesion (P = 0.024). Conclusions: Our results show that the male gender, GI bleeding, and persistent vomiting are alarm features associated with the presence of a significant lesion among patients with dyspepsia.","PeriodicalId":354969,"journal":{"name":"NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131211041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Colonoscopy practice and polyp detection in Nigeria: A systematic review 结肠镜检查实践和息肉检测在尼日利亚:一个系统的回顾

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2022-01-01 DOI: 10.4103/njgh.njgh_8_22

E. Ray-Offor, Rex F Ijah, S. Egboh

{"title":"Colonoscopy practice and polyp detection in Nigeria: A systematic review","authors":"E. Ray-Offor, Rex F Ijah, S. Egboh","doi":"10.4103/njgh.njgh_8_22","DOIUrl":"https://doi.org/10.4103/njgh.njgh_8_22","url":null,"abstract":"Evaluation of colorectal pathologies by colonoscopy is increasingly reported from different centers across Nigeria. However, a comprehensive review of current colonoscopy practice across the country is yet to be documented. To report on colonoscopy practice, the detection rate, site(s), and geographic distribution of colorectal polyps in Nigeria, a systematic search was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. The search databases comprised MEDLINE, African Journal Online, and Google Scholar. The eligibility criteria included publications on flexible lower gastrointestinal endoscopies (LGIEs) performed on Nigerian population over a 20-year period from January 2002 to 2022. Relevant data on study characteristics, demographics of study patients, indication(s), complications of polypectomy, quality metrics for colonoscopy, polyp morphology size, location, and histopathology were extracted and analyzed. Twenty-one observational studies were included comprising 5821 patients who underwent LGIE with an age range of 2–101 years and an M: F of 1.8:1. The polyp detection rate (PDR) was 8.5% in North-West Nigeria, and the mean value ranged from 11.3% [95% confidence interval (CI) 7.0–15.6] in South-West Nigeria to 38.0% (95% CI 165.3–241.3) in South-South Nigeria. The rectosigmoid segment had the highest frequency of polyps [43% (358/828)], and adenomatous, inflammatory, hyperplastic, and malignant polyps were the frequent histology reported: 221 (26.7%), 174 (21.0%), 38 (4.6%), and 13(1.6%), respectively. Summarily, a large disparity exists in PDR among endoscopists in Nigeria. The training of Nigerian endoscopists on techniques to enhance caecal intubation rate, polyp detection, and comprehensive documentation of quality metrics in colonoscopy studies are recommended.","PeriodicalId":354969,"journal":{"name":"NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116534256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Gall bladder perforation with contained bilioma: A rare complication of Calculous cholecystitis 胆囊穿孔合并胆囊瘤:结石性胆囊炎的罕见并发症

NIGERIAN JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY Pub Date : 2022-01-01 DOI: 10.4103/njgh.njgh_25_20

K. Anand, S. Goyal, A. Tiwari, P. Dave

引用次数: 0