Analysis of fibreoptic gastroduodenoscopy in 1084 Ethiopians.
Upper gastrointestinal fibreoptic endoscopy, performed on 1,084 Ethiopians, revealed: 48 (4%) oesophageal varices, 16 (1%) oesophageal carcinoma, 394 (36%) chronic atrophic gastritis, 36 (3%) gastric carcinoma and 154 (14%) duodenal ulcer. Oesophagitis, gastric ulcer and stomach ulcer are rare. The high prevalence of oesophageal varices and the association of chronic atrophic gastritis with gastric carcinoma are noted. There is a poor correlation between barium meal and endoscopic findings mainly because of inadequate radiological services in the country. All 16 patients who had endoscopy within 48 hours of haematemesis and/or melena had the source of bleeding identified. In a country like Ethiopia where upper gastrointestinal symptoms are very common and radiological services inadequate, expert endoscopic studies can be of great diagnostic value.
D000293:Adolescent; D000328:Adult; D000368:Aged; D004378:Duodenal Diseases / Q000175:diagnosis; D004384:Duodenoscopy; D004935:Esophageal Diseases / Q000175:diagnosis; D004945:Esophagoscopy; D005002:Ethiopia; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D013272:Stomach Diseases / Q000175:diagnosis