Spectrum of Adult Digestive Diseases Presenting at a Suburban Tertiary Health Facility in Nigeria
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2017, Vol 24, Issue 2
Abstract
Background: Diseases of the digestive system vary in type and distribution worldwide. There is presently no comprehensive audit of the types of digestive diseases presenting at any particular tertiary health facility in Nigeria. We present an audit of the digestive diseases presenting over a period of four years (2012 to 2015) at the LAUTECH Teaching Hospital, Ogbomoso, Nigeria, a suburban healthcare facility. Methodology: Outpatient and inpatient digestive disease cases and relevant information were extracted from the medical and surgical gastroenterology clinics’ and wards’ registers. Patients’ case files were retrieved from the medical records department and consulted for clarification when necessary. Diagnoses were categorized according to the International Statistical Classification of Diseases and Related Health Problems 10th Revision, 2016 version (ICD-10) codes for digestive diseases. Data were stratified into outpatient cases, inpatient (admissions) cases, in-hospital mortalities and digestive cancers. Results: There was a total of 799 gastrointestinal clinic cases. Chronic hepatitis B was the commonest cause of clinic visit (28.8%). Appendicitis was the most frequent cause of admission (16.0%) of the 682 gastrointestinal admissions. There was a total of 86 in-hospital digestive disease mortalities of which hepatocellular carcinoma was the leading cause at 22.1%. Of the 188 cases of digestive cancers identified; hepatocellular carcinoma had the highest frequency (43.4%) and the highest mortality (59.4%). Conclusion: A very important finding from this study is fact that chronic hepatitis B and its attendant sequelae (liver cirrhosis and hepatocellular carcinoma) constituted a substantial proportion of the digestive diseases among our study population.
Authors and Affiliations
Abiodun Christopher Jemilohun, Olusola Olateju Akanbi, Sebastine Oseghae Oiwoh, Adedapo Adegboyega Adeleke, Olusayo Akinwumi Akanbi
Keywords
Related Articles
- EP ID EP312517
- DOI 10.9734/JAMMR/2017/36761
- Views 56
- Downloads 0
Antioxidant Potential of Polyphenol Rich Extract from Hibiscus sabdariffa
Aims: Hibiscus sabdariffa is a medicinal plant species that is consumed for its health benefits in Africa, therefore this study investigated the antioxidant properties of Hibiscus polyphenolic rich extract (HPE), prepare...
Increases of Cardiometabolic Risk in Young Adults. Impact of Exercise Reductions during the College Years
Aims: The transition from school to university, traineeship or job especially along with moving away from home may lead to unhealthy lifestyle changes in young adults. Thus, we determined the effect of exercise changes d...
Metabolic Syndrome and the Frequency of Occurrence of Its Components in Urban South Indian Population
Aims: To study the frequency of occurrence of the components of Metabolic Syndrome [MetS] among MetS patients in urban south Indian population, with a view to suggest preventive measures. Study Design: Descriptive hospit...
Five Year Retrospective Study on Keloid Management
Aim: Keloid morbidity is mostly associated with the psychosocial effects of the cosmetically unsightly scars. The study was carried out to highlight the availability of different treatment modalities and the effectivenes...
Predictors of Delayed Enrolment for Care among People Living with HIV in a Tertiary Hospital in South Eastern Nigeria
Aim: This study aimed to identify predictors of delayed enrolment to HIV care in Calabar, Nigeria. Study Design: This was a cross sectional observational study. Place and Duration: This study was carried out in a tertiar...