Pediatric Endoscopy in Calabar, an Emerging Trend – Challenges and Prospects: A Report of Two Cases.

Ngim, OE; Ikobah, JM; Ukpabio, I; Bassey, Glory Ekpo; Ekanem, EE

doi:10.9790/0853-13122830

Cited by 3 publications

(3 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Delay or failure of diagnosis of IBD may also result from lack of awareness, denial of the presence of IBD by our physicians and limited facilities for most of the key investigations in our environment. [18][19][20] Paediatric endoscopy only started recently in Nigeria. 19,20 Perhaps with increasing use of endoscopic diagnostic facilities, more cases of IBD in children will be discovered.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ulcerative colitis in a Nigerian child: case report

Ekanem¹,

Ikobah²,

Ngim³

et al. 2016

Nig. J. Paed.

View full text Add to dashboard Cite

Ulcerative colitis (UC) is a chronic re-occuring inflammatory disease affecting mainly the colon. It is more prevalent in the United Kingdom, North America Scandinavia and less common in southern Europe, Asia and Africa. Commonly, UC is suspected in patients presenting with bloody diarrhoea, tenesmus, abdominal pain, and, when severe, weight loss, fatigue, and vomiting. Perhaps one child so far with UC has been reported southwest geo-political zone of Nigeria. We here report the first case of ulcerative colitis in a child in south-south Nigeria. The objective of this report was to highlight the occurence of ulcerative colitis in a Nigerian child in the setting of poor sociopsychological/economic background coupled with difficulty in investigating patient to arrive at a diagnosis. An 11 year old Nigerian male child who was referred to the University of Calabar Teaching Hospital with bleeding per rectum, abdominal pain and swelling, bilateral leg swelling and weight loss for seven months prior to presentation. Examination and investigations done including colonoscopy, histology of biopsy, faecal calprotectin and pANCA confirmed ulcerative colitis. Ulcerative colitis though rare in Africa may have been missed in some children due to misconception and lack of diagnostic facilities/expertise. We may begin to see more of this with increasing interest in the subspecialty of paediatric gastroenterology and presence of diagnostic facilities.

show abstract

Section: Discussionmentioning

confidence: 99%

“…[18][19][20] Paediatric endoscopy only started recently in Nigeria. 19,20 Perhaps with increasing use of endoscopic diagnostic facilities, more cases of IBD in children will be discovered.…”

Section: Discussionmentioning

confidence: 99%

Ulcerative colitis in a Nigerian child: case report

Ekanem¹,

Ikobah²,

Ngim³

et al. 2016

Nig. J. Paed.

View full text Add to dashboard Cite

show abstract

“…Challenges and opportunities for paediatric gastroenterology in low-and middle-income countries: high time for action Gastroenterology remains a poorly developed subspecialty of paediatrics in many low-and middle-income countries (LMIC) [1,2]. In LMIC, general paediatricians and other health staff with no specialist training in paediatric gastroenterology often have to cope with complex gastroenterological conditions which result in delayed diagnosis, unnecessary complications and avoidable mortality.…”

Section: Editorialmentioning

confidence: 99%

Challenges and opportunities for paediatric gastroenterology in low- and middle-income countries: high time for action

Allen

Adepojou

Akinyinka

2019

Paediatrics and International Child Health

View full text Add to dashboard Cite

Spectrum of endoscopic findings in patients with Helicobacter pylori infection in a Nigerian tertiary institution

Itam-Eyo,

Kooffreh-Ada,

Chukwudike

et al. 2023

NJGH

View full text Add to dashboard Cite

Background and Objectives: Helicobacter pylori is a widely prevalent infection considered a significant public health challenge. Nigeria has the highest worldwide H. pylori prevalence. It is a notable cause of gastric cancer; thus, prompt diagnosis and treatment are required for eradication. The study aimed to determine the spectrum of endoscopic findings in patients with H. pylori infection at the University of Calabar Teaching Hospital. Materials and Methods: This was a retrospective cross-sectional study over a 4-year period on dyspeptic patients who presented at the hospital. Diagnosis of H. pylori infection was made through non-invasive techniques and patients who tested positive for H. pylori and were further assessed with upper gastrointestinal endoscopy were included in the study. A descriptive analysis of the data obtained was carried out using SPSS version 20. Results: One hundred and twenty-nine patients tested positive for H. pylori infection (46%) out of the two hundred and eighty dyspeptic patients evaluated during the period under study. However, only fifty-two (52) out of 129 dyspeptic patients who tested positive for H. pylori had upper gastrointestinal endoscopy and thus met the inclusion criteria. Upper gastrointestinal endoscopy revealed predominantly gastritis 37 (71.15%). This was followed by esophagitis in two (7.7%), duodenal ulcer two (3.8%), gastric ulcer three (5.8%), gastro-duodenitis four (7.7%), and gastric malignancy in two (3.8%) patients. Conclusion: Our study revealed that gastritis was the predominant endoscopic finding in patients with H. pylori infection. This finding is particularly significant because of the risk of development of gastric cancer in these patients from recurrent episodes of gastritis following late diagnosis and inappropriate treatment.

show abstract

Pediatric Endoscopy in Calabar, an Emerging Trend – Challenges and Prospects: A Report of Two Cases.

Cited by 3 publications

References 7 publications

Ulcerative colitis in a Nigerian child: case report

Ulcerative colitis in a Nigerian child: case report

Challenges and opportunities for paediatric gastroenterology in low- and middle-income countries: high time for action

Spectrum of endoscopic findings in patients with Helicobacter pylori infection in a Nigerian tertiary institution

Contact Info

Product

Resources

About