The Only and First Analysis of Upper Gastrointestinal Endoscopy Results from Mogadishu-Somalia

Abstract

A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : There is'nt any study giving information about profiles of upper gastrointestinal (GI) diseases in Somalia; this study has reported the analysis of upper endoscopic results from Mogadishu for the first time. In this study we aimed to evaluate the distributions of the upper gastrointestinal diseases in Mogadishu. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Three hundred six patients who underwent upper GI endoscopy between 01.01.2015 and 20.04.2017 at Mogadishu Recep Tayyip Erdoğan Somalia-Turkey Training and Research Hospital were included in this study. Patients grouped according to the age, gender and diagnoses and assessed. R Re es su ul lt ts s: : Ninety-seven patients were female (31.7%), 209 patients were male (68.3%). Age range was 16-97 years (mean age 47.9 years). The rates of upper GI were 18.0% (55 cases) esophageal cancer (nearly all patients had adenocarcinoma, squamous type was very rare), 2.3% (7 cases) gastric adenocarcinoma, 44.1% (135) endoscopic gastritis, 10.1% (31cases) peptic esophagitis, 4.3% (13 cases) duodenal ulcer, 4.3% (13 cases) bulbitis, 3.0% (9 cases) hiatal hernia, and 1.3% (4 cases) candidial esophagitis. 24 patients (7.8%) had normal endoscopic appearance. C Co on nc cl lu us si io on n: : In our study we showed that the prevalence of esophagial cancer was higher in Mogadishu than in those of western countries. We think that the high rate of esophagus cancers due to the use of "khat" named an anxiolytic plant, too hot rice eating, poor nutrition from fresh vegetables and fruits, and the meals cooked in coal fire. Reduction the khat chewing and the improvements in eating habits are mandatory in order to reduce esophageal cancer cases. K Ke ey yw wo or rd ds s: : Endoscopy; upper gastrointestinal diseases; mogadishu; eating habits; khat chewing; esophageal cancers Ö ÖZ ZE ET T A Am ma aç ç: : Somali'de üst gastrointestinal sistem (GİS) hastalıklarının profili ile ilgili bilgi veren bir çalışma bulunmamaktadır. Bu çalışma Mogadişu'da üst GİS endoskopisi sonuçlarının analizi ile ilgilili ilk çalışmadır. Bu çalışmada Mogadişuda üst GİS hastalıklarının dağılımı ile ilgili ilk değerlendirmeyi yapmayı amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışmaya 01.01.2015 ve 20.04.2017 tarihleri arasında Recep Tayyip Erdoğan Somali-Türk Eğitim Araştırma Hastanesinde Üst GIS endoskopisi yapılmış olan 306 hasta dahil edildi. Hastalar yaş, cinsiyet ve tanılarına göre gruplandırılarak değerlendirildi. B Bu ul lg gu ul la ar r: : Çalışmada 97 hasta kadın (%31,7), 209 hasta erkekti (%68,3). Yaş aralığı 16-97 (ortalama 47,9) yıl idi. 55 hastada (%18,0) özofagus kanseri (hastaların tama yakını adenokarsinom tipte olup, skuamöz hücreli karsinom tip nadirdi), 7 hastada (%2,3) mide kanseri, 135 hastada (%44,1) gastrit, 31'inde (%10,1) peptik özofajit, 13 hastada (%4,3) bulbusta ülser, 13'ünde (%4,3) bulbit, 9 hastada (%3,0) herni ve 4 hastada (%1,3) kandidial özofajit, 24 (%7,8) hastada ise normal endoskopik bulg...

Systematic review with meta-analysis: age-related malignancy detection rates at upper gastrointestinal endoscopy

“…Characteristics of the included studies for meta-analysis are presented in Table 1 . Globally, 24 studies included patients undergoing upper GI endoscopy for all indications, 12 – 35 two of which also differentiated between those with and without alarm symptoms. 22 , 25 Six studies included patients with dyspepsia only, 36 – 41 two included those with dyspepsia or alarm symptoms 42 , 43 and one was limited to patients with alarm symptoms.…”