尼日利亚伊洛林地区食管胃十二指肠镜检查的适应证——一项为期30个月的回顾

Indications for oesophagogastroduodenoscopy in Ilorin, Nigeria--a 30 month review.

作者信息

Olokoba A B, Bojuwoye B J

机构信息

Gastroenterology Unit, Department of Medicine, University of Ilorin Teaching Hospital, Ilorin, Kwara State.

出版信息

Niger J Clin Pract. 2010 Sep;13(3):260-3.

PMID:20857780

Abstract

BACKGROUND

Oesophagogastroduodenoscopy is one of the most commonly performed endoscopic procedures. Properly performed, it provides valuable information in patients with upper gastrointestinal conditions. Oesophagogastroduodenoscopy is a visual examination of the upper intestinal tract using a lighted, flexible fibreoptic endoscope or videoscope. Oesophagogastroduodenoscopy is generally indicated for evaluating upper abdominal symptoms such as dysphagia or odynophagia, oesophageal reflux symptoms, gastroduodenal or oesophageal ulcer, upper tract stricture or obstruction, gastrointestinal bleeding, persistent vomiting of unknown cause etc. This study is therefore to review the indications for oesophagogastroduodenoscopy in Ilorin, Nigeria.

AIM

To review the indications for oesophagogastroduodenoscopy in Ilorin, Nigeria.

METHODOLOGY

A review of the indications for oesophagogastroduodenoscopy was undertaken to cover a thirty-month period from June 2006 to November 2008. The endoscopy register of the operating theatre was examined over this period. The biodata of the patients who underwent the procedure over this period was reviewed.

RESULTS

A total of 206 patients had oesophagogastroduodenoscopy done on them during the period under review. 124 of the patients were males (60.2%) while 82 were females (39.8%). The indications for oesophagogastroduodenoscopy were dyspepsia, 94 patients (45.6%); upper gastrointestinal tract bleed, 54 patients (26.2%); gastric outlet obstruction, 12 patients (5.8%); gastric cancer, 11 patients (5.3%); dysphagia, 9 patients (4.3%); acute exacerbation of peptic ulcer disease, 8 patients (3.8%); gastro-oesophageal reflux disease, 7 patients (3.4%); recurrent vomiting, 3 patients (1.5%); bloody stool, 2 patients (1.0%); epigastric mass, 2 patients (1.0%); 1 patient (0.5%) each on account of excessive salivation, foreign body ingestion, ingestion of corrosive, and recurrent anaemia.

CONCLUSION

The commonest indication for oesophagogastroduodenoscopy in Ilorin is dyspepsia.

摘要

背景

食管胃十二指肠镜检查是最常进行的内镜检查程序之一。操作得当的话，它能为患有上消化道疾病的患者提供有价值的信息。食管胃十二指肠镜检查是使用带光源的柔性纤维内窥镜或视频内窥镜对上消化道进行的视觉检查。食管胃十二指肠镜检查一般用于评估上腹部症状，如吞咽困难或吞咽痛、食管反流症状、胃十二指肠或食管溃疡、上消化道狭窄或梗阻、胃肠道出血、原因不明的持续呕吐等。因此，本研究旨在回顾尼日利亚伊洛林地区食管胃十二指肠镜检查的适应证。

目的

回顾尼日利亚伊洛林地区食管胃十二指肠镜检查的适应证。

方法

对2006年6月至2008年11月这30个月期间食管胃十二指肠镜检查的适应证进行回顾。在此期间检查了手术室的内镜检查登记册。回顾了在此期间接受该检查程序的患者的生物数据。

结果

在审查期间，共有206名患者接受了食管胃十二指肠镜检查。其中124名患者为男性（60.2%），82名患者为女性（39.8%）。食管胃十二指肠镜检查的适应证包括消化不良，94例患者（45.6%）；上消化道出血，54例患者（26.2%）；胃出口梗阻，12例患者（5.8%）；胃癌，11例患者（5.3%）；吞咽困难，9例患者（4.3%）；消化性溃疡病急性加重，8例患者（3.8%）；胃食管反流病，7例患者（3.4%）；反复呕吐，3例患者（1.5%）；便血，2例患者（1.0%）；上腹部肿块，2例患者（1.0%）；因流涎过多、异物摄入、腐蚀性物质摄入和反复贫血各有1例患者（0.5%）。