Mbale Regional Referral Hospital, P.O. Box 921, Mbale, Uganda.
Mbale Clinical research Institute, www.mcri.ac.ug, P. O. Box 1966, Mbale Uganda.
Afr Health Sci. 2022 Jun;22(2):392-396. doi: 10.4314/ahs.v22i2.45.
Upper gastrointestinal (UGI) symptoms are common in East Africa but there is limited diagnostic endoscopy availability. Surgical camps are a recognised method of providing intensive service provision and training. We describe a novel application of the camp model for diagnostic UGI endoscopy in eastern Uganda.
A 7-day camp took place in an existing endoscopy department of Mbale Regional Referral Hospital. Patients with symptoms warranting investigation were invited for free diagnostic UGI endoscopy, biopsy and testing.
148 patients underwent endoscopy. 47 were deemed to have significant pathology, 7 with malignancy. 61% had . A resident surgeon was trained and performed 55 supervised unassisted procedures.
Our pilot has illustrated that camps are a safe and efficient way of providing intense endoscopy service and training in an established department. Camps can be utilised for scaling up much needed endoscopy services and training in low- and middle-income countries.
上消化道（UGI）症状在东非很常见，但诊断性内窥镜检查的可用性有限。营地手术是提供强化服务和培训的一种公认方法。我们描述了乌干达东部一种用于诊断性 UGI 内窥镜检查的新型营地模式的应用。
在姆巴莱地区转诊医院现有的内窥镜科进行了为期 7 天的营地活动。邀请有症状需要检查的患者进行免费的诊断性 UGI 内窥镜检查、活检和测试。
148 名患者接受了内窥镜检查。47 人被认为有明显的病理，7 人有恶性肿瘤。61%的人患有幽门螺杆菌感染。一名住院外科医生接受了培训，并进行了 55 次监督下的非辅助手术。
我们的试点表明，营地是在现有科室中提供强化内窥镜服务和培训的安全有效的方法。营地可以用于在中低收入国家扩大急需的内窥镜服务和培训。
