Maiyaki AS, Borodo MM, Samaila AA, Yakubu A. Pattern of presentation of gastroesophageal reflux disease among patients with dyspepsia in Kano, Nigeria.
Ann Afr Med 2017;
16:159-163. [PMID:
29063898 PMCID:
PMC5676404 DOI:
10.4103/aam.aam_18_17]
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Abstract
BACKGROUND
Dyspepsia is a symptom complex rather than a specific disease entity. It can be caused by both organic and functional gastrointestinal (GI) disorders. Gastroesophageal reflux disease (GORD) though a common digestive disorder worldwide is scarcely reported in Nigeria. The aim of this study is to determine the pattern of presentation of GORD among patients with dyspepsia.
METHODS
One hundred and seventy dyspeptic patients were recruited consecutively as they were referred to the Gastroenterology Unit of Aminu Kano Teaching Hospital for upper GI endoscopy. A prepared questionnaire on relevant demographic and clinical history relating to GORD was administered. Upper GI endoscopy was then performed on each patient.
RESULTS
The prevalence of GORD was 24.1%, with a M:F ratio of 1:1.1. Endoscopy-positive variant accounted for 16 cases (9.4%), while endoscopy-negative variant accounted for 25 cases (14.7%), with of the total GORD patients, 26(63.4%) were males while 15(36.6%) were females. Los Angeles Grade A (37.5%) was the predominant endoscopic esophageal mucosal injury found in 6 cases. Barrett's esophagus and esophageal adenocarcinoma accounted 4.9% each and were considered to be rare. Extra-esophageal manifestations were also rare.
CONCLUSIONS
Endoscopy-negative variant still remains the predominant endoscopic finding in GORD patients.
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