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Related Experiment Videos

Peritoneoscopy: experience in Sudan.

B Gasim1, S S Fedail, S E Hakeem

  • 1National Center for Gastrointestinal and Liver Disease, Ibn Sina Hospital, Faculty of Medicine, University of Khartoum, Khartoum, Sudan. bahagasm@mailcity.com

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|March 14, 2003
PubMed
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Peritoneoscopy remains a valuable diagnostic tool for intra-abdominal diseases in developing countries. This study in Sudan confirms its high diagnostic yield and cost-effectiveness for various conditions.

Area of Science:

  • Medical Diagnostics
  • Gastroenterology
  • Surgical Endoscopy

Background:

  • Peritoneoscopy, an established diagnostic method for intra-abdominal diseases, has seen reduced use in industrialized nations due to advanced imaging.
  • However, its utility is recognized as significant in developing countries.

Purpose of the Study:

  • To retrospectively evaluate the diagnostic value of peritoneoscopy in Sudan, a developing country.
  • To assess the cost-effectiveness and diagnostic yield of the procedure in this setting.

Main Methods:

  • A retrospective analysis of 274 patients who underwent peritoneoscopy.
  • Standard peritoneoscopic techniques were employed, including biopsies when necessary, with close patient monitoring.

Main Results:

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  • Indications included hepatomegaly (39.1%), exudative ascites (24%), and abdominal masses (17.5%).
  • Diagnoses comprised malignancies (29.8%), miscellaneous conditions (21.8%), hepatocellular carcinoma (HCC) (16.4%), liver cirrhosis (9.4%), and abdominal tuberculosis (9.4%).
  • Hepatosphenic schistosomiasis (HSS) presented characteristically.

Conclusions:

  • Peritoneoscopy demonstrated a high diagnostic yield in the study population.
  • The procedure is confirmed as a cost-effective diagnostic technique for developing countries.