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[Upper Digestive Endoscopy at Zinder National Hospital: Indications and Results]
I Hamidine1, H Adamou2, I A Magagi2
1Service d'hépato-gastroentérologie, Hôpital National de Zinder, Niger.
Upper digestive endoscopy (EDH) at Zinder National Hospital revealed epigastralgia as the primary indication. Inflammatory lesions were most common, but ulcers and tumors are increasingly diagnosed, necessitating systematic biopsies for better evaluation.
Area of Science:
- Gastroenterology
- Endoscopy
- Oncology
Context:
- Upper digestive endoscopy (EDH) is a crucial diagnostic tool.
- The Zinder National Hospital serves a specific patient demographic.
- Retrospective analysis of 667 EDH examinations from January 2020 to February 2021.
Purpose:
- To determine the indications for and outcomes of upper digestive endoscopy.
- To analyze the prevalence of various upper gastrointestinal pathologies.
- To assess the diagnostic yield of biopsies in identifying serious lesions.
Summary:
- Epigastralgia (42.8%) and dyspepsia (15.2%) were leading indications for EDH.
- Inflammatory lesions (63.04%) predominated, followed by ulcers (6.65%) and tumors (3.03%).
- Biopsies, performed in only 3.46% of cases, revealed gastric adenocarcinomas and esophageal epidermoid carcinoma.
Impact:
- Highlights the significant burden of inflammatory upper gastrointestinal conditions.
- Underscores the rising incidence of ulcers and tumors requiring prompt diagnosis.
- Emphasizes the need for systematic biopsy protocols to improve diagnostic accuracy for neoplastic and pre-neoplastic lesions.
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