Diverticular disease at colonoscopy in Lagos State, Nigeria.
| dc.contributor.author | Oluyemi, A | |
| dc.contributor.author | Odeghe, E | |
| dc.date.accessioned | 2022-01-15T21:46:58Z | |
| dc.date.available | 2022-01-15T21:46:58Z | |
| dc.date.issued | 2016 | |
| dc.description.abstract | Background: The upsurge in the reported cases of diverticular disease (DD) has led to a re-appraisal of the earlier held views that it was a rare entity in Nigeria. The advent of colonoscopy has contributed in no small way to this change. We sought to determine the clinical characteristics, indications for colonoscopy, and intra-procedural findings among these patients. Materials and Methods: A retrospective cross-sectional study was carried out on the colonoscopy records from four private endoscopy units based in Lagos State, Nigeria. The records were drawn from a 5-year period (August 2010 to July 2015). The endoscopy logs and reports were reviewed, and the bio data, indications, and colonoscopy findings were gleaned. Results: A total of 265 colonoscopies were carried out in the stated period. Of these, 28 (10.6%) had DD. Of the patients with DD, 5 (17.9%) were females while 23 (82.1%) were males. Their ages ranged from 46 to 94 years (mean = 68.2 ± 11 years). Fifteen patients had been referred for the procedure on account of hematochezia alone (15 = 53.6%). Other reasons for referral included abdominal pain alone (2 = 7%), hematochezia plus abdominal pain (5 = 17.9%), and change in bowel habits (3 = 10.8%). Ten (35%) patients had pan-colonic involvement. Regional disease involved the right side alone in only one case (3.5%) while the other combinations of sites are as follows; 6 (21.4%) in the sigmoid colon alone, 2 (7%) in the descending colon alone, 5 (17.9%) in the sigmoid–descending colon, 4 (14.3%) in the sigmoid-descending-transverse colon, thus the sigmoid colon was involved in 25 (89.3%) cases. Five cases (17.9%) had endoscopic features suggestive of diverticulitis. Conclusions: DD should no longer be regarded as a rare problem in the Nigerian patient. The study findings support the notion of higher prevalence among the elderly, in males, and of sigmoid colon involvement. | en_US |
| dc.identifier.citation | Oluyemi A, Odeghe E. Diverticular disease at colonoscopy in Lagos State, Nigeria. Niger Med J. 2016;57:110-3. | en_US |
| dc.identifier.uri | https://ir.unilag.edu.ng/handle/123456789/10394 | |
| dc.title | Diverticular disease at colonoscopy in Lagos State, Nigeria. | en_US |
| dc.type | Article | en_US |