EXPERIENCE WITH ENDOSCOPY AT BIN JALAWI HOSPITAL K.S.A.

Authors

  • Aftab Rabbani

Abstract

Background: Presentation of gastrointestinal disorders may vary in different communities. This study was carried out in town of Hafoof in Eastern zone of Saudi Arabia. Purpose of the study was to observe pattern of presentation, age, sex, smoking status, haemoglobin levels, serological markers for hepatitis, endoscopic findings, histopathology, presence of H. Pylori or otherwise in biopsy materials taken during the endoscopic procedures in patients undergoing endosopic examinations. Findings of 230 endoscopies are presented.  Methods: All patients who underwent endoscopy in Bin Jalawi Hospital KSA, between December 1999 and September 2001 were included in the study. Data regarding above mentioned features was collected. Patients under went gastroscopy, colonoscopy and injection sclerotherapy. Biopsies were taken and histopathological studies were carried out. Results: Data of 187 gastroscopies, 12 sclerotherapy sessions and 31 sigmoidoclonoscopies is presented. Antral Gastritis was most commonly seen pathology. Gastric and esophageal varices, erosive gastritis, carcinoma oesophagus, duodenitis and oesophagitis were among the other common pathologies. Age of the subjects ranged between 15 and 80 years. Hepatitis B surface antigen was detected in 13 Patients and Hepatitis C antibodies were reported positive in 21 samples. Conclusions: This data reflects pattern of findings encountered on endoscopies in Hafoof area of KSA, this may assist in comparing the pattern of presentation in this centre with other centers within and outside Saudia.Key Words: Endoscopy, Gastrointestinal disorders, Gastritis, Oesophagitis, 

References

Haslett C. Upper GI endoscopy in principal and practice of Medicine. 19th edition. Edingburgh: Chuchill Livingstone; 2002.

Cotton PB, Willium CB. Gastrointestinal Endoscopy: apractical approach. 4th edn. Oxford:Blackwell Science;1996.

Katon R.M. Experimental control of gastrointestinal Hemmhorage via the endoscope: a new era dawns. Gastroentrology 1976;70:272-6.

Fruhmorgen P, Bodem F, Reidenbach HD, Kaduk B, Demling L. Endoscopic Laser coagulation of Bleeding gastrointestinal lesions. Gastrointestinal Endoscopy 1976;23:73-9.

Stein H, Helen MF. Science Medicine & Future virtual colonoscopy. BMJ 1999;319:1249-52.

Al Quorain A, Satti MB, Al-Hamadan A, al Gassab G, al Freihi H, al Gindan Y. Pattern of gastrointestinal disease in eastern province of Saudi Arabia. Endoscopic evaluation of 2982 patients. Trop Geogr Med 1991;43(1-2):203-8.

Nkrumah KN. Endoscopic evaluation of upper abdominal symptoms in adult patients at Saudi Aramco-Al Hasa Health Center Saudi Arabia. West Afr J Med 2002;21(1):1-4.

Shigemi J, Mino Y, Tsuda T. The role of perceived job stress in relationship between smoking and development of peptic ulcer. J Epidemiol 1999;9(5):320-6.

Bani-Hani KE, Hammourabi SM. Prevalence of Helicobacter Pylori in Northern Jordon. Endoscopy based study. Saudi Med J 2001;22(10):843-7.

Knyrim K, Seidlitz H, Vakil N, Classen M. Perspective in”electronic endoscopy”.Past, present and future of fibers and CCDs in medical endoscopes. Endoscopy 1990;22 Suppl 1:2-8.

Epstein M. Fiber optics in medicine. Crit Rev Biomed Eng 1982;7(2):79-120..

Panel M, Alex F. Recent development in Gastroentrology BMJ 2002;325:1399-1402.

El Hazmi MM. Prevalence of HBV, HCV, HIV-1,2 and HLTV I/II infection among blood donors in a teaching hospital in central region of Saudia Arabia. Saudi Med J 2004;25(1):26-33.