Gut and Gastroenterology

Abstract

Results of Upper Gastrointestinal Endoscopies in Elderly Patients at the General Hospital of Grand Yoff, Dakar, Senegal

Author(s): D Dia, MN Guèye, G Diouf, CAB Cissé, MD Ndiaye, M Mbengue

Introduction: the establishment of a free health care program for people aged 60 and over in Senegal for the last 10 years offers us the opportunity to study the particularities of upper gastrointestinal endoscopy (UGIE) and to determine the prevalence of the most commonly encountered lesions in these elderly subjects. 
Patients and methods: This is a retrospective study from January 2014 to May 2017 at Grand Yoff General Hospital in Dakar (Senegal). All UGIE reports for subjects aged 60 and over have been collated. Data collection and analysis was performed with Sphynx V5 software. 
Results: The exploited reports were 943 (15.5% of all UGIE). The average age of the patients was 68 years and the sex ratio 0.82. Indications were dominated by epigastralgia (55%) and GERD (14.6%). Lesions were present in 730 patients (77.4%). The most frequent esophageal lesions were hiatus hernia (26.8%), peptic esophagitis (24.4%) and varices (21.9%); esophageal cancers were found in 22 patients (2.3%). Gastritis and ulcer were the most common gastric lesions. Histology found Helicobacter pylori in 66.2% of cases. Gastric cancers were noted in 24 patients (2.5%). Duodenal lesions were dominated by bulbitis (51.5%) and ulcers (46.9%). In 11.3% of patients, the indication was gastrointestinal bleeding and peptic ulcer and esophageal varices were the main causes. The tolerance of the UGIE was excellent or good in 88% of patients. 
Conclusion: The UGIE in elderly patients in Dakar are well tolerated and it reveals frequent lesions dominated by gastritis and peptic ulcer; Esophageal and gastric cancers also play a significant role.

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