Prevalence, Pattern, and Outcome of Gastroenterological Diseases in Primary Care Clinic of a Tertiary Hospital in Southwestern Nigeria

Authors

  • Olusoji Abidemi Solomom Family Medicine Department, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria
  • Oluremi Olayinka Solomon Community Medicine Department, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria
  • Oladimeji Akande Ajayi Medicine Department, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria

DOI:

https://doi.org/10.47672/ejhs.1459
Abstract views: 81
PDF downloads: 101

Keywords:

Gastroenterological Diseases, Primary Care, Prevalence, Pattern, Outcome

Abstract

Purpose: Gastroenterological diseases have been documented to be common in primary care practice especially with data from western world. This study seeks to investigate its true burden and outcomes in primary care setting in this environment.

Methodology: It was a 10-year retrospective cross-sectional study carried out at the general outpatient clinic of the family medicine department of Ekiti state university teaching hospital which is part of a larger survey and made use of secondary data.

Findings: The study observed the prevalence of gastroenterological diseases in primary care to be 3.9% with majority of disorders being peptic ulcer disease and dyspepsia, 54.8% and 25.0% respectively. Gastroenterological diseases were poorly investigated in this study 12.2% with Abdominal Ultrasound been the most requested 63.6% and endoscopy request was 6.5%. The majority of those that presented with gastroenterological diseases were treated and discharged home, peptic ulcer diseases 100% and dyspepsia above 90%.

Recommendations: This study showed that the prevalence of gastroenterological disorders in the primary care practice in our environment may not be as high as it’s been documented for other regions of the world. This study recommends further study into the prevalence of gastroenterological disorders using standardized definitions. Primary care doctors are encouraged to be abreast of the frequently changing diagnostic criteria in gastroenterology

 

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Author Biographies

Olusoji Abidemi Solomom, Family Medicine Department, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria

 

 

 

Oluremi Olayinka Solomon, Community Medicine Department, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria

 

 

 

 

Oladimeji Akande Ajayi, Medicine Department, College of Medicine, Ekiti State University, Ado Ekiti, Nigeria

 

 

 

 

References

Aderoju, Emmanuel Aderemi, Ene, Dan, Abutalib, Hamood, Aboh, Ignatius, Okonkwo, Thomas Nnanyelu. Pattern of gastrointestinal diseases in adult patients admitted to Samtah General Hospital, Gizan region, Saudi Arabia. Saudi Journal of Gastroenterology 1999; 5(2): 76-80.

Ajuwon BI, Yujuico I, Roper K, Richardson A, Sheel M, Lidbury BA. Hepatitis B virus infection in Nigeria: a systematic review and meta-analysis of data published between 2010 and 2019. BMC Infectious Diseases. 2021; 21:1-5.

Bazaldua OV, Schneider FD. Evaluation and management of dyspepsia. American family physician. 1999;60(6):1773.

Bernstein CN, Crocker E, Nugent Z, Virdi P, Singh H, Targownik LE. Gastroenterologist Consultation Is Uncommon but Associated with Improved Care Among IBD Patients Presenting to Emergency Departments in Winnipeg Hospitals. Journal of the Canadian Association of Gastroenterology. 2021;4(2):57-64.

Everhart, J. E., Ruhl, C. E. Burden of Digestive Diseases in the United States Part I: Overall and Upper Gastrointestinal Diseases. Gastroenterology, 2009; 136(2): 376–386. doi: 10.1053/j.gastro.2008.12.015

Froehlich F, Burnand B, Pache I, Vader JP, Fried M, Schneider C, Kosecoff J, Kolodny M, DuBois RW, Brook RH, Gonvers JJ. Overuse of upper gastrointestinal endoscopy in a country with open-access endoscopy: a prospective study in primary care. Gastrointestinal endoscopy. 1997;45(1):13-9.

Gikas A, Triantafillidis JK. The role of primary care physicians in early diagnosis and treatment of chronic gastrointestinal diseases. International Journal of General Medicine 2014:7; 159 – 173. http://dx.doi.org/10.2147/IJGM.S58888

Harrold LR, Field TS, Gurwitz JH. Knowledge, patterns of care, and outcomes of care for generalists and specialists. Journal of general internal medicine. 1999;14(8):499-511.

Heikkinen M, Räsänen H, Färkkilä M. Clinical value of ultrasound in the evaluation of dyspepsia in primary health care. Scandinavian journal of gastroenterology. 2005;40(8):980-4.

Isaac, E., Jalo, I., Alkali, Y., Ajani, A., Abubakar, J., Aremu, J., et al. Low Level of Hepatitis B Surface Antigen Screening in a Tertiary Health Facility in Nigeria 2000-2014: Imperative for Provider Initiated Testing and Counselling for Hepatitis B Virus? Open Journal of Epidemiology. 2020; 10: 251-264. doi: 10.4236/ojepi.2020.103022.

Jamoh, B.Y., Abubakar, S.A., Isa, S.M. Morbidity and mortality profile of patients seen in medical emergency unit of a Teaching Hospital in Nigeria: A 4-year audit. Sahel Med J, 2018: 21:213-7

Massari, V., Maison, P., Desenclos, J.-C., Flahault, A. European Journal of Epidemiology, 1998; 14(8): 765–767. doi:10.1023/a:1007596929640

Michele R, Chiara M, Antonio N, Gioacchino L, Tiziana M, Gian L, et al. Approach to gastroenterological diseases in primary care. Acta Biomed 2018; 89 (Supp 8): 5-11. DOI: 10.23750/abm. v89i8-S.7963

Michele Russo, Chiara Miraglia, Antonio Nouvenne, Gioacchino Leandro, Tiziana Meschi, Gian Luigi de’ Angelis, et al. Approach to gastroenterological diseases in primary care. Acta Biomed 2018; Vol. 89, Supplement 8: 5-11 DOI: 10.23750/abm. v89i8-S.7963

Milivojevica V, Rankovica I, Krstica MN, Milosavljevicc T. Dyspepsia Challenge in Primary Care Gastroenterology. Digestive Disease. 2022; Vol 40: pp 270–275 DOI: 10.1159/000517668

Nwokediuko SC, Osuala PC, Uduma UV, Alaneme AK, Onwuka CC, Mesigo C. Pattern of liver disease admissions in a Nigerian tertiary hospital. Nigerian Journal of Clinical Practice. 2013;16(3):339-42.,

Oghenetega O.B, Kuti T.J, Owolabi F.M, Omayone T.P. Five-year Prevalence of Gastrointestinal Diseases and Disorders in Akure South, Nigeria. Afr. J. Biomed. Res. 2021; 24 245- 249

Oluwagbenga OO, Musah Y, Paul O, Osisiogu SM, Adenike OO, Banjo OH, Elijah AO, Alex AS, Abiola TO, Osiron OT. Spectrum of Disease Conditions Seen at the Gastroenterology Clinic of a Tertiary Health Facility in South-Western Nigeria. Journal of Advances in Medicine and Medical Research. 2020;32(6):77-87.

Oluwagbenga OO, Musah Y. An 8-year retrospective review of gastrointestinal medical emergency conditions at a tertiary health facility in Nigeria. Sudan Journal of Medical Sciences. 2018 Mar 20;13(1):1-1.

Seifert B, Rubin G, de Wit N, Lionis C, Hall N, Hungin P, et al. The management of common gastrointestinal disorders in general practice: a survey by the European Society for Primary Care Gastroenterology (ESPCG) in six European countries. Digestive and Liver Disease. 2008 Aug 1;40(8):659-66

Wong W.M., Lim P, Wong B.C. Clinical practice pattern of gastroenterologists, primary care physicians, and otolaryngologists for the management of GERD in the Asia–Pacific region: the FAST survey. Journal of gastroenterology and hepatology. 2004;19: S54-60.

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Published

2023-05-11

How to Cite

Solomon, O. ., Solomon, O., & Ajayi, . O. (2023). Prevalence, Pattern, and Outcome of Gastroenterological Diseases in Primary Care Clinic of a Tertiary Hospital in Southwestern Nigeria . European Journal of Health Sciences, 9(1), 23 - 32. https://doi.org/10.47672/ejhs.1459

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