An audit of upper gastrointestinal endoscopy performed on patients at Prince Mshiyeni Memorial Hospital in Durban, KwaZulu-Natal

  • V C Ntola University of KwaZulu-Natal
  • T G Pillay University of KwaZulu-Natal
  • S Ramklass University of KwaZulu-Natal
  • W Sibanda University of KwaZulu-Natal
Keywords: Upper gastrointestinal endoscopy, Epigastric pain, Gastritis

Abstract

Background: Resource constraints have resulted in upper gastrointestinal endoscopy (UGE) being deferred where possible. However, delayed investigation is costly and leads to disease progression. This study audits the UGE done at a single institution. It was motivated by the observation that public hospitals often experience an acute shortage of endoscopes, which are prone to frequent breaks and service delivery is further compromised by an increased workload.

Methods: This was a retrospective observational descriptive study of patients aged 20 to 45 years who had undergone gastrointestinal endoscopy (UGE) at Prince Mshiyeni Memorial Hospital (PMMH) in KwaZulu-Natal, during the period January 2015 to December 2015. One hundred and ninety-four patients’ charts and UGE reports were reviewed. Data were analysed using SPSS Statistics version 24. The level of significance was set at p < 0.05. Variables were expressed as mean ± standard deviation or medians (interquartile range IQR) as appropriate. Mean ± standard deviation was compared using the Student’s t-test. Proportions and categorical variables were compared using the Pearson’s chi-square test or Fisher’s exact test as appropriate. An ethical approval was obtained from the University of KwaZulu-Natal BREC (BE 447/17) and the KwaZulu-Natal Department of Health Ethics Committee.

Results: Epigastric pain was found to be the most common indication for UGE, with a total of 112 (57.7%) out of total of 194 patients, followed by upper gastrointestinal bleeding (UGIB) (42) (21.6%). Amongst patients presenting with epigastric pain, only 12(10.7%) patients could be confirmed that they had received acid suppression therapy prior to the testing. In the age group 20–25 years, there was a highest number of patients presenting with corrosive substance ingestion, 11 (25.0%). The commonest finding was gastritis in 99 patients (51.0%), followed by normal findings in 50 (25.7%) patients.

Conclusions: Epigastric pain was the most common indication and gastritis was the predominant finding.

Author Biographies

V C Ntola, University of KwaZulu-Natal

Department of General Surgery, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, South Africa

T G Pillay, University of KwaZulu-Natal

Department of General Surgery, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, South Africa

S Ramklass, University of KwaZulu-Natal

School of Clinical Medicine, University of KwaZulu-Natal, South Africa

W Sibanda, University of KwaZulu-Natal

School of Nursing and Public Health, University of KwaZulu-Natal, South Africa

Published
2019-08-10
How to Cite
Ntola, V., Pillay, T., Ramklass, S., & Sibanda, W. (2019). An audit of upper gastrointestinal endoscopy performed on patients at Prince Mshiyeni Memorial Hospital in Durban, KwaZulu-Natal. South African Journal of Surgery, 57(3), 57. Retrieved from http://sajs.redbricklibrary.com/index.php/sajs/article/view/2858
Section
Online Articles