Annals of African Medicine
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Year : 2017  |  Volume : 16  |  Issue : 4  |  Page : 159-163

Pattern of presentation of gastroesophageal reflux disease among patients with dyspepsia in Kano, Nigeria

1 Department of Internal Medicine, Gastroenterology Unit, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
2 Department of Internal Medicine, Gastroenterology Unit, Aminu Kano Teaching Hospital, Kano, Nigeria

Correspondence Address:
Abubakar Sadiq Maiyaki
Department of Internal Medicine, Gastroenterology Unit, Usmanu Danfodiyo University Teaching Hospital Sokoto, Sokoto
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aam.aam_18_17

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Background: Dyspepsia is a symptom complex rather than a specific disease entity. It can be caused by both organic and functional gastrointestinal (GI) disorders. Gastroesophageal reflux disease (GORD) though a common digestive disorder worldwide is scarcely reported in Nigeria. The aim of this study is to determine the pattern of presentation of GORD among patients with dyspepsia. Methods: One hundred and seventy dyspeptic patients were recruited consecutively as they were referred to the Gastroenterology Unit of Aminu Kano Teaching Hospital for upper GI endoscopy. A prepared questionnaire on relevant demographic and clinical history relating to GORD was administered. Upper GI endoscopy was then performed on each patient. Results: The prevalence of GORD was 24.1%, with a M:F ratio of 1:1.1. Endoscopy-positive variant accounted for 16 cases (9.4%), while endoscopy-negative variant accounted for 25 cases (14.7%), with of the total GORD patients, 26(63.4%) were males while 15(36.6%) were females. Los Angeles Grade A (37.5%) was the predominant endoscopic esophageal mucosal injury found in 6 cases. Barrett's esophagus and esophageal adenocarcinoma accounted 4.9% each and were considered to be rare. Extra-esophageal manifestations were also rare. Conclusions: Endoscopy-negative variant still remains the predominant endoscopic finding in GORD patients.

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