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conferenceseries
.com
Volume 7, Issue 4(Suppl)
J Gastrointest Dig Syst, an open access journal
ISSN: 2161-069X
Gastro Congress 2017
September 11-12, 2017
September 11-12, 2017 | Paris, France
12
th
Euro-Global Gastroenterology Conference
Clinical features of gastric outlet obstruction in Kigali, Rwanda
P Kamali
and
A Kagame
Centre Hospitalier University, Rwanda
Background:
In developed countries, the main cause of gastric outlet obstruction (GOO) is malignancy. However, the benign causes
continue to be the major cause of GOO in the developing world, and there is growing evidence proving the contrary. There is no data
of GOO from Rwanda.
Aim:
A retrospective analysis of the endoscopic findings of patients presenting with features of GOO to determine the demographic
and etiological patterns has been conducted.
Materials & Methods:
A retrospective study of the endoscopic findings of patients with GOO from January 2013 to January 2015
was done. The diagnosis of GOO was based on clinical presentation, and an inability during the upper endoscopy to enter the second
portion of the duodenum as documented in the endoscopy registers. Patients who have already been diagnosed with malignancy
prior to the endoscopy were excluded from the study; so were the patients with Gastroparesis.
Results:
A total of 250 patients with GOO underwent the endoscopy during the study period. 180 had benign GOO, while malignancy
was present in 30 patients, others were with different findings. The cause for benign obstruction was predominantly peptic ulcer
disease. The major cause for malignant obstruction was carcinoma of stomach involving the distal stomach. The male to female ratio
was 3.2:1. The patients with malignancy were older than patients with benign disorders. Most of the patients were in the fifth and sixth
decade. The risk of malignancy was higher with increasing age, especially in women. One third of carcinoma stomach was present
with GOO.
Conclusion:
The study demonstrates that the cause for GOO in Kigali, Rwanda is predominantly benign.
Biography
P Kamali is a specialist Internal Medicine Physician. He is a member of Rwanda Medical Council and Rwanda Medical Association since 2006. He had conducted
about 20 trainings and workshops. His research activities include quality of blood pressure control in hypertensive patients attending the Kigali University Teaching
Hospital (CHUK) 2010, The importance of Helicobacter pylori in gastric outlet obstructions at CHUK: 2013, The potential for targeted therapies among gastric
tumour patients at Kigali University Teaching Hospital: 2016.
pakamali@yahoo.frP Kamali et al., J Gastrointest Dig Syst 2017, 7:4(Suppl)
DOI: 10.4172/2161-069X-C1-052