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Browsing Protocols by Author "Fyson, Rashid"

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    Prevalence of upper gastrointestinal lesions in patients presenting with dyspepsia at Kamuzu Central Hospital in Lilongwe, Malawi
    (Kamuzu University of Health Sciences, 2020-07-09) Gausi, Phalles; Fyson, Rashid; Chipewa, Pascal
    The proposed research project is a quantitative retrospective cohort study where we intend to explore the prevalence of upper gastrointestinal lesions [UGL] in adult patients with dyspepsia undergoing endoscopy at Kamuzu Central Hospital in Lilongwe, Malawi. The evaluation of UGL in a medically resource limited area can be challenging. The lack of medical personnel, including those trained in gastrointestinal endoscopy and inadequate endoscopy facilities limit appropriate evaluation for patients with UGL. The specific objectives of the study are ;toare; to determine the proportion of patients with UGL among dyspeptic patients at KCH , establish the association between the presence of UGL and socio-demographic factors e.g. gender, residence, alcohol intake and tobacco smoking ,and finally to determine the association between HIV serostatus and presence of UGL. Gastrointestinal endoscopy is expensive, time consuming and has complications. Prioritization of patients referred for endoscopy is key to provision of the service to those who really need endoscopy. We, therefore, hope our study will help hospitals in Malawi to develop criteria for endoscopy recommendation among dyspepsia patients. The study will be conducted at Kamuzu Central Hospital in Lilongwe city for a period of six weeks. It will involve analyzing electronic secondary data collected and stored in the endoscopy unit of the surgery department. The inclusion criteria will be all the patients aged 18 years and above that presented with dyspepsia and underwent endoscopy at KCH endoscopy unit between January 2014 to December 2019. Sample size will not be calculated as we will analyze all the data of the patients who presented for endoscopy between January 2014 to December 2019 and consecutive sampling technique will be used. Dissemination of research finding will be through presentation at the College of Medicine fourth year research final report presentation at Blantyre campus. A copy of the report will also be submitted to COMREC, the head of surgical department at KCH and the College of Medicine library. We will submit our work to the Malawi Medical Journal for publication.