Prevalence of upper gastrointestinal lesions in patients presenting with dyspepsia at Kamuzu Central Hospital in Lilongwe, Malawi
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Date
2020-07-09
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Journal ISSN
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Publisher
Kamuzu University of Health Sciences
Abstract
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.