Keywords
Oesophagogastroduodenal disorders
Chronic epigastric pain
Niger
How to Cite
Abstract
Introduction :
Gastrointestinal endoscopy is a medical examination that allows accurate diagnosis of gastrointestinal lesions, enables biopsies to confirm certain macroscopic findings, and provides the possibility of therapeutic procedures. This study aimed to assess the contribution of upper gastrointestinal endoscopy in the management of oesophagogastroduodenal conditions at the Maradi Referral Hospital (HRM).
Methodology :
We conducted a descriptive, cross-sectional study based on retrospective data from endoscopy reports and the gastrointestinal endoscopy registry over three years, from July 2021 to June 2024.
Results :
During the study period, 1,972 gastrointestinal endoscopies were performed, including 1,418 upper endoscopies, of which 1,337 (67.80%) met our inclusion criteria. The mean age was 44.46 ± 16.16 years, with a slight male predominance (sex ratio = 1.19). The main indication was chronic epigastric pain (59.91%). Lesions were found in 1,224 patients (91.55%), with a mainly gastric location (84.44%). The predominant endoscopic findings were inflammatory lesions, mainly gastritis, observed in 71.35% of cases. Biopsies were performed in 426 patients (31.86%), of whom 282 (66.20%) underwent histopathological analysis. This examination revealed malignant lesions in 17.73% of cases and benign lesions in 82.27%.
Conclusion :
Upper gastrointestinal endoscopy is a reliable examination with high diagnostic value, contributing significantly to improving the management of oesophagogastroduodenal pathologies.
References
1. Adjei SK, Adjei P. Indications and Findings of Upper Gastrointestinal Endoscopy at a District Hospital in Ghana: A Retrospective Study. Health Sci Rep. 2025;8(2):e70504.
2. Meda ZC, Ouattara A, Hien H, Ouattara CA, Ilboudo B, Traore TI, et al. Acceptability of Oesogastroduodenal Fibroscopy in Private Health Facilities from the City of BoboDioulasso in Burkina Faso. Cent Afr J Public Health. 2023;9(3):80-8.
3. Sombié R, Guingané A, Tiendrébéogo A, Gansané Z, Bougouma A. Évaluation de la tolérance et de l’acceptabilité de l’endoscopie digestive haute chez 350 patients. J Afr Hépatol Gastroentérol. 2015;13(3):1-4.
4. Fall MP, Bassene ML, Diallo S, Gueye MN, Cissé CAB, Diop MM, et al. Indications et résultats de l’endoscopie digestive haute au centre hospitalier régional de Thiès. Rev Afr Méd Int. 2021;8(1):22-8.
5. Barrière E, Courat L, Letard JC, Canard JM, Sautereau D. Endoscopie diagnostique et thérapeutique du tractus digestif supérieur. EMC Gastro-entérologie. 2002;1-15.
6. Podolsky DK, Camilleri M, Fitz JG, Kalloo AN, Shanahan F, Wang TC. Yamada’s Textbook of Gastroenterology. 6th ed. Chichester: WileyBlackwell; 2015. p. 42-92.
7. Campos ST, Barreto L, Fernandes V, Meira T, Portela F, Carreira C, et al. Starting gastrointestinal endoscopy in a lower middleincome country in Africa: Training, creating an endoscopy facility and developing telemedicine. Endosc Int Open. 2022;10(11):E1434-41.
8. Ousseini F, Hamidine I, Abdou B, Abdou N, Ali Cheik R, Almou A. Place de l’endoscopie digestive haute dans le diagnostic des affections œsogastroduodénales à Niamey. JACCR Afr. 2024;8(3):148-54.
9. Hamidine I, Adamou H, Magagi IA, Garba AA, Mamadou M, Midou AS, et al. Endoscopie Digestive Haute à l'Hôpital National de Zinder : Indications et Résultats. Mali Med. 2023;38(1):21-5.
10. Maiyaki AS, Bamaiyi AJ. Indications and findings in patients referred for endoscopy in a private health center in Sokoto, Northwestern Nigeria. World J Adv Res Rev. 2020;6(3):289-96.
11. Lawson-Ananisoh LM, Oumboma B, Aklesso B, Laconi K, Datouda R. La fibroscopie digestive haute chez 2795 patients au centre hospitalier universitaire campus de Lomé : les particularités selon le sexe. Pan Afr Med J. 2014;19:262.
12. Bazolo Ba Ngouala GA, Loubna B, Indo DVJA, Arona S. Endoscopie digestive haute à Louga (Sénégal) : Profil des patients et difficultés rencontrées. Pan Afr Med J. 2017;27:211.
13. Makkie AK, AL-Youzbaki. Prevalence of Upper Gastrointestinal Endoscopy Findings in Endoscopy Referred Patients at Mosul City, a Ten Years Retrospective Study. Ann Coll Med Mosul. 2010;36(1):8-11.
14. Ismaila BO, Misauno MA. Gastrointestinal endoscopy in Nigeria--a prospective two-year audit. Pan Afr Med J. 2013;14:22.
15. Agyei-Nkansah A, Duah A, Alfonso M. Indications and findings of upper gastrointestinal endoscopy in patients presenting to a District Hospital, Ghana. Pan Afr Med J. 2019;34:82.
16. Ali M, Salaou C, Elh Lamine Z, Adamou F, Moustapha A, Ibrahim A, et al. Prévalence de l’infection à Helicobacter pylori en Afrique : une revue documentaire (2010 à 2020). JACCR Afr. 2024;8(3):378-91.
17. World Gastroenterology Organization. World Gastroenterology Organization Global Guideline: Helicobacter pylori in Developing Countries. J Clin Gastroenterol. 2011;45(5):383-8.
18. Boureima H, Issa A, Amadou S, Idrissa Sidibé A, Harouna Amadou ML, Ousseini N, et al. Epidemiological and pathogenic role of Helicobacter pylori in gastroduodenal diseases at the Maradi referral hospital. JACCR Infect. 2026;8(1):26-35.
Metrics
Downloads
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2026 A Issa, M Abdoulaye, A Boureima Bomborou, A Idrissa Sidibe, N Ousseini, H Abdou, H Koura, O Adakal