Emeka Ray-Offor, DMAS(Ind), FWACS, FMAS, FACS1, Patrick Igwe2. 1Digestive Disease Unit, Oak Endoscopy Centre Port Harcourt Rivers State Nigeria, 2Department of Surgery University of Port Harcourt Teaching Hospital Port Harcourt Rivers State Nigeria
Introduction: Diverticular disease is uncommon among Africans with traditional high fibre diet. A westernization of diet, increasing aged population and access to colonoscopy in a metropolitan population is likely to affect the prevalence pattern. This study aims to study the prevalence of diverticular disease in a Nigerian metropolis of Sub-Saharan Africa.
Patients and Method: This is a cohort study of all consecutive patients presenting for colonoscopy to a referral ambulatory care endoscopy facility in Port Harcourt metropolis, Niger Delta region of Nigeria from March 2014-September 2017. The variables studied included: demographics; clinical and endoscopic findings; treatment. Statistical analysis was done using SPSS (Chicago lL, USA) version 20.
Results:`A total of 213 colonoscopies were performed with 29 (13.6%) cases of diverticular disease. The age range of patients was from 27-80 years (mean 62.76±12.77yrs). There were 22 males and 7 females; a male to female ratio of 3:1. Bleeding per rectum was the most common presentation. Seven (24.1%) and 6 (20.7%) cases showed evidence of inflammation and bleeding respectively; >5 diverticula were seen per patient in 18 cases. The left colon was affected in 23(79.3%), especially the sigmoid colon in 15(51.7%)cases. Colectomy was performed for 3 patients.
Conclusion: Diverticular disease is not uncommon. A male and left-sided colon predominance is the trend.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 86961
Program Number: P213
Presentation Session: iPoster Session (Non CME)
Presentation Type: Poster
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