Ogutu EO, Lule GN, Okoth FN, Were BO. The pattern of chronic gastric ulcer at Kenyatta National Hospital (K.N.H.). East Afr Med J. 1989 Jan;66(1):10-4.

Citation:
N PROFLULEGODFREY, OTIENO PROFOGUTUELLY. "Ogutu EO, Lule GN, Okoth FN, Were BO. The pattern of chronic gastric ulcer at Kenyatta National Hospital (K.N.H.). East Afr Med J. 1989 Jan;66(1):10-4.". In: East Afr Med J. 1989 Jan;66(1):10-4. test; 1989.

Abstract:

Thirty consecutive patients with gastric ulcer diagnosed during upper gastrointestinal fibreoptic panendoscopy at both Kenya Medical Research Institute and Kenyatta National Hospital endoscopy rooms were studied. The male/female ratio was 5:1 with a peak prevalence in the 6th decade. 76.6% of the patients were from the Kikuyu ethnic group. Smoking habit was found in only 50% of patients with gastric ulcers. There were a total of 32 gastric ulcers in 30 patients. 84.4% of these were at the incisura angularis. All the incisural ulcers were benign. Two (6.25%) of the 32 ulcers were malignant (one at the cardia and the other at the antrum). Gastric ulcers whose diameter were greater than 30 mm had a higher tendency of being malignant. Five patients (16.7%) had both gastric (4 benign and 1 malignant) and duodenal ulcers while 4 (13.3%) patients had both gastric and pyloric ring ulcers. Apparent healing of a gastric ulcer while on an H2-antagonist does not totally exclude malignancy. Upper gastrointestinal bleed which was present in 53.3% of cases was the most frequent complication.

Notes:

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