A review of the current profile of XXXX presentation in the university college hospital Ibadan, a tertiary health care institution in the tropics.

@entity1 @entity4094 @entity10189 @entity417 @entity706 @entity1819 @entity5 @entity1442 @entity1282 @entity420 @entity356
INTRODUCTION: @entity356 is the fourth commonest @entity5 and the second leading cause of @entity5 . Although @entity356 is less common throughout Africa than in Europe, there are considerable variations in its incidence and pattern. It accounts for about 5% of @entity5 . It is characterized with significant morbidity and mortality mainly because of late presentation in developing and poor countries. Previous studies on @entity356 in Ibadan and other West African centres demonstrated the preponderance of distal (pyloric antrum) @entity1819 when @entity4094 ( @entity4094 , fundus) lesions. Nevertheless, recent studies in developed nations show that @entity1819 are on the decline while there is an increase in the proportion of proximal @entity1819 . OBJECTIVE: The objective of this study is to review the pattern of presentation of @entity1 with @entity356 managed in our surgical division over a 5-year period and to determine changes in the trend in our environment. METHODOLOGY: A retrospective study of all @entity1 with @entity356 between November 2004 and October 2009 was carried out. Simple descriptive analysis was used to characterize the @entity1 ' demographic parameters, symptomatology, clinical and investigative findings along with treatment and outcome modalities. RESULTS: There were 49 cases managed by the division over the period under review. The male to female ratio was 1.45:1 with a mean age of 56 years at presentation. Duration of symptom was less than 5 months (20 weeks) in 47.9% of the @entity1 . @entity1282 was present in 12.2% while 52.6% had a history of suspected @entity10189 . There was electrolyte derangement in 31.7% of the @entity1 while 52.6% had @entity417 at presentation. Proximal @entity5 of the gastro-oesophageal region, @entity4094 and the body constituted 51% of the cases; 51.4% of the @entity1 were blood group O as opposed to 28.6% and 20%, respectively, with blood A and B. Thirty-six @entity1 (73.5%) had a histological diagnosis of @entity420 , five @entity1 (10%) had signet ring variant of @entity5 , while three @entity1 (6.1%) were each had @entity5 or @entity706 . DISCUSSION: Our review shows a peak age in the sixth and seventh decades at presentation. There is a significant increase in the proportion of proximal @entity1819 and a predominance of blood group O. @entity5 and @entity706 should be considered as differential diagnosis. @entity1 still present late with @entity1442 , and curative treatment is often impossible.
