Evidence map›Paper›PMID 38807055›Full record

ArticleBMC gastroenterology2024

Clinical and endoscopic characteristics of patients undergoing gastrointestinal endoscopic procedures in Egypt: a nationwide multicenter study.

Mohamed Elbadry, Fathiya El-Raey, Mohamed Alboraie, Mohamed Abdel-Samiee, Doaa Abdeltawab, Mohammed Hussien Ahmed, Ahmed F Sherief, Ahmed Eliwa, Mina Tharwat, Amira Abdelmawgod and 18 more

Erratum issuedAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

28 authors.

Mohamed ElbadryEndemic Medicine Department, Faculty of Medicine, Helwan University, Ain Helwan, Cairo, 11795, Egypt.
Fathiya El-RaeyHepatogastroenterology and Infectious Diseases Department, Al-Azhar University, Damietta, Egypt.
Mohamed AlboraieInternal Medicine Department, Al-Azhar University, Cairo, Egypt.
Mohamed Abdel-SamieeHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Shebin El-Kom, Egypt.
Doaa AbdeltawabTropical Medicine and Gastroenterology Department, Assiut University, Assiut, Egypt.
Mohammed Hussien AhmedHepatology, Gastroenterology, and Infectious Diseases Department, Kafrelsheikh University, Kafrelsheikh, Egypt.
Ahmed F SheriefTropical Medicine Department, Ain Shams University, Cairo, Egypt.
Ahmed EliwaInternal Medicine Department, Al-Azhar University, Cairo, Egypt.
Mina TharwatTropical Medicine and Gastroenterology Department, Aswan University, Aswan, Egypt.
Amira AbdelmawgodTropical Medicine and Gastroenterology Department, Assiut University, Assiut, Egypt.
Ossama Ashraf AhmedInternal Medicine Department, Ain Shams University, Cairo, Egypt.
Eman AbdelsameeaHepatology and Gastroenterology Department, National Liver Institute, Menoufia University, Shebin El-Kom, Egypt.
Aya MahrosHepatology, Gastroenterology, and Infectious Diseases Department, Kafrelsheikh University, Kafrelsheikh, Egypt.
Abdelmajeed M MoussaTropical Medicine and Gastroenterology Department, Aswan University, Aswan, Egypt.
Alshaimaa EidHepatogastroenterolgy and Infectious Diseases Department, AL-Azhar University, Cairo, Egypt.
Khaled RaafatInternal Medicine Department, Ain Shams University, Cairo, Egypt.
Ahmed YousefPublic Health and Community Medicine Department, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Saad A S RafeaTropical Medicine Department, Ain Shams University, Cairo, Egypt.
Youssef AlazzaqDamietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Mohamed Mare'yDamietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Ahmed AbdelazizHepatogastroenterology and Infectious Diseases Department, Al-Azhar University, Damietta, Egypt.
El Sayed Abouzid IbrahimInternal Medicine Department, Al-Azhar University, Damietta, Egypt.
Waleed A Abd El DayemTropical Medicine Department, Zagazig University, Zagazig, Egypt.
Ahmed A AbdelmoatiTropical Medicine Department, Zagazig University, Zagazig, Egypt.
Ahmed TawheedEndemic Medicine Department, Faculty of Medicine, Helwan University, Ain Helwan, Cairo, 11795, Egypt.
Mohammad AmerHepatology & Gastroenterology, Shebin Teaching Hospital, Shebin El Kom, Egypt.
Samy ZakyHepatogastroenterolgy and Infectious Diseases Department, AL-Azhar University, Cairo, Egypt.
Mohamed El-KassasEndemic Medicine Department, Faculty of Medicine, Helwan University, Ain Helwan, Cairo, 11795, Egypt. m_elkassas@hq.helwan.edu.eg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEgypt faces a significant public health burden due to chronic liver diseases (CLD) and peptic ulcer disease. CLD, primarily caused by Hepatitis C virus (HCV) infection, affects over 2.9% of the population nationwide, with regional variations. Steatotic liver disease is rapidly emerging as a significant contributor to CLD, especially in urban areas. Acid-related disorders are another widespread condition that can significantly impact the quality of life. These factors and others significantly influence the indications and findings of gastrointestinal endoscopic procedures performed in Egypt.

aimWe aimed to evaluate the clinico-demographic data, indications, and endoscopic findings in Egyptian patients undergoing gastrointestinal endoscopic procedures in various regions of Egypt.

methodsThis study employed a retrospective multicenter cross-sectional design. Data was collected from patients referred for gastrointestinal endoscopy across 15 tertiary gastrointestinal endoscopy units in various governorates throughout Egypt.

results5910 patients aged 38-63 were enrolled in the study; 75% underwent esophagogastroduodenoscopy (EGD), while 25% underwent a colonoscopy. In all studied patients, the most frequent indications for EGD were dyspepsia (19.5%), followed by hematemesis (19.06%), and melena (17.07%). The final EGD diagnoses for the recruited patients were portal hypertension-related sequelae (60.3%), followed by acid-related diseases (55%), while 10.44% of patients had a normally apparent endoscopy. Male gender, old age, and the presence of chronic liver diseases were more common in patients from upper than lower Egypt governorates. Hematochezia (38.11%) was the most reported indication for colonoscopy, followed by anemia of unknown origin (25.11%). IBD and hemorrhoids (22.34% and 21.86%, respectively) were the most prevalent diagnoses among studied patients, while normal colonoscopy findings were encountered in 18.21% of them.

conclusionThis is the largest study describing the situation of endoscopic procedures in Egypt. our study highlights the significant impact of regional variations in disease burden on the utilization and outcomes of GI endoscopy in Egypt. The high prevalence of chronic liver disease is reflected in the EGD findings, while the colonoscopy results suggest a potential need for increased awareness of colorectal diseases.

Indexed as

Endoscopy, GastrointestinalAdultColonoscopyCross-Sectional StudiesDyspepsiaEgyptEndoscopy, Digestive SystemFemaleGastrointestinal DiseasesGastrointestinal HemorrhageHumansLiver DiseasesMaleMiddle AgedRetrospective StudiesColonoscopyEgyptEndoscopyEsophagogastroduodenoscopy (EGD)Indications

Identifiers

PMID38807055
PMCPMC11134759

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.