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Gastro-duodenal disease in Africa: Literature review and clinical data from Accra, Ghana

2019; Baishideng Publishing Group; Volume: 25; Issue: 26 Linguagem: Inglês

10.3748/wjg.v25.i26.3344

2219-2840

Timothy Archampong, Richard Harry Asmah, Cathy Richards, Vicki Martin, Christopher D. Bayliss, Edília Botão, Leonor David, Sandra Beleza, Carla Carrilho,

Gastrointestinal disorders and treatments

Gastroduodenal disease (GDD) was initially thought to be uncommon in Africa. Amongst others, lack of access to optimal health infrastructure and suspicion of conventional medicine resulted in the reported prevalence of GDD being significantly lower than that in other areas of the world. Following the increasing availability of flexible upper gastro-intestinal endoscopy, it has now become apparent that GDD, especially peptic ulcer disease (PUD), is prevalent across the continent of Africa. Recognised risk factors for gastric cancer (GCA) include