E-ISSN 2146-8362
 

Review Article 


Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases

Abudu, Emmanuel Kunle, Oyebadeyo, Tope Yinka, Inyang-Etoh, Emmanuel Columba.

Abstract
BACKGROUND:
Children are vulnerable to a vast number of diseases including gastrointestinal disorders, which may be associated with life threatening complications that sometimes result in mortality especially if left untreated.
OBJECTIVE:
To establish the age and sex distribution of children in the study population as well as the histopathological characteristics of gastrointestinal diseases that occurred in those children who were aged 14years and below in Sagamu, Southwestern Nigeria.
MATERIALS AND METHODS:
Demographic data such as age, sex, and clinical summary of children in the study population were extracted from the medical records of Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State from January 2003 to December 2009. Based on this information, a review of paraffin embedded blocks and slides as well as histopathological reports of gastrointestinal diseases that occurred in those children aged 14years and below was undertaken at the Morbid Anatomy Department of the hospital.
RESULTS:
Seventy–four cases of gastrointestinal diseases were seen in children aged 14years and below. The majority (39.2%) of gastrointestinal diseases were accounted for by appendiceal lesions. Hirschsprung’s disease, intussusceptions, enterocolitis and jejunal atresia accounted for 29.7%, 10.8%, 6.8% and 4.1% of cases respectively. Adenocarcinoma of the intestine was the predominant gastrointestinal tumour, occurring in 5 out of 7 children. Two cases of non-Hodgkin lymphoma were also seen. The ages of the children ranged from 2 to 14 years, with a mean age of 8.6years and a peak age incidence of gastrointestinal disease in the 10-14year age group. Male children were more commonly affected with the exception of appendiceal lesions, which occurred more in females (M:F ratio= 1.6:1.0). Acute suppurative appendicitis was the most prevalent lesion of the appendix, occurring in 13 out of 29 appendiceal lesions. Moderately differentiated to poorly differentiated histological types were seen in the tumours- 3 adenocarcinomas and 2 mucinous carcinomas. Burkitt’s and Mucosal-associated types of non– Hodgkin lymphomas were the two histological types of lymphoma seen primarily in the stomach and small intestine respectively.
CONCLUSION:
Appendiceal lesion was the predominant paediatric gastrointestinal disease found in the study population with preponderance for female children. Adenocarcinoma was the most common gastrointestinal tumour found, while, Hirschsprung’s disease, intussusception, enterocolitis, jejunal atresia and non-Hodgkin lymphoma contributed to only a minority of the gastrointestinal diseases found in the study population.

Key words: Gastrointestinal diseases, children, histopathologic analysis, tumours


 
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How to Cite this Article
Pubmed Style

, Kunle E, , Yinka T, , Columba E. Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases. J Interdiscip Histopathol. 2013; 1(5): 261-266. doi:10.5455/jihp.20130214032115


Web Style

, Kunle E, , Yinka T, , Columba E. Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases. http://www.ejmjih.com/?mno=28407 [Access: October 15, 2018]. doi:10.5455/jihp.20130214032115


AMA (American Medical Association) Style

, Kunle E, , Yinka T, , Columba E. Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases. J Interdiscip Histopathol. 2013; 1(5): 261-266. doi:10.5455/jihp.20130214032115



Vancouver/ICMJE Style

, Kunle E, , Yinka T, , Columba E. Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases. J Interdiscip Histopathol. (2013), [cited October 15, 2018]; 1(5): 261-266. doi:10.5455/jihp.20130214032115



Harvard Style

, Kunle, E., , Yinka, T., & Columba, E. (2013) Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases. J Interdiscip Histopathol, 1 (5), 261-266. doi:10.5455/jihp.20130214032115



Turabian Style

, Emmanuel Kunle, Oyebadeyo, Tope Yinka, Inyang-Etoh, and Emmanuel Columba. 2013. Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases. Journal of Interdisciplinary Histopathology, 1 (5), 261-266. doi:10.5455/jihp.20130214032115



Chicago Style

, Emmanuel Kunle, Oyebadeyo, Tope Yinka, Inyang-Etoh, and Emmanuel Columba. "Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases." Journal of Interdisciplinary Histopathology 1 (2013), 261-266. doi:10.5455/jihp.20130214032115



MLA (The Modern Language Association) Style

, Emmanuel Kunle, Oyebadeyo, Tope Yinka, Inyang-Etoh, and Emmanuel Columba. "Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases." Journal of Interdisciplinary Histopathology 1.5 (2013), 261-266. Print. doi:10.5455/jihp.20130214032115



APA (American Psychological Association) Style

, Kunle, E., , Yinka, T., & Columba, E. (2013) Pediatric Gastrointestinal Diseases in Nigeria: Histopathologic Analysis of 74 Cases. Journal of Interdisciplinary Histopathology, 1 (5), 261-266. doi:10.5455/jihp.20130214032115





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