Browsing by Author "Akanbi, O.R."

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    Endometriosis: Evaluation and management in a low-resource country
    (Kenya Medical Association, 2019) Adeniran, Abiodun; Adeoye, Oladapo; Adesina, Kikelomo; Ezeoke, Grace; Ige, O.A.; Imhoagene, Aleakhuei; Akanbi, O.R.; Ibrahim, Kazeem
    background: Endometriosis is a chronic debilitating gynaecologic condition that negatively affects the health, economic, social and psychological lives of women. Though a gynaecological condition, it can affect other systems in the body. objective: To describe the presentation, evaluation and treatment of endometriosis among gynaecological patients at a tertiary centre in Ilorin, Nigeria. Methods: A retrospective descriptive study of all women managed for endometriosis over a three and half year period at a tertiary centre. A list of all individuals with the condition was compiled, the case files were retrieved and the relevant data extracted. The result was presented in tables. results: Endometriosis constituted 1.3% of gynaecological admissions and 0.6% of gynaecology clinic visit during the study period. It affected reproductive-age women with mean age 32.8 years and modal age 31-35 years (35.3%). The women were mostly nulliparas (13;76.5%) with normal menstrual cycle (13;76.6%) and duration of menstruation (16;94.1%). Eleven (64.7%) had multiple gynaecological complaints and additional extra-pelvic lesions respectively. Sixteen (94.1%) had coexisting co-morbidity, of these 9 (56.3%) was in the thoracic region. The common medical treatment offered was gonadotrophin-releasing-hormone analogues (8; 47.1%), 6(35.3%) had medical while 11(64.7%) has combined medical and surgical management; diagnosis was by histology in 11(64.7%). conclusion: Endometriosis remains a disease of reproductive-age women commonly associated with coexisting non-gynaecologic manifestations necessitating combined medical and surgical management.
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    Foreign bodies in the aerodigestive tract: time for comprehensive preventive measures
    (Makarere University Medical School, Kampala, Uganda, 2022) Adeoye, P.O.; Afolabi, O.A.; Omokanye, HK; Olaoye, I; Akanbi, O.R.; Segun-Busari, S; Abdulkadir, Mohammed Baba
    Background: Foreign body (FB) in the aerodigestive tract presents more commonly in children and remains a surgical emergency with potential for fatal complications. Objectives: To describe management and outcomes of aerodigestive FB managed at University of Ilorin Teaching Hospital (UITH) and proffer preventive measures. Methods: A 9-year retrospective review of all patients with foreign body in the aerodigestive tract managed between March 2011 and July 2020. Results: Sixty-six patients were studied. Median age was 9years with M:F ratio =1.6:1. FB was ingested in 38(57.6%) patients, aspira tion occurred in 28(42.4%). Denture was most common FB 20(30.3%); plastic whistle/valve placed in dolls or football accounted for 4(6.1%). When ingested, FB was impacted in cervical 17(44.7%), upper thoracic 10(26.3%) and middle thoracic 2(5.3%) oesophagus. Oesophagoscopy was used in 30(8.9%) for retrieval. When aspirated, FB was located in the right bronchus 10(35.7%), left bronchus 7(25.0%), hypopharynx and trachea 2(7.1%) each, and cricopharynx 1(3.5%); no FB was found in 3(10.7%) patients. Direct Laryngos copy was the method of retrieval in 3(10.1%) patients while others had rigid bronchoscopy. Mortality rate was 1.5%. Conclusion: Children are most vulnerable group. Preventive effort should include public health education and close monitoring of children by parents and care givers during play.