Epidemiological and Anatomo Path Ological Aspects of Stomach Cancers at the Koutiala District Hospital

作     者：Mahamadou Coulibaly Souleymane Sanogo Samuel Kletigui Dembélé Moussa Diassana Brehima Ballo Cheick Aka Waigalo Bréhima Bengaly Birama Togola Drissa Traoré Nouhoum Ongoiba Mahamadou Coulibaly;Souleymane Sanogo;Samuel Kletigui Dembélé;Moussa Diassana;Brehima Ballo;Cheick Aka Waigalo;Bréhima Bengaly;Birama Togola;Drissa Traoré;Nouhoum Ongoiba

作者机构：Faculty of Medicine University of Science Technique and Technologies of Bamako Bamako Mali Department of Surgery Koutiala Hospital Bamako Mali Department of Surgery University Hospital Center Point G Bamako Mali Department of Surgery Tominian Hospital Tominian Mali Department of Surgery Sikasso Hospital Sikasso Mali 

出 版 物：《Surgical Science》 (外科学（英文）)

年 卷 期：2024年第15卷第7期

页      面：444-450页

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Epidemiology Stomach Cancer Koutiala 

摘      要：Aim: This paper aims to evaluate the epidemiological and pathological aspects of stomach cancer at Koutiala District Hospital. Methods: This was a retrospective study carried out in the General Surgery Department of the Koutiala District Hospital Health Centre. The records of patients admitted for stomach cancer in the period from August 1, 2017 to December 31, 2022 were collected. Patients who underwent surgery for stomach cancer were included in the study. Patients who had not undergone surgery were excluded. Results: We collected records from 40 patients operated on for stomach cancer. The median age was 58.4 years ± 5.7. Men were in the majority with 72.5% The sex ratio was 2.6. The incidence rate of stomach cancer in the general population in the circle was 4.9 cases per 100,000 population. Patients had a history of gastric ulcer in 90%, Helicobacter pylori infection in 47.5% and a notion of excessive salt consumption in 47.5%. The median duration of disease progression was 5 years ± 2.3. The seat was antro-pyloric in 77.5%. The cancer was ulcerative budding in 23 patients. Adenocarcinoma was the histological type in all patients. The cancer was classified as stage III in 30 cases and stage IV in 10 cases. Palliative surgical treatment was the most performed (47.5%). Postoperative morbidity was 15% and mortality was 42.5% at one year. Conclusion: Stomach cancer is common in the ward. Most patients consult at the stage of metastasis. Palliative surgery remains the most practical. Postoperative morbidity and mortality is very high.