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Upper Gastrointestinal Endoscopy in Children’s Abdominal Pains in Ivory Coast

Open Journal of Gastroenterology 2016年第12期6卷 397-405页

作者： Aboubacar Demba Bangoura Henriette Ya Anzouan Kissi-Kacou denis coffi fanou Dimitry Guillaume Kouamé Stanislas Doffou Constant Assi Alassan Kouamé Mahassadi Alain Koffi Attia Aya Thérèse N’dri-Yoman Hepatogastroenterology Unit Yopougon Teaching Hospital Yopougon Ivory Coast Coate d’Ivoire Hepatogastroenterology Unit Cocody Teaching Hospital Cocody Ivory Coast Coate d’Ivoire

Since a longtime considered as functional and psychological, children’s abdominal pains (CAP) is a public health problem. Advances in digestive endoscopy and Helicobacter pylori (H. pylori) discovery have reignited the debate of the organicity of CAP. The aim of this study is to determine the diagnosis rentability of upper gastrointestinal endoscopy (UGIE) in CAP in Ivory Coast. Patients and Methods: This a retrospective analytical study based on reports of UGIE performed in 2 university hospital and 3 private clinics of Abidjan from march 2007 to march 2016. The children (from 1 day to 15 years) in which UGIE were performed for abdominal pains were included in the study. Results: 116 UGIE were performed in children for abdominal pains during the study period. Epigastric pain was the main indication of UGIE (88%). The diagnosis rentability of UGIE was more than 70% in this study. The main anomalies observed in UGIE were gastropathies. Ulcers were rarely found. Conclusion: UGIE play an important diagnosis role in CAP in Ivory Coast. However gastric biopsies for Helicobacter pylori research are not common practice in our country.

关键词： Upper Gastrointestinal Endoscopy Children’s Abdominal Pains Gastropathies Helicobacter pylori Ivory Coast

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Frequency and Associated Factors of Erectile Dysfunction among Patients with Liver Cirrhosis in Parakou, Republic of Benin in 2022

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Journal of Biosciences and Medicines 2023年第10期11卷 1-14页

作者： Saké Khadidjatou Gandaho Kokou Isidore fanou coffi Dénis Saka Bagou Zulika Tamou Sambo Bio Elie Department of Medicine and Medical Specialties Faculty of Medicine University of Parakou Parakou Benin Department of Surgery and Surgical Specialties Faculty of Medicine University of Parakou Parakou Benin Department of Hepato-Gastroenterology Military Teaching Hospital Regional Teaching Hospital Parakou Benin

Introduction: Erectile dysfunction is a pathology less expressed by patients, but it affects their quality of life. The objective of this work is to study erectile dysfunction among patients with cirrhosis in Parakou in 2022. Patients and Methods: This was a descriptive and analytical cross-sectional study with prospective data collection, conducted from February 1 to June 30, 2022 at the Teaching Hospital of Borgou/Alibori and the Military Teaching Hospital of Parakou. Men with liver cirrhosis who gave their informed verbal consent were included. Erectile dysfunction was diagnosed using IIEF-5 score. The prognosis of cirrhosis was assessed using Child-Pugh score. The data were analyzed by Epi Data analysis 2.3 software. Results: A total of 64 patients were included. Their mean age was 43.53 ± 13.13 years. Cirrhosis was secondary to chronic hepatitis B virus infection in 55 patients (85.94%). In this study, 42 patients (65.63%) had at least one decompensation of cirrhosis. Among the 64 patients included, 27 (42.18%) had erectile dysfunction. This erectile dysfunction was moderate in 12 patients (44.44%). The other sexual disorders found in these patients were decreased libido and ejaculation disorders. After multivariate analysis, the factors statistically associated with erectile dysfunction were: age (p Conclusion: Erectile dysfunction is common in patients with liver cirrhosis. It is more frequent when the cirrhosis is complicated and the patients are elderly. Nevertheless, it should be systematically sought in any patient with liver cirrhosis.

关键词： Erectile Dysfunction Cirrhosis Associated Factors Parakou

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Endoscopic Aspects of Caustic Injuries of the Upper Gastrointestinal Tract in Parakou, Benin Republic: A Multicenter Study

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Journal of Biosciences and Medicines 2023年第10期11卷 15-24页

作者： Saké Khadidjatou fanou coffi Dénis Agbeille Mohamed Falilatou Hountondji Astrid Alexandrine Tamou Sambo Bio Elie Tchaou Blaise Adélin Sehonou Jean Kodjoh Nicolas Faculty of Medicine University of Parakou Parakou Benin Military Teaching Hospital-Regional Teaching Hospital of Parakou Parakou Benin Faculty of Health Sciences University of Abomey Calavi Cotonou Benin

Objective: Caustic ingestion is a medico-surgical emergency. The objective of this study is to describe endoscopic lesions of the upper gastrointestinal tract secondary to caustic ingestion in Parakou, Benin Republic. Patients and Methods: This was a retrospective and descriptive cross-sectional study. The study was multicenter in the gastrointestinal endoscopy units of the Teaching Hospital Center of Borgou-Alibori and the Military Teaching Hospital of Parakou. It covered the period from July 2015 to October 2021. This included any patient who ingested a caustic substance and performed a gastroscopy in one of the two endoscopy units. The variables studied were: socio-demographic data, the nature of the caustic substance ingested, the time between the caustic ingestion and the performance of gastroscopy and injuries of the upper gastrointestinal tract. Results: Out of the 24 patients included, 19 were men, i.e. a sex ratio of 3.8. Their average age was 25.54 ± 12.04 years with extremes of 6 and 50 years. Five subjects (20.83%) were under the age of 18 and the ingestion was accidental in them. Among the 19 patients aged at least 18 years, caustic ingestion was voluntary in 14 (73.68%). The caustic substance ingested was either a base (sodium hydroxide or caustic soda) or an acid (sulfuric acid) in 14 cases (58.33%) and 10 cases (41.67%), respectively. The time between the caustic ingestion and the performance of gastroscopy varied from 1 to 1095 days. The endoscopic lesions objectified were: stenosis (37.5%), ulcerations (29.17%), necrosis (20.83%), or erythema (12.25%). Conclusion: In Parakou, caustic ingestion, usually bases, is often voluntary in adult men. Endoscopic lesions were often ulcerative but sometimes necrotic.

关键词： Caustic Injuries Bases Acids Endoscopy Parakou

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Indications and Findings of Upper Gastrointestinal Endoscopy in Elderly Patients in Parakou, Republic of Benin

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Open Journal of Gastroenterology 2023年第12期13卷 411-419页

作者： Khadidjatou Sake Dénis coffi fanou Euloge Houndonougbo Marie-Claire Balle Astrid Alexandrine Hountondji Aboudou Raïmi Kpossou Luc Valère Codjo Brun Jean Sehonou Nicolas Kodjoh Faculty of Medicine University of Parakou Parakou Benin Hepato-Gastroenterology Unit Military Hospital—Teaching Hospital of Parakou Parakou Benin Hepato-Gastroenterology Unit Saint Jean de Dieu Hospital of Tanguiéta Tanguiéta Benin Faculty of Health Sciences University of Abomey-Calavi Abomey-Calavi Benin

Introduction: Elderly people are considered fragile and at greater risk of having malignant gastrointestinal tumors. The objective of this work was to report the reasons for performing gastrointestinal endoscopy and the lesions found during the endoscopy of this target population in Parakou. Patients and Study Methods: This was a descriptive and cross-sectional study with a retrospective collection of data from January 2016 to December 2017, then from January 2020 to December 2021. It took place in the Regional Teaching Hospital of Borgou-Alibori in Parakou and in the private gastrointestinal endoscopy center of Parakou (Northern Gastrointestinal Exploration Center). All patients aged at least 60 years who had undergone an upper gastrointestinal endoscopy during the study period were included. The variables studied were: the sex, age, indications for the examination, endoscopic lesions and data from the anatomo-pathological examination. Results: In total, out of 1540 upper gastrointestinal endoscopies performed during the study period, 249 (16.17%) involved patients aged 60 years and over. The sex ratio was 1.26. The main indication for the examination was epigastric pain (123 cases, i.e. 49.40%) followed by vomiting (53 cases, i.e. 21.29%). In terms of lesions, non-tumorous gastropathy came first in the stomach (206 cases, i.e. 82.73%) while esophageal lesions were dominated by esophageal candidiasis and cardial incompetence (39 cases, i.e. 15.66% in each of the two situations). In the duodenum, ulcer was noted in 30 patients (12.05%). In 38 patients, 12 (31.58%) were tested positive for Helicobacter pylori infection. Cancers of the gastrointestinal tract were confirmed in 11 patients (4.42%). Conclusion: Upper gastrointestinal endoscopy remains an excellent examination for the exploration of the upper gastrointestinal tract. In Parakou, epigastric pain represents the main indication for this examination in subjects over 60 years of age. Inflammatory or ulcerated n

关键词： Upper Gastrointestinal Endoscopy Elderly Subjects Inflammatory Gastropa-thy Candidiasis Cancer Parakou

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