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Acute Intussusception of the Adult in Burkina Faso, a Tropical Area: Our Experience about 30 Cases

Surgical Science 2018年第6期9卷 189-196页

作者： Zida Maurice Ouangré Edgar Ouedraogo Souleymane doamba rodrigue Kafando Roch Justin Zan Abdoulaye Traoré Si Simon Department of Visceral Surgery Teaching Hospital Yalgado Ouedraogo Ouagadougou Burkina Faso Department of General Surgery Teaching Hospital of Ouahigouya Ouahigouya Burkina Faso

Objective: To describe the etiological, clinical and therapeutic aspects of adults’ intussusception at Yalgado Ouedraogo University Hospital in Ouagadougou (CHU-YO), Burkina Faso. Patients and method: This descriptive cross-sectional study was conducted between May 2011 and April 2016 at CHU-YO. All patients with 16 years of age and older operated on for intussusception were included. Results: Thirty patients were identified, 15 men and as many women. Their average age was 37.3 years. A higher frequency was noted between 30 and 39 years. The installation of the symptomatology was insidious in 22 cases and brutal in 8 cases. The reasons for consultation were abdominal pain (30 cases), vomiting (19 cases), intestinal transit stop (18 cases) and rectorrhagia (9 cases). Physical examination noted an abdominal mass in 11 cases and a localized abdominal tenderness in 7 cases. An intussusception coil was identified on ultrasound in 9 cases. All patients underwent surgery under general anesthesia and the approach was laparotomy. Intraoperatively, the intussusception was ileocolic in 15 cases;a right hemi-colectomy was performed. It was colo-colic intussusception in 10 cases and the treatment thus consisted of a left hemi-colectomy. In other 5 cases, intussusception was ileal, requiring ileal resection. The average hospital stay was 11.7 days. Pathologically, the examination was normal in 2 cases. A colic tumor was found in 14 cases and an ileum tumor in 6 cases. In the other 8 cases, it was an inflammatory aspect of the intestine. Conclusion: In tropical Burkina Faso, adult intussusception often occurs on an intestinal tumor. The symptomatology is atypical.

关键词： Acute Intestinal Intussusception Adult Intestinal Tumor Burkina Faso

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Esophageal Replacements for Caustic Esophageal Stenosis in Adults about 9 Cases in Ouagadougou

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Open Journal of Thoracic Surgery 2017年第3期7卷 46-53页

作者： Moussa Bazongo Gilbert Patindé Bonkoungou Lamine Mohamed Sissoko Mamadou Windsouri Clarisse Laure Yaméogo rodrigue Namékinsba doamba Adama Sawadogo Sadio Yena Adama Sanou Division of General and Digestive Surgery Blaise Compaoré University Hospital Ouagadougou Burkina Faso Division of Thoracic Surgery of Mali Hospital Bamako Mali

Objective: To report our experience of the esophageal plasty for caustic stenosis of the esophagus. Methods: Retrospective study of caustic stenosis of the esophagus in patients aged over 15 years, operated in Ouagadougou from 2008 to 2016. Nine patients were operated. Patients ranged in age from 25 to 53 years. Caustic ingestion was voluntary in 6 cases. Psychiatric disorders were confirmed in one case. The type of surgery and the postoperative evolution were analyzed. Results: In 6 patients the plasty was preceded by a gastrostomy or a feeding jejunostomy. The transplant, always placed in retro sternal position, was colic in 8 cases and gastric in one case. The evolution was marked by the occurrence of a cervical fistula in 5 cases, postoperative peritonitis in 2 cases, parietal suppuration in 2 cases and pneumothorax in 3 cases. One case of death was noted. After a follow-up of 6 months to 9 years, we noted a case of dysphagia. Conclusion: Esophageal plasty is a saving gesture that restores normal nutrition to the patient. It deserves to be promoted.

关键词： Caustic Stenosis Esophagus Esophagoplasty

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