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Upper Gastrointestinal Endoscopy at University Hospital Souro Sanou Bobo-Dioulasso (Burkina Faso), about 1022 Cases: Signs and Lesions Observed

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Open Journal of Gastroenterology 2017年第11期7卷 287-296页

作者： Mali Koura Delphine Passolguewindé Zongo Napon Zanga Damien Ouattara Kounpiélimé Sosthène Somda Aboubacar Coulibaly Steve Léonce Zoungrana Christine Couna Somé Bere Sandrine Hema Soudré Euloges Bébar Kamboulé Nogogna Zouré Honoré Zougmoré inoussa adama zampou Appolinaire Sawadogo Gastroenterology Service of the University Hospital Souro Sanou Bobo-Dioulasso Burkina Faso Regional University Hospital of Ouahigouya Ouahigouya Burkina Faso Gastroenterology Service of the University Hospital Yalgado Ouédraogo Ouagadougou Burkina Faso Regional Hospital Kaya Kaya Burkina Faso National Hospital Blaise Compaoré Ouagadougou Burkina Faso

Upper gastrointestinal endoscopy is an excellent way for the diagnosis of high digestive pathology. We report the results of 1022 upper gastrointestinal endoscopy performed at Bobo-Dioulasso CHU-SS, in western Burkina Faso (West Africa). The aim of this study was to document the indications and lesions found in high endoscopy at the CHUSS. Patients and Methods: It was a cross-sectional study, prospective to describe the results of gastroscopy performed from 1st January 2015 to 30th June 2016 at the digestive endoscopy unit CHU-Souro Sanou Bobo-Dioulasso. Results: In the study period, 1022 upper gastrointestinal endoscopies were performed. The main indications were: The epigastric pain (48.6%), portal hypertension (10.7%) and gastroesophageal reflux disease (9.9%). The pathologies observed were dominated by gastropathies (48.11%), peptic ulcer (27%) and oesophageal varices (9.68%). Epigastralgias were the main circumstance for the discovery of: 52.3% of esophagitis, 49.17% of gastropathies and 46.12% of peptic ulcers. Histopathologically, the results of the 236 biopsies were dominated by gastritis (88.56%), stomach cancers (7.63%) and esophagus (3.81%). Conclusion: The main indication of the UGIE at the CHU-Souro Sanou in Bobo-Dioulasso was epigastralgia. The pathologies observed were dominated by gastropathy, esophagitis and PUD.

关键词： Upper Gastrointestinal Endoscopic Indications Lesions Observed Bobo-Dioulasso

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Liver Abscess: Diagnostic, Therapeutic and Progressive Aspects in the Hepato-Gastroenterology Department of Sourô Sanou University Hospital

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Open Journal of Gastroenterology 2024年第12期14卷 467-480页

作者： Koura Mâli Napon-Zongo Passolguewendé Delphine Ouattara Zanga Damien Somé Nab Zouré Nogogna Kamboule Bébar Euloges zampou inoussa Sawadogo Appolinaire Gastroenterology Service of the University Hospital Sour Sanou Bobo-Dioulasso Burkina Faso Regional University Hospital of Ouahigouya Ouahigouya Burkina Faso

Introduction: Liver abscess is an infection of the hepatic parenchyma that requires early diagnosis and effective management. The objective of this study was to describe the diagnostic, therapeutic and progressive aspects of liver abscesses at the Sourô Sanou University Hospital (CHUSS). Methodology: This was a descriptive cross-sectional study, with retrospective data collection, conducted from January 1, 2018 to December 31, 2021 in the hepato-gastroenterology department of the CHUSS. Patients who had a liver abscess confirmed by liver ultrasound and were hospitalized during the study period were included. Primary abscessed cancers and hydatid or superinfected cysts were not included. Results: During the study period, 1767 patients were hospitalized and 23 cases of abscess included. There were 17 men, a sex ratio of 2.8. The mean age was 37.3 ± 16.2 years. The predominant medical histories and pathological conditions were intestinal amoebiasis and chronic alcohol consumption, respectively in 13 (56.5%) and 11 (47.8%) patients. A Fontan triad was observed in 21 patients (91.3%) and a deterioration in general condition in more than 50% of patients. A hyperleukocytosis was observed in all patients, and an elevated C-reactive protein was found in 18 patients (78.3%). On ultrasound, a single abscess or more than two pockets were revealed in 9 and 6 patients respectively, located in the majority of cases (21 patients) in the right lobe. Imidazoles, alone or in combination with a cephalosporin, were administered. Ultrasound-guided or surgical drainage was performed in 12 (52.2%) and 02 patients respectively. The outcome was favorable in 19 patients (82.6%) and the outcome was fatal in 4 others. Conclusion: Liver abscess remains a potentially serious pathology in our context. Only early diagnosis with appropriate treatment can achieve excellent results.

关键词： Liver Abscess Fontan Triad Hepatic Ultrasound Therapeutic Progressive Burkina Faso

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Secondary Stress Induced Central Serous Chorioretinopathy in Bamako: Report of Two Cases

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Open Journal of Ophthalmology 2020年第4期10卷 268-275页

作者： Rodrigue Romuald Elien Gagnan Yan Zaou Tou adama Guindo Mahamat Adam Dicko Mohamed Kole Sidibe Aly Sylla Modibo Diarra Mohamed inoussa Lamine Abdoulaye Nagnan Chieck Rahim Diabate Hamadoun Diallo Institute of African Tropical Ophthalmology University of Sciences and Technology of Bamako Bamako Mali

Introduction: Idiopathic central serous chorioretinopathy (ICSC) is characterized by the buildup of fluid leading to circumscribed elevation of the retina within the posterior pole. This condition affects young people between the ages of 20 - 50 years. The disease is seen predominantly in men as compared to women. We report the cases of two (02) patients received in consultation at IOTA-Teaching Hospital between July 2019 and February 2020. Case Presentation: We report two cases of Idiopathic stress central serous chorioretinopathy. The first case is a 37-year-old man that we received in consultation for visual acuity decrease from a sudden installation for 1 hour. The clinical and paraclinical arguments permitted us to retain the diagnosis of Idiopathic stress central serous chorioretinopathy. The patient benefited from laser treatment and the clinical evolution was good. The second case is a 42-year-old man, who consulted for a sudden reduction of visual acuity that had been evolving for 3 weeks. The clinical and paraclinical contexts were in favour of the diagnosis of Idiopathic stress central serous chorioretinopathy. The patient was treated with spironolactone. The clinical evolution was favourable. Conclusion: Our study confirms the existence of central serous chorioretinopathy (CSC) in Black African patients. Studies show the connection between CSC and stress.

关键词： Stress Central Serous Chorioretinopathy Fluorescein Angiography Bamako

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