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Irritable Bowel Syndrome in General Population of Cotonou: Prevalence and Associated Factors

Open Journal of Gastroenterology 2023年第3期13卷 117-130页

作者： Comlan N’déhougbèa Martin Sokpon Aboudou Raïmi Kpossou Spéro Ludwig Kpèssou Aden-Henri Rodolph Koffi Vignon jean louis savi de tove Akuvi Claude Gildas Adossou Colette Sylvie Azandjèmè jean Séhonou Hepato-Gastroenterology department National and University Hospital Hubert Koutoukou Maga (CNHU-HKM) Cotonou Benin Clinique Santé du Sud Cotonou Benin Saint Vincent Hospital Worcester USA Regional Institute of Public Health (IRSP) Ouidah Benin

Introduction: Irritable bowel syndrome (IBS) is a known public health burden in western countries while only a few studies have been published on this disease in Africa. The objective of this study was to determine the prevalence of IBS in the general adult population of Cotonou (Benin), its associated risk factors and its impact on patients’ daily life. Method: This was a descriptive and analytical cross-sectional study conducted over one month. Data was collected via a questionnaire. IBS was defined by the Rome IV criteria. Results: A total of 768 participants were included, with a male predominance (sex ratio 1.8). The mean age of the participants was 30.6 years, with extremes of 15 to 76 years. The prevalence of IBS in our study was 4.2%. IBS-D was the most common subtype (34.4%). IBS symptoms were influenced by diet (46.9%), stress (31.3%) and lack of sleep (15.6%). In the univariate analysis, the risk factors associated with IBS were: dendi and Otamari ethnicity (p = 0.015), low level of education (p = 0.047), family history of IBS (p = 0.026), smoking (p Conclusion: despite IBS frequency, patients with IBS rarely seek medical attention. The public should therefore be informed about this condition to reduce its impact on their daily life.

关键词： IBS Rome IV Criteria Associated Factors Cotonou Benin

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Ultrasound Diameter of the Portal Vein to Healthy Adult in Parakou (Benin)

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Open Journal of Medical Imaging 2021年第4期11卷 145-152页

作者： Djivèdé Akanni Khadidjatou Sake Alassan Miralda Kiki Babylas Djohoun Kofi-Mensa savi de tove jean Sehonou Medical Imaging department Faculty of Medicine University of Parakou Parakou Benin Hepato Gastro Enterology department Faculty of Medicine University of Parakou Parakou Benin Hepato Gastro Enterology department Faculty of Health Sciences University of Abomey Calavi Cotonou Benin

Introduction: The portal vein (PVD) diameter is one of the predictive variables of portal hypertension. This diameter can differ according to the population. The objective of this study was to determine the PVD in a healthy adult population in Parakou using ultrasonography. Methods: A cross-sectional descriptive study was conducted in the medical imaging department of the Borgou and Alibori University-affiliated Hospitals in Parakou from July 1st to October 1st, 2019. The study population consisted of 201 healthy adults. The ultrasound diameter of the portal vein was measured at the level of the hepatic hilum on a cross-sectional epigastric view and on an oblique intercostal view. An association was sought between the PVD and sociodemographic and anthropometric factors. Results: The mean age was 28.97 ± 10.56 years and the sex ratio (M/F) was 0.79. The mean PVD in regular breathing (FB) was 9.83 ± 0.95 mm with a 95% confidence interval of [9.70;9.97], a 95th percentile of 11.49 mm with extremes of 7.50 mm and 12.23 mm. PVD was correlated with age, sex, weight, height and abdominal girth. After multiple linear regressions (r = 0.19), there was correlation between the PVD in normal breathing with age (p = 0.0090), weight (p = 0.0026), body mass index (p = 0.0171) and body surface (p = 0.004). Conclusion: A PVD greater in normal adults is less than 12 mm and seems to be correlated to the subject age, weight, body mass index and body surface. A more than 13 mm PVD should lead to the suspicion of portal vein hypertension in adults in our populations.

关键词： Portal Vein Ultrasound Portal Vein Hypertension Parakou

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