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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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Peptic Ulcer Disease in CHUYO

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Open Journal of Gastroenterology 2016年第11期6卷 353-361页

作者： A. Coulibaly A. K. Sermé H. Godonou K. S. Somda K. Cissé Sia Romond kafando roch R. A. Sombié A. Bougouma Gastroenterology Service of the University Hospital Centre Yalgado Ouédraogo (CHUYO) Ouagadougou Burkina Faso Schipphra Medical Center Ouagadougou Burkina Faso Surgery of CHUYO Ouagadougou Burkina Faso

Background: Prevalence of Peptic Ulcer Disease (PUD) is decreasing in developed countries since the use of the treatments for eradication of Helicobacter pylori. Objectives: To revalue the sociodemographic, clinical and evolutionary aspects of the PUD among hospitalized patients in CHUYO. Methodology: This prospective study is related to 65 files of patients hospitalized in hepato-gastroenterology and general surgical services of the CHUYO between March 1st and August 31st, 2015. Results: Hospital utilization rate was 6.59%. The average age of patients was 40.6 years with extremes of 17 and 80 years. The sex ratio was 9.8. The location of the ulcer was 69.23% in stomach. A notion of taking aggressive gastrointestinal products was found in 62 patients (95.4%). The clinical picture was represented by diffuse abdominal pain (76.92%), peritoneal irritation syndrome (64.61%) and epigastric pain (56.92%), anemia (23.07%). Gastric perforations (64.61%) and gastrointestinal bleeding (12.30%) were the main complications. Consumption of non-steroidal anti-inflammatory drugs (NSAIDs) was found in 81.5% of cases. The management was medical and/or surgical with an overall mortality rate of 7.7%. Conclusion: The PUD rate decreased from 10.12% to 6.59% in 5 years. The complications are dominated by stomach perforations. They are relative increase and seem related to NSAIDs. Better management of this disease requires awareness of the population to self-medication.

关键词： Peptic Ulcer Disease Helicobacter pylori Bleeding Perforation

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