Author/Authors :
moussa, ali mahamat hôpital général de référence nationale, ndjamena(hgrn) - service de médecine interne et gastroentérologie, Chad , ouchemi, choua hôpital général de référence nationale de ndjamena (hgrn) - service de chirurgie générale, Chad , béasngar, jean bk hôpital général de référence nationale, ndjamena(hgrn) - service de médecine interne et gastroentérologie, Chad , saleh, tahir mahamat hôpital de la renaissance - service de médecine interne et gastroentérologie, Chad , assi, constant hôpital de la renaissance - service de médecine interne et gastroentérologie, Chad , christophe, nouedoui hôpital de la renaissance - service de médecine interne et gastroentérologie, Chad
Abstract :
Aim. To describe the clinical pattern, the causes and the outcome of patients with acute upper gastrointestinal bleeding in the National Reference General Hospital of N’Djamena. Patients and Methods. This was a cross sectional descriptive study carried out over a period of four years, including all patients recovered for an upper gastrointestinal bleeding. Data were collected using a sheet inspired from the “Upper gastrointestinal bleeding Observatory in Africa French-speaking Area”. Study variables included demographic data, clinical presentation, hemoglobin rate, endoscopic findings, and the issue of patient. Results. The files of one hundred fifteen patients were analyzed. 78% of them were male. Their mean age was 47 years. Hematemesis was the most frequent form of bleeding (70, 43%). Hemoglobin rate was less than 7 g/dl in 30% of cases. Gastroduodenal ulcer disease was the most common cause of bleeding. The use non-steroidal anti-inflammatory drugs (NSAIDs) was identified in 7% of cases. Overall mortality rate was 18%. Conclusion. In Ndjamena, upper gastrointestinal bleeding usually presents as hematemesis. gastro duodenal ulcer disease is the most common cause. The overall mortality rate is high.
NaturalLanguageKeyword :
Hémorragies digestives hautes , maladies ulcéreuses gastroduodénale , mortalité , Tchad
