Profil Clinique, Étiologies et Pronostic des Hémorragies Digestives Hautes à Ndjamena (Tchad)

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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.

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Hémorragies digestives hautes , maladies ulcéreuses gastroduodénale , mortalité , Tchad

Health Sciences an‎d Diseases

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Health Sciences an‎d Diseases