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[卢加(塞内加尔)的上消化道内镜检查:患者概况及遇到的困难]

[Upper gastrointestinal (UGI) endoscopy in Louga (Senegal): patients' profile and difficulties encountered].

作者信息

Ngouala Georges Antoine Bazolo Ba, Bourgi Loubna, Veiga Joao Arm Indo Da, Sakho Arona

机构信息

Service de Pédiatrie, Centre Hospitalier Régional de Louga, Sénégal.

Service de Médecine Centre Hospitalier Régional de Louga, Sénégal.

出版信息

Pan Afr Med J. 2017 Jul 20;27:211. doi: 10.11604/pamj.2017.27.211.9586. eCollection 2017.

Abstract

INTRODUCTION

This study aimed to determine the epidemiological, clinical and endoscopic profile of patients referred for upper gastrointestinal (UGI) endoscopy to the Clinique Magou in Louga and to analyze the difficulties encountered.

METHODS

We conducted a retrospective and descriptive study by analysing the reports of 248 gastrointestinal endoscopies performed between 1 January and 31 December 2014.

RESULTS

The average age was 39.9 years, with a sex ratio of 2.3 in favor of females. The majority of patients (56.5%) came from a rural area. Patients were mostly housewives (55.2%). The majority of prescribers were physicians (77.8%). Epigastralgia was the main indication. Hiatal hernia dominated (33.1%), followed by normal examinations (22.5%) and isolated gastroesophageal reflux disease (12.5%). Only 2 results out of 13 biopsies performed were reported. No requested endoscopic control was performed.

CONCLUSION

Few upper gastrointestinal (UGI) endoscopies are performed in Louga. The typical patients' profile is constituted by young housewives living in rural areas, complaining of gastralgies. Their endoscopic examination, instead of being normal, show hiatal hernia or gastroesophageal reflux disease. The difficulties are related to non-received anatomopathological results and to the absence of endoscopic control after treatment.

摘要

引言

本研究旨在确定转诊至卢加马古诊所进行上消化道(UGI)内镜检查的患者的流行病学、临床和内镜特征,并分析所遇到的困难。

方法

我们通过分析2014年1月1日至12月31日期间进行的248例胃肠道内镜检查报告,开展了一项回顾性描述性研究。

结果

平均年龄为39.9岁,性别比为2.3,女性占优。大多数患者(56.5%)来自农村地区。患者大多为家庭主妇(55.2%)。大多数开检查单的是医生(77.8%)。上腹部疼痛是主要指征。食管裂孔疝占主导(33.1%),其次是检查结果正常(22.5%)和单纯性胃食管反流病(12.5%)。13例活检中仅报告了2例结果。未进行要求的内镜复查。

结论

卢加进行的上消化道(UGI)内镜检查较少。典型的患者群体由居住在农村地区、抱怨胃痛的年轻家庭主妇组成。她们的内镜检查结果并非正常,而是显示有食管裂孔疝或胃食管反流病。困难在于未收到解剖病理学结果以及治疗后未进行内镜复查。

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