[Survival and causes of mortality of cirrhotic patients in Tunisian center a study of 114 patients]

The aim of this study is to determine the survival and the principal causes of death in our cirrhotic patients in whom the B and C viral infection represented the principal causes. It's a retrospective studs that includes 114 cirrhotic patients hospitalized between 2000 and 2005 in the department of hepato-gastro-enterology of sahloul. The mean age was of 53 years with extremes of 15 to 85 years; 65 were men 57%] and 49 were women [43%]. After a follow-up of 29, 4 months, 51 patients died [44, 7%]. The causes of death were hepatocellular carcinoma in 19 cases [16, 7%], hepatorenal syndrome in 17 cases [14, 9%], hepatic encephalopathy in 12 cases [10, 5%], infection of ascitis in I case and upper digestive hemorrhage in 2 cases [1, 8%]. The global survival of patients was 66%for 2 years and 47%for 5 years. The survival for 5 years of viral B cirrhosis was 34%, but it was 51%in non B viral cirrhosis but the difference was not statistically significant [p=0, 6]. The cirrhotic patients have a premature mortality in comparison to the general population. The hepatocellular carcinoma remains one of the principal causes of death, where the interest of early screening for degeneration

[Association of trichobezoard, gastric polyposis and splenomegaly]

Gastric trichobezoar is a rare disease, usually present as a mass of hair in the stomach, and rarely associated with a gastric polyposis. We report the case of a twenty year old girl admitted in our service to explore a chronic anaemia. Clinical exam reveals an epigastric mass and Splenomegaly. Endoscopy and radiology concluded to a giant trichobezoar with gastric polyps treated by gastrotomy and excision of the mass

[Malignant small intestine tumors - reporting of 22 cases]

Small intestine tumors represent less than 5% of digestive tract tumors. The goal of this work was to see the anatomoclinical, epide-miological, evolutive and therapeutic caracteristics of malignt tumors of the small intestine. We report a retrospective study which include files of patients with small intestine malight tumors proved by histology between 1992 and 2002. We report 22 cases [12 males, 8 females] with a mean age of 51 years. The circumstances of discovery of this patology were dominated by abdominal pains. The anatomopathological diagnosis was obtained by endoscopic biopsy in 14 cases, liver biopsy in 3 cases and analysis of operating piece in 5 cases. The more frequent histological nature was the adenocarcinoma. 64% of patients have metastatic cancer at the time of diagnosis. Surgery was realized in only 50% of cases