L'oesogastro duodenoscopie dans le diagnostic des hemorragies digestives hautes

Endoscopy digestive is the examination of choice in emergency cases of upper gastroduodenal bleeding. Up to 460 cases of upper digestive bleeding were seen analysing the epidiemlogical and etiological data: there is a predominance of gastroduodenal ulcers [40,6%], acute mucousal lesions [24%] while bleeding from rupture of oesophageal varices only [18%] The correlation between endoscopy and surgery is better than surgery with radiological findings. Finally, the evolution and prognosis of bleeding from gastroduodenal ulcers are bengin whereas the mortality is high from rupture of oesophageal varices [66%]

L'endoscopie dans l'ulcere duodenale

Is the best examination for endoscopy duodenal ulcers because of its exactitude in diagnosis show in different studies comparing endoscopy and radiology. This examination can predict the prognosis of such ulcers by precising its localization, form as well as size. A review of different authors concerning this affection confirms our results

Aspects epidemiologiques et evolutifs de l'ulcere benin de l'estomac

A retrospective study was done in our Departement "C" of the evolutive characteristic of gastric ulcers in 103 patients. The frequency of gastric ulcers in our endoscopic unit is 1,84%, the sex ratio is 3,5; 67% of patients concern age group between 40 - 60 years. In 40,7% cases the inaugural symptoms were typical, while 33,9% atypical and whereas 25,2% presented; with bleeding. The small curvature is by far the selective position of gastric ulcers whereas the large curvature in our series is only 5,85%. Medical treatment is efficient in 80,5% of cases with cicatrisation confirmed by endoscopy and only 19,7% of our patients necessitated surgical intervention. Out of 72 cases seen regularly with endoscopic controls and multiple biopsies, there was one only case of neoplasy confirmed histologically at 5th. control with biopsy; showing the importance of surveillance endoscopic together with biopsy

maladie de biermer: a propos de 12 cas

Our study concerns 12 patients with Biermer disease in department C of the university hospital in Rabat, between the period 1977 - 1983. These patients were admitted mostly for anemia with a frequency of 0.18% of hospitalisation for This period noted. The average age for this disease was 48 years with masculine predominance of 8 to 4. We observed that this disease is exceptionally rare in children and must ceased this opportunity to emphasize the clinical, paraclinical and evolutive characteristic of this affection