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

ABSTRACT

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