Les hemorragies digestives haustes chez l'enfant: a propos de 166 cas

ABSTRACT

We report about a retrospective study concerning 166 cases of gastro intestinal tract of children aged from 1 day to 13 years with an average age of 3 years. The gastro-intestinal endoscopy was applied in 66.3% of the cases and it allowed to have a direct diagnosis showing the origin of bleeding in 15.4% of the cases and an indirect diagnosis in 74.6% of the cases. It was considered to be normal for 10 patients. The analysis of the etiologic distribution has shown the predominance of three etiologies the oesophagitis [21.3%], the gastritis [31.3%], and the stress bleeding [28.6%]. The evolution was fatal in 22.9% of the cases but death directly caused by the bleeding occured in only three cases. For those who managed to survive, the relapce of the gastro- intestinal tract bleeding was observed only in 1.8% of the patients all of them suffering from portal hypertension