ABSTRACT
The purpose of this report was to describe the profile of esogastroduodenal disease diagnosed by upper digestive tract endoscopy (UDTE) in a rural area of Togo. This prospective study combines data collected during two two-week screening campaigns carried out in the Kara region. Patients were informed of the presence of the endoscopy team by means of a bulletin on a rural radio station. All male and female patients 15 years or older were included. A total of 220 UDTE procedure reports were recorded and analyzed including 107 men and 113 women with a mean age of 37.7 years (range: 15-84 years). Disease was detected in 72 procedures mainly in the 21 to 41 year age group (47.2 %) with a higher proportion of men than women: 38% versus 27% respectively. The most frequent indications for UDTE were epigastralgia (47.7 %) including 39% of procedures leading to the discovery of disease and diffuse abdominal pain (21.8 %). The procedure was carried out for follow-up purposes in 19.1% of cases. The most common lesions were peptic ulcer (34.2%), inflammatory disease including esophagitis, gastritis, and bulboduodenitis (32.4%), gastroduodenal bile reflux (9.3%), pylorobulbar stenosis (5.5%), tumoral disease (3.7%), and esophageal varicosities (3.7%). This study based on UDTE diagnostic procedures provided insight into the profile of esogastroduodenal disease in rural Africa. These screening campaigns required special organization using appropriate equipment and personnel.
Subject(s)
Endoscopy, Gastrointestinal , Gastrointestinal Diseases/diagnosis , Adolescent , Adult , Aged , Aged, 80 and over , Female , Gastrointestinal Diseases/epidemiology , Humans , Male , Mass Screening , Middle Aged , Prospective Studies , Rural Population , Togo/epidemiology , Young AdultABSTRACT
Objectifs : determiner le profil des pathologies oesogastroduodenales diagnostiquees par endoscopie oesogastroduodenale (EOGD) enmilieu rural au Togo. Methode : Il s'agit d'une etude prospective regroupant deux campagnes d'EOGD de deux semaines chacune. Les malades informes de la presence de l'equipe par radio rurale ont ete recrutes dans la population generale de la region de la Kara. Tous les patients des deux sexes ages de 15 ans au moins chez lesquels une EOGD a ete realisee ont ete inclus. Resultats : Deux cent vingt (220) comptes rendus d'EOGD ont ete enregistres et retenus dont 107 hommes et 113 femmes. Leur age moyen est 37;7 ans (extremes : 15-84 ans). Soixante douze EOGD se sont revelees pathologiques plus frequemment dans la tranche d'age de 21 a 40 ans (47;2) ainsi que chez les hommes (38) contre 27chez les femmes. L'epigastralgie (47;7) represente l'indication la plus frequente d'EOGD dont 39sont pathologiques; suivies des douleurs abdominales diffuses (21;8).Dans 19 ;1cas; il s'agit d'un controle. Les lesions les plus retrouvees sont l'ulcere gastroduodenal (34;2) suivi respectivement des pathologies inflammatoires (oesophagite; gastrite; bulboduodenite) avec 32;4; des reflux biliaires duodeno-gastriques (9;3); des stenoses pylorobulbaires (5;5); de la pathologie tumorale (3;7) et des varices oesophagiennes (3;7). Conclusion : Ce travail nous a permis grace a l'EOGD de degager le panorama de la pathologie oesogastroduodenale en milieu rural africain. Ces campagnes ont necessite une organisation originale qui repose sur un equipement et un personnel adequat
