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Aspects épidémiologiques, diagnostiques et évolutifs de la cirrhose hépatique dans le service d’hépato-gastroentérologie du CHU Campus de Lomé
Abstract
Goal: To analyze and bring up to date the epidemiologic, clinical and evolutionary aspects of the cirrhosis in Togo.
Patients and Method: It is about a study so much retrospective and futurology carried out in the service of HGE of the CHU-Campus of Lome; including the files of the patients hospitalized for cirrhosis. The diagnosis of the cirrhosis was made on the basis of clinical, biological and morphological argument (signs of HTTP and IHC, block beta-gamma, atrophies hepatic, micro hepatomegaly or macronodulaire, signs of endoscopic HTTP).
Results: Over one period of 1 year 8 months, the frequency of the cirrhosis was of 7, 06. The Middle Age of the patients was of 49± 9, 4 (extremes: 19 and 93ans) with a sex-ratio of 2, 3. Sixty fifteen patients (78, 1%) had consulted after one year of evolution of the disease. The ascite, hepatomegaly and the oedemas of the lower extremities were found in respectively 75%, 62, 5% and 45, 8%. A block beta-gamma was found at 49, 1%. The liver was hypertrophic, atrophic in respectively 48, 1%, 5, 6%. The viral infection B and C come to the first rank from the etiologies. The evolution was enamelled complications: hepatic encephalopathy (31, 2%), functional impaired renal function (10, 4%), digestive hemorrhage (8, 3%) of carcinoma hepatocellular (2%) and death (33, 3%).
Conclusion: The cirrhosis remains frequent with the CHU-Campus of Lome. It touches the two sexes and the underprivileged social layers are reached. Its assumption of responsibility remains delicate and the obsession of the expert would be to limit occurred of complications to the often annoying forecast.
Keywords: Cirrhosis, epidemiology, diagnosis, evolution, Togo
J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(2) : 1-7
Patients and Method: It is about a study so much retrospective and futurology carried out in the service of HGE of the CHU-Campus of Lome; including the files of the patients hospitalized for cirrhosis. The diagnosis of the cirrhosis was made on the basis of clinical, biological and morphological argument (signs of HTTP and IHC, block beta-gamma, atrophies hepatic, micro hepatomegaly or macronodulaire, signs of endoscopic HTTP).
Results: Over one period of 1 year 8 months, the frequency of the cirrhosis was of 7, 06. The Middle Age of the patients was of 49± 9, 4 (extremes: 19 and 93ans) with a sex-ratio of 2, 3. Sixty fifteen patients (78, 1%) had consulted after one year of evolution of the disease. The ascite, hepatomegaly and the oedemas of the lower extremities were found in respectively 75%, 62, 5% and 45, 8%. A block beta-gamma was found at 49, 1%. The liver was hypertrophic, atrophic in respectively 48, 1%, 5, 6%. The viral infection B and C come to the first rank from the etiologies. The evolution was enamelled complications: hepatic encephalopathy (31, 2%), functional impaired renal function (10, 4%), digestive hemorrhage (8, 3%) of carcinoma hepatocellular (2%) and death (33, 3%).
Conclusion: The cirrhosis remains frequent with the CHU-Campus of Lome. It touches the two sexes and the underprivileged social layers are reached. Its assumption of responsibility remains delicate and the obsession of the expert would be to limit occurred of complications to the often annoying forecast.
Keywords: Cirrhosis, epidemiology, diagnosis, evolution, Togo
J. Rech. Sci. Univ. Lomé (Togo), 2012, Série D, 14(2) : 1-7
