[Hematemesis in Togo: findings of a 12-month study in an intensive care unit].
This prospective study was conducted over a 12-month period on patients who underwent upper digestive endoscopy for hematemesis in the medical intensive care unit (ICU) of the Tokoin University Hospital Center in Lomé, Togo. A total of 44 patients with a mean age of 44 years were included. The sex-ratio was 2.61. Risk factors included use of non-steroid anti-inflammatory (NSAI) in 16 patients (36.4%) and alcohol abuse in 13 (29.6%). At the time of admission to the ICU, 21 patients (47.7%) were in hemodynamic shock and 11 (25%) presented signs of portal hypertension. The underlying etiology was peptic ulcer in 18 cases (40.9%) including 13 cases of duodenal ulcer and 5 cases of stomach ulcer, rupture of esophageal varicosities in 8 (18.2%), gastric tumor in 6 (13.6%), Mallory Weiss syndrome in 5 (11.4%), gastritis in 4 (9,1%), and esophagitis in 3 (6.8%) due to peptic inflammation in 2 and mycotic infection in 1. The mortality rate was 45.5%. The main causes of hematemesis were peptic ulcer and rupture of esophageal varicosities. The death rate was high due to inadequate care facilities.
Djibril
A M
AM
Tomta
K
K
Balaka
K
K
Bagny
A
A
M'ba
K B
KB
Kaaga
L
L
Redah
D
D
Agbetra
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002177:Candidiasis / Q000150:complications; D004381:Duodenal Ulcer / Q000150:complications; D004932:Esophageal and Gastric Varices / Q000150:complications; D004941:Esophagitis / Q000150:complications / Q000382:microbiology; D005260:Female; D005756:Gastritis / Q000150:complications / Q000382:microbiology; D006396:Hematemesis / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality* / Q000628:therapy; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data*; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000150:complications; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications; D011446:Prospective Studies; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000150:complications; D013276:Stomach Ulcer / Q000150:complications; D015996:Survival Rate; D014037:Togo / Q000453:epidemiology