title: [Hospital mortality associated with upper gastrointestinal hemorrhage due to ruptured esophageal varices at the Lomé Campus Hospital in Togo].
abstract: OBJECTIVE
  To study hospital mortality associated with upper gastrointestinal hemorrhages due to variceal bleeding in the department of hepatology and gastroenterology at the Lome Campus University Hospital.
  
  
  METHODS
  This retrospective cross-sectional and analytic study examined the 55 patients admitted for variceal bleeding on upper endoscopies during the 3-year period from January 1, 2008, through December 31, 2010.
  
  
  RESULTS
  These patients accounted for 4.1% of all hospitalizations during the study period in the department. Their average age was 35 years, and their sex-ratio 4. A history of chronic liver disease was found in 65.5%. Liver cirrhosis was the principal cause of the esophageal varices, complicated by hepatocellular carcinoma in 30.9% of them. The mortality rate was 25.5% and was not related to the cause of portal hypertension. All the patients with a recurrence of bleeding died. Mortality was associated with jaundice. Blood transfusion did not significantly improve the prognosis.
  
  
  CONCLUSIONS
  the mortality rate among patients with upper gastrointestinal hemorrhage linked to variceal bleeding is high in our unit. The prevention of hepatitis virus B is important because it is the main cause of chronic liver disease causing portal hypertension in our department.
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Campus de Lomé, Lomé, Togo.
authors.forename: O
authors.initials: O
authors.lastname: Bouglouga
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Campus de Lomé, Lomé, Togo.
authors.forename: A
authors.initials: A
authors.lastname: Bagny
authors.affiliation: Service d'hépato-gastro-entérologie, CHU Campus de Lomé, Lomé, Togo.
authors.forename: L
authors.initials: L
authors.lastname: Lawson-Ananissoh
authors.affiliation: Service de médecine interne, CHU Sylvanus-Olympio, Lomé, Togo.
authors.forename: M
authors.initials: M
authors.lastname: Djibril
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004932:Esophageal and Gastric Varices / Q000150:complications / Q000175:diagnosis / Q000401:mortality*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000401:mortality*; D017052:Hospital Mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012422:Rupture, Spontaneous; D014037:Togo; D055815:Young Adult
keywords: Togo; gastrointestinal hemorrhage; mortality; portal hypertension; variceal bleeding