title: Management of peptic pyloroduodenal stenosis in Sylvanus Olympio teaching hospital in Lome (Togo).
abstract: This study's aim was to describe the management of ulcerous pyloroduodenal stenosis in Sylvanus Olympio teaching hospital of Lomé (Togo). It was a retrospective study of medical files of all patients managed for peptic pyloroduodenal stenosis at the visceral surgery department of Sylvanus Olympio teaching hospital in Lomé (Togo) from january 1(st), 2002 to december 31(th), 2011. Twenty-five patients were selected. Mean age was 38 ± 7.4 years. Sex-ratio was 5. Twenty four patients underwent upper digestive tract endoscopy, completed by upper gastrointestinal series in 18 cases. One patient had only an upper gastrointestinal series. Pyloroduodenal stenosis was improved by antisecretory therapy in 3 cases. Twenty two patients underwent laparotomy. Truncal vagotomy was performed in 15 cases associated with pyloroplasty in 8 cases, and gastrojejunostomy in 7 cases. An antrectomy was performed in 5 cases. Selective vagotomy was associated with pyloroplasty in 1 case, and a gastrojejunostomy in 1 case. One patient died in postoperative period. Functional results were classified Visick I (17 cases) and II (4 cases). Peptic pyloroduodenal stenosis affects young adults. Its tight nature requires association of upper gastrointestinal series and esophagogastroduodenoscopy for diagnosis. Its surgical treatment is exclusively performed by laparotomy at present. Mortality is low and functionnal prognosis is good.
authors.affiliation: Service de chirurgie générale CHU Kara, Togo, Service de chirurgie générale et digestive, CH Douai, route de Cambrai, BP 10740, 59507 Douai cedex, France.
authors.forename: I
authors.initials: I
authors.lastname: Kassegne
authors.affiliation: Chirurgie générale, Centre hospitalier régional, Dapaong, Togo.
authors.forename: E V
authors.initials: EV
authors.lastname: Sewa
authors.affiliation: Chirurgie viscérale, CHU Sylvanus-Olympio, Lomé, Togo.
authors.forename: K K
authors.initials: KK
authors.lastname: Kanassoua
authors.affiliation: Chirurgie viscérale, CHU Sylvanus-Olympio, Lomé, Togo.
authors.forename: F
authors.initials: F
authors.lastname: Alassani
authors.affiliation: Chirurgie viscérale, CHU Sylvanus-Olympio, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Adabra
authors.affiliation: Chirurgie viscérale, CHU Sylvanus-Olympio, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Amavi
authors.affiliation: Service de chirurgie générale CHU Kara, Togo.
authors.forename: K G
authors.initials: KG
authors.lastname: Azialey
authors.affiliation: Chirurgie viscérale, CHU Sylvanus-Olympio, Lomé, Togo.
authors.forename: K
authors.initials: K
authors.lastname: Attipou
mesh_terms: D000293:Adolescent; D000328:Adult; D004380:Duodenal Obstruction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007409:Intestinal Atresia; D008297:Male; D008875:Middle Aged; D010437:Peptic Ulcer / Q000150:complications; D011707:Pyloric Stenosis / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D014037:Togo; D055815:Young Adult
keywords: Togo; duodenal ulcer; management; peptic stenosis; surgery