[Hematemesis in Togo: findings of a 12-month study in an intensive care unit].

التفاصيل البيبلوغرافية
العنوان:	[Hematemesis in Togo: findings of a 12-month study in an intensive care unit].
عنوان ترانسليتريتد:	Hématémèses au Togo: expérience d'un an en réanimation.
المؤلفون:	Djibril AM, Tomta K, Balaka K, Bagny A, M'ba KB, Kaaga L, Redah D, Agbetra A
المصدر:	Medecine tropicale : revue du Corps de sante colonial [Med Trop (Mars)] 2010 Jun; Vol. 70 (3), pp. 311-2.
نوع المنشور:	English Abstract; Letter
اللغة:	French
بيانات الدورية:	Publisher: Institut de Medecine Tropicale du Service de Sante des Armees (I M T S S A) Country of Publication: France NLM ID: 8710146 Publication Model: Print Cited Medium: Print ISSN: 0025-682X (Print) Linking ISSN: 0025682X NLM ISO Abbreviation: Med Trop (Mars) Subsets: MEDLINE
أسماء مطبوعة:	Publication: Marseilles : Institut de Medecine Tropicale du Service de Sante des Armees (I M T S S A) Original Publication: Marseille : Ecole d'application du Service de santé des troupes coloniales, [1941]-
مواضيع طبية MeSH:	Hematemesis/etiology , Hematemesis/mortality , Intensive Care Units/*statistics & numerical data, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Candidiasis/complications ; Duodenal Ulcer/complications ; Esophageal and Gastric Varices/complications ; Esophagitis/complications ; Esophagitis/microbiology ; Female ; Gastritis/complications ; Gastritis/microbiology ; Hematemesis/diagnosis ; Hematemesis/therapy ; Humans ; Male ; Mallory-Weiss Syndrome/complications ; Middle Aged ; Peptic Ulcer/complications ; Prospective Studies ; Risk Factors ; Stomach Neoplasms/complications ; Stomach Ulcer/complications ; Survival Rate ; Togo/epidemiology
مستخلص:	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.
تواريخ الأحداث:	Date Created: 20100826 Date Completed: 20100924 Latest Revision: 20100825
رمز التحديث:	20221213
PMID:	20734610
قاعدة البيانات:	MEDLINE

الوصف
تدمد:	0025-682X