Valeur diagnostique de l'endoscople digestive haute au cours de la cirrhose

Maïga, M. Y.; Dembélé, M.; Diallo, Fatimata; Traoré, H. A.; Traore, A. K.; Guindo, Abdoulaye

doi:10.1007/bf03016657

Cited by 7 publications

(6 citation statements)

References 11 publications

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“…Les caractéristiques sociodémographiques de l'échantil-lon de cirrhose sont comparables à celles des études antérieures [9,10].…”

Section: Discussionunclassified

“…L'ultrasonographie, examen non invasif, de réalisation facile, occupe une place importante dans le diagnostic de la cirrhose et a fait l'objet de plusieurs études [1,2,7,[10][11][12][13][14][15][16][17][18][19].…”

Section: Introductionunclassified

“…En effet, des études antérieures dans notre service ont rapporté l'importance de la cirrhose et le rôle du VHB dans cette pathologie [9,10]. Cette affection est le plus souvent révélée par des complications, en particulier une hémor-ragie digestive [28].…”

Section: Introductionunclassified

“…Les malades consultent généralement à un stade avancé, auquel la biopsie hépatique percutanée est impossible. Dans le cadre d'une stratégie de diagnostic non vulnérant de la cirrhose, l'endoscopie digestive haute avait rapporté que les signes d'HTP et les érosions gastroduodénales avaient une bonne valeur prédictive pour le diagnostic de cirrhose [10]. L'échographie est de plus en plus pratiquée au Mali et nous avions entrepris cette étude dans le but d'évaluer l'apport de cet examen non invasif dans le diagnostic de la cirrhose.…”

Section: Introductionunclassified

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Intérêt de l’échographie dans le diagnostic de la cirrhose en milieu tropical

Diarra¹,

Konaté²,

Diarra

et al. 2009

J Afr Hepato Gastroenterol

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“…Les caractéristiques sociodémographiques de l'échantil-lon de cirrhose sont comparables à celles des études antérieures [9,10].…”

Section: Discussionunclassified

Section: Introductionunclassified

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Intérêt de l’échographie dans le diagnostic de la cirrhose en milieu tropical

Diarra¹,

Konaté²,

Diarra

et al. 2009

J Afr Hepato Gastroenterol

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“…The prevalence of chronic HBV infection in sub-Saharan Africa is between 8% and 20%, making it a highly endemic region [8] [9]. It is estimated at between 14.9% and 16.14% in Mali [10] [11] [12], 11% in Senegal [13] and 13.5% in Chad [14]. In the Central African Republic, the prevalence of hepatitis B varies from 10.6% to 19.8% depending on the study population [15] [16] [17] [18] [19].…”

Section: Introductionmentioning

confidence: 99%

Hepatitis B Virus in Cirrhosis and Primary Livers Cancers

Philomène,

Oumarou,

Edwige

et al. 2023

OJGas

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Introduction: Hepatitis B virus (HBV) infection is a public health problem in sub-Saharan Africa, due to its frequency and progression to complications such as cirrhosis and/or hepatocellular carcinoma (HCC). Objective: To help improve the management of cirrhosis and hepatocellular carcinoma. Patients and Methods: This was a 34-month cross-sectional study conducted in the Hepato-Gastroenterology Department of the CHU de l'Amitié Sino-centrafricaine in Bangui. It included patients of both sexes aged 18 years or older with a diagnosis of HBV-related cirrhosis and/or HCC. Results: During the study period, 1344 patients were admitted to hospital, 681 of them for chronic liver disease (51%). Among patients admitted for chronic liver disease, in particular cirrhosis and/or HCC, HBV was implicated in 288 cases (42.30%), of whom 170 (24.96%) met our inclusion criteria. These included 123 men (72.35%) and 47 women (27.65%). The sex ratio was 2.61. The mean age of our patients was 40 years (±11 years) with extremes of 18 and 76 years. Cirrhosis was observed in 101 cases (59.41%), HCC on cirrhosis in 59 cases (34.70%) and HCC in 10 cases (5.89%). Cirrhosis was classified as Child-Pugh B in 62 cases and C in 20 cases. HCC on cirrhosis was classified according to BCLC stage C in 7 cases and stage D in 52 cases. Conclusion: HBV is the leading cause of cirrhosis and HCC in the Central African Republic. Chronic liver disease is diagnosed at the advanced stage of the disease. Hence the importance of early detection, prevention through vaccination at birth, and management of infected patients.

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