Management of Emergencies in the Hepato-Gastro-Enterology Department of the Kara University Hospital
DOI:
https://doi.org/10.14738/bjhr.1201.18166Keywords:
Emergency, hepato-gastroenterology, CHU-KaraAbstract
Introduction: Emergency care in hepato-gastroenterology (HGE) at CHU-Kara is expanding. Objective: To assess the management of emergencies in the general hospital ward at CHU-Kara. Materials and methods: This was a retrospective study of patient records from 1 January 2023 to 30 June 2024. It ran from July 1 to September 31, 2024. Results: 170 emergencies were identified, with a hospital frequency of 20.90% and a sex ratio of 1.6. The average age was 49 years. Digestive haemorrhage was the leading emergency (69.41%), dominated by ruptured oesophageal varices (RVO), followed by peptic ulcers. Other emergencies were hepatic encephalopathy (12.94%), acute abdominal pain (11.77%), ingestion of caustic products (2.94%) and chronic vomiting (2.94%). All patients had undergone an initial assessment combined with non-specific resuscitation. All patients had not undergone aetiological investigation. Vasoactive drugs in the splanchnic territory were not available. In addition to secondary prevention of RVR, their management was based on the administration of non-cardioselective beta-blockers used alone. The course of treatment was marked by a high mortality rate of 31.76%, due to the delay in consultation, the severity of the life-threatening condition, the patients' lack of financial resources, the absence of health insurance and the inadequacy of the technical facilities. Conclusion: Emergencies in the Emergency Department are frequent at CHU-Kara; they are dominated by upper digestive haemorrhage, which is life-threatening.
References
Guide Urgence Médicale en Centre de Santé 2021. Available at https://www.fncs.org/sites/default/files/
Corcos O. Urgences en hépato-gastroentérologie - CNPHGE [Internet]. Available at: https://www.cnphge.fr/urgences-hge/
Mössner J, Manns MP. Notfälle in der Gastroentérologie. Internist. Juill 2011; 52(7):793-4.
Piton G, Kepka S, Capellier G, Desmettre T. Digestive haemorrhage: Diagnostic and therapeutic strategy. Available at https://www.sfmu.org/upload/70_formation/02_eformation/02_congres/Urgences/urgences2013/
Djibril M, M'ba K, Bagny A, Kaaga Y, Redah D, Agbetra A. Prise en charge des urgences en gastroentérologie: expérience du service d'hepato-gastro-entérologie du chu-campus de lome. Take charge of the emergencies in gastro-enterology: expement of the service of hepato- gastro entelrology of
Pateron D, Pourriat J-L. Non-traumatic digestive haemorrhage in adults. EMC - Medicine. Volume 1, Issue 3, June 2004, Pages 242-254.
Bagny A., Kogoe, L. R.-M., Kaaga, L. Y., Lawson-Ananissoh, L. M., Redah, D., Gbolou, M. H., & Kanake, Y. Y. (2021). Epidemiological and prognostic factors associated with the etiology of upper gastrointestinal haemorrhage at the CHU Campus de Lomé. European Scientific Journal, ESJ, 17(34), 44. https://doi.org/10.19044/esj.2021.v17n34p44
Thabut D. Diagnosis and management of hepatic encephalopathy in patients with cirrhosis. Synthesis of new recommendations. Post'u (2020).
Ditisheim S, Spahr L. Hepatic encephalopathy in patients with cirrhosis: novelties and practical recommendations. Rev Med Suisse. 8 Sept 2010;261(31):1667-71.
Kpossou AR, Vignon RK, Deha ARE, Sokpon CNM, Gbessi DG, Assouto P, et al. Epidemiology and etiologies of acute non-traumatic abdominal pain in adults at the Clinique Universitaire d'Accueil des Urgences of the Centre National Hospitalier Universitaire de Cotonou (Benin): a cross-sectional study. PAMJ Clin Med [Internet]. Published: 22 Jan 2024
Grozier F, Célérier M. Caustic oesophagitis. Encycl Méd Chir: Gastroenterology. 2000; 9-200-A-10: 10 p.
Jalal Ghyslaine, Badrane Narjis, Rhalem Naima, Ouammi Lahcen, Hardouz Houria, Soulaymani Abdlmjid, Soulaymani-Bencheikh Rachida. Intoxications par les produits caustiques et irritants données du centre anti poison du Maroc (1980-2011). Revue de toxicologie Maroc. N° 18 - 3rd quarter 2013. 151
Joseph E, Bielecki, Alejandro Recio-Boiles, Richard J. Chen, Vikas Gupta Caustic Ingestions. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan 7.
Barkun AN, Bardou M., Kuipers E.J., Sung J., Hunt R.H., Martel M. et al. International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 2010 Jan 19; 152(2): 101-13.
Farrell JJ, Friedman LS. Review article: the management of lower gastrointestinal bleeding. Aliment Pharmacol Ther 2005; 21: 1281-1298.
Osman D, Djibré M, Silva DD, Goulenok C. Resuscitation management of digestive haemorrhage in adults and children. Intensive care medicine. 8 June 2012;21(4):477-92.
Richecoeur M, Bronstein J-A, Lipovac A-S, Caumes J-L, Blanchard C. Vomiting: aetiologies and management. Gastro-Enterology. EMC - Chirurgie. Volume 1, Issue 5, October 2004, Pages 481-492 2004. doi: 10.1016/j.emcchi.2004.04.002
Chirica M. Management of caustic ingestion. Gastroenterology. Post'u (2023). Fmc HGE: https://www.fmcgastro.org/texte-postu/postu-2023/prise-en-charge-de-lingestion-de-caustique/
Challine A, Maggiori L, Katsahian S, Corté H, Goere D, Lazzati A, Cattan P, Chirica M. Outcomes Associated With Caustic Ingestion Among Adults in a National Prospective Database in France. JAMA Surg. 2022 Feb 1;157(2):112-119. doi: 10.1001/jamasurg.2021.6368.
Razafimahefa S, Rabenjanahary T, Rakotozafindraibe R, Fidinarivo A, Ramanampamonjy R. Upper gastrointestinal haemorrhage: clinical, endoscopic and evolutionary aspects. A series of 62 Malagasy patients. Rev Médicale Madag [Internet]. 2011 [cited 17 Nov 2024];1(1). Available from: https://rmm.mg/publication/8
Rudler M. Management of ruptured oesophageal varices. Post' U FMC-HGE. 2019 March; 143-146.
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