Aspects épidémio-clinique et thérapeutique des hémorragies digestives vues au CHU Tambohobe Fianarantsoa

Abstract

Introduction. The gastrointestinal bleeding remains a significant cause of morbidity and mortality. It is a medical and surgical emergency. In Madagascar, the gastrointestinal bleeding lays a major public health. The aim of our study vas to describe epidemioclinical, paraclinical and therapeutic aspects of gastrointestinal bleeding in order to improve their management. Patients and methods. We conducted a study of 383 patients presenting gastrointestinal bleeding, and admitted to the emergency room of University Hospital Fianarantsoa during 5 years. Results. Mean age was 45 years with a male predominance. The 30.02% of the patients presented an unexplored antecedent of gastrointes- tinale bleeding. Oesophageal variceal and peptic ulcers were the most common etiology respectively 27.93% and 26.63%.The mortality was 4.17% and caused by delayed management, because of financial problem. Conclusion. Preventive treatment of hemorrhagic relapse is essential to improve prognosis. The digestive endoscopy, multidisciplinary care and other means are essential in the management of gastrointestinal bleeding.