TITLE:
Gastritis: Sociodemographic, Clinical, Endoscopic and Histological Aspects, about 593 Cases at the Digestive Endoscopy Unit of the General Hospital Idrissa Pouye
AUTHORS:
Cissé Cheikh Ahmadou Bamba, Gueye Mamadou Ngone, Diallo Salamata, Fall Marème Polèle, Thioubou Mame Aïssé, Diouf Gnagna, Bassène Marie Louise, Dia Daouda, Mbengue Mouhamadou
KEYWORDS:
Gastritis, H. pylori, Digestive Endoscopy
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.11 No.10,
October
22,
2021
ABSTRACT: Introduction: Gastritis is a very common and widely distributed condition worldwide. It represents one of the most common
pathological entities in gastroenterology and digestive endoscopy. Our
objective was to determine the sociodemographic, clinical, endoscopic, and
histological aspects of gastritis in the digestive endoscopy unit of the
General Hospital Idrissa Pouye (GHIP). Materials and Method: This was a
retrospective study over a period of 4 years (from 1 January 2014 to 31
December 2017) at the digestive endoscopy unit
of GHIP. We had collated oesogastroduodenal endoscopy (EGDE) reports
with gastritis appearance with gastric biopsies and reports with normal stomach
appearance with gastric biopsies and their histological reports. We collected
and analyzed data on age, gender, indications for endoscopy, endoscopic
findings and histological results. Results: The reports of 593 patients
were analyzed. The mean age was 45 years old (range 8 - 88 years old) and the sex ratio was 0.63 (230 men). The indications for endoscopy
were epigastralgia in (91%) of cases, dyspepsia in (22%) of cases, pyrosis in
(12%) of cases. The endoscopic appearance
was normal in 229 patients (39%). The endoscopic location of the
gastritis was antral in 76%, fundic in 22% and pangastric in 2%. The gastritis
was erythematous in 327 patients (90%), erosive in 126 patients (35%),
congestive in 53 patients (15%), pseudonodular in 14 patients (4%) and atrophic
in 10 patients (3%). Histology was normal in 8 patients (1.3%) and showed
gastritis in 585 patients (98.7%). Gastritis was chronic in 575 patients
(98.2%), acute in 10 patients (1.7%). Gastritis activity was moderate in
(52.7%) and mild in (42.9%). Atrophy was absent in 521 patients (88.6%) and
mild in 46 patients (8.2%). Intestinal metaplasia was found in 66 patients
(11%). Dysplasia was present in 1.7% of cases. This dysplasia was intermediate
grade (60%) in 6 patients, low grade (20%) in 2 patients and severe grade
(20%). H. pylori was present in 404 patients (68%). Conclusion: Gastritis
is usually found in the digestive endoscopy unit of the GHIP. The indications for
endoscopy are dominated by epigastralgia and histology is necessary for its
diagnosis.