TITLE:
Hepatic Steatosis in the Internal Medicine and Medical Emergency Department of the Sylvanus Olympio University Hospital Center
AUTHORS:
Kodjo Agbeko Djagadou, Lihanimpo Djalogue, Koffi Klouvi, Mohaman Awalou Djibril
KEYWORDS:
Hepatic Steatosis, Etiological Factors, CHU-SO, Togo
JOURNAL NAME:
Open Journal of Gastroenterology,
Vol.14 No.12,
December
27,
2024
ABSTRACT: Objective: Describe the etiological factors of hepatic steatosis in the Internal Medicine and Medical Emergencies department of the Sylvanus Olympio University Hospital of Lomé. Framework and Method: Cross-sectional and retrospective study carried out over a period of 5 years from February 1, 2021 to February 28, 2024 (4 years). All patients aged over 18 years with a hyperechoic appearance of the hepatic parenchymal structure on abdominal ultrasound suggestive of focal or diffuse steatosis of the liver were included. Results: The prevalence of steatosis was 17.21%. The average age of our patients was 42.91 ± 11.71 years. We noted a sex ratio (M/F) of 1.21. Diffuse abdominal pain was the main reason for consultation (38.60%). Hepatomegaly was found on abdominal ultrasound in 28.16% of cases. Two main groups of etiological factors were noted. These included metabolic factors (alcoholism, obesity, type 2 diabetes and high blood pressure (hypertension)) and infectious factors (HIV, HBV, HCV). Conclusion: Hepatic steatosis is a chronic pathology associated with etiological factors. It can progress to steatohepatitis, cirrhosis or even liver cancer.