Purpose: Study epidemiological, clinical, endoscopic, therapeutic and evolutionary aspects in the surgical departments of CHUK and BUMEREC Hospital.
Patients and method: It is a descriptive and retrospective study over 5 years, carried out at the CHUK and the BUMEREC hospital from November 1st, 2011 to November 1st, 2016. A standardized survey form was used.
Results: 17 patients were integrated into our study. The average age of the patients was 41.07 years. The sex ratio is 1.12 for women. Regurgitation is the most common sign followed by heartburn and retro-sternal pain. Rumination phenomena were observed in 4 patients. 12 out of 17 patients had associated complications: ENT and / or broncho-pulmonary. Alcohol, tobacco and tea are the most popular contributing factors, accounting respectively for 35.29% and 17.64% of cases. Pain, regurgitation and heartburn were triggered by posture in 7 patients (41.17%) and postprandial in 9 patients (52.94%). All patients had been receiving medical treatment for a long time. Of 17 patients with GERD, 14 had esophagitis complications and were classified as A, B and C in Los Angeles classification. No patients were classified as Grade D. A hiatus hernia was associated in 47.05% of cases. The operative indication was either GERD resistant to medical treatment, hiatal hernia, ORL and / or bronchopulmonary complications. 16 patients underwent total fundoplication (Nissen) and one partial fundoplication patient (Toupet). 12 patients returned for consultation and were all satisfied using the Visick score. The other patients were lost to follow-up.
Conclusion: Anti-reflux surgery is a good indication for patients who are resistant to medical treatment and who have complications of oesophagitis, ENT and / or Broncho pulmonary disease.
Key words: Gastro-oesophageal reflux, Total fundoplication, Partial fundoplication.
Author: Dr Egide HARAGIRIMANA, CHU de KAMENGE, Bujumbura-Burundi
