[Peritonitis by perforation on gastric cancer at the Gabriel Touré teaching hospital].

Autor: Dembélé BT; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali., Traoré A; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali., Togo A; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali., Kanté L; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali., Diakité I; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali., Tounkara I; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali., Konaté M; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali., Coulibaly Y; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali., Coulibaly B; Service de chirurgie B du CHU du Point G., Diango DM; Département d'anesthésie et de réanimation CHU Gabriel Touré BP 267 Bamako Mali., Keita M; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali., Diallo G; Département de chirurgie CHU Gabriel Touré BP 267 Bamako Mali.
Jazyk: francouzština
Zdroj: Le Mali medical [Mali Med] 2013; Vol. 28 (3), pp. 21-24.
Abstrakt: Objective: Describe the therapeutic and diagnostic aspects of gastric cancer perforations at the general surgery department of the Gabriel Touré teaching hospital.
Patients and Method: A retrospective survey was conducted over 11 years (January 1999 to December 2010). It included all patients having had surgery for peritonitis by gastric cancer perforation at the service during that time frame.
Results: We found 14 cases of peritonitis due to gastric perforation, of which 9 were male and 5 female. The main clinical symptoms were abdominal pain (100%), weight loss (100%) and abdominal contraction (98.8%). Endoscopy allowed to note a pyloric antrum budding tumor in 4 patients before perforation. Radiography of the abdomen without preparation showed pneumoperitoneum in 8 cases. In all cases, the histological type recorded was adenocarcinoma. The antral seat was the most common (64.3%). Palliative surgery was immediately performed in all cases. We recorded two cases of fistula tract and 3 cases of infection of the lining, as well as 2 cases of postoperative mortality.
Conclusion: Gastric cancer perforation is rare and of bad prognosis as it survives on advanced cancer.
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Databáze: MEDLINE
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