RÃ©sultats De La Prise En Charge Des Urgences Chirurgicales Coliques Au Centre Hospitalier Universitaire RÃ©gional De Ouahigouya, Burkina Faso
Authors: Jl Jl Kambire , S. Oueddraogo , S. Ouedraogo , Bagayoko Bere , M. Zida 
Published: June 2020

But : Le but de cette Ã©tude Ã©tait de dÃ©terminer les rÃ©sultats de la prise en charge des lÃ©sions coliques au cours des urgences chirurgicales digestives. Patients etMÃ©thode : il sâ€™agissait dâ€™une Ã©tude transversale descriptive sur 12 mois, rÃ©alisÃ©e de maniÃ¨re rÃ©trospective entre le 1er janvier et le 31 dÃ©cembre 2016 au centre hospitalier universitaire rÃ©gional de Ouahigouya. Elle avait permis de colliger 34 cas de patients opÃ©rÃ©s pour une urgence chirurgicale colique prÃ©sentant un syndrome occlusif ou un syndrome pÃ©ritonÃ©al et ayant un dossier clinique complet. RÃ©sultats : Les lÃ©sions coliques avaient reprÃ©sentÃ© 8,65% des urgences chirurgicales digestives. Vingt-cinq patients Ã©taient de sexe masculin et 9 de sexe fÃ©minin, soit un sex-ratio de 2,77. La moyenne dâ€™Ã¢ge Ã©tait de 37 ans. Les principales Ã©tiologies Ã©taient les volvulus coliques dans 35,3% et les tumeurs coliques dans 32,4 %. Le traitement chirurgical Ã©tait fonction de la lÃ©sion retrouvÃ©e en peropÃ©ratoire. Les rÃ©sections coliques avec anastomose immÃ©diate avaient reprÃ©sentÃ© 67,6% des cas. Les suites opÃ©ratoires avaient Ã©tÃ© simples dans 67,64%. Des complications post opÃ©ratoires Ã©taient notÃ©es dans 11 cas, soit une morbiditÃ© globale de 32,3%. La mortalitÃ© globale Ã©tait de 23,5%. Conclusion : Les lÃ©sions coliques sont relativement frÃ©quentes. Leurs Ã©tiologies restent dominÃ©es par les volvulus et les tumeurs coliques. Leur prise en charge est grevÃ©e dâ€™une lourde mortalitÃ© imputable en grande partie Ã  la nÃ©crose intestinale, consÃ©quence du retard diagnostique. Lâ€™amÃ©lioration du pronostic de ces lÃ©sions coliques repose sur une prise en charge prÃ©coce et adÃ©quate des patients.
Aim: The aim of this study was to determine the results of the management of colonic lesions during digestive surgical emergencies. Patients and Method: This was a descriptive cross-sectional study over 12 months, carried out retrospectively between January1 and December 31, 2016 at the regional university hospital center of Ouahigouya. It made it possible to collect 34 cases of patients operated on for a colonic surgical emergency with occlusive syndrome or peritoneal syndrome and having a complete clinical record. Results: Colonic lesions represented 8.65% of digestive surgical emergencies. Twenty-five patients were male and 9 female, for a sex ratio of 2.77. The average age was 37 years old. The main etiologies were dominated by colonic volvulus in 35.3% and colonic tumors in 32.4%. Surgical treatment was based on the lesion found intraoperatively. Colon resections with immediate anastomosis represented 67.6% of cases. The postoperative operations were simple in 67.64%. Postoperative complications were noted in 11 cases, representing an overall morbidity of 32.3%. The overall mortality was 23.5%. Conclusion: Colonic lesions are relatively frequent. Their etiologies remain dominated by volvulus and colonic tumors. Their management is burdened with a heavy mortality largely due to intestinal necrosis, consequence of the diagnostic delay. Improving the prognosis of these colonic lesions is based on early and adequate patient management.