Les Occlusions Intestinales AiguÃ«s (OIA) Par Brides Et AdhÃ©rences Post OpÃ©ratoires : A Propos De 46 Cas OpÃ©rÃ©s Au Centre Hospitalier Universitaire RÃ©gional de Ouahigouya, Burkina Faso
Authors: Maurice Zida , Jean Luc KambirÃ© , LÃ©ticia Zida , Souleymane OuÃ©draogo Souleymane , Salam OuÃ©draogo , Bernadette BÃ©rÃ© 
Published: October 2020

But: Le but de cette Ã©tude Ã©tait de dÃ©crire les aspects Ã©pidÃ©miologiques, cliniques, thÃ©rapeutiques et Ã©volutifs des occlusions intestinales aiguÃ«s par brides et adhÃ©rences post opÃ©ratoires. Patients et mÃ©thode : Il sâ€™est agi dâ€™une Ã©tude rÃ©trospective descriptive menÃ©e sur deux ans dans le service de chirurgie du centre hospitalier universitaire rÃ©gional de Ouahigouya, du 1er janvier 2017 au 31 dÃ©cembre 2018. Elle avait inclus les patients opÃ©rÃ©s pour une occlusion intestinale aiguÃ« par brides et adhÃ©rences post opÃ©ratoires et possÃ©dant un dossier clinique bien documentÃ©. RÃ©sultats : Les brides et adhÃ©rences post opÃ©ratoires ont reprÃ©sentÃ© 41,81% des causes dâ€™occlusions intestinales aiguÃ«s. La moyenne dâ€™Ã¢ge des patients Ã©tait de 37,93 ans. Le sexe masculin Ã©tait le plus reprÃ©sentÃ© avec 68,57% des cas. La douleur abdominale Ã©tait le principal motif de consultation. Lâ€™appendicite aiguÃ« et la pÃ©ritonite aiguÃ« gÃ©nÃ©ralisÃ©e avaient dominÃ© les Ã©tiologies des interventions antÃ©rieures dans 37,84% des cas. Les brides et adhÃ©rences post opÃ©ratoires Ã©taient survenues durant les cinq premiÃ¨res annÃ©es dans la majoritÃ© des cas. Le dÃ©lai moyen dâ€™intervention Ã©tait de 14,43 heures. Lâ€™intestin grÃªle Ã©tait le plus frÃ©quemment affectÃ© dans 41,30% des cas. La section de brides Ã©tait le geste chirurgical le plus souvent rÃ©alisÃ© dans 34,8% des cas. Les suites opÃ©ratoires sâ€™Ã©taient compliquÃ©es dans 26,09% des cas et la mortalitÃ© Ã©tait de 10,87%. Conclusion : Les occlusions par brides et adhÃ©rences postopÃ©ratoiresreprÃ©sentent une cause frÃ©quente dâ€™occlusions intestinales aiguÃ«s. Leurdiagnostic est clinique. Le traitement est mÃ©dicochirurgical et leur pronosticreste grevÃ© dâ€™une forte morbi-mortalitÃ© imputable aux retards de diagnostic et de prise en charge.
Aim: The aim of this study was to describe the epidemiological, clinical, therapeutic and evolutionary aspects of acute intestinal occlusions by flanges and post-operative adhesions. Patients and method: This was a two-year descriptive retrospective study conducted in the surgical department of the Ouahigouya Regional University Hospital from January 1, 2017 to December 31, 2018. It included patients operated on for acute intestinal obstruction by postoperative flanges and adhesions and with a well-documented clinical record. Results: The post-operative flanges and adhesions accounted for 41.81% of the causes of acute intestinal obstructions. The average age of the patients was 37.93 years. Males were the most represented with 68.57% of cases. Abdominal pain was the main reason for consultation. Acute appendicitis and generalized acute peritonitis had dominated the etiologies of previous interventions in 37.84% of cases. The post-operative flanges and adhesions occurred during the first five years in the majority of cases. The average response time was 14.43 hours. The small intestine was most frequently affected in 41.30% of cases. The flange section was the most performed surgical procedure in 34.8% of cases. The postoperative operations were complicated in 26.09% of cases and mortality was 10.87%. Conclusion: The postoperative flanges and adhesion occlusions are a common cause of acute intestinal obstructions. Their diagnosis is clinical. The treatment is medico-surgical and their prognosis remains highly morbidity and mortality due to delays in diagnosis and management.