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Haemorrhoidal Disease in Cotonou: Epidemiological, Clinical and Anuscopic Aspects

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DOI: 10.4236/ojgas.2015.57013    2,122 Downloads   2,518 Views   Citations

ABSTRACT

The haemorrhoidal disease is a very common disorder in proctology. It is favoured by many factors. Although benign, its treatment is difficult. Our aim is to study the epidemiological, clinical and anuscopic of haemorrhoidal disease. This was a cross sectional, descriptive and prospective study covering a three-month period from 06 January 2014 to 10 April 2014. It involved patients seen in gastroenterology consultation in internal medicine of the National Teaching Hospital of Cotonou and in the digestive diseases Unit of the Hospital of Menontin. We recorded 182 patients including 57 cases of haemorrhoidal disease, a prevalence of 31.3%. The sex ratio was 1.10. The average age was 43 years with extremes of 18 and 88 years. Anal events were dominated by rectal bleeding (54.4%) with a predominance of internal haemorrhoidal disease (87.7%). Stage 2 evolution of the disease was the most represented (65.4%). Haemorrhoidal disease is a common disorder seen mainly in actively producing people (young adult) with a male predominance.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Sehonou, J. , Wanvoegbe, F. , Kpossou, A. , Agbodande, K. , Dah-Bolinon, R. , Azon-Kouanou, A. , Zannou, M. and Houngbe, F. (2015) Haemorrhoidal Disease in Cotonou: Epidemiological, Clinical and Anuscopic Aspects. Open Journal of Gastroenterology, 5, 77-82. doi: 10.4236/ojgas.2015.57013.

References

[1] Traore, A., Diake, I., Togo, A., et al. (2010) Hemorrhoidal Disease in the General Surgery Department of CHU Gabriel Toure. Médecine d’Afrique Noire, 57, 358-362.
[2] Zeitoun, J.D. and De Parades, V. (2011) Why an Issue Paper on the Hemorrhoidal Disease? La Presse Médicale, 40, 918-919.
http://dx.doi.org/10.1016/j.lpm.2011.06.016
[3] Watson, S.J. and Phillips, R.K.S. (1996) Hemorrhoidectomy: Current Status. Der Chirurg, 67, 213-221.
[4] Godeberge, P. (2001) Hemorrhoids Treatment: Longo Intervention versus Endoscopic Treatment. Journal Canadien de Chirurgie, 138, 1-13.
[5] Fabien, D. and Bigard, M.A. (2005) Hemorrhoidal Disease. Rev du Praticien, 55, 1719-1722.
[6] Dembele, K.S. (2010) Study of the Hemorrhoidal Disease in the General Surgery Department of the Hospital Somine Dolo Mopti. Ph.D. Dissertation, University of Bamako.
[7] Kob Ye Same, D. (2009) Clinical and Epidemiological Aspects of the Hemorrhoidal Disease in Urban Adults in Douala. Ph.D. Dissertation, University of Yaounde I.
[8] Gawenda, M. and Walter, M. (1996) Surgical Treatment of Advanced Hemorrhoids—Is It an Intervention on Daily Basis Surgical? Der Chirurg, 67, 940-943.
http://dx.doi.org/10.1007/PL00002542
[9] Gnakadja, N.G. (2010) Epidemiological, Diagnostic and Therapeutic Aspects of the Hemorrhoidal Disease in University Clinics of Visceral Surgery “A” and “B” in CNHU-HKM. Ph.D. Dissertation, UAC-FSS, Cotonou.
[10] Assi, C., Soumare, G., Kone, S., et al. (2012) Prevalence of Hemorrhoids and Anal Fissure in the Etiology of the Inaugural Proctalgia at the University Hospital (CHU) in Cocody (Ivory Coast). Mali Médical, 27.
[11] N’dri, N., Kouakou Lohoues, M.J., Attia, K.A., et al. (1994) Hemorrhoidal Disease in African Hospitals: About 522 Cases Collected at the University Hospital of Cocody. Médecine et Chirurgie Digestives, 23, 233-234.
[12] Sangare, D. (2008) The Internal Hemorrhoidal Disease in the Digestive Endoscopy Center CHU Gabriel Toure and Medical Offices. Ph.D. Dissertation, University of Bamako, Bamako.
[13] Dicko, M.L. (2007) Study of the Hemorrhoidal Disease in the General Surgery Department at CHU Gabriel Toure. Ph.D. Dissertation, University of Bamako, Bamako.
[14] Klotz, F., Moussavou, J.B., Walter, P. and Nguemby-Mbina, C. (1988) Rectosigmoidal Pathology in Equatorial Africa: Etiological Approach in the Gastrointestinal Endoscopy Department of the CHU of Libreville-Gabon. Afr Med Santé, 17, 277-279.
[15] Ele, N., Okiemy, G., Chocolat, R., et al. (2007) Results of Surgical Treatment of Hemorrhoidal Disease Using the Technique of Milligan and Morgan. About 56 Cases (CHU Brazzaville). Mali Medical, 22, 58-60.
[16] Pigot, F., Siproudhis, L. and Allaert, F.-A. (2005) Risk Factors Associated with Haemorrhoidal Symptoms in Specialized Consultation. Gastroentérologie Clinique et Biologique, 29, 1270-1274.
http://dx.doi.org/10.1016/S0399-8320(05)82220-1
[17] Houeze, R.G.C. (2006) Support for Non-Tumor Anorectal Disorders in Visceral Surgery “A” CNHU-HKM Cotonou. Ph.D. Dissertation, UAC-FSS, Cotonou.
[18] D’Agostino, G., Zampogna, A., Rognoni, M., Ricci, A. and Garavoglia, M. (2000) Hemorrhoidectomy in Muco-Hemorrhoidal Prolapse Using Mechanical Stapler. Minerva Chirurgica, 55, 395-399.
[19] Slawik, S., Kenefick, N., Greenslade, G.L. and Dixon, A.R. (2007) A Prospective Evaluation of Stapled Haemor-rhoidopexy/Rectal Mucosectomy in the Management of 3rd and 4th Degree Haemorrhoids. Colorectal Disease, 9, 352-356.
http://dx.doi.org/10.1111/j.1463-1318.2006.01163.x
[20] Hrora, A., Raiss, M. and Menfaa, M. (2002) Hemorrhoidectomy by the Technique of Milligan and Morgan (About 200 Cases). Maroc Médical, 24, 8-10.
[21] Lohsiriwat, D. and Lohsiriwat, V. (2005) Out Patient Hemorrhoidectomy under Perianal Anesthesics Infiltration. Journal of the Medical Association of Thailand, 88, 1821-1824.
[22] Pravin, J. and Gupta, B. (2005) Novel Approach to Advanced Hemorrhoidal Disease. Romanian Journal of Gastroenterology, 14, 361-366.
[23] Habr-Gama, A., Esous, A.H., Roveló, J.M., Souza, J.V., Benício, F., Regadas, F.S., et al. (2003) Stapled Hemorrhoidectomy: Initial Experience of a Latin American Group. Journal of Gastrointestinal Surgery, 7, 809-813.
http://dx.doi.org/10.1016/S1091-255X(03)00102-1
[24] Gravié, J.F., Lehur, P.-A., Huten, N., Papillon, M., Fantoli, M., Descottes, B., et al. (2005) Stapled Hemorrhoidopexy versus Milligan-Morgan Hemorrhoidectomy. Annals of Surgery, 242, 29-35.
http://dx.doi.org/10.1097/01.sla.0000169570.64579.31
[25] Diallo, G., Sissoko, F., Maiga, M.Y., et al. (2003) Hemorrhoidal Disease in the Surgical Department B of Hospital Point G. Mali Medical, 1, 9-11.
[26] Abramowitz, L., Sobhani, I., Benifla, J.L., Vuagnat, A., Darai, E., Mignon, M. and Madelenat, P. (2002) Anal Fissure and Thrombosed External Hemorrhoids before and after Delivery. Diseases of the Colon & Rectum, 45, 650-655.
http://dx.doi.org/10.1007/s10350-004-6262-5
[27] Ansara, D., Cochen, M.M., Gallop, R., Kung, R. and Schei, B. (2005) Predictors of Women’s Physical Health Problems after Childbirth. Journal of Psychosomatic Obstetrics & Gynecology, 26, 115-125.
http://dx.doi.org/10.1080/01443610400023064
[28] Sotoudehmanesh, R., Ainechi, S., Asgari, A.A. and Kolahdoozan, S. (2007) Endoscopic Lesions in Low-To Average-Risk Patients with Minimal Bright Red Bleeding from Midline Anal Fissures. How Much Should We Go in? Techniques in Coloproctology, 11, 340-342.
http://dx.doi.org/10.1007/s10151-007-0377-3
[29] Abromowitz, L. and Batallan, A. (2003) Epidemiology of Anal Lesions (Cracks and External Hemorrhoidal Thrombosis) during Pregnancy and the Postpartum Period. Gynécologie Obstétrique et Fertilité, 31, 546-549.

  
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