Frequency and Surgical Approach in Treating Symptomatic Gastro-Sophageal Reflux in Bujumbura

Abstract

Goal
: The objective of this study was to determine the
epidemiological and clinical profile of patients undergoing
gastroesophageal reflux disease (GERD) and to identify surgical
indications.
Patients and
M
ethods
: This
were
a retrospective study conducted
at the Kamenge Teaching Hospital and BUMEREC Hospital over a
period of 5 years. Any patient operated in both hospi
tals for GERD
during this period was
included.
Seventeen
patients were
collected.
Results
: A frequency of 0.36% for operated GERD was noted. The
average age of our patients is 41.07 years [range of 15 to 68 years].
The most affected age group is between
46 and 60 years old. The
sex ratio was 1.12. Alcohol, tobacco and tea are the most popular
contributing factors. Pain, regurgitation and heartburn were
triggered by the posture in 41.17% and the postprandial in 52.94%.
The operated patients were depen
dent on medical treatment in
94.11%. The Nissen procedure was the most used technic for
surgical treatment in 64.70%. A laparotomy was done in 100%. At
one postoperative month, the persistence of heartburn was
observed in 11.76%; 5.8% with flatulence an
d 17.64% with bloating