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Journal Africain d'Hépato-Gastroentérologie

, Volume 7, Issue 3, pp 117–121 | Cite as

Prévalence du reflux gastro-œsophagien typique à Abidjan

  • M. -J. Lohouès-Kouacou
  • C. AssiEmail author
  • A. Ouattara
  • J. -K. Coulibaly
  • C. Ebela
  • A. Koné
  • M. Diakité
  • S. Koné
  • J. -B. Okon
  • D. Soro
  • S. Doffou
  • E. Allah-Kouadio
  • B. -M. Camara
Article Original / Original Article

Résumé

Buts

Déterminer au sein de la population générale Abidjanaise en Côte d’Ivoire, la prévalence, du reflux gastro-œsophagien typique.

Patients et méthode

Étude transversale réalisée du 15 juin 2003 au 30 septembre 2003 auprès de 1940 personnes choisies à partir de la fréquentation des 5 zones sanitaires de la ville Abidjan après leur accord. Le recueil des paramètres d’étude a été fait au moyen d’un questionnaire sous forme d’interview. Le reflux gastro-oesophagien typique était défini par l’une des 3 associations suivantes (pyrosis-régurgitation, pyrosissyndrome postural ou régurgitation -syndrome postural).

Résultats

Parmi les 1940 personnes interrogées (moyenne d’âge 28 ans +- 9 ans; sex-ratio 0,86), 281 avaient un reflux gastro-oesophagien typique réalisant une prévalence de 14,5% [13%–16% IC 95%]. Il survenait de façon hebdomadaire chez 178 personnes (9,17% [8%–10% IC 95%]) et était plus fréquent dans les zones défavorisées (p=0,00). Leur intensité était gênante ou peu gênante dans 56% des cas (p=0,00). Les facteurs indépendants favorisants les épisodes étaient la prise de chocolat (p=0.04) et la grossesse (p=0,03). Il était significativement associé à des accès de toux (p=0,005), à une angine (p=0,001) et à des douleurs précordiales pseudo angineuses (p=0,016).

Conclusion

Le reflux gastro-œsophagien typique est relativement fréquent dans la ville d’Abidjan sans caractéristique particulière.

Mots clés

Reflux gastro-œsophagien Pyrosis Régurgitation Abidjan Épidémiologie Clinique 

Prevalence of typical gastro-esophageal reflux in Abidjan

Abstract

Aim

To determine in Abidjan, Cote d’Ivoire, prevalence of typical gastro-esophageal reflux disease.

Patients and methods

Cross-sectional study from June 15 to September 30, 2003.Thousand nine hundred forty (1,940) persons from five health zones of the city Abidjan, were included after their agreement. Socio demographic and clinical parameters were collected using a questionnaire in an interview format. Typical gastro-esophageal reflux was defined as one of the three following association: heartburn and regurgitation, heartburn and postural syndrome, postural syndrome and regurgitation.

Results

Among 1940 respondents (mean age 28 + years − 9 years; sex-ratio 0.86), 281 had a typical gastro-esophageal reflux disease (prevalence of 14.5% [13% CI 95%-16%]). Heartburn and/or regurgitation occurred weekly in 178 people (9.17% [8%–10% 95%]). Heartburn and regurgitation were more common in deprived areas (p=0.00). Intensity was somewhat annoying or troublesome in 56% of cases (p=0.00). Independent factors favoring episodes of gastroesophageal reflux were eating chocolate (p=0.04) and pregnancy (p=0.03). The typical gastro-esophageal reflux disease was significantly associated with cough (p=0.005) angina (p=0.001) and non cardiac chest pain (p=0.016).

Conclusion

Typical gastro-esophageal reflux disease is fairly common in Abidjan without any particularity.

Keywords

Gastro-esophageal reflux disease Heartburn Regurgitation Abidjan Epidemiology Clinical 

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Copyright information

© Springer-Verlag France 2013

Authors and Affiliations

  • M. -J. Lohouès-Kouacou
    • 1
  • C. Assi
    • 1
    Email author
  • A. Ouattara
    • 1
  • J. -K. Coulibaly
    • 1
  • C. Ebela
    • 1
  • A. Koné
    • 1
  • M. Diakité
    • 1
  • S. Koné
    • 1
  • J. -B. Okon
    • 1
  • D. Soro
    • 1
  • S. Doffou
    • 1
  • E. Allah-Kouadio
    • 1
  • B. -M. Camara
    • 1
  1. 1.Service de gastroentérologie centre hospitalier universitaire de CocodyAbidjanCôte d’Ivoire

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