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Prévalence du reflux gastro-œsophagien typique à Abidjan

Prevalence of typical gastro-esophageal reflux in Abidjan

  • Article Original / Original Article
  • Published:
Journal Africain d'Hépato-Gastroentérologie

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.

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.

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Références

  1. Nocon M, Labenz J, Willich SN (2006). Lifestyle factors and symptoms of gastro-oesophageal reflux — a population-based study. Aliment Pharmacol Ther 23:169–174

    Article  PubMed  CAS  Google Scholar 

  2. Ronkainen J, Aro P, Storskrubb T, et al (2005). High prevalence of gastroesophageal reflux symptoms and esophagitis with or without symptoms in the general adult Swedish population: a Kalixanda study report. Scand J Gastroenterol 40:275–285

    Article  PubMed  Google Scholar 

  3. Debonne JM, Berthezene P, Klotz F, et al (1994) What is the frequency of gastroesophageal reflux in young subjects? In «The Esophageal mucosa», O.E.S.O. (R. Giuli) Elsevier, ed 68–72

    Google Scholar 

  4. Bruley Des Varannes S, Marek L, Humeau B et al (2006). Gastroesophageal reflux disease in primary care. Prevalence, epidemiology and Quality of Life of patients. Gastroenterol Clin Biol 30:364–370

    Article  PubMed  Google Scholar 

  5. Bollschweiler E, Knoppe K, Wolfgarten E, Hölscher AH (2007). Prevalence of reflux symptoms in the general population of Cologne Z Gastroenterol 45:177–181

    Article  PubMed  CAS  Google Scholar 

  6. Djibril MA, M’Ba KB, Kaaga YL, et al (2009). Endoscopie digestive haute en milieu rural africain au Togo. Med Trop 69:48–50

    CAS  Google Scholar 

  7. Ilboudo PD, Sawadogo A, Serme AK, et al (2005). Pathologie du reflux gastro-oesophagien chez l’adulte noir africain. Méd Afr Noire 52:51–55

    Google Scholar 

  8. Klotz F, Debonne JM (1991). Y a-t-il une pathologie du reflux gastro-oesophagien en Afrique noire ? Méd Af Noire 38:41–47

    Google Scholar 

  9. Diouf ML, Dia D, Mbengue M (2002). Gastro-esophageal reflux in adults: clinical and endoscopic features at the Le Dantec Hospital of Dakar. Dakar Med 47:142–146

    PubMed  CAS  Google Scholar 

  10. Onyekwere CA, Hameed H, Anomneze EE, Chibututu C (2008). Upper gastrointestinal endoscopy findings in Nigerians: a review of 170 cases in Lagos. Niger Postgrad Med J 15:126–129

    PubMed  CAS  Google Scholar 

  11. Tall A, Diop EM (2008) The otolaryngological manifestations of gastroesophageal reflux disease. Dakar Med 53:142–149

    PubMed  CAS  Google Scholar 

  12. Harouna YD, Illo A, Assoumane I, et al (2008). Les cancers de l’oesophage au Niger à propos de 36 cas. Méd Afr Noire 55:235–239

    Google Scholar 

  13. Segal I (2001). The gastro-oesophageal reflux disease complex in sub-Saharan Africa. Eur J Cancer Prev 10:209–212

    Article  PubMed  CAS  Google Scholar 

  14. Dent J, El-Serag HB, Wallander MA, Johansson S. (2005) Epidemiology of gastrooesophageal reflux disease: a systematic review. Gut 54:710–717

    Article  PubMed  CAS  Google Scholar 

  15. Vakil N, Van Zanten SV, Kahrilas P, et al (2006), Dent J, Jones R; Global Consensus Group. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol 101:1900–1920

    Article  PubMed  Google Scholar 

  16. El-Serag HB, Hill C, Jones R (2009). Systematic review: the epidemiology of gastro-oesophageal reflux disease in primary care, using the UK General Practice Research Database Alim Pharmacol Ther 29:470–480

    CAS  Google Scholar 

  17. Kahrilas PJ (2008) Gastroesophageal Reflux Disease. N Engl J Med 359:1700–1707

    Article  PubMed  CAS  Google Scholar 

  18. Eslick GD, Talley NJ (2009). Gastroesophageal reflux disease (GERD): risk factors, and impact on quality of life-a population-based study. J Clin Gastroenterol 43:111–117

    Article  PubMed  Google Scholar 

  19. Sharma P, Wani S, Romero Y, et al (2008) Racial and geographic issues in gastroesophageal reflux disease. Am J Gastroenterol 11:2669–2680

    Article  Google Scholar 

  20. Salis G (2011) Systematic review: Epidemiology of gastroesophageal reflux disease in Latin America Acta Gastroenterol Latinoam 41:60–69

    Google Scholar 

  21. Cho YS, Choi MG, Jeong JJ, et al (2005). Prevalence and clinical spectrum of gastroesophageal reflux: a population-based study in Asan-si, Korea. Am J Gastroenterol 100:747–753

    Article  PubMed  Google Scholar 

  22. Jung HK (2011). Epidemiology of gastroesophageal reflux disease in Asia: a systematic review. J Neurogastroenterol Motil 17:14–27

    Article  PubMed  Google Scholar 

  23. Wong BC, Kinoshita Y (2006). Systematic review on epidemiology of gastroesophageal reflux disease in Asia. Clin Gastroenterol Hepatol 4:398–407

    Article  PubMed  Google Scholar 

  24. Chen Z, Thompson SK, Jamieson GG, et al (2011). Effect of sex on symptoms associated with gastroesophageal reflux. Arch Surg 146:1164–1169

    Article  PubMed  Google Scholar 

  25. Lin M, Gerson LB, Lascar R, et al (2004). Features of gastroesophageal reflux disease in women. Am J Gastroenterol 99:1442–1447

    Article  PubMed  Google Scholar 

  26. Somefun OA, Wanda CB, Adesanya AA, et al (2006). Otolaryngologic manifestations of gastro-oesophageal reflux disease in Lagos. Niger Postgrad Med J 13:225–229

    PubMed  CAS  Google Scholar 

  27. Nilsson M, Johnsen R, Ye W, et al (2003). Obesity and Estrogen as Risk Factors for Gastroesophageal Reflux Symptoms JAMA 290:66–72

    Article  PubMed  CAS  Google Scholar 

  28. Rey E, Moreno-Elola-Olaso C, Artalejo FR, et al (2006). Association between weight gain and symptoms of gastroesophageal reflux in the general population. Am J Gastroenterol 101:229–233

    Article  PubMed  Google Scholar 

  29. Nilsson M, Johnsen R, Ye W, et al (2004). Lifestyle related risk factors in the aetiology of gastrooesophageal reflux. Gut 53:1730–1735

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Service de gastroentérologie centre hospitalier universitaire de Cocody, Abidjan, Côte d’Ivoire

    M. -J. Lohouès-Kouacou, C. Assi, 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

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  1. M. -J. Lohouès-Kouacou
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  2. C. Assi
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  3. A. Ouattara
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  4. J. -K. Coulibaly
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  5. C. Ebela
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  6. A. Koné
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  9. J. -B. Okon
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  13. B. -M. Camara
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Corresponding author

Correspondence to C. Assi.

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Lohouès-Kouacou, M.J., Assi, C., Ouattara, A. et al. Prévalence du reflux gastro-œsophagien typique à Abidjan. J Afr Hepato Gastroenterol 7, 117–121 (2013). https://doi.org/10.1007/s12157-013-0465-4

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  • DOI: https://doi.org/10.1007/s12157-013-0465-4

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