Since a longtime considered as functional and psychological, children’s abdominal pains (CAP) is a public health problem. Advances in digestive endoscopy and Helicobacter pylori ( H. pylori ) discovery have reignited the debate of the organicity of CAP. The aim of this study is to determine the diagnosis rentability of upper gastrointestinal endoscopy (UGIE) in CAP in Ivory Coast. Patients and Methods: This a retrospective analytical study based on reports of UGIE performed in 2 university hospital and 3 private clinics of Abidjan from march 2007 to march 2016. The children (from 1 day to 15 years) in which UGIE were performed for abdominal pains were included in the study. Results: 116 UGIE were performed in children for abdominal pains during the study period. Epig a stric pain was the main indication of UGIE (88%). The diagnosis rentability of UGIE was more than 70% in this study. The main anomalies observed in UGIE were gastropathies. Ulcers were rarely found. Conclusion: UGIE play an important diagnosis role in CAP in Ivory Coast. However gastric biopsies for Helicobacter pylori research are not common practice in our country.
Kalach, N. and Benhamou, P.H. (2002) Diagnostic et modalités de la prise en charge des douleurs abdominales récidivantes de l’enfant. La lettre de l’hépato-gastroentérologue, n° 3, vol. V, mai-juin.
Turck, D. (1998) Douleurs abdominales chroniques de I’enfant. Rev Prat (Paris), 48, 369-375.
Gottrand, F. (2001) Diagnostic d'une douleur abdominale. Médecine thérapeutique/ pédiatrie, 4, 213-216.
Lopez Alonso, M., Moya, M.J., Cabo, J.A., Riba, S.J., Del Carmen, M.M. and Silny, J. (2006) Twenty for Esophageal, Impedance PH Monitoring in Healthy Preterm Neonates: Weakly Acidic and Weakly Alkaline Gastro-Esophageal Reflux. Pediatrics, 118, 793-794. https://doi.org/10.1542/peds.2005-3140
Bangoura, A.D., Anzouan-Kacou, H.Y.K., Doffou, S., Assi, C., Bathaix, M.F.Y., Attia, A.K. and Ndri-Yoman, A.T. (2016) Upper Gastrointestinal Endoscopy and Children Digestive Pathology in Abidjan. Open Journal of Gastroenterology, 6, 265-274.
Lawson-Ananissoh, L.M., Bouglouga, O., Bagny, A., Kaaga, L., EL Hadj yakoubou, R. and Redah, D. (2015) Panorama des affections oesogastroduodénales chez les enfants de moins de 20ans au Togo. Médecine d’afrique Noire, 62, No. 7.
Alatise, O.I., Anyabolu, H.C., Sowande, O. and Akinola, D. (2015) Paediatric Endoscopy by Adult Gastroenterologists in Ile-Ife, Nigeria: A Viable Option to Increase the Access to Paediatric Endoscopy in Low Resource Countries. African Journal of Paediatric Surgery, 12, 261-265 https://doi.org/10.4103/0189-6725.172568
Mudawi, H.M., El Tahir, M.A., Suleiman, S.H., Eltaybe, N.H., Gamer, N.M., Abdallha, F.A. and Ibrahim, S.Z. (2009) Pediatric Gastrointestinal Endoscopy: Experience in a Sudanese University Hospital. Eastern Mediterranean Health Journal, 15, 1027-1031.
Okello, T.R. (2006) Upper Gastrointestinal Endoscopic Findings in Adolescents at Lacor Hospital, Uganda. African Health Sciences, 6, 39-42.
Kawami, E., Machado, R.S., Fonseka, J.R., et al. (2004) Clinical and Histological Features of Duodenal Ulcer in Children and Adolescents. Jornal de Pediatria, 80, 321-325. https://doi.org/10.2223/JPED.1207
Mougenot, J.F., Faure, C. and Goulet, O. (2001) Endoscopie Digestive 2001 EMC Pédiatrie 4-017-A-05. Gastroentérologie, 9-013-B-07, 26 p.
Gottrand, F. (2000) Place d’Helicobacter pylori dans les douleurs abdominales de l’enfant. Archives de Pédiatrie, 7, 197-200. https://doi.org/10.1016/S0929-693X(00)88091-4
Hassall, E. and Dimmick, J.E. (1991) Unique Features of Helicobacter pylori Disease in Children. Digestive Diseases and Sciences, 36, 417-423. https://doi.org/10.1007/BF01298868
Quark, S.H., Lam, S.K. and low, P.S. (1990) Upper Gastrointestinal Endoscopy in Children. Singapore Medical Journal, 31, 123-126.
Ashorn, M., Maki, M., Ruuska, T., et al. (1993) Upper Gastrointestinal Endoscopy in Recurrent Abdominal Pain of Childhood. Journal of Pediatric Gastroenterology and Nutrition, 16, 273-277. https://doi.org/10.1097/00005176-199304000-00009
Lawson-Ananissoh, L.M., Bouglouga, O., Bagny, A., EL-Hadji Yakoubou, R., Kaaga, L. and Redah, D. (2014) Apport de la fibroscopie digestive haute dans l’exploration des épigastralgies. Journal de la Recherche Scientifique de l’Universite de Lome, 16, 213-219.
Assi, C., Thot’o, A.S., Eloumou, G., Lohouès, M.J. and Camara, B.M. (2010) Endocopie digestive haute pédiatrique: Une expérience hospitalière en côte d’ivoire. Médecine Tropicale, 70, 4.
American Academy of Pediatrics Subcommittee on Chronic Abdominal Pain (2005) North American Society for Pediatric Gastroenterology Hematology, and Nutrition. Chronic Abdominal Pain in Children. Pediatrics, 115, e370-e381.
Mouterde, O. (2011) Douleurs abdominales chroniques de l’enfant: Point de vue du gastroenterologue. Archives de Pédiatrie, 18, H146-H147. https://doi.org/10.1016/S0929-693X(11)71010-7
Lifshitz, C.H. (1994) Indications de l’endoscopie du tractus digestif supérieur, chez le nourrisson, l’enfant, et l’adolescent. Acta Endoscopica, 24, 125-128. https://doi.org/10.1007/BF02963237
CIA World Factbook (2014) Version de 31 Mars 2015. Profil de la population ivoirienne en 2014.
Attia, K.A., N’dri Yoman, T., Diomandé, M.I., Mahassadi, A., et al. (2001) Clinical, Endoscopic and Histologic Aspects of Helicobacter pylori Gastritis in Cote d’Ivoire: Study of 102 Patients. Bulletin de la Société de Pathologie Exotique, 94, 5-7.
Bougouma, A., Ilboudo, D., Sangaré, L., Diomandé, I., et al. (1997) Aspects épidémiologiques et cliniques de l’infection à Helicobacter pylori en zone tropicale à propos de 150 cas. Medecine d’Afrique Noire, 44, 24-28.
Maiga, M.Y., Traoré, H.A., Diarra, M., Pichard, G., et al. (1996) Etude anatomo-clinique des gastrites chroniques au Mali. Medecine d’Afrique Noire, 43, 268-272.
Perret, J.L. and Nguemby-Mbina, C. (1991) Aspects épidemiologiques, cliniques et évolutifs des ulcères gastroduodénaux chez les sujets Gabonais. Medecine d’Afrique Noire, 38, 828-832.
Sanguino, J., Costa, J.S., Charrua, B., Mata, E., Mirones, J. and Quina, M. (1990) Gastrites Chroniques-Traduction Clinique? Medicine et Chirurgie Digestives, 19, 205-207.
Boudabbous, M., Gargouri, L., Chtourou, L., Mnif, L., Amouri, A. and Tahri, N. (2014) Indications et apport de la fibroscopie digestive haute chez l’enfant. A propos de 592 cas. Journal Africain d’Hépato-Gastroentérologie, 8, 125-129. https://doi.org/10.1007/s12157-014-0531-2
Ganga-Zandzou, P.S., Ategbo, S., Michaud, L., et al. (1997) Neonatal esophago-gastro-duodenoscopy. A propos of 123 examinations performed on 107 newborn infants. Archives de Pédiatrie, 4, 320-324. https://doi.org/10.1016/S0929-693X(97)86447-0
Joshi, J.R., Sharma, S.K. and Baral, M.R. (2005) Upper GI Endoscopy in Children in an Adult Suite. Kathmandu University Medical Journal, 3, 111-114.
Tam, P.K. and Saing, H. (1989) Pediatric Upper Gastrointestinal Endoscopy: A 13-Year Experience. Journal of Pediatric Surgery, 24, 443-447. https://doi.org/10.1016/S0022-3468(89)80398-7
Megraud, F. (1998) Epidemiology and Mechanism of Antibiotic Resistance in Helicobacter pylori. Gastroenterology, 115, 1278-1282. https://doi.org/10.1016/S0016-5085(98)70101-5
Attia, K.A., N’dri Yoman, T., Mahassadi, A., Bathaix, Y.F., et al. (2004) La prévalence de l’infection à H.pylori en milieu scolaire: Resultats de deux ecoles pilotes. Gastroenterologie Clinique et Biologique, 28, 134.
Diomande, M.I., Fléjou, J.F., Potet, F., Dago Akribi, A., et al. (1991) Gastrites chroniques et infection à Helicobacter pylori en cote d’ivoire: Etude d’une serie de 277 patients symptomatiques. Gastroenterologie Clinique et Biologique, 15, 711-716.
Bicheler, V., Bruley de Varannes, S., Zerbib, F., Megraud, F. and Galmiche, J.P. (2000) Séroprévalence de l’infection à Helicobacter pylori dans une population adulte saine de l’ouest de la France.
Anicic-Leroy, C. and Evrard-Lemaire, I. Place de la fibroscopie digestive haute chez l’enfant Thèse de Lille: 1993-314. (Résumé).
Toufiki, S. and Sbihi, M. (2008) Apport de la fibroscopie digestive haute chez l’enfant. Thèse de médecine. Faculté de médecine de pharmacie de Marrakech Thèse No. 24.
Pounder, R.E. and Ng, D. (1995) La prévalence de l’infection à Helicobacter pylori dans differents pays. Alimentary Pharmacology & Therapeutics, 9, 32-39.
Veldhuyzen Van Zanten, S.J.O. (1995) Le niveau socio-économiques, la situation familiale et la profession influencent-ils la prévalence de l’infection par Helicobacter pylori. Alimentary Pharmacology & Therapeutics, 9, 40-44.
Ilboudo, D., Bougouma, A., Sombié, R., Sawadogo, A., Sanou, I. and Diomande, I. (1998) Infection à H.pylori chez l’enfant en zone tropicale: Aspects endoscopiques et histologiques. Gastroenterologie Clinique et Biologique, 22, 855-857.
Aloulou, H., Maaloul, I., Yaich, S., et al. (2011) La fibroscopie digestive chez l’enfant: Indications et resultats experience d’un service de pédiatrie generale. Journal de Pediatrie et de Puériculture, 24, 111-117. https://doi.org/10.1016/j.jpp.2011.03.006
Chong, S.K.F., Lou, Q., Asnicar, M.A., et al. (1995) Helicobacter pylori dans la douleur abdominale récurrente dans l’ enfance: La comparaison des tests de diagnostic et de la thérapie. Pediatrics, 96, 211-215.
Heldenberg, D., Wagner, Y., Heldenberg, E., et al. (1995) Le rôle de Helicobacter pylori chez les enfants souffrant de douleurs abdominales récurrentes. American Journal of Gastroenterology, 90, 906-909.