Prévalence du Reflux Gastro-Œsophagien chez les Patients Asthmatiques Suivis à l’Hôpital d’Instruction des Armées Omar Bongo Ondimba de Libreville

D Mounguengui, EP Itoudi Bignoumba, UD Kombila, PAF Ondeto, LD Ibinga, GL Gaudong Mbete, JB Moussavou Kombila, JB Boguikouma

Abstract


RÉSUMÉ
sévérité de la maladie asthmatique comme le confirme notre travail. Parmi 334 patients asthmatiques, le RGO était rétrouvé dans 24,9% des cas. On notait une prédominance féminine chez les patients ayant un asthme associé au RGO (61 femmes contre 22 hommes) soit un rapport de féminité de 2,8. L’âge moyen était de 47 ans avec un écart type de 17 ans .55% des patients étaient sans emploi. L’asthme était associé à une rhinite allergique dans 47%, à une hypertension artérielle dans 19,3% et à obésité dans 16,9%. Le pyrosis, les sibilants, la toux et l’oppression thoracique étaient les symptômes prédominants. 26 patients avaient un asthme intermittent, 32 patients un asthme persistant léger, 22 patients un asthme persistant modéré et 3 patients un asthme persistant sévère. L’œsophagite peptique grade 0 était observée chez 53% des patients, le grade A chez 22,9% des patients, le grade B chez 15,7% des patients et le grade C chez 8,4% des patients. Les patients ayant le RGO avaient un asthme très sévère.  

ABSTRACT
Abstract : Gastroesophageal reflux disease (GERD) is a factor triggering asthma attacks which also have an impact on the control and severity of asthmatic disease as confirmed by our work. Among 334 asthmatic patients, GERD was found in 24.9% of cases. A female predominance was noted in patients with asthma associated with GERD (61 women versus 22 men), ie a femininity ratio of 2.8. The average age was 47 years with a standard deviation of 17 years. 55% of the patients were unemployed. Asthma was associated with allergic rhinitis in 47%, high blood pressure in 19.3% and obesity in 16.9%. Heartburn, wheezing, coughing, and chest tightness were the predominant symptoms. 26 patients had intermittent asthma, 32 patients had mild persistent asthma, 22 patients had moderate persistent asthma and 3 patients had severe persistent asthma. Grade 0 peptic esophagitis was observed in 53% of patients, grade A in 22.9% of patients, grade B in 15.7% of patients and grade C in 8.4% of patients. Patients with GERD had very severe asthma.

Keywords


Asthme, RGO, prévalence, HAIOBO

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