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Abstract
RÉSUMÉ
Les troubles moteurs de l’œsophage sont rares et les données populationnelles en Afrique subsaharienne sont inexistantes. Le diagnostic et la prise en charge sont en pleine révolution du fait de l’apparition de la manométrie haute révolution (MHR) et des techniques thérapeutiques innovantes. Dans un contexte de ressources limités ou la manométrie fait défaut, les examens classiques comme l’endoscopie et le TOGD, restent utiles pour le diagnostic. Nous rapportons deux cas cliniques fortuitement colligés en deux semaines d’intervalle dans notre pratique quotidienne. Le traitement endoscopique de choix proposé a été refusé par les patients, nous contraignant à adopter un traitement médicamenteux.
ABSTRACT
Motor disorders of the esophagus are rare and population data in sub-Saharan Africa are lacking. Diagnosis and treatment are undergoing a revolution due to the emergence of high-revolution manometry and innovative therapeutic techniques. In a context of limited resources where manometry is lacking, conventional examinations such as endoscopy and TOGD remain useful for diagnosis. We report two accidentally collected clinical cases within two weeks of our daily practice. The first choice endoscopic treatment proposed was refused by the patients, forcing us to adopt a drug treatment.
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References
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- Schlottmann F, Patti MG. Primary Esophageal Motility Disorders: Beyond Achalasia. Int J Mol Sci. 2017 Jun 30;18(7):1399.
- Tuason J, Inoue H. Current status of achalasia management: a review on diagnosis and treatment. J Gastroenterol. 2017 Apr;52(4):401-406.
- Zerbib F, Omari T. Oesophageal dysphagia: manifestations and diagnosis. Nat Rev Gastroenterol Hepatol 2015;12:322-31.
- Chirdan LB, Ameh EA, Nmadu PT. Childhood achalasia in Zaria, Nigeria. East Afr Med J. 2001 Sep;78(9):497-9.
- Mudawi HM, Mahmoud AO, El Tahir MA, Suliman SH, Ibrahim SZ. Use of endoscopy in diagnosis and management of patients with dysphagia in an African setting. Dis Esophagus. 2010 Apr;23(3):196-200.
- Ofoegbu RO. Incidence, pattern, and African variations of common benign disorders of the esophagus. Experience from Nigeria. Am J Surg. 1982 Aug;144(2):273-6.
- Ele N., Bouya P., Atipo Ibara B., Kouba C., Massengo R.. Résultats du traitement chirurgical de l'achalasie : à propos de 16 cas. e-mémoires de l'Académie Nationale de Chirurgie, 2003, 2 (2) : 26-29
- Tebaibia A, Boudjella MA, Boutarene D, Benmediouni F, Brahimi H, Oumnia N. Incidence, clinical features and para-clinical findings of achalasia in Algeria: Experience of 25 years. World J Gastroenterol. 2016 Oct 14;22(38):8615-8623.
- Insd : Résultats Préliminaires du 5ème Recensement Générale de Population et de l’Habitation du Burkina Faso, 2019
- Laurino-Neto RM, Herbella F, Schlottmann F, Patti M. Evaluation of esophageal achalasia: from symptoms to the Chicago classification. Arq Bras Cir Dig. 2018;31(2):e1376.
- Schlottmann F, Patti MG. Esophageal achalasia: current diagnosis and treatment. Expert Rev Gastroenterol Hepatol. 2018 Jul;12(7):711-721.
- Aiolfi A, Tornese S, Bonitta G, Rausa E, Micheletto G, Bona D. Management of Esophageal Achalasia after Roux-en-Y Gastric Bypass: Narrative Review of the Literature. Obes Surg. 2019 May;29(5):1632-1637. doi: 10.1007/s11695-019-03774-y. PMID: 30778843.
- Cappell MS, Stavropoulos SN, Friedel D. Updated Systematic Review of Achalasia, with a Focus on POEM Therapy. Dig Dis Sci. 2020 Jan;65(1):38-65.
- Tustumi F, Bernardo WM, da Rocha JRM, Szachnowicz S, Seguro FC, Bianchi ET, Sallum RAA, Cecconello I. Esophageal achalasia: a risk factor for carcinoma. A systematic review and meta-analysis. Dis Esophagus. 2017 Oct 1;30(10):1-8.
References
Moonen A, Boeckxstaens G. Current diagnosis and management of achalasia. J Clin Gastroenterol. 2014 Jul;48(6):484-90.
Schlottmann F, Patti MG. Primary Esophageal Motility Disorders: Beyond Achalasia. Int J Mol Sci. 2017 Jun 30;18(7):1399.
Tuason J, Inoue H. Current status of achalasia management: a review on diagnosis and treatment. J Gastroenterol. 2017 Apr;52(4):401-406.
Zerbib F, Omari T. Oesophageal dysphagia: manifestations and diagnosis. Nat Rev Gastroenterol Hepatol 2015;12:322-31.
Chirdan LB, Ameh EA, Nmadu PT. Childhood achalasia in Zaria, Nigeria. East Afr Med J. 2001 Sep;78(9):497-9.
Mudawi HM, Mahmoud AO, El Tahir MA, Suliman SH, Ibrahim SZ. Use of endoscopy in diagnosis and management of patients with dysphagia in an African setting. Dis Esophagus. 2010 Apr;23(3):196-200.
Ofoegbu RO. Incidence, pattern, and African variations of common benign disorders of the esophagus. Experience from Nigeria. Am J Surg. 1982 Aug;144(2):273-6.
Ele N., Bouya P., Atipo Ibara B., Kouba C., Massengo R.. Résultats du traitement chirurgical de l'achalasie : à propos de 16 cas. e-mémoires de l'Académie Nationale de Chirurgie, 2003, 2 (2) : 26-29
Tebaibia A, Boudjella MA, Boutarene D, Benmediouni F, Brahimi H, Oumnia N. Incidence, clinical features and para-clinical findings of achalasia in Algeria: Experience of 25 years. World J Gastroenterol. 2016 Oct 14;22(38):8615-8623.
Insd : Résultats Préliminaires du 5ème Recensement Générale de Population et de l’Habitation du Burkina Faso, 2019
Laurino-Neto RM, Herbella F, Schlottmann F, Patti M. Evaluation of esophageal achalasia: from symptoms to the Chicago classification. Arq Bras Cir Dig. 2018;31(2):e1376.
Schlottmann F, Patti MG. Esophageal achalasia: current diagnosis and treatment. Expert Rev Gastroenterol Hepatol. 2018 Jul;12(7):711-721.
Aiolfi A, Tornese S, Bonitta G, Rausa E, Micheletto G, Bona D. Management of Esophageal Achalasia after Roux-en-Y Gastric Bypass: Narrative Review of the Literature. Obes Surg. 2019 May;29(5):1632-1637. doi: 10.1007/s11695-019-03774-y. PMID: 30778843.
Cappell MS, Stavropoulos SN, Friedel D. Updated Systematic Review of Achalasia, with a Focus on POEM Therapy. Dig Dis Sci. 2020 Jan;65(1):38-65.
Tustumi F, Bernardo WM, da Rocha JRM, Szachnowicz S, Seguro FC, Bianchi ET, Sallum RAA, Cecconello I. Esophageal achalasia: a risk factor for carcinoma. A systematic review and meta-analysis. Dis Esophagus. 2017 Oct 1;30(10):1-8.