DOI: 10.36347/sasjm.2023.v09i03.010

Pages: 204-207

Introduction: Peptic ulcer disease is a benign condition, but its severity is linked to the risk of complications, hemorrhage, perforation, stenosis and gastric cancer. The objective of this work was to describe the epidemiological aspects of peptic ulcer disease in Mopti (Mali). Methods and patients: From 1st January 2019 to December 2021, we carried out a descriptive cross-sectional study on cases of peptic ulcer disease in patients seen in upper digestive endoscopy in the medical department of the Sominé Dolo hospital in Mopti and the BRICO II medical center in Sévaré. Were included in this study, all patients with a peptic ulcer objectified by upper digestive endoscopy with biopsy for histological examination. Were not included, cases of gastric ulceration related to cancer, lymphoma, granuloma. Result: During the study period, 1894 upper digestive endoscopies were performed and 107 gastroduodenal ulcers were diagnosed, representing a frequency of 5.64%. The patients were divided into 65 men (60.75%) and 42 women (39.25%), i.e. a sex ratio of 1.54. Housewives and farmers were respectively represented (36.4%) and (19.6%). The lesions were located on: the antrum (70.10%), the bulb (25.20%), the antrum and bulb (4.70%). The other gastroduodenal affections found were: erosive duodenitis (2.8%), gastropathy erythematous antral (7.8%), gastropathy corporeal - antral erythematous (15.8%), mosaic PH gastropathy (5.6%). Helicobacter _ pylori was found in 96% of patients and all patients had chronic, active gastritis more or less atrophic according to the Sydney classification. Conclusion: Our study revealed a high frequency of Helicobacter pylori. The proliferation of digestive endoscopy centers makes it possible to better improve diagnosis and management at the regional level.