Apport d endoscopie au diagnostic des affections digestives basses
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Ce travail de mémoire se voulait répondre à la question sur la contribution des examens endoscopiques bas faits dans les Centres Hospitaliers Universitaires de Butare et de Kigali dans le diagnostic des pathologies digestives basses. Toutes les explorations endoscopiques basses incluant les comptes rendus et les biopsies réalisées qui ont été pratiquées du 1er Janvier 2000 au 31 Décembre 2005 ont fait partie de notre étude. Sur 295 endoscopies digestives basses demandées, 288 (97,62%) ont été réalisées. Il y a eu cinq échecs soit 1,69 % car les malades étaient mal préparés et deux résultats incomplets soit 0,67 %. Sur 288 endoscopies faites, seules 75 n'ont révélé aucune lésion, soit 26,04%. 60 biopsies ont été faites soit 21% des examens endoscopiques. En conclusion, les examens endoscopiques bas faits au niveau des deux Centres Hospitaliers Universitaires du Rwanda débouchent sur une fréquence élevée des examens pathologiques et conduisent généralement à une pratique de biopsie pour confirmer le diagnostic suspecté. Actuellement, l'intérêt de ces examens ne peut être remis en cause, en dépit de leur coût relativement élevé.
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