Keywords
epigastralgia
gastro-oesophageal reflux
fundoplicature
Niamey National Hospital
How to Cite
Abstract
Objective :
To report the results of hiatal hernia management at Niamey National Hospital.
Patients and method :
This was a retrospective series of cases collected over a 5-year period involving adult patients who had undergone surgery for hiatal hernia at the HNN.
Results :
The series included six patients. Five were male and one female, giving a sex ratio of 5:1. The mean age of the patients was 34.17 ± 5.77 years, with extremes of 27 and 42 years. Tea and coffee consumption was found in 83.34% (n=5). Epigastralgia was the most frequent reason for consultation in 66.7% of patients, followed by gastro-oesophageal reflux in 2 cases (33.33%). Oesogastroduodenal fibroscopy was performed in 83.34% of patients (n=5). Slipped hiatal hernia was the most common type of hiatal hernia found in 83.34% of patients (n=5), with 33.33% (n=2) having peptic oesophagitis (with 16.7% of patients at Savary Muller grades 1 and 2). Eighty-three point three percent (83.84%, n=5) of patients had undergone fundoplication according to Nissen and 16.7% of patients (n=1) had undergone fundoplication according to Toupet. The immediate post-operative course was straightforward in 83.34% of patients (n=5). One case of postoperative dysphagia was recorded. The average post-operative hospital stay was 4.5 days, with extremes of 5 and 7 days.
Conclusion :
Hiatal hernia remains rare in Niger. Surgical treatment is based essentially on fundoplication with satisfactory results.
References
1. Sfara A, Dumitrascu DL. The management of hiatal hernia: an update on diagnosis and treatment. Med Pharm Rep. 2019 Oct;92(4):321-325.
2. Allemann PI, Guarnero VA, Schoepfer AL, Demartines N, Schäfer MA. Hernie hiatale : prise en charge diagnostique et thérapeutique en 2017. Rev Med Suisse. 2017 ;13(567):1248-52.
3. Sathasivam R, Bussa G, Viswanath Y, Obuobi RB, Gill T, Reddy A, Shanmugam V, Gilliam A, Thambi P. 'Mesh hiatal hernioplasty' versus 'suture cruroplasty' in laparoscopic paraoesophageal hernia surgery; a systematic review and meta-analysis. Asian J Surg. 2019 Jan;42(1):53-60.
4. Bangoura AD, Bathaix YM, Kouamé GD, Anzouan-Kacou HK, Doffou AS, Mahassadi KA, Attia KA, N’Dri-Yoman AT. Apport de la Fibroscopie œsogastroduodénale (FOGD) dans la pathologie digestive du sujet âgé en Côte d’Ivoire. Revintscméd-RISM-2017. 2017 ;19(4):335-40.
5. Soudré SMOB, Sanou PAD, Koura M, Ouattara ZD, Zoungrana SL, Zouré N, et al. Le diagnostic de la hernie hiatale à Ouagadougou : étude multicentrique. Jaccr Africa 2022, ; 6 (1): 12 – 17.
6. Sylla M, Mara D, Sylla FL, Cissé M, Diallo AT. Reflux gastro-œsophagien chez l'adulte: aspect épidémiologique, diagnostic et thérapeutique. PAMJ-Clinical Medicine. 2020 ;2(150) : doi: 10.11604/pamj-cm.2020.2.150.22462.
7. Abarchi H. Contribution à l’étude de la hernie hiatale. Thèse de médecine faculté des sciences de la santé de l’université Abdou Moumouni Niamey, 1988, 72p.
8. Hamidine I, Adamou H, Magagi IA, Garba AA, Mamadou M, Seydou Midou AR et al. Endoscopie digestive haute a l’hopital national de zinder: indications et résultats. Mali Méd. 2023 ;38 (1) :21-25.
9. Ollyo JB, Fontolliet C, Brossard E, Lang F. La nuova classificazione di Savary dell’esofagite da reflusso. Acta Endoscopica. 1992;22:307-20.
10. Hill LD, Kozarek RA, Kraemer SJ, Aye RW, Mercer CD, Low DE, Pope CE 2nd. The gastroesophageal flap valve: in vitro and in vivo observations. Gastrointest Endosc. 1996 Nov;44(5):541-7.
11. Guérin E, Bétroune K, Closset J, Mehdi A, Lefèbvre JC, Houben JJ, Gelin M, Vaneukem P, El Nakadi I. Nissen versus Toupet fundoplication: results of a randomized and multicenter trial. Surgical endoscopy. 2007;21:1985-90.
12. Ankouane F, Kowo M, Ngatcha G, Bieleu Tchawo M, Tzeuton C, Nouedoui C, Ndjitoyap Ndam EC. Prévalence de l’infection à Helicobacter pylori chez 103 patients avec reflux gastrooesophagien, oesophagite érosive ou un oesophage de Barrett à Yaoundé, Cameroun. Hegel. 2015;5(4):297-303.
13. Kodjoh N, Kpossou AR, Sogbossi N, Agbodande KA. P324. Reflux gastro-œsophagien à Cotonou : Aspects épidémiologiques, cliniques et endoscopiques [Thèse de Médecine / Actes de congrès]. Cotonou : Université d'Abomey-Calavi ; 2014 [cité le 24 septembre 2026]. Disponible sur le site de la SNFGE
14. Ibara JR, Moukassa B, Itoua-Ngaporo A. La pathologie digestive haute au Congo à propos de 2393 endoscopies réalisées au CHU de Brazzaville. Médecine d'Afrique Noire. 1993;40(2):97-100.
15. Maiga M Y, Traore Ha Dembele, M Guindo, et al. Apport de l’endoscopie digestive haute dans le diagnostic de la hernie hiatale à Bamako (Mali) à propos de 140 cas. Mali Med. 1994 ; 9 : 42-44.
16. Ngouala GA, Bourgi L, Da Veiga JA, Sakho A. Endoscopie digestive haute à Louga (Sénégal): profil des patients et difficultés rencontrées. The Pan African Medical Journal. 2017;27 : Pan Afr MedJ.2017 ;27 : 211. DOI : 1011604/pamj. 2017. 27. 211. 9586.
17. Felix VN, Yogi I, Senday D, Coimbra FT, Martinez Faria KV, Belo Silva MF, Previero Elias da Silva G. Post-operative giant hiatal hernia: A single center experience. Medicine (Baltimore). 2019 Jun;98(23):e15834. doi: 10.1097/MD.0000000000015834.
18. Camengo-Police S, Service G, Boua-Akelelo N, Mbeko-Simaleko M, Molowa-Kobendo JR, Nangouma S. La hernie hiatale à l’hôpital universitaire de l’Amitié à propos de 156 cas. Méd Afr Noire 2012; 5905; 285–88.
19. Andolfi C, Jalilvand A, Plana A, Fisichella PM. Surgical Treatment of Paraesophageal Hernias: A Review. J Laparoendosc Adv Surg Tech A. 2016 Oct;26(10):778-783.
20. Clapp B, Hamdan M, Mandania R, Kim J, Gamez J, Hornock S, Vivar A, Dodoo C, Davis B. Is fundoplication necessary after paraesophageal hernia repair? A meta-analysis and systematic review. Surg Endosc. 2022 Aug;36(8):6300-6311.
21. Analatos A, Lindblad M, Ansorge C, Lundell L, Thorell A, Håkanson BS. Total versus partial posterior fundoplication in the surgical repair of para-oesophageal hernias: randomized clinical trial. BJS Open. 2022 May 2;6(3):zrac034. doi: 10.1093/bjsopen/zrac034.
22. Horinishi Y, Shimizu K, Sano C, Ohta R. Surgical Interventions in Cases of Esophageal Hiatal Hernias among Older Japanese Adults: A Systematic Review. Medicina (Kaunas). 2022 Feb 13;58(2):279. doi: 10.3390/medicina58020279.
23. Huynh P, Konda V, Sanguansataya S, Ward MA, Leeds SG. Mind the Gap: Current Treatment Alternatives for GERD Patients Failing Medical Treatment and Not Ready for a Fundoplication. Surg Laparosc Endosc Percutan Tech. 2020 Dec 16;31(2):264-276.
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