Esophageal cancer in Bobo-Dioulasso (Burkina Faso): epidemiological, clinical, endoscopic and anatomopathological aspects

Esophageal cancer in Bobo-Dioulasso (Burkina Faso): epidemiological, clinical, endoscopic and anatomopathological aspects

Mâli Koura1, Ollo Roland Somé2, Damien Z Ouattara3, P. Delphine Napon-Zongo4, Valentin Konségré5, Sosthène K Somda6, Aboubacar Coulibaly6, Nogognan Zouré1, Euloges B Kamboulé1, Christiane C Béré6, Inès N Compaoré7, Appolinaire Sawadogo1.
1Hepato-gastroenterology department, Sourô Sanou University Hospital Center, Bobo Dioulasso, Burkina Faso; 2General and Digestive Surgery Department, Oncology Unit, Sourô Sanou University Hospital Center, Bobo Dioulasso, Burkina Faso; 3Hepato-gastroenterology department, Regional University Hospital Center, Ouahigouya, Burkina Faso; 4Department of Medicine, Bogodogo University Hospital Center, Ouagadougou, Burkina Faso; 5Department of Anatomy, Pathology and Cytology, Sourô Sanou University Hospital Center, Bobo Dioulasso, Burkina Faso; 6Gastroenterology Department, Yalgado Ouédraogo University Hospital Center, Ouagadougou, Burkina Faso.7Medical Department, El Fatel Suka Clinic, Ouagadougou, Burkina Faso.

Open Journal of Gastroenterology and Hepatology

Introduction. Our study aims to strengthen the literature on esophageal cancer in Burkina Faso by assessing its endoscopic frequency and describing its epidemiological, anatomical-clinical and endoscopic characteristics. Patients and Methods: This was a descriptive cross-sectional study conducted from January 1, 2015 to June 30, 2018. Included in this study were all patients who had upper gastrointestinal fibroscopy (UGIF) with biopsy, and in whom esophageal cancer was confirmed histologically. The variables studied were: age, sex, main circumstance of diagnosis, endoscopic appearance, and histological type, as well as risk factors. Results: During the study period, 29 cases of esophageal cancer were diagnosed, with an average endoscopic incidence of 8.3 cases/year. The average age was 58.34 years. There were 17 (58.6%) males, or a sex ratio of 1.5. The definite risk factors of alcohol consumption and active smoking were present in 31.0% of patients. The average duration of consultation was 65.8 days, and the main symptom at diagnosis was dysphagia (72.4%). The preferred location was the lower third for nearly three-quarters of tumors; and the budding form was dominant (56.3%). At histology, squamous cell carcinoma was the dominant type (65.5%). Conclusion: This study shows us an increase in the average annual incidence of esophageal cancer in Bobo-Dioulasso. It mainly affects males from the age of 50, with clinical, endoscopic and histological characteristics similar to those found in the literature. The great delay in diagnosis limits the therapeutic options for this cancer with a formidable prognosis.

Keywords: cancer, esophagus, epidemiology, endoscopy, histology, Bobo-Dioulasso.

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Mâli Koura, Ollo Roland Somé, Damien Z Ouattara, P. Delphine Napon-Zongo, Valentin Konségré, Sosthène K Somda, Aboubacar Coulibaly, Nogognan Zouré, Euloges B Kamboulé, Christiane C Béré, Inès N Compaoré, Appolinaire Sawadogo.Esophageal cancer in Bobo-Dioulasso (Burkina Faso): epidemiological, clinical, endoscopic and anatomopathological aspects.Open Journal of Gastroenterology and Hepatology, 2019, 2:23. DOI: 10.28933/ojgh-2019-11-0705


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