Aspects Épidémiologiques, et Cliniques des Ascites de Centre Hospitalier Universitaire de l’Amitié Sino-Centrafricaine de Bangui, République Centrafricaine

Introduction: Ascites is a common major symptom in many digestive pathologies. It is the major complication of decompensated cirrhosis. Objective: to contribute to better management of ascites in Bangui. Patients and methods: This is a descriptive cross-sectional study lasting 30 months conducted in the Hepato-Gastroenterology department of the CHUASC in Bangui. We included in the study patients of both sexes hospitalized for ascites in whom the etiological diagnosis was known. Results: During the study period, 1210 patients were hospitalized, 204 of whom presented with ascites (16.85%), of whom 170 (14.9%) met our inclusion criteria. There were 100 men (58.8%) and 70 women (41.2%). The sex ratio was 1.42. The average age of the patients was 46 years old. The most common reasons for hospitalization were abdominal bloating in 155 cases (91.2%), OMI in 87 cases (51.2%), abdominal pain in 84 cases (49.4%). Weight loss was found in 134 cases (78.8%) and fever in 10 cases (5.9%). Ascites was of medium abundance in 89 cases (52.35%). The liver was cirrhotic on physical examination in 127 cases (74.7%). Conclusion: ascites is a frequent sign in hospitalization oftenassociated with abdominal bloating, edema of the lower limbs, abdominal pain, weight loss and fever. Men were the most affected, it mainly concerns young people. In both sexes. Introduction : L’ascite est un symptôme majeur fréquent dans beaucoup de pathologies digestives. Elle est la complication majeure de la cirrhose décompensée. Objectif : contribuer à une meilleure prise en charge de l’ascite à Bangui. Patients et méthodes : Il s’agit d’une étude transversale descriptive d’une durée de 30 mois menée dans le service d’Hépatogastroentérologie du CHU de l’Amitié Sino-Centrafricaine de Bangui. Elle a porté sur l’ascite chez des adultes des deux sexes dont le diagnostic étiologique était posé. Résultats : Durant la période d’étude, 1210 patients étaient hospitalisés dont 204 pour une ascite (16,85%), parmi lesquels 170 (14,9%) étaient inclus dans l’étude. On ...