Introduction:Chronic kidney disease (CKD) is the progressive and
irreversible loss of kidney function. It exposes to many complications, among
which, digestive complications. In Mali, we do not have data on the prevalence
of digestive pathologies in people with chronic renal failure, hence the
interest of this study. Objective: To determine the prevalence of
digestive pathologies and to describe their
manifestations during chronic renal failure. Patients and Methods: This wasa
prospective cross-sectional study conducted from September 2016 to August 2017,
a period of 12 months. Included were patients hospitalized in our department
with CKD who received digestive endoscopy and/or liver serology. Results: Seventy-one patients underwent digestive endoscopy with oesogastroduodenalfibroscopy (60 patients),
rectoscopy (6 patients) and anoscopy (5 patients), i.e. 15.9% of those hospitalized. The mean age of the patients was
48 ±14
years with extremes of 15 and 84 years. The sample consisted of 59.2% men
versus 40.8% women, for a sex ratio of 1.5. The functional signs are in order
of frequency: vomiting (72.4%), anorexia (51.3%) and epigastralgia (48.7%).
Terminal CKD by creatinine clearance accounted for 88.2% of cases, of which
47.4% were monitored by hemodialysis. Hepatitis
C virus infection was present in 21.3% of cases, hepatitis B (18%) and HIV
(7.5%).
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