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Research Article
Efficacy and Safety of Mono-polar Coagulation Forceps in the Repair of Large Mallory-Weiss Tear in Patients with Massive Upper Gastrointestinal Bleeding, 2 Case Reports
Mahmoud Farouk Kamel Hassanein*
,
Karine Larue,
Abdul Basit Sani,
Dhamarah Ranjan Trotsky,
Vital Philoe,
Nivetha Pandiyan,
Sarka Viktorova
Issue:
Volume 13, Issue 2, April 2025
Pages:
11-15
Received:
4 May 2025
Accepted:
4 June 2025
Published:
22 June 2025
DOI:
10.11648/j.ajim.20251302.11
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Abstract: Mallory-Weiss tear (MWT) is a frequent cause of acute upper gastrointestinal (AUGI) bleeding and is defined as a longitudial superficial mucosal tear that usually occurs at the gastroesophageal junction. MWT is usually associated with increased abdominal pressure. 50 to 70% of patients diagnosed with MWT have a history of heavy alcohol intake. MWT usually presents with bright red or coffee-ground vomitus, black tar-like stool, signs of anemia, chest pain, abdominal pain, or signs of shock. Bleeding from MWT can stop on its own, however, significant bleeding may require endoscopic management. Here, we present 2 cases of life-threatening upper GI bleeding secondary to MWT. Case 1 is a 55-year-old male with known Obesity Hypoventilation Syndrome who presented with a violent cough and was initially admitted with respiratory distress. He became hypoxic and hypercarbic while on the ward and was transferred to the Intensive care Unit (ICU). A copious amount of fresh blood was drained upon passage of a nasogastric tube. The second case is a 31-year-old male who abuses alcohol. He presented with five episodes of vomiting followed by 4 episodes of hematemesis. Initially, conservative management failed to stop the bleeding in both cases; hence, an upper Gastrointestinal (GI) endoscopy was done, which diagnosed a MWT in both cases. Haemostasis was achieved in both cases using monopolar coagulation forceps. The use of monopolar coagulation forceps is a safe and effective tool in combination with other endoscopic modalities in managing significant bleeding from MWT. Monopolar coagulation forceps are much easier to use over the bipolar heater probe.
Abstract: Mallory-Weiss tear (MWT) is a frequent cause of acute upper gastrointestinal (AUGI) bleeding and is defined as a longitudial superficial mucosal tear that usually occurs at the gastroesophageal junction. MWT is usually associated with increased abdominal pressure. 50 to 70% of patients diagnosed with MWT have a history of heavy alcohol intake. MWT ...
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Research Article
Overview of Hospitalized Conditions in the Internal Medicine Department of the Lomé University Hospital Campus
Toyi Tchamdja*,
Djalogue Lihanimpo,
Kodjo M'bortché,
Abago Balaka,
Vicentia Jeanne D’Arc Kouchoelo,
Sosso Tovignikou,
Komi Edem Mossi
Issue:
Volume 13, Issue 2, April 2025
Pages:
16-23
Received:
16 April 2025
Accepted:
16 May 2025
Published:
23 June 2025
DOI:
10.11648/j.ajim.20251302.12
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Abstract: We make this study to determine the nature and frequency of the different groups of pathologies treated in hospitalization in the internal medicine department of the CHU Campus of Lomé from 2021 to 2022. Then, we done an retrospective study and a descriptive aim was carried out from January 1, 2021 to December 31, 2022 in the internal medicine department of the CHU Campus. Data were collected from a questionnaire completed using inpatient records during our study period. On end of the study, in 1978 patients selected for this study, 1096 (55.4%) were female and 882 (44.6%) were male, i.e. a M/F sex ratio of 0.8. The mean age of the patients was 50.2 ± 19.0 years (range 14 to 108 years). Asthenia (40.0%) and fever (29.9%) were the reasons for consultation frequently encountered. Hypertension (33.0%) and diabetes (21.6%) were the most common medical antecedents. The main groups of pathologies encountered were infectious pathology (38.6%), endocrine pathology (24.1%) and HGE pathology (6.9%). But taken in isolation, diabetes, malaria and HIV infection were the main pathologies diagnosed with respectively 22.1%, 12.9% and 6.3% of hospitalizations. In conclusion, we say that, the pathologies frequently encountered in the internal medicine department were infectious and endocrine.
Abstract: We make this study to determine the nature and frequency of the different groups of pathologies treated in hospitalization in the internal medicine department of the CHU Campus of Lomé from 2021 to 2022. Then, we done an retrospective study and a descriptive aim was carried out from January 1, 2021 to December 31, 2022 in the internal medicine depa...
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Research Article
Profile of Anemia in the Internal Medicine Department of the Lomé University Hospital Campus: Typology and Etiologies
Toyi Tchamdja*,
Lihanimpo Djalogue,
Kodjo M'bortché,
Kokou Tchambakou,
Sosso Tovignikou,
Komi Edem Mossi,
Abago Balaka
Issue:
Volume 13, Issue 2, April 2025
Pages:
24-31
Received:
16 April 2025
Accepted:
16 May 2025
Published:
23 June 2025
DOI:
10.11648/j.ajim.20251302.13
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Views:
Abstract: We did this study to determine the profile of anemia in the internal medicine department of the Lomé University Hospital campus. Then, we have done a retrospective and descriptive study which took place over the period from January 1, 2021 to December 31, 2022, i.e. a duration of 2 years in the internal medicine department of the Lomé University Hospital campus. Data were collected from a questionnaire completed using the records of patients hospitalized during the study period. During the study period, 190 files of anemic patients were collected from 2,249 hospitalized patients. The hospital frequency of anemia was 8.45%. The average age of the patients was 47 ± 20 years. The female gender was predominant with a sex ratio of 0.76. Most patients were admitted through the emergency department (56.8%). The main reasons for consultation were asthenia (41.6%) and severe pallor (17.9%). Hypertension, HIV infection and diabetes were the main medical antecedents in 22.6%, 22.6% and 15.3% respectively. The average hemoglobin level was 7 g/dl. Normocytic anemia and microcytic anemia were the most observed types of anemia (55.3% and 43.2% respectively). The main etiologies were severe malaria (26.3%), HIV infection (24.7%) and chronic renal failure (17.9%). The average length of hospitalization was 6±3 days. The mortality rate was 18.9%. The main causes of death were HIV infection, viral hepatitis B&C, chronic renal failure and hematologic malignancies. To concluate, anemia is a frequent symptom in our environment and constitutes a real challenge for the hospital practitioner. Its classification makes it possible to guide the etiologies in order to establish adequate care.
Abstract: We did this study to determine the profile of anemia in the internal medicine department of the Lomé University Hospital campus. Then, we have done a retrospective and descriptive study which took place over the period from January 1, 2021 to December 31, 2022, i.e. a duration of 2 years in the internal medicine department of the Lomé University Ho...
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