Management of Ulcerative Pyloric Stenosis in the General Surgery Department of the Ignace Deen National Hospital, CHU Conakry (Guinea)

Aim: was to contribute to the improvement of the management of ulcerative pyloric stenosis in the general surgery department of the Hôpital National Ignace Deen. CHU in Conakry. Patients and methods: This was a retrospective descriptive study, covering a period of 10 years (January 2013 to December 2022), on the consecutive records of patients operated on for ulcerative pyloric stenosis in the general surgery department of the Hôpital National Ignace Deen, CHU de Conakry. Results: Over a 10-year period, we recorded 81 cases of ulcerative pyloric stenosis, representing a hospital frequency of 2.03%. The mean age of patients was 48.96 ± 16.73 years, with extremes of 14 and 76 years. Males predominated (65.4%), with a sex ratio of 1.89. Housewives were the most represented (32.1%). The main reasons for consultation were vomiting (96.30%) and epigastralgia (95.06%). The surgical approach was median supra-umbilical laparotomy for 51 cases (62.96%) and median supra- and sub-umbilical laparotomy for 30 cases (37.04%). Gastrojejunal bypass was performed in 85.19% of cases, followed by pyloroplasty + vagotomy (8.64%) and pyloroplasty (6.17%). Postoperative outcome was favorable in 90.12% (n=73). We recorded 3 deaths (3.70%). Average hospital stay was 16.7± 5.2 days, with extremes of 6 and 29 days. Conclusion: Ulcerative pyloric stenosis is a sign of long-standing ulcerative disease, and remains frequent in our context.