Les Occlusions Intestinales Aiguës (OIA) Par Brides Et Adhérences Post Opératoires : A Propos De 46 Cas Opérés Au Centre Hospitalier Universitaire Régional de Ouahigouya, Burkina Faso

But: Le but de cette etude etait de decrire les aspects epidemiologiques, cliniques, therapeutiques et evolutifs des occlusions intestinales aigues par brides et adherences post operatoires. Patients et methode : Il s’est agi d’une etude retrospective descriptive menee sur deux ans dans le service de chirurgie du centre hospitalier universitaire regional de Ouahigouya, du 1er janvier 2017 au 31 decembre 2018. Elle avait inclus les patients operes pour une occlusion intestinale aigue par brides et adherences post operatoires et possedant un dossier clinique bien documente. Resultats : Les brides et adherences post operatoires ont represente 41,81% des causes d’occlusions intestinales aigues. La moyenne d’âge des patients etait de 37,93 ans. Le sexe masculin etait le plus represente avec 68,57% des cas. La douleur abdominale etait le principal motif de consultation. L’appendicite aigue et la peritonite aigue generalisee avaient domine les etiologies des interventions anterieures dans 37,84% des cas. Les brides et adherences post operatoires etaient survenues durant les cinq premieres annees dans la majorite des cas. Le delai moyen d’intervention etait de 14,43 heures. L’intestin grele etait le plus frequemment affecte dans 41,30% des cas. La section de brides etait le geste chirurgical le plus souvent realise dans 34,8% des cas. Les suites operatoires s’etaient compliquees dans 26,09% des cas et la mortalite etait de 10,87%. Conclusion : Les occlusions par brides et adherences postoperatoiresrepresentent une cause frequente d’occlusions intestinales aigues. Leurdiagnostic est clinique. Le traitement est medicochirurgical et leur pronosticreste greve d’une forte morbi-mortalite imputable aux retards de diagnostic et de prise en charge. Aim: The aim of this study was to describe the epidemiological, clinical, therapeutic and evolutionary aspects of acute intestinal occlusions by flanges and post-operative adhesions. Patients and method: This was a two-year descriptive retrospective study conducted in the surgical department of the Ouahigouya Regional University Hospital from January 1, 2017 to December 31, 2018. It included patients operated on for acute intestinal obstruction by postoperative flanges and adhesions and with a well-documented clinical record. Results: The post-operative flanges and adhesions accounted for 41.81% of the causes of acute intestinal obstructions. The average age of the patients was 37.93 years. Males were the most represented with 68.57% of cases. Abdominal pain was the main reason for consultation. Acute appendicitis and generalized acute peritonitis had dominated the etiologies of previous interventions in 37.84% of cases. The post-operative flanges and adhesions occurred during the first five years in the majority of cases. The average response time was 14.43 hours. The small intestine was most frequently affected in 41.30% of cases. The flange section was the most performed surgical procedure in 34.8% of cases. The postoperative operations were complicated in 26.09% of cases and mortality was 10.87%. Conclusion: The postoperative flanges and adhesion occlusions are a common cause of acute intestinal obstructions. Their diagnosis is clinical. The treatment is medico-surgical and their prognosis remains highly morbidity and mortality due to delays in diagnosis and management.