Association des troubles fonctionnels intestinaux et reflux gastro- œsophagien à l’Hôpital Universitaire de l’Amitié de Bangui

Introduction. To determine the prevalence of the association of the irritable bowel syndrome (IBS) and of the gastroesophageal reflux (GER) in gastroenterology consultation in middle central african hospital. Patients and methods. We led a descriptive longitudinal survey of a length of 8 month in university hospital of the "Amitié" of Bangui. The diagnosis of the IBS was kept on the Rome III criteria and the one of GER on the clinical and endoscopic signs. We had included the patients of at least 18 years, at which the diagnosis of GER and the IBS was kept. The studied variables were epidemiological, clinical and endoscopic. Results. Among 341 patients having consulted during the period of survey, the GER-IBS association was recovered among 96 patients (28.1%). It was about 37 men (38.5%) and of 59 women (61.5%). The middle age of the patients was of 43.7 years. The frequent clinical signs of GER were heartburn (n=96) and regurgitations (n=71). The clinical demonstrations of the IBS were characterized by abdominal pain (n=96), an abdominal bloating (n=96) and constipation (n=92). The predominant signs were the signs of IBS in 81 cases (84.4%). Upper GI endoscopy demostrated 72 cases of peptic esophagitis. Conclusion. The association of GERD and IBS is frequent in a African population.