La maladie de Ménétrier en milieu hospitalier à Ouagadougou (Burkina Faso) : étude de cas
Keywords:
Menetrier's disease, Epidemiology, Diagnosis, Burkina FasoAbstract
Menetrier's disease is a precancerous condition of the stomach. Very few studies have concerned this condition in the world. We report 3 cases collected at the University Hospital Center Yalgado Ouedraogo. The age of our patients was between 51 and 73 years old with an average age of 59 years. It was 2 men and a woman of low socio-economic level. The clinical picture was dominated by epigastralgia, upper gastrointestinal bleeding and vomiting. Digestive fibroscopy showed hypertrophic gastropathy in the three patients with suspicion of degeneration in two of them. The histology was in favor of Ménétrier's disease in all cases; but it only confirmed degeneration in a patient. Two of our patients received medical treatment with omeprazole, amoxicillin and metronidazole in one, clarithromycin in the other. The third patient had a total gastrectomy. The postoperative course was simple. The patient was fed with liquid and semi-liquid products. The other two were lost sight of. Ménétrier's disease remains rare and multicentric studies could lead to treatment protocols adapted to our country.