Epidemiological Profile of Gastric Adenocarcinoma in Morocco: Evolution and Risk Factors

Background: Gastric cancer (GC) remains a public health issue despite the global incidence decrease over the last decades. GC is the third leading cause of cancer-related death worldwide and it is still of poor prognosis due to its late detection. This paper focuses on determining the sociodemographic and progressive characteristics of patients who presented gastric adenocarcinoma in the absence or in the presence of the bacterium Helicobacter pylori at the service of Hepato-Gastroenterology at the University Hospital of Rabat in Morocco. Methods: To evaluate the epidemiological characteristics of gastric adenocarcinoma in the absence or in the presence of the bacterium Helicobacter pylori, a retrospective study was conducted on cases admitted at the Hepato-Gastroenterology department (University Hospital, Avicene Rabat) between 2000 and 2010 to support gastric adenocarcinoma. Results: 240 cases of GC were recorded with an average of 22 cases per year, which represents 77% of all gastric cancers identified. Male gender is most affected. The frequency of appearance of ADK in the absence of the bacterium Hp is 82% (196 cases). It is 18% (44 cases) in the presence of Hp. During the study period, 99 deaths were recorded: 81 cases in the presence of the bacterium Helicobacter pylori, 18 cases of death in the absence of Hp. The lethality rate was higher in the male sex, either in the presence or absence of Hp. Conclusions: Management of GC additionally to early diagnosisrepresents effective preventive and therapeutic methods of GC

Profil Epidémiologique Des Lymphomes Malins NonHodgkinien Gastrique Au Maroc

Retrospective study was done on some cases having Malin Lymphoma Non-Hodgkin's gastric recorded in Hepato-Gastroenterology department of University Hospital in Rabat during the period 2000 to 2010. The objective of this work is to identify primary and clinics Non Hodgkin lymphomas Malins of the stomach lymphosarcoma type. During the study periodwe registered 47 cases of Hodgkin's Lymphoma Non Malin, an average of 4 ± 0.59 cases / year. The majority of cases were from Kenitra-Rabat-Sale with 40% of cases. Males were the most affected with 55%. The chi-square test showed no significant difference between gender (χ2 = 0.53, P> 0.05). 56 ± 2.8 years. The average age of the patients was hospitalized with ends from 19 years to 85 years, a predominance of the age group [70-80 [with 24%. The majority of patients have a low socioeconomic level (95%). The most registered clinical signs are generally: Alteration of the general state (17%), fever (12%), anemia (10%), epigastric burn type and epigastric cramping in 8% for each of them. The location Antro - pyloric was the most frequent (54%), then the fundus location (18%) and diffuse forms in 9%