LES COMPLICATIONS DE LA MALADIE DE CROHN CONDUITE DIAGNOSTIQUE ET THERAPEUTIQUE EN URGENCE: COMPLICATIONS OF CROHN’S DISEASE DIAGNOSTIC AND THERAPEUTIC CONDUCT IN EMERGENCY

La maladie de Crohn (MC) est une maladie inflammatoire transmurale du tube digestif d’évolution chronique, d’étiologie probablement multifactorielle. Elle touche l’adulte jeune entre 30 et 40 ans. La localisation la plus fréquente est le grêle distale avec des formes grêliques pures dans 30 à 40% et des formes grêlo-coliques dans 20 à 30%, la maladie de Crohn se traduit par des douleurs abdominales et des diarrhées qui peuvent persister plusieurs semaines. L’iléo-coloscopie avec biopsies est primordiale pour confirmer son diagnostic. Le traitement doit toujours être médical en dehors des situations d’urgences qui peuvent imposer des gestes chirurgicaux : drainage d’abcès, traitement des occlusions et des péritonites, La place de la laparoscopie dans la maladie de Crohn est faisable mais les résultats dépendent de l’expérience de l’opérateur.AbstractCrohn's disease (CD) is a chronic transmural inflammatory disease of the digestive tract, probably of multifactorial etiology. It affects young adults between the ages of 30 and 40. The most frequent localization is the distal hail with pure hail forms in 30 to 40% and hail-colonic forms in 20 to 30%. Crohn's disease results in abdominal pain and diarrhea which can persist for several weeks. Ileo-colonoscopy with biopsies is essential to confirm its diagnosis. The treatment must always be medical apart from emergency situations which may require surgery: abscess drainage, treatment of occlusions and peritonitis, the place of laparoscopy in Crohn's disease is feasible but the results depend on the operator’s experience.Keywords: Crohn's disease, Complications, Ileocecal resection, Recurrence. &nbsp

Gastrointestinal Stromal Tumors: Update and Therapeutic Strategies

AbstractGastrointestinal Stromal Tumors (GISTs) represent a significant clinical challenge due to their resistance to conventional chemotherapy. This study aims to provide an update on the clinical, morphological, pathological, and therapeutic aspects of GISTs treated at our institution over an 11-year period. We highlight the efficacy of Imatinib as a targeted therapy and emphasize the importance of complete surgical resection. Additionally, we present a case of concomitant gastric adenocarcinoma and duodenal GIST, underscoring the need for comprehensive clinical evaluation in these cases