the goal of this study was to investigate the internal hemorroid disease in our endoscopic center. METHOD:This transversal study went from December 2011 to December 2012. RESULTS:Sixty cases of internal hemorroid desease were enroled with36 men and 24 women and a middle age of 47 ±14.4 years. Clinical signs were frequently: bleeding (66.7%), constipation (58.4%), anal pain (58.3%) and hemorrhoid prolapsed (18.3%). The anal and rectum scopy found only internal hemorrhoid in 78.4% of cases and the grade I was about 81.7% of cases. All patients were beneficied of medical treatement. CONCLUSION:hemorrhoid disease is a frequent pathology in general population mainly around third decade.

AIMS:The goal of our work was to clarify the epidemiologicals, clinicals, etiologicals and prognostics of upper gastrointestinal bleeding at Segou Regional Hospital.PATIENTS AND METHODS:This cross-sectional study, which took place from October 1, 2017 to September 31, 2018, involved patients hospitalized for digestive hemorrhage.RESULTS:Upper gastrointestinal bleeding represented 9.7% of all hospitalizations. The mean age of the patients was 50, 94 ± 21, 6 years with a sex ratio of 1.6 in favor of men. Housewives and farmers were represented in 37.7% and 34% of cases. The main modes of disclosure were hematemesis and melena. Evolution was favorable with a mortality of around 34%.CONCLUSION:upper gastrointestinal bleeding is relatively common in our context. High mortality is linked to delayed treatment.

PURPOSE:The purpose of this study was to study hepatitis B virus infection in pregnant women.METHOD:This was a one-year descriptive cross-sectional study carried out in the Gynecology-Obstetrics Department of the Gabriel Touré University Hospital.RESULT:During this period, 796 pregnant people were seen in antenatal consultations. Ween rolled 500 pregnant women in whom the search for HBs Ag was carried out, a rate of 62.81%. Of these pregnant 85 had HBs Ag a prevalence of 17%. The average age of these women was 26.9±5.6 years. Our patients were paucipare sin 52.9%. Of these, 17.7% had a family history of chronic liver disease and 37.6% had once given birth in a referral health centre. Blood transfusion, polygamous focus and tattooing/scarification were the risk factors associated with HBs Ag carriage. Alarming clinical signs were absent in 95.2% of cases. Hepatic cytolysis and anaemia were foundin 28.8% and 76.3% of cases respectively; viral replication was observed in 13.6% of pregnant women with a high viral loadin 37.2%. Abdominal ultra sound was normal in 90.8% of cases and esophageal varices were present in 6% of women who performed eso-gastroduduedenal fibroscopy. Fibrosis was significant according to an APRI score in 3.4%.CONCLUSION:The prevalence of HBs A in pregnant women followed remains high.

The main aim of this study was to investigate the role of non-steroidal anti-inflammatory drugs in digestive bleeding in a hospital setting and in a context of social and security instability. Patients and methods: This was a prospective and analytical study that took place in the Hepato-Gastroenterology Department of the Gabriel TOURE University Hospital over a period of two years and included all patients hospitalized for digestive hemorrhage. These patients had benefited from the research of sociodemographic characteristics, the notion of taking non-steroidal anti-inflammatory drugs (dose and duration), a physical examination and a digestive endoscopy. Results: At the end of this study, 78 cases of non-steroidal anti-inflammatory drug use out of 210 patients hospitalized for digestive hemorrhage were recorded, i.e. a frequency of 37.1%. The mean age of our patients was 47.01±19.3 years with a sex ratio of 2.9. Housewives and farmers represented 28.2% and 20.5% respectively. Hematemesis was the reason for consultation in 71.8%. Digestive hemorrhage and smoking were the most common antecedents. Diclofenac was the most commonly used drug in 53.9% of cases, with bleeding occurring in the first week after taking the non-steroidal anti-inflammatory drug in 53.9% of cases. Signs of hypovolemic shock were frequently found. The GD ulcer was the cause found in 66.2% of cases. Hemorrhage occurred significantly (p=10-8) in the first week of taking non-steroidal anti-inflammatory drugs and was significantly associated with NSAID use. There was no statistically significant difference in the occurrence of death between the molecules. Conclusion: NSAID-induced GI bleeding in adults is one of the major GI emergencies and remains an important cause of morbidity and mortality.

Aims The aim of our study was to describe the epidemiological and anatomoclinic aspects of chronic inflammatory bowel disease (IBD) in Bamako/MALI

Digestive hemorrhage by rupture of esophageal Varices is common and has a pejorative prognosis in our context. Purpose: The main purpose of this work was to study the digestive bleeding by esophageal varices and prognosis value of blood transfusion in the Hospital of Gabriel Touré. Methodology: It was a prospective study that took place in the service of Hepato-gastroenterology of Gabriel Touré Hospital from June 2016 to May 2017 and from November 2017 to August 2018. Results: At the end of the study, 77 patients met the inclusion criteria out of 1396 patients hospitalized during the same period. Varices bleeding represented a prevalence of 5.5% among hospitalized patients during the same period. The average age of our patients was 46.58 ± 15.09 years. The male sex was more reported in our study with a prevalence of 67.5%. At admission, 63.2% had clinical anemia, 58.4% low arterial pressure and 50.6% hemoglobin rate less than 7 g/dL. Blood transfusion was indicated in 47 patients (61%). The mortality rate was 23.4% and was comparable in both groups (p = 0.0990). Early rebleeding was significantly observed in the case of transfusion (p = 0.0452). Hepatic encephalopathy was the leading cause of death of our patients with 72.2%. Conclusion: Digestive bleeding by esophageal varices is a worsen complication in cirrhosis in hospital setting. Transfusion has not significantly improved the prognosis of our patients.

RESUME Introduction. Le but de notre etude etait de rapporter les resultats des trois premieres annees de pratique de la coloscopie a Kayes au Mali. Methodes. Il s’agit d’une etude transversale retrospective, menee du 1er Janvier 2018 au 31 Decembre 2020 a partir des registres de comptes rendus d’endoscopies digestives basses de l’hopital regional de Kayes et de la clinique medicale «SEWA». Les patients ayant beneficie d’une endoscopie interpretable ont ete inclus. Les donnees recueillies pour chaque patient etaient: l’âge, le sexe, la profession, la residence, l’indication de la coloscopie, la lesion retenue, le resultat de biopsie. Les donnees ont ete saisies et traitees au moyen du logiciel Excel. Resultats. Durant la periode d’etude, 108 coloscopies ont ete realisees sur un total de 1021 endoscopies digestives basses soit 10,6%. Sur les 108 patients enregistres, 76 etaient de sexe masculin (70%) soit un sex-ratio de 2,4. L’âge moyen des patients etait de 48,67 ans avec des extremes de 15 et 81 ans. Les indications les plus frequentes de la coloscopie etaient la rectorragie (39,9%), la diarrhee chronique (19,4%), la constipation (16,7%) et la douleur abdominale (13%). Les pathologies frequemment retrouvees etaient la maladie hemorroidaire (19,4%), les recto-sigmoidites non specifiques (13,9%), les maladies inflammatoires chroniques de l’intestin (13%), le cancer colorectal (12%). Conclusion. La pathologie digestive basse est frequente a Kayes au Mali. La frequence des cancers colorectaux et celle des maladies inflammatoires chroniques de l’intestin meritent une attention particuliere. ABSTRACT Introduction. The aim of our study was to report the results of the first three years of colonoscopy practice in Kayes, Mali. Methods. This was a cross sectional retrospective study, conducted from January 1, 2018 to December 31, 2020 from the lower digestive endoscopy report registers from the Kayes regional hospital and the \"SEWA\" medical clinic. Patients who underwent an interpretable endoscopy were included. The data collected for each patient were: age, sex, profession, residence, colonoscopy indication, lesion retained, biopsy result. Data were entered and processed using Excel software. Results. During the study period, 108 colonoscopies were performed out of a total of 1021 lower gastrointestinal endoscopies, ie 10.6%. Among the 108 patients, 76 were male (70%), i.e. a sex ratio of 2.4. The mean age of the patients was 48.67 years ( range: of 15 and 81 years. The most frequent indications for colonoscopy were rectal bleeding (39.9%), chronic diarrhea (19.4%), constipation (16.7%) and abdominal pain (13%). The most frequently found pathologies were hemorrhoidal disease (19.4%), non-specific rectosigmoiditis (13.9%), chronic inflammatory bowel disease (13%), colorectal cancer (12%). Conclusion. Low digestive pathology is frequent in Kayes in Mali according to our study. The frequency of colorectal cancer and that of chronic inflammatory bowel disease deserve special attention.

The goal of this work was to study helicobacter pylori (HP) infection and gastric mucosa in cirrhotic patient. METHOD:The study was comparative (case-indicator) and transversal from October 2015 to June 2016 in the gastroenterology and hepatology center of CHU Gabriel Touré of Bamako. Hp was identified in pathologic center of CHU du point "G" de Bamako. RESULTS:At the end of the study Hp infection frequency was 73.6% without significative differency with the comparative group (p= 0,200). The mean age was 46,3 ± 20,8 years. The sex ratio was 2,11. The home workers women were more represented (32.1%). Ascites and jaundice were the main signs respectively in 64.3% and 53.6% cases. The upper endoscopy found varices in 89.2% of cases. His worsen histological lesions were mucosal atrophy (17.8%) and intestinal metaplasy (14.2%). CONCLUSION:Helicobacter pylori infection is frequent in cirrhotic patient in our country with sometimes worsen histological lesions.

INTRODUCTION:The term polyp refers to any relief formation on the digestive mucosa.The therapeutic endoscopic polypectomy is an effective method to colorectal polyp resection.OBJECTIVE:The maingoal of this work is to study the endoscopic aspects of colo-rectal polyps and to bring our experience on their treatment with endoscopic polypectomy.PATIENTS AND METHOD:Our study was retrospective and descriptive from January 2013 to December 2017 in the endoscopic centers of hepato-gastroenterology department of CHU Gabriel Touré and clinic of "Promenade des angevins". The study concerned in whom polypectomy was performed.RESULTS:A total of 49 patients were included in our study. The main age of our patients was 26.2 2±1.7 years and the sex-ratio was 3.9. The sessile polyps were more frequents with 53.1%. The average size of polyps was 8.7±3.7 mm. The rectum localization was more reported (40.8%). All polyps(100%) were resected in monoblock and we used diathermol cove in 57.1% patients and the cold clamp in 42.9%. Histologically, we had 18 cases of hyperplasia (36.7%), 8 cases of tubulous adenoma (16.3%), 2 cases of tubulo-vilous adenoma (4.1%) and 2 cases of juvenil adenoma (4.1%). One patient was died by perforation five days after the polypectomy.CONCLUSION:The frequency of colorectal polyps is not negligible in our context.Endoscopic colorectal polypectomy is effective therapeutic method for resection of colorectal polyps.

RESUME Introduction. La pratique d’endoscopie digestive basse notamment l’anorestoscopie et surtout la coloscopie est une activite recente a Kayes. Le but de notre etude etait d’inventorier les etiologies des rectorragies au niveau des differents centres d’endoscopie de la ville de Kayes au Mali. Materiels et methodes. Il s’agissait d’une etude retrospective ayant porte sur l’analyse des comptes rendus d’endoscopie digestive basse dans les unites d’endoscopie digestive de l’hopital regional Fousseyni DAOU de Kayes et de la clinique medicale ‘’ SEWA’’ de Kayes sur une periode allant du 1er Janvier 2018 au 31 Decembre 2018. Ont ete inclus les malades des 2 sexes, âges de plus de 15 ans qui ont presente une rectorragie exploree par une anorectoscopie seule ou parfois completee par une coloscopie partielle ou totale. Resultats. Durant la periode d’etude, l’endoscopie digestive basse a ete realisee chez 367 patients dont 117 cas realises pour rectorragie soit une frequence de 31,9 %. L’âge moyen des patients etait de 44±12,7 ans avec des extremes de 22 et 83 ans. Sur les 117 patients enregistres, 85 etaient de sexe masculin (72,6%) soit un sex-ratio de 2,6. Les menageres etaient la couche sociale la plus representee (31,6%), suivies des cultivateurs (26,5%). La douleur anale (58,1%), le prurit anal (29%) et la constipation (27,3%) etaient les signes fonctionnels les plus frequemment associes a la rectorragie. La maladie hemorroidaire a ete l’etiologie la plus retrouvee (60,7%), suivie de la fissure anale (24,8%). D’autres pathologies ont ete retrouvees egalement a des proportions non negligeables comme la rectosigmoidite non specifique (16,2%), la rectocolite hemorragique (11,1%), la tumeur colorectale (9,4%), la diverticulose colique (1,7%). Dans 6% des cas, aucune cause n’a ete retrouvee. Conclusion. Les rectorragies constituent le motif de realisation d’endoscopie digestive basse le plus frequent a Kayes. La maladie hemorroidaire a ete l’etiologie la plus Frequente. La realisation de la coloscopie totale doit etre systematique chez les malades a fin de ne pas meconnaitre une pathologie colique grave. ABSTRACT Introduction. The practice of lower digestive endoscopy including anorestoscopy and especially colonoscopy is a recent activity in Kayes. The aim of our study was to determine the etiological of rectorragy in the different endoscopy centers in the town of Kayes in Mali. Methods. It was a retrospective study that focused on the analysis of reports of low digestive endoscopy in the digestive endoscopy units of the regional hospital Fousseyni DAOU of Kayes and the medical clinic ''SEWA'' of Kayes over a period from January 1, 2018 to December 31, 2018. Included were patients of both sexes, aged over 15 years who presented a rectorragy explored by anorectoscopy alone or sometimes supplemented by a partial or total colonoscopy. The data were processed using Epi info version 6 software. Results. During the study period, lower GI endoscopy was performed in 367 patients, including 117 cases performed for rectorragy, i.e. a frequency of 31.9%. The mean age of the patients was 44±12, 7 years with extremes of 22 and 83 years. Of the 117 patients registered, 85 were male (72.6%), i.e. a sex ratio of 2.6. Housewives were the most represented social stratum (31.6%), followed by farmers (26.5%). Anal pain (58.1%), anal pruritus (29%) and constipation (27.3%) were the functional signs most frequently associated with rectorrhagia. Hemorrhoidal disease was the most common etiology (60.7%), followed by anal fissure (24.8%). Other pathologies were also found in non-negligible proportions such as non-specific rectosigmoiditis (16.2%), ulcerative colitis (11.1%), colorectal tumour (9.4%), colonic diverticulosis (1.7%). In 6% of the cases, no cause was found. Conclusion. Rectorragy are the most frequent reason for carrying out lower digestive endoscopy in Kayes. Hemorrhoidal disease has been the most common etiology. Total colonoscopy must be performed systematically in patients in order not to misunderstand a serious colonic pathology.

RESUME Introduction. Le but de notre etude etait de decrire les aspects cliniques et endoscopiques de la fissure anale a Kayes au Mali. Methodes. Il s’agit d’une etude transversale retrospective, menee du 1er Mars 2017 au 31 Octobre 2018. Elle a porte sur l’analyse des comptes rendus d’anorectoscopie dans les unites d’endoscopie digestive de l’Hopital regional Fousseyni DAOU de Kayes et de la clinique medicale « SEWA » de Kayes. Les donnees ont ete recueillies a partir des registres d’anorectoscopie. Les renseignements pour chaque patient ayant la fissure anale comme diagnostic retenu etaient l’âge, le sexe, la profession, la residence, l’indication et les resultats de l’endoscopie. Resultats. Durant la periode d’etude, 402 patients ont beneficie d’examen anorectoscopique. La fissure anale a ete diagnostiquee chez 134 patients soit une frequence de 33,33 %. L’âge moyen des patients etait de 36,5 ans avec des extremes de 16 et 76 ans et le sex-ratio etait de 2,6. La proctalgie (59%) et la rectorragie (38,1%) etaient les indications d’anorectoscopie les plus frequentes. En position genu-pectorale, la fissure anale etait posterieure (85, 1%), anterieure (10,4%), bipolaire (3%) et laterale (1,5%). La fissure anale chronique representait 79,1% des cas. Dans 18% des cas, la fissure anale etait associee a d’autres pathologies proctologiques. La maladie hemorroidaire a ete la pathologie la plus frequemment associee (91,7 %) des cas. Conclusion. La fissure anale atteint l’adulte jeune de sexe masculin. Son evolution est en regle chronique et la localisation posterieure. ABSTRACT Objective. To report the clinical and endoscopic features of anal fissure in Kayes City, Mali. Methods. This was a cross sectional descriptive retrospective study, conducted from March 1st, 2017 to October 31 st, 2018 in the digestive endoscopy units of the Fousseyni Daou Regional Hospital in Kayes and the SEWA Medical Clinic of Kayes. Data were collected from the anorectoscopy registers. We recruited all patients with an endoscopic diagnosis of anal fissure. Our study data were: age, sex, occupation, residency, indication of endoscopy and endoscopic findings related to the fissure. Results. During the study period, 402 patients had an anorectoscopic examination. Anal fissure was diagnosed in 134 of them (33.33%). The average age of the patients was 36.5 years (range: 16 - 76 ) and the sex ratio was 2.6. Proctalgia fugax (59%) and hematochezia (38.1%) were the most frequent indications of endoscopy. In knee-pectoral position, anal fissure was posterior (85, 1%), anterior (10.4%), bipolar (3%), and lateral (1.5%). Features of chronic fissure were present in 79.1% of cases. Associated proctologic diseases were found in 18% of patients, among which hemorrhoid disease was the most common (91.7%). Conclusion. Anal fissure affects mainly young males. The course is usually chronic and the localization is most often posterior.

Tenofovir reduces viral load during viral cirrhosis B and improves prognosis.The aim of this study was to evaluate the effectiveness and safety of Tenofovir during the treatment of viral B cirrhosis.The study was retrospective and prospective on patients with viral B cirrhosis treated with Tenofovir in the Hepato-Gastroenterology Department of University Hospital Gabriel Touré in Bamako (Mali) and evaluated between three and six months after the start of treatment.We included 89 patients.The mean age was 44.5 ± 16 years with extremes of 18 and 90 years.The sex ratio was 1.2.At inclusion all patients had a detectable viral load with an average of 2651.96 ± 1495.85IU/ml.Follow-up viral load was undetectable in 84.3% with patients between 3 and 6 months of treatment.The average detectable viral load was only 27.04 ± 21.05 IU/ml.There was also an improvement in hepatocellular function and few side effects.Conclusion: This study shows the interest of Tenofovir in the treatment of viral cirrhosis B with very few adverse effects.

The main objective of this work was to update the data on the epidemiological, clinical, etiological and prognostic aspects of these acute upper digestive hemorrhages. It was a prospective study for a period of 11 months (from March 2013 to January 2014) at the digestive endoscopy center of Gabriel Touré University Hospital in Bamako. At the end of this study, 63 patients had acute upper digestive bleeding (AUDB) among 954 hospitalized patients, that is to say a frequency of 6.7%. The sex ratio was 3.5. The average age of our patients was 45 ± 16.57 years with extremes of 15 and 84 years. A notion of smoking, epigastralgia and none steroid anti-inflammatory drugs (NSAIDs) were more reported in the history with respectively 14 patients (22.3%), 10 patients (15.9%) and 4 patients (6.3%), but haematemesis had occurred in 24 (38.1%) patients without any antecedent. The main causes of hemorrhage were rupture of oesophageal varices in 34 (57.6%) patients and peptic ulcers in 18 (30.5%) patients. Early recurrence occurred in 7 (11.1%) patients resulting in the death of 5 patients for an overall mortality of 9 patients among 63 (14.3%). Acute high digestive hemorrhages are always serious. The correct management of the hemorrhagic episode by haemostatic gestures when available and the causes of haemorrhage improve the prognosis.

The main goal of this study was to analyze hepatic amoebiasis abscess at the service of gastroenterology of CHU Gabriel Touré, Bamako- Mali.MATERIAL AND METHOD:It was longitudinal and prospective study from January 2013 to February 2014 and concerned patients having hepatic abscess diagnosed by echography and amoebic serology or chocolate pus finding.RESULT:During the study the frequency of disease was 2.4% (24/970). The sex-ratio was 2 with a mean age of 36.8±10.9 years. Smoking was observed in 58.8% of cases. Abdominal pain, fever and hepatomegaly were found respectively in 87.5%, 83.3% and 79.3% of patients. The abscess was mainly located in right lobe. HIV serology was performed among 18 patients and was negative in all cases. The medical treatment by the metronidazol was systematically proposed and was associated to abscess tap in 42.2% of patients. A total recovery was observed in 23 patients and 1 patient was died by abscess rupture in the peritoneum.CONCLUSION:An early management cans evord complication.

The main objective of this longitudinal and prospecting study from February 2013 to January 2014 was to analyze uper digestive tractus caustic injuries in adult patients at the service of gastroenterology of CHU Gabriel Touré Bamako-Mali.PATIENTS AND MÉTHOD:We include patients (age more than 16 years) hospitalized for digestive caustic injuries.RESULTS:During the period a hospital frequency was 2.1% (20/970). The mean age was about 33.1 ± 9 years. Over toxic substances was discovered in 45 % of patients. The caustic ingestion was intentional in 18 patients. Psychoaffective disorders were the main reason of caustic consumption. At the entry haematemesis was the main sign. The endoscopic lesions were in majority at stage IIIb of the Zargar et al classification. A case of inhalation pneumonia, a case of digestive perforation and 6 cases of digestive obstruction were the main complications of the caustics injuries. Early death was found in 3 patients.CONCLUSION:Upper digestive tractus caustic injuries are more and more met in our context. Preventive measures are necessary to prevent these serious lesions.

Le but principal de ce travail était d’étudier l’encéphalopathie hépatique sur cirrhose dans le service d’hépatogastroentérologie du CHU Gabriel-Touré, Bamako, Mali. Il s’agissait d’une étude longitudinale, prospective qui s’est déroulée sur une période de 14 mois allant de janvier 2013 à février 2014. Pendant cette période, une fréquence hospitalière de 6,5 % de l’encéphalopathie hépatique a été observée. La moyenne d’âge était de 46,4 ± 15 ans (extrêmes: 13 et 84). Le sex-ratio était de 1,42. Un antécédent d’ictère, d’hémorragie digestive et d’encéphalopathie hépatique étaient observés respectivement chez 23, 13 et 6 patients. À l’admission, 74,6 % des malades étaient en encéphalopathie. L’encéphalopathie hépatique était au stade II dans 65,1 % des cas et à son premier épisode dans 65,1 % des cas. La mortalité immédiate a été de 66,7 %. L’encéphalopathie hépatique est une complication redoutable des hépatopathies chroniques. Sa prise en charge reste complexe dans notre contexte.

Les hémorragies digestives par rupture des varices œsophagiennes et/ou gastriques, sont de constatations fréquentes dans nos contrées. D’importants progrès ont été faits dans leur prise en charge par les traitements endoscopiques. Le but principal de notre étude était de rapporter notre expérience et de faire état de la morbidité liée à la ligature des varices œsophagiennes (LVO) dans notre contexte. Il s’agissait d’une étude longitudinale prospective et descriptive qui a porté sur les patients admis au centre d’endoscopie digestive pour hémorragie digestive haute et s’est déroulée de mai 2012 à juin 2014 dans le service de médecine du CHU Gabriel Touré. Quarante patients admis pour hémorragie digestive par rupture des varices œsophagiennes ont été inclus. L’âge moyen de nos patients était de 40,8 ±10,9 ans avec des extrêmes de 7 et 53 ans. Le sex-ratio (H/F) était de 1,85. 30% de nos patients avaient des VO grade II et 70% des VO grade III. Les étiologies étaient dominées par la cirrhose post virale B (92,5%), la cirrhose post-virale C (5%) et dans 2,5% des cas on ne retrouvait pas d’étiologie. Trois séances de ligatures ont pu être effectuées chez 22 patients soit 55%. L’intervalle moyen entre les séances de ligatures était de quatre semaines. Une patiente est décédée par suite de récidive hémorragique après une seule séance de ligature non imputable à la technique. L’éradication des VO était obtenue dans 62,5%.

Stomach cancer remains a public health problem. It is increasingly found in our regions, probably because of the greater availability and improvement of diagnostic facilities.The goal of this work was to study the epidemiological characteristics and prognosis of gastric cancer in the hepato-gastroenterology and general surgery wards of the Gabriel Toure university hospital.METHODS:We conduct a descriptive retrospective study on patients from June 2008 to May 2009, and the enrollment of patients lasted from June 2009 to May 2010.RESULTS:We examined the records of 68 cases of gastric cancer in 115 cases of digestive cancers a frequency of 59.1%.The mean age of patients was 56.51 ± 14.8 years with extremes of 27 and 90 years. The sex ratio was 1.6 in favor for men. The social and professional groups (housewives and farmers) were the most represented with 50 cases (73.5%). Salting, smoking, consumption of tô (cereal dough) with potash were the most found risk factors in 80.9%, 94.2% and 80.6% of cases respectively. The localization of antro-pyloric site was most represented (60.3%). Adenocarcinoma was the most common histological type (94.1%), one case of Gastrointestinal Stromal Tumor (GIST), two cases of non hodgkin malignant lymphoma were found.The curative surgery was performed in 8.9% of our patients. The overall survival rate after any surgery with two-year follow-up was 9.4%. Post curative surgery survival was 83.3% at two years follow-up.CONCLUSION:Stomach cancer is common in our context, but its management is suffering from delayed diagnosis.