Ultrasound Pulse Elastometry: Assessment of One Year’s Practice in the Hepato-Gastroenterology Department of the Saint Camille Hospital in Ouagadougou  

作　　者：Kounpiélimé Sosthène Somda Lawagoulé Joseph Emile Ky Constant Lawrence Coudjo Johnson Stella Line Emmanuella Paré Ben Moctar Abdou Djibo Toussaint Vébamba Abraham Ouédraogo Fanta Ousseini Mamadou Sarifou Diallo Sandrine M. O. B. Héma/Soudré Aboubacar Coulibaly Arsène Roger Sombié Kounpiélimé Sosthène Somda;Lawagoulé Joseph Emile Ky;Constant Lawrence Coudjo Johnson;Stella Line Emmanuella Paré;Ben Moctar Abdou Djibo;Toussaint Vébamba;Abraham Ouédraogo;Fanta Ousseini;Mamadou Sarifou Diallo;Sandrine M. O. B. Héma/Soudré;Aboubacar Coulibaly;Arsène Roger Sombié(Department of Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso;Department of Medicine, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso;Department of Gastroenterology, Fada NGourma Regional Hospital, Fada NGourma, Burkina Faso;Department of Gastroenterology, Donka National Hospital, Conakry, Guinea;Faculty of Health Sciences and Techniques, Gamal Abdel Nasser, University, Conakry, Guinea;Department of Gastroenterology, Tengandogo University Hospital, Ouagadougou, Burkina Faso)

机构地区：[1]Department of Gastroenterology, Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso [2]Department of Medicine, Joseph KI-ZERBO University, Ouagadougou, Burkina Faso [3]Department of Gastroenterology, Fada NGourma Regional Hospital, Fada NGourma, Burkina Faso [4]Department of Gastroenterology, Donka National Hospital, Conakry, Guinea [5]Faculty of Health Sciences and Techniques, Gamal Abdel Nasser, University, Conakry, Guinea [6]Department of Gastroenterology, Tengandogo University Hospital, Ouagadougou, Burkina Faso

出　　处：《Open Journal of Gastroenterology》2024年第11期379-385,共7页肠胃病学期刊（英文）

摘　　要：Aims: To review one year of ultrasound impulse elastometry in a hospital in Ouagadougou. Patients and Method: This is a retrospective descriptive study of data from one year’s use of impulse ultrasound elastometry. Ultrasound impulse elastometry was performed using the FibroScan® COMPACT 530. Fibrosis was considered significant when E (hepatic elasticity) ≥ 7.2 kPa (F2 fibrosis). The test was considered valid when the IQR/Median ratio ≤ 30% and there were at least 10 valid measurements. Results: A total of 1911 patients underwent FibroScan®. There were 1079 men, giving a sex ratio of 1.3. The mean age of the patients was 37.9 ± 12.2 years. The indication for FibroScan® was hepatitis B virus infection in 89% of cases. The validation criteria for FibroScan® were met in all patients. The mean value for elasticity was 7.9 kPa and for steatosis 212 dB/m. Fibrosis was non-significant in 75.5% of cases. More than half of our patients (56.7%) didn’t have steatosis, 24.8% had mild steatosis, 12.4% had moderate steatosis and 6.1% had severe steatosis. Conclusion: Ultrasound pulse elastometry plays an important role in monitoring chronic liver disease. It allows non-invasive diagnosis of hepatic fibrosis and steatosis. In our context, however, access to the test is limited by its availability only in large urban centers, and by its cost.Aims: To review one year of ultrasound impulse elastometry in a hospital in Ouagadougou. Patients and Method: This is a retrospective descriptive study of data from one year’s use of impulse ultrasound elastometry. Ultrasound impulse elastometry was performed using the FibroScan® COMPACT 530. Fibrosis was considered significant when E (hepatic elasticity) ≥ 7.2 kPa (F2 fibrosis). The test was considered valid when the IQR/Median ratio ≤ 30% and there were at least 10 valid measurements. Results: A total of 1911 patients underwent FibroScan®. There were 1079 men, giving a sex ratio of 1.3. The mean age of the patients was 37.9 ± 12.2 years. The indication for FibroScan® was hepatitis B virus infection in 89% of cases. The validation criteria for FibroScan® were met in all patients. The mean value for elasticity was 7.9 kPa and for steatosis 212 dB/m. Fibrosis was non-significant in 75.5% of cases. More than half of our patients (56.7%) didn’t have steatosis, 24.8% had mild steatosis, 12.4% had moderate steatosis and 6.1% had severe steatosis. Conclusion: Ultrasound pulse elastometry plays an important role in monitoring chronic liver disease. It allows non-invasive diagnosis of hepatic fibrosis and steatosis. In our context, however, access to the test is limited by its availability only in large urban centers, and by its cost.

关 键 词：Pulse Elastometry Hepatic Fibrosis STEATOSIS Non-Invasive Evaluation of Fibrosis Africa 

分 类 号：R57[医药卫生—消化系统]