Acute and chronic pancreatitis at the Centre National Hospitalier Universitaire de Cotonou from 2011 to 2022 : epidemiological, diagnostic, therapeutic, and prognostic aspects

Czech version

Authors: A. R. Kpossou ¹; C. N. M. Sokpon ¹; I. Lawani ²; M. Tossénou ¹; K. R. Vignon ¹; K. Diallo ³; D. V. Zoundiekpon ^4-6; J. Séhonou ¹
Authors‘ workplace: University Clinic of Hepato-gastroenterology, National University Hospital Center-Hubert Koutoukou Maga (CNHU-HKM), Cotonou, Benin ¹; Surgery Department, Ouémé Plateau Departmental University Hospital, Porto-Novo ²; Department of Internal Medicine, Donka National Hospital, Guinea ³; 2nd Department of Internal Medicine – Gastroenterology and Geriatrics, University Hospital Olomouc, Czech Republic ⁴; Faculty of Medicine and Dentistry Palacký University Olomouc, Czech Republic ⁵; Masaryk Memorial Cancer Institute, Masaryk University, Brno, Czech Republic ⁶
Published in: Gastroent Hepatol 2025; 79(6): 478-482
Category: Clinical and Experimental Gastroenterology: Review Article
doi: https://doi.org/10.48095/ccgh2025478

Overview

Introduction: Acute pancreatitis (AP) is a medical-surgical emergency whose prevalence is rising worldwide. Similarly, the incidence of chronic pancreatitis (CP) is increasing. The aim of our work was to determine the incidence, prevalence, and comorbidities of acute and chronic pancreatitis in hospitalized patients in the largest hospital in Cotonou, Benin. Methods: This was a retrospective descriptive cross-sectional study conducted from September 09 to October 31, 2022 using medical records of patients hospitalized from January 1, 2011 to October 31, 2022 for acute or chronic pancreatitis in three wards of the Centre National Hospitalier Universitaire Hubert Koutoukou Maga (CNHU-HKM) in Cotonou, Benin. Results: During the study period, 15682 patients were hospitalized, including 14 cases of AP, representing a hospital prevalence of 0.09% and a frequency of 1.2 cases per year, and 08 cases of CP, representing a hospital prevalence of 0.05% and a frequency of 0.7 cases per year. The poor clinical picture, however, was dominated by abdominal pain (found in 100% of AP cases and 75% of CP cases). As a result, there were many undetermined causes (35.7% of AP and 62.5% of CP), but no specifically tropical causes could be identified. Treatment was mainly medical, with the exception of surgical management in cases where the disease was discovered intraoperatively. Mortality was 14.3% for AP and 37.5% for CP. Conclusion: In Cotonou, hospital prevalence was low for both acute and chronic pancreatitis. An in-depth etiological investigation would be welcome to identify the causes of these pathologies in Benin.

Keywords:

acute pancreatitis – chronic pancreatitis – prevalence – cause – treatment – Benin

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