Background: Colorectal cancer (CRC) is a major public health problem. Currently, there are no studies exploring the status of knowledge, attitudes and practices of CRC screening in high-risk populations in Morocco so that effective approaches can be implemented. The objective of the study was: To assess knowledge and awareness of screening methods in the at-risk population. Methods: This was a cross-sectional study where the target population was patients with age >45 years and young people with a history of CRC in the family. Results: 210 subjects were recruited, sex ratio M/F=0.85. Mean age = 53 years, 42% lived in rural area and 38% were illiterate; 86% had a family history of CRC or adenoma and 42% were chronic smokers. 96% reported knowledge of CRC. The most known risk factors: smoking (84.2%), alcoholism (68.5%) while 44.2% knew that colonoscopy was the reference method for screening. Most subjects would like to know more (95.0%). More than 90% agreed that early diagnosis improves prognosis. Finally, 44% will start regular screening. Conclusion: Understanding and recognizing the awareness and attitude regarding CRC screening and the reasons for low screening utilization among high-risk populations could help develop appropriate policies for its prevention and control.

Background: Denutrition is common in patients with liver cirrhosis and is recognized as an independent prognostic factor. Its prevalence is correlated with the severity of cirrhosis. Its evaluation is difficult to quantify, due to the presence of many confounding factors, interfering with the usual nutritional parameters. The aim of this work is to evaluate the prevalence of undernutrition among cirrhotic patients using different methods and to identify the risk factors. Methods: we conducted a prospective descriptive and analytical study of cirrhotic patients, nutritional status was assessed by body mass index (BMI), brachial circumference (BC), nutritional index, mini nutritional assessment (MNA) score, and by the results of the biological assessment. Results: 135 patients were included, the average age was 50 years the sex ratio was M/F=1/2. The etiology of cirrhosis was essentially viral. The severity of cirrhosis was estimated according to the Child score which B in 59.25% and C in 18.55% of cases. All patients were on a low-salt diet, 55.55% of them had anorexia. The mean body mass index was 20.7 kg/m2. The brachial circumference was in favor of undernutrition in 50 patients. After analytical study, the risk factors significantly associated with anthropometric values in favor of undernutrition were: poor socioeconomic conditions, digestive disorders, low-salt diet, existence of hepatic encephalopathy. Conclusion: Denutrition in cirrhotic patients constitutes a prognostic factor of mortality independent of cirrhosis, and its evaluation is therefore of increasing interest in the management of cirrhotic patients. In our population, nutritional indexes and BC were the most sensitive methods for the detection of undernutrition. In our population, nutritional indexes and BC were the most sensitive methods to detect undernutrition. The risk factors were related to circumstances inducing a decrease in food intake and hypermetabolism.

Acute pancreatitis is an inflammatory process with multiple etiologies, dominated by biliary lithiasis and alcohol consumption. Primary hyperparathyroidism (PHPT) with subsequent hypercalcemia as a cause of acute pancreatitis is very rare and frequently overlooked and serum calcium level plays a key role in the pathogenesis. Here we present a case of 53 years old female with hypercalcemic acute pancreatitis resulted from primary hyperparathyroidism caused by a left parathyroid adenoma.

Pancreatic tuberculosis is a rare entity despite the high prevalence of tuberculosis in the world and in Morocco in particular. The pancreas, an organ normally protected against this infection, is only affected by hematogenous diffusion or not by contiguity through the peripancreatic lymph nodes. Its clinical expression can be either in the form of a pancreatic mass simulating a cancer, or an obstructive jaundice. The diagnosis, difficult to make, is often made only after surgical exploration. Here, we report a case of pancreatic pseudo-tumoral tuberculosis, presented with abdominal pain and weight loss.

Epithelioid hemangioendothelioma is a rare entity with clinical, histological, and evolutionary features that are intermediate between hemangiomas and angiosarcomas; clinically features are generally unremarkable with a good general condition among patients. Histology remains the key for the diagnosis and the conservative treatment is the adequate option. We report the case of a 63 years old female, presented with chronic intermittent, atypical abdominal pain, unique atypical liver nodule with a histology compatible with an EHE and 1 year follow up without recurrence.

Hemorrhoidal pathology is a benign affection occupying a special place in medical practice, posing essentially therapeutic problems. The aim of this work was to study the epidemiological, therapeutic and evolutionary characteristics of this hemorrhoidal pathology. We conducted a prospective study in the gastroenterology department of the CHU Mohamed VI of Marrakech over a period of 06 months (March 2019 - September 2019) where we collected 130 cases. The average age was 45.9 years with a clear predominance of men: sex ratio M / F = 1.95. The main reason for consultation was isolated rectal bleeding in 32% of patients. Proctologic examination revealed internal hemorrhoids, mainly stage II and stage III in 58.4% of patients, followed by external hemorrhoids in 16.9% of our patients. Paraclinically, CBC was performed in all patients with rectal bleeding and anemia was found in 17%. Thus, additional endoscopic exploration by colonoscopy was performed in 14.6% of cases returning to normal. The therapeutic management consisted primarily of hygienic and dietary measures in all our patients, 80% received drug treatment; while 25% received Instrumental rubber band ligation treatment after treatment failure, and only 16% of patients received surgical DTC. The evolution was marked by effective treatment in 78.46% of patients, while 28 patients presented minimal complications ranging from simple anal pain to a more or less extensive and serious infection. Despite the effectiveness of surgical treatment, it should be the last resort after a possible failure of medical and instrumental treatment.

Ingestion of a foreign body (FB) is a common accident among children. The majority of ingested foreign bodies are eliminated spontaneously and few of them leads to some rare but serious complication such as complication that requires urgent surgical management. In this article we report the case of an accidental nail ingestion in a 2 years old child complicated with a duodenal perforation. Emergency surgical care was performed, with nail removal and duodenal primary closure. The follow-up was uneventful and the recovery was smooth.

Duodenal adenocarcinoma is very rare. It represents 0.3 to 1% of all gastrointestinal malignancies. The symptoms are non-specific and vague, and the diagnosis is often delayed at an advanced stage. We report a case of duodenal adenocarcinoma in a 54-year-old female who was admitted to our hospital with chronic epigastric pain. Upper gastrointestinal endoscopy revealed a thickening narrowing the lumen in the second duodenal portion, which was diagnosed, using endoscopic biopsy. The computed abdominal tomography scan showed no lymph node or distant metastases, and cephalic pancreaticoduodenectomy was performed.