Asian Journal of Research and Reports in Gastroenterology

Background: Human immunodeficiency virus (HIV) infection is closely associated with a wide range of frequent gastrointestinal manifestations, which may significantly affect the quality of life of people living with HIV (PLHIV). These digestive disorders may result from the infection itself, opportunistic complications, or adverse effects of treatment. Multidisciplinary care is essential for these patients, hence the importance of effective coordination between gastroenterologists and infectious disease specialists.

Aim: This study aimed to assess the knowledge, attitudes, and practices of resident physicians in gastroenterology and infectious diseases at Ibn Rochd University Hospital in Casablanca regarding digestive manifestations in patients living with HIV.

Materials and Methods: A descriptive cross-sectional study was conducted among resident physicians enrolled in the Departments of Gastroenterology and Infectious Diseases at Ibn Rochd University Hospital, Casablanca, during the 2024–2025 academic year, who voluntarily agreed to complete the questionnaire. An exhaustive sampling approach was employed, including all 62 residents assigned to these departments during the study period. All targeted participants voluntarily completed the questionnaire, yielding a 100% response rate with zero non-completion Data were collected using an anonymous self-administered questionnaire developed through the “Google Forms” platform, in French, and distributed online via social media. The data were then analyzed using Jamovi software.

Results: Sixty-two residents participated in the survey (participation rate: 100%). The mean age was 29.7 years, with a female predominance (75.8%). Chronic diarrhea was the most recognized symptom (100%), followed by weight loss (67.7%), dysphagia (56.5%), and abdominal pain (53.2%). Regarding etiologies, opportunistic infections were cited by 96.8% of participants, neoplasms by 59.7%, and antiretroviral drug adverse effects by 45.2%. Concerning diagnostic approaches, 85% cited imaging studies,66.1% mentioned endoscopy, 62.9% mentioned polymerase chain reaction (PCR)/culture and stool parasitological examination. Regarding attitudes, 95.2% considered it essential to systematically question PLHIV about digestive manifestations. In practice, 79% had already managed such patients, Additionally, 74.2% welcomed continuing medical education, and 95.2% expressed a desire to pursue further continuing education.

Conclusion: Despite generally satisfactory knowledge, gaps persist in the diagnostic and therapeutic management of HIV-related digestive manifestations. Strengthening training programs, adapting international recommendations to the Moroccan context, and improving access to specialized investigations should be considered priorities.