{"id":1854,"date":"2007-10-01T01:00:00","date_gmt":"2007-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/rendement-diagnostique-de-la-capsule-endoscopique-au-cours-des-saignementsdigestifs-obscurs-chez-76-patients-ages-de-plus-de-70-ans-etude-prospectivemulticentrique-de-langh\/"},"modified":"2018-10-20T18:39:48","modified_gmt":"2018-10-20T16:39:48","slug":"rendement-diagnostique-de-la-capsule-endoscopique-au-cours-des-saignementsdigestifs-obscurs-chez-76-patients-ages-de-plus-de-70-ans-etude-prospectivemulticentrique-de-langh","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/rendement-diagnostique-de-la-capsule-endoscopique-au-cours-des-saignementsdigestifs-obscurs-chez-76-patients-ages-de-plus-de-70-ans-etude-prospectivemulticentrique-de-langh\/","title":{"rendered":"Rendement diagnostique de la capsule endoscopique au cours des saignements\ndigestifs obscurs chez 76 patients \u00e2g\u00e9s de plus de 70 ans : \u00e9tude prospective\nmulticentrique de l\u2019ANGH"},"content":{"rendered":"

2007<\/strong><\/p>\n

St\u00e9phane NAHON, Antoine Fleury, Emmanuel Cuillerier, Gilles D\u2019Abrigeon, Anne Courrillon-
\nMallet, Thierry Morin, Fabrice Locher, Pierre Lahmek.
\nMontfermeil, Pontoise, Dreux, Mont\u00e9limar, Villeneuve St Georges, Tarbes, Meaux.<\/em><\/p>\n

Gastroent\u00e9rologie <\/strong>– \u00a02007-07-10 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Pr\u00e9sentation et buts:
\nLa capsule endoscopique (CE) est largement utilis\u00e9 dans le bilan des saignements digestifs
\nobscurs (SOD). Les buts de cette \u00e9tude prospective multicentrique \u00e9taient d\u2019\u00e9tudier les
\ncaract\u00e9ristiques et le rendement de la CE au cours des SOD occultes ou ext\u00e9rioris\u00e9s chez la
\npersonne \u00e2g\u00e9e.
\nM\u00e9thodes :
\nLes patients 70 ans ayant eu une exploration n\u00e9gative par au moins une endoscopie
\noesgastroduod\u00e9nale et une coloscopie pour un SOD et une r\u00e9cidive h\u00e9morragique \u00e9taient
\n\u00e9ligibles. La r\u00e9cidive h\u00e9morragique \u00e9tait d\u00e9finie par une chute du taux d\u2019h\u00e9moglobine de plus de
\n2 g\/dL ou par un saignement ext\u00e9rioris\u00e9. Une analyse multivari\u00e9e a \u00e9t\u00e9 r\u00e9alis\u00e9e pour identifier
\ndes facteurs pr\u00e9dictifs de l\u00e9sions. Six h\u00f4pitaux ont particip\u00e9 \u00e0 cette \u00e9tude de Janvier 2006 \u00e0
\nAvril 2007.
\nR\u00e9sultats :
\n76 patients (42 femmes et 34 hommes, 76.6\u00b19 ans) ont \u00e9t\u00e9 inclus; 47 avaient un saignement
\nobscur et 29 un SOD ext\u00e9rioris\u00e9. 73% des patients avaient au moins une comorbidit\u00e9 s\u00e9v\u00e8re. 40%
\ndes patients prenaient des traitements toxiques pour le tractus gastro-intestinal [AINS (n=2);
\naspirine (n=12); AVK (n=11), clopidrogel (n=10)]. La visualisation de la totalit\u00e9 du gr\u00eale a \u00e9t\u00e9
\npossible dans 90% des cas. Aucune complication li\u00e9e \u00e0 la CE n\u2019a \u00e9t\u00e9 observ\u00e9e. 73% des l\u00e9sions
\nidentifi\u00e9es \u00e9taient des angiodysplasies. Le rendement de la CE (d\u00e9finie par la responsabilit\u00e9 de
\nla l\u00e9sion dans l\u2019origine du SOD) \u00e9tait de T 58%, permettant un traitement dans 82% des cas. Le
\nrendement de la CE pour les SOD occultes \u00e9tait 55% vs. 65% pour les SOD ext\u00e9rioris\u00e9s (p=0.7).
\nLes facteurs pr\u00e9dictifs de l\u00e9sions du gr\u00eale \u00e9taient (OR [IC], p): sexe masculin (6.7 [1.5;30];
\n0,014) et une pathologie cardiaque (8.2 [1.7; 39], 0.008).
\nConclusion :
\nLe rendement diagnostique de la CE est \u00e9lev\u00e9 chez les personnes \u00e2g\u00e9es ayant un SOD permettant
\nun traitement dans la plupart des cas. Les facteurs pr\u00e9dictifs de l\u00e9sions du gr\u00eale \u00e9taient le sexe
\nmasculin et la pr\u00e9sence d\u2019une pathologie cardiaque.
\nANGH Copyright 2007<\/p>\n","protected":false},"excerpt":{"rendered":"

2007 St\u00e9phane NAHON, Antoine Fleury, Emmanuel Cuillerier, Gilles D\u2019Abrigeon, Anne Courrillon- Mallet, Thierry Morin, Fabrice Locher, Pierre Lahmek. Montfermeil, Pontoise, Dreux, Mont\u00e9limar, Villeneuve St Georges, Tarbes, Meaux. Gastroent\u00e9rologie – \u00a02007-07-10 –\u00a0CO – ________________________________ Pr\u00e9sentation et buts: La capsule endoscopique (CE) est largement utilis\u00e9 dans le bilan des saignements digestifs obscurs (SOD). Les buts de cette […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[18],"class_list":["post-1854","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-18"],"yoast_head":"\nRendement diagnostique de la capsule endoscopique au cours des saignements digestifs obscurs chez 76 patients \u00e2g\u00e9s de plus de 70 ans : \u00e9tude prospective multicentrique de l\u2019ANGH - Abstracts des congr\u00e8s de l'ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/rendement-diagnostique-de-la-capsule-endoscopique-au-cours-des-saignementsdigestifs-obscurs-chez-76-patients-ages-de-plus-de-70-ans-etude-prospectivemulticentrique-de-langh\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Rendement diagnostique de la capsule endoscopique au cours des saignements digestifs obscurs chez 76 patients \u00e2g\u00e9s de plus de 70 ans : \u00e9tude prospective multicentrique de l\u2019ANGH - 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