{"id":1885,"date":"2010-10-01T01:00:00","date_gmt":"2010-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/role-de-lendoscopie-chez-les-patients-presentant-une-hemorragie-digestive-haute-dans-les-hopitaux-generaux-au-portugal\/"},"modified":"2018-10-20T18:39:51","modified_gmt":"2018-10-20T16:39:51","slug":"role-de-lendoscopie-chez-les-patients-presentant-une-hemorragie-digestive-haute-dans-les-hopitaux-generaux-au-portugal","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/role-de-lendoscopie-chez-les-patients-presentant-une-hemorragie-digestive-haute-dans-les-hopitaux-generaux-au-portugal\/","title":{"rendered":"R\u00f4le de l’endoscopie chez les patients pr\u00e9sentant une h\u00e9morragie digestive haute dans les H\u00f4pitaux G\u00e9n\u00e9raux au Portugal"},"content":{"rendered":"

2010<\/strong><\/p>\n

J. Pedrosa, R. Ramos, A. I. Vieira, P. Caldeira, A. Curado, I. Cremers et le NGHD<\/em><\/p>\n

Endoscopie <\/strong>– \u00a02010-06-13 –\u00a0 –<\/p>\n

________________________________<\/p>\n

Introduction:
\nL\u00b4h\u00e9morragie digestive haute (HDH) est une des principales situations cliniques qui demande une activit\u00e9 endoscopique d’urgence et pose probablement les probl\u00e8mes les plus difficiles \u00e0 r\u00e9soudre. Diff\u00e9rentes alternatives de traitement endoscopique existent, qui doivent \u00eatre r\u00e9alis\u00e9es par des endoscopistes exp\u00e9riment\u00e9s avec l\u2019aide de personnel qualifi\u00e9.<\/p>\n

But:
\n\u00c9valuer les caract\u00e9ristiques \u00e9pid\u00e9miologiques, cliniques et endoscopiques des patients avec HDH, trait\u00e9s dans les h\u00f4pitaux G\u00e9n\u00e9raux du Portugal, et d\u00e9terminer s’il existe d’importantes diff\u00e9rences r\u00e9gionales dans ces param\u00e8tres.<\/p>\n

Mat\u00e9riels et M\u00e9thodes
\nNous avons analys\u00e9 les rapports d’endoscopies digestives (EDH) enregistr\u00e9s dans le programme informatique sp\u00e9cifique et exclusif de du NGHD, install\u00e9 dans 32 h\u00f4pitaux associ\u00e9s. Il a \u00e9t\u00e9 possible de r\u00e9cup\u00e9rer les registres de 275199 EDH, concernant 18 h\u00f4pitaux, 5 de la r\u00e9gion Nord, 6 de la r\u00e9gion Centre, 6 de la r\u00e9gion Sud et un h\u00f4pital des A\u00e7ores.<\/p>\n

R\u00e9sultats:
\nDans 18% des cas (48789) des EDH, l\u00b4indication pour l\u00b4endoscopie a \u00e9t\u00e9 l\u00b4HDH, avec une diminution progressive au cours des derni\u00e8res ann\u00e9es. L’incidence de HDH dans la r\u00e9gion sud (22%) \u00e9tait plus \u00e9lev\u00e9e que dans la r\u00e9gion centre (18%) et r\u00e9gion nord (16%). Les hommes repr\u00e9sentaient 64% des cas de HDH et les femmes 36%, bien que \u00e0 l\u00b4\u00e2ge >80 le nombre de femmes pr\u00e9domine. Seulement la moiti\u00e9 des examens (52%) a \u00e9t\u00e9 faite dans les 12 heures suivant l’admission du patient. Il existe des diff\u00e9rences r\u00e9gionales: Sud (54%), Centre (56%) et Nord (44%).
\nL\u00b4ulc\u00e8re gastroduod\u00e9nal (UGD) a \u00e9t\u00e9 la cause la plus fr\u00e9quente de HDH 48%). Les varices \u0153sophage-gastriques (VOG) ont repr\u00e9sent\u00e9e 17% des cas. On enregistre, quand m\u00eame, des variations r\u00e9gionales d\u00b4incidence: Sud (UGD 50% ; VOG 14%), Centre (UGD 51% ; VOG 15%) et Nord (UGD 42% ; VOG 24%). En tant que cause de HDH, l\u00b4UGD est plus fr\u00e9quente chez les hommes (65,2%) que chez les femmes (34,8%), ratio H:F = 1,87:1 et plus de la moiti\u00e9 des patients (52%) est d\u00e9j\u00e0 > 70 ans. Le nombre de patients pr\u00e9sentant un ulc\u00e8re gastrique est l\u00e9g\u00e8rement plus \u00e9lev\u00e9 que ceux qui ont l’ulc\u00e8re duod\u00e9nal (12836 contre 11001) repr\u00e9sentant respectivement 26% et 22% de tous les patients atteints de HDH. Sur les 23387 patients avec UP, 1848 montraient un saignement actif: 371 (2%) avec la classification Forrest Ia et 1477 (6%) Forrest Ib, 11% des cas ont \u00e9t\u00e9 class\u00e9s comme Forrest IIa.
\nDans les Forrest Ia et Ib, un traitement endoscopique a \u00e9t\u00e9 r\u00e9alis\u00e9 en 1265 des cas (69%) avec une h\u00e9mostase imm\u00e9diate dans 84%. <\/p>\n

Conclusions:
\nAussi bien que dans d\u00b4autres pays europ\u00e9ens, notre analyse confirme que l\u2019UP est la principale cause de HDH chez nous. Bien que se soit un petit pays, on trouve, quand m\u00eame, pas mal de diff\u00e9rences en ce qui concerne la fr\u00e9quence et l\u00b4\u00e9tiologie de l\u00b4HDH, et le \u00ab\u00a0timing\u00a0\u00bb de l\u00b4EDH. Malgr\u00e9 ces diff\u00e9rences, les stigmates d’h\u00e9morragie de l\u2019UP et l\u00b4efficacit\u00e9 du traitement endoscopique sont les m\u00eames partout au pays.<\/p>\n","protected":false},"excerpt":{"rendered":"

2010 J. Pedrosa, R. Ramos, A. I. Vieira, P. Caldeira, A. Curado, I. Cremers et le NGHD Endoscopie – \u00a02010-06-13 –\u00a0 – ________________________________ Introduction: L\u00b4h\u00e9morragie digestive haute (HDH) est une des principales situations cliniques qui demande une activit\u00e9 endoscopique d’urgence et pose probablement les probl\u00e8mes les plus difficiles \u00e0 r\u00e9soudre. Diff\u00e9rentes alternatives de traitement endoscopique […]<\/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":[6],"tags":[21],"class_list":["post-1885","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-21"],"yoast_head":"\nR\u00f4le de l'endoscopie chez les patients pr\u00e9sentant une h\u00e9morragie digestive haute dans les H\u00f4pitaux G\u00e9n\u00e9raux au Portugal - 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\/role-de-lendoscopie-chez-les-patients-presentant-une-hemorragie-digestive-haute-dans-les-hopitaux-generaux-au-portugal\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"R\u00f4le de l'endoscopie chez les patients pr\u00e9sentant une h\u00e9morragie digestive haute dans les H\u00f4pitaux G\u00e9n\u00e9raux au Portugal - 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