{"id":1900,"date":"2010-10-01T01:00:00","date_gmt":"2010-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/etude-descriptive-des-ulceres-gastroduodenaux-en-france-resultats-preliminaires\/"},"modified":"2018-10-20T18:39:55","modified_gmt":"2018-10-20T16:39:55","slug":"etude-descriptive-des-ulceres-gastroduodenaux-en-france-resultats-preliminaires","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/etude-descriptive-des-ulceres-gastroduodenaux-en-france-resultats-preliminaires\/","title":{"rendered":"Etude descriptive des ulc\u00e8res gastroduod\u00e9naux en France, r\u00e9sultats pr\u00e9liminaires"},"content":{"rendered":"<p><strong>2010<\/strong><\/p>\n<p><em>C Charpignon, A Courillon-Mallet, B Lesgourgues, S Nahon, A Pelaquier, C Guez, H Hamon, T Morin, I Rosa, B Bour, M Pierre-Nicolas, N Abdelli, G Macaigne et les centres ANGH.<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02010-09-03 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>La baisse r\u00e9cente de la pr\u00e9valence de l\u2019infection \u00e0 Helicobacter pylori  (Hp) dans les pays occidentaux s\u2019est accompagn\u00e9e d\u2019une diminution de l\u2019incidence globale des ulc\u00e8res et d\u2019une redistribution des facteurs \u00e9tiologiques des ulc\u00e8res. Le but de l\u2019\u00e9tude \u00e9tait de pr\u00e9ciser la fr\u00e9quence de l\u2019infection \u00e0 Hp et de la prise d\u2019AINS ou d\u2019aspirine au cours des ulc\u00e8res gastroduod\u00e9naux et d\u2019\u00e9valuer la proportion  d\u2019ulc\u00e8res non Hp non AINS-aspirine en France en 2009.<br \/>\nPatients et m\u00e9thodes : 993 patients (Homme =  595   Moy age =     )   porteurs d\u2019un ulc\u00e8re gastrique ou duod\u00e9nal &gt; 5 mm ou d\u2019une bulbite (&gt;5 ulc\u00e8res de 1mm) ont \u00e9t\u00e9 inclus prospectivement  entre janvier 09 et janvier 10 dans 32 centres ANGH. Une infection Hp \u00e9tait recherch\u00e9e par au moins 2 m\u00e9thodes (histologie et\/ou s\u00e9rologie et\/ou test respiratoire).Le statut Hp \u2013  \u00e9tait affirm\u00e9 par 2 tests n\u00e9gatifs et  Hp+ par histologie positive ou 2 tests +.En cas de tests discordants ou test unique, le statut Hp \u00e9tait consid\u00e9r\u00e9 comme douteux. La prise de m\u00e9dicaments gastrotoxiques, d\u2019IPP, d\u2019antibiotiques ou les comorbidit\u00e9s \u00e9taient pr\u00e9cis\u00e9es le jour de l\u2019endoscopie.<br \/>\nR\u00e9sultats : 844 dossiers ont \u00e9t\u00e9 analys\u00e9s, dont 565 ulc\u00e8res duod\u00e9naux ou bulbite, 326 ulc\u00e8res gastriques et 173 ulc\u00e8res h\u00e9morragiques. Une prise d\u2019AINS ou aspirine &gt;300mg\/jour \u00e9tait not\u00e9e chez 21% des patients dont un quart avec un traitement &gt;1mois. Dix neuf pour cent des patients recevaient un traitement par aspirine faible dose au long cours. Concernant le statut Hp, 6% des patients n\u2019ont pas eu d\u2019histologie et 16% n\u2019ont eu qu\u2019un seul test diagnostic de Hp. Le statut Hp  \u00e9tait n\u00e9gatif pour  42% des patients, positif pour 47% et douteux pour les autres. Les patients non Hp et non AINS-aspirine  repr\u00e9sentaient 21% des patients, leurs caract\u00e9ristiques sont en cours d\u2019analyse. Cent quarante quatre patients (17%) signalaient un ant\u00e9c\u00e9dent d\u2019ulc\u00e8re, parmi eux 79 \u00e9taient Hp positif et dans 20 cas malgr\u00e9 un traitement d\u2019\u00e9radication ant\u00e9rieur. Parmi les patients sous AINS ou aspirine au long cours 17% n\u2019avaient pas d\u2019 IPP.<\/p>\n<p>Conclusion : La proportion d\u2019ulc\u00e8re Hp positif en France est  en  diminution (47%) alors qu\u2019augmente fortement celle des ulc\u00e8res non Hp et non AINS-aspirine. Cette \u00e9tude observationnelle montre que les recommandations concernant l\u2019\u00e9radication de Hp en cas d\u2019ulc\u00e8re et la prophylaxie par IPP en cas de traitement prolong\u00e9 par AINS ne sont pas syst\u00e9matiquement appliqu\u00e9es.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2010 C Charpignon, A Courillon-Mallet, B Lesgourgues, S Nahon, A Pelaquier, C Guez, H Hamon, T Morin, I Rosa, B Bour, M Pierre-Nicolas, N Abdelli, G Macaigne et les centres ANGH. Gastroent\u00e9rologie &#8211; \u00a02010-09-03 &#8211;\u00a0CO &#8211; ________________________________ La baisse r\u00e9cente de la pr\u00e9valence de l\u2019infection \u00e0 Helicobacter pylori (Hp) dans les pays occidentaux s\u2019est accompagn\u00e9e [&hellip;]<\/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":[21],"class_list":["post-1900","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-21"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Etude descriptive des ulc\u00e8res gastroduod\u00e9naux en France, r\u00e9sultats pr\u00e9liminaires - Abstracts des congr\u00e8s de l&#039;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\/etude-descriptive-des-ulceres-gastroduodenaux-en-france-resultats-preliminaires\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Etude descriptive des ulc\u00e8res gastroduod\u00e9naux en France, r\u00e9sultats pr\u00e9liminaires - 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