{"id":2040,"date":"2015-10-01T01:00:00","date_gmt":"2015-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/pylori-hebdo\/"},"modified":"2018-10-20T18:40:19","modified_gmt":"2018-10-20T16:40:19","slug":"pylori-hebdo","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/pylori-hebdo\/","title":{"rendered":"Pylori hebdo"},"content":{"rendered":"<p><strong>2015<\/strong><\/p>\n<p><em>Les m\u00e9decins de 30 centres ANGH et A Courillon-Mallet, F.Heluwaert, B.Lesgourgues, C.Charpignon,B.Bour, S.Nahon,<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02015-05-11 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Une \u00e9tude prospective de la prise en charge de l\u2019infection \u00e0 H.pylori a \u00e9t\u00e9 men\u00e9e en novembre 2014,  pendant 3 semaines, dans 30 centres de l\u2019ANGH.Un traitement d\u2019\u00e9radication de premi\u00e8re ligne a \u00e9t\u00e9 prescrit dans 249 cas et de deuxi\u00e8me ou troisi\u00e8me ligne dans 33 cas.La sensibilit\u00e9 de la bact\u00e9rie aux antibiotiques n\u2019\u00e9tait connue que dans 5% des cas. Le traitement \u00e9tait indiqu\u00e9 du fait d\u2019une maladie ulc\u00e9reuse active ou ancienne dans 21 % des cas , une dyspepsie dans 28% , une carence en fer inexpliqu\u00e9e dans 6% , un ant\u00e9c\u00e9dent familial de cancer dans 5% et de la d\u00e9couverte de l\u2019infection sur  des biopsies syst\u00e9matiques dans 32% des cas. Les traitements prescrits \u00e9taient une quadrith\u00e9rapie s\u00e9quentielle de10 jours dans 52% des cas et une quadrith\u00e9rapie bismuth\u00e9e dans 45% des cas. Un contr\u00f4le d\u2019\u00e9radication , a \u00e9t\u00e9 prescrit dans 92 % des cas et il \u00e9tait pr\u00e9vu de revoir le patient dans le centre avec le r\u00e9sultat du test  pour 49% d\u2019entre eux. Pour les autres cas , un conseil de prise en charge en fonction du r\u00e9sultat du test \u00e9tait adress\u00e9 au correspondant dans 43% des cas.<br \/>\nIl \u00e9tait aussi demand\u00e9 aux centres de recenser exhaustivement les histologies gastriques re\u00e7ues pendant une deuxi\u00e8me p\u00e9riode de 3 semaines.Ainsi 533 biopsies gastriques  H.pylori positives ont \u00e9t\u00e9 analys\u00e9es . Une m\u00e9taplasie intestinale  \u00e9tait signal\u00e9e dans 71 cas (13%) touchant le fundus dans 23 cas. Une atrophie s\u00e9v\u00e8re \u00e9tait not\u00e9e dans 14 cas (2.6%) avec seulement 2 cas d\u2019atrophie fundique .Enfin une dysplasie \u00e9tait pr\u00e9sente dans 9 cas. Parmi les endoscopiques participants,51% d\u00e9claraient faire des biopsies syst\u00e9matiques en l\u2019absence de contrindication, 27 % au cours de plus de la moiti\u00e9 des endoscopies et 19% seulement en cas d\u2019anomalie macroscopique. Les r\u00e9sultats des histologies  H. pylori positives \u00e9taient adress\u00e9es au correspondant (m\u00e9decin g\u00e9n\u00e9raliste ou autre m\u00e9decin de l\u2019h\u00f4pital) avec une recommandation de traitement dans 42% des cas , sans conseil th\u00e9rapeutique dans 15 % des cas . Dans les autres cas ( 42%) il \u00e9tait pr\u00e9vu de revoir le patient dans le service.<br \/>\nEn conclusion, la pratique de biopsies syst\u00e9matiques au cours des gastroscopies est majoritaire mais pas encore g\u00e9n\u00e9rale. C\u2019est actuellement la principale circonstance de d\u00e9couverte de l\u2019infection . Les l\u00e9sions pr\u00e9n\u00e9oplasiques justifiant une surveillance endoscopique sont rares , leur fr\u00e9quence  est comparable aux \u00e9tudes de cohorte occidentales. Les traitement prescrits dans les centres participants sont conformes aux recommandations actuelles mais le controle d\u2019\u00e9radication est d\u00e9l\u00e9gu\u00e9 dans la majorit\u00e9 des cas sans \u00e9valuation possible du r\u00e9sultat. Enfin, en cas d\u2019histologie positive pour H. pylori le traitement est d\u00e9l\u00e9gu\u00e9 au m\u00e9decin g\u00e9n\u00e9raliste ou \u00e0 un autre service dans plus de la moiti\u00e9 des cas.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2015 Les m\u00e9decins de 30 centres ANGH et A Courillon-Mallet, F.Heluwaert, B.Lesgourgues, C.Charpignon,B.Bour, S.Nahon, Gastroent\u00e9rologie &#8211; \u00a02015-05-11 &#8211;\u00a0CO &#8211; ________________________________ Une \u00e9tude prospective de la prise en charge de l\u2019infection \u00e0 H.pylori a \u00e9t\u00e9 men\u00e9e en novembre 2014, pendant 3 semaines, dans 30 centres de l\u2019ANGH.Un traitement d\u2019\u00e9radication de premi\u00e8re ligne a \u00e9t\u00e9 prescrit dans [&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":[26],"class_list":["post-2040","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-26"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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