{"id":2086,"date":"2017-10-01T01:00:00","date_gmt":"2017-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/utilisation-de-la-technique-shearwave-toshiba-et-comparaison-aux-autres-tests-utilises-dans-levaluation-non-invasive-de-la-fibrose-hepatique-experience-en-vie-reelle-chez-300-patients-au-se\/"},"modified":"2018-10-20T18:40:28","modified_gmt":"2018-10-20T16:40:28","slug":"utilisation-de-la-technique-shearwave-toshiba-et-comparaison-aux-autres-tests-utilises-dans-levaluation-non-invasive-de-la-fibrose-hepatique-experience-en-vie-reelle-chez-300-patients-au-se","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/utilisation-de-la-technique-shearwave-toshiba-et-comparaison-aux-autres-tests-utilises-dans-levaluation-non-invasive-de-la-fibrose-hepatique-experience-en-vie-reelle-chez-300-patients-au-se\/","title":{"rendered":"Utilisation de la technique ShearWave-TOSHIBA et comparaison aux autres tests utilis\u00e9s dans l\u2019\u00e9valuation non-invasive de la fibrose h\u00e9patique : exp\u00e9rience en vie r\u00e9elle chez 300 patients au sein d\u2019un CHG."},"content":{"rendered":"<p><strong>2017<\/strong><\/p>\n<p><em>J.-F.CADRANEL(1), A.GARIOUD(1), R.DAOUD(2), C.MOKHTARI(3),  B.AZZI(2), H.LISON(1), M JIRARI(2), M.MEDMOUN(1),  A.LI(3),  A.SMA\u00cfL(4), A.CAZIER(5), T.DELACOUR(3), F.KAZEROUNI(2).<\/p>\n<p>1.\tService d\u2019H\u00e9pato-gastroent\u00e9rologie, d\u2019Alcoologie et de Nutrition \u2013 GHPSO Creil (Oise).<br \/>\n2.\tService d\u2019Imagerie m\u00e9dicale \u2013 GHPSO Creil (Oise).<br \/>\n3.\tService de Biologie m\u00e9dicale \u2013 GHPSO Creil (Oise).<br \/>\n4.\tService de Chirurgie digestive \u2013 GHPSO Creil (Oise).<br \/>\n5.\tService d\u2019Anatomopathologie \u2013 GHPSO Creil (Oise).<\/em><\/p>\n<p><strong>H\u00e9patologie <\/strong>&#8211; \u00a02017-05-13 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Introduction et buts:<br \/>\nDepuis une dizaine d\u2019ann\u00e9es, les moyens non-invasifs ont largement supplant\u00e9 la ponction-biopsie h\u00e9patique (PBH) dans l\u2019\u00e9valuation de la fibrose h\u00e9patique. Cependant, dans de nombreuses h\u00e9patopathies chroniques comme l\u2019h\u00e9patite B ou les st\u00e9atopathies m\u00e9tabolique (NAFLD, NASH), l\u2019\u00e9lastom\u00e9trie par Fibroscan et\/ou les marqueurs s\u00e9riques ne sont pas valid\u00e9s et\/ou non faisables. L\u2019\u00e9lastographie h\u00e9patique a \u00e9t\u00e9 d\u00e9velopp\u00e9e plus r\u00e9cemment. Coupl\u00e9e \u00e0 l\u2019\u00e9chographie, elle d\u00e9tecte la vitesse de propagation d\u2019une onde \u00ab Shear Wave \u00bb dans le foie et propose une mesure num\u00e9rique de la duret\u00e9 du tissu en kPa avec un index de fiabilit\u00e9 de la mesure. Cette \u00e9tude a pour but de comparer les r\u00e9sultats du Fibroscan et des marqueurs s\u00e9riques Fibrotest et Fibrom\u00e8tre  (et de la PBH quand elle a \u00e9t\u00e9 effectu\u00e9e) avec ceux d\u2019une \u00e9lastographie ShearWave\u2013TOSHIBA dans une large population de patients atteints par une h\u00e9patopathie chronique.<\/p>\n<p>Mat\u00e9riel et m\u00e9thodes :<br \/>\nEntre novembre 2016 et mai 2017, une s\u00e9rie de patients suivis pour une h\u00e9patopathie chronique (h\u00e9patite virales B ou C, h\u00e9patite auto-immune, st\u00e9atoh\u00e9patite et autres) ont eu cons\u00e9cutivement une \u00e9valuation non-invasive de la fibrose h\u00e9patique par Fibroscan, Fibrotest et\/ou Fibrom\u00e8tre et une \u00e9lastographie ShearWave\u2013TOSHIBA effectu\u00e9e en intercostal sur trois sites diff\u00e9rents lors d\u2019une \u00e9chographie abdominale. L\u2019ensemble de ces donn\u00e9es a \u00e9t\u00e9 collig\u00e9 avec celui de la PBH si disponible pour une analyse statistique effectu\u00e9e \u00e0 l\u2019aide du logiciel StatView. Pour chaque h\u00e9patopathie chronique, les donn\u00e9es quantitatives pour chaque m\u00e9thode d\u2019\u00e9valuation de la fibrose h\u00e9patique ont \u00e9t\u00e9 exprim\u00e9es en m\u00e9diane\u00b1\u00e9cart type et compar\u00e9es \u00e0 l\u2019aide d\u2019un test de chi-2 (p significatif si inf\u00e9rieur \u00e0 0,05).<\/p>\n<p>R\u00e9sultats :<br \/>\n300 patients ont \u00e9t\u00e9 inclus dans cette \u00e9tude.<br \/>\nLes r\u00e9sultats seront pr\u00e9sent\u00e9s lors du congr\u00e8s de l\u2019ANGH \u00e0 Angoul\u00eame en septembre 2017.<\/p>\n<p>Conclusions :<br \/>\nSuite aux r\u00e9sultats pr\u00e9sent\u00e9s dans cette \u00e9tude monocentrique, un projet plus large d\u2019\u00e9tude multicentrique promue par l\u2019ANGH est \u00e0 envisager.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2017 J.-F.CADRANEL(1), A.GARIOUD(1), R.DAOUD(2), C.MOKHTARI(3), B.AZZI(2), H.LISON(1), M JIRARI(2), M.MEDMOUN(1), A.LI(3), A.SMA\u00cfL(4), A.CAZIER(5), T.DELACOUR(3), F.KAZEROUNI(2). 1. Service d\u2019H\u00e9pato-gastroent\u00e9rologie, d\u2019Alcoologie et de Nutrition \u2013 GHPSO Creil (Oise). 2. Service d\u2019Imagerie m\u00e9dicale \u2013 GHPSO Creil (Oise). 3. Service de Biologie m\u00e9dicale \u2013 GHPSO Creil (Oise). 4. Service de Chirurgie digestive \u2013 GHPSO Creil (Oise). 5. Service d\u2019Anatomopathologie [&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":[3],"tags":[28],"class_list":["post-2086","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-28"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Utilisation de la technique ShearWave-TOSHIBA et comparaison aux autres tests utilis\u00e9s dans l\u2019\u00e9valuation non-invasive de la fibrose h\u00e9patique : exp\u00e9rience en vie r\u00e9elle chez 300 patients au sein d\u2019un CHG. - 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\/utilisation-de-la-technique-shearwave-toshiba-et-comparaison-aux-autres-tests-utilises-dans-levaluation-non-invasive-de-la-fibrose-hepatique-experience-en-vie-reelle-chez-300-patients-au-se\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Utilisation de la technique ShearWave-TOSHIBA et comparaison aux autres tests utilis\u00e9s dans l\u2019\u00e9valuation non-invasive de la fibrose h\u00e9patique : exp\u00e9rience en vie r\u00e9elle chez 300 patients au sein d\u2019un CHG. - 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