{"id":2101,"date":"2018-10-20T18:40:28","date_gmt":"2018-10-20T16:40:28","guid":{"rendered":"https:\/\/angh.net\/abstracts\/le-suivi-des-patients-addicts-apres-eradication-du-vhc-par-anti-viraux-directs-est-suboptimal-resultats-a-1-an-chez-80-patients\/"},"modified":"2018-11-29T00:21:52","modified_gmt":"2018-11-28T23:21:52","slug":"le-suivi-des-patients-addicts-apres-eradication-du-vhc-par-anti-viraux-directs-est-suboptimal-resultats-a-1-an-chez-80-patients","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/le-suivi-des-patients-addicts-apres-eradication-du-vhc-par-anti-viraux-directs-est-suboptimal-resultats-a-1-an-chez-80-patients\/","title":{"rendered":"Le suivi des patients \u00ab addicts \u00bb apr\u00e8s \u00e9radication du VHC par anti-viraux directs est suboptimal : r\u00e9sultats \u00e0 1 an chez 80 patients."},"content":{"rendered":"

2018<\/strong><\/p>\n

C.\u00a0Barrault 1, R.\u00a0Truchi 2, JB.\u00a0Trabut 3, D.\u00a0Carmona 4, I. Rosa 1, E. Gelsi 2, F.\u00a0Roudot-Thoraval 5, A.\u00a0Bachelard 6, S.\u00a0Dominguez 6, C.\u00a0Hezode 5, A.\u00a0Tran 2
\n1. ELSA et service d\u2019H\u00e9pato-gastro-ent\u00e9rologie, CH Intercommunal de Cr\u00e9teil
\n2. CSAPA et service d\u2019H\u00e9patologie,\u00a0CHU L’Archet 2, Nice
\n3. Service d\u2019Addictologie, H\u00f4pital Emile Roux, Limeil-Br\u00e9vannes
\n4. CSAPA Epices, Cr\u00e9teil
\n5. Service d\u2019H\u00e9patologie , H\u00f4pital Henri Mondor, Cr\u00e9teil
\n6. Service d\u2019Immunologie clinique, H\u00f4pital Henri Mondor, Cr\u00e9teil<\/em><\/p>\n

H\u00e9patologie <\/strong>– \u00a02018-05-11 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Rationnel. Les anti-viraux directs (AVD) ont simplifi\u00e9 le traitement de l\u2019h\u00e9patite chronique virale C (VHC) dont la pr\u00e9valence est \u00e9lev\u00e9e chez les patients \u00ab addicts \u00bb, dont la maladie h\u00e9patique est plus grave en raison d\u2019un m\u00e9susage d\u2019alcool fr\u00e9quent. Le suivi reste complexe en raison des probl\u00e8mes psycho-sociaux associ\u00e9s. But. Evaluer la r\u00e9gularit\u00e9 du suivi h\u00e9patologique et addictologique des patients \u00ab addicts \u00bb trait\u00e9s par AVD et l\u2019impact du traitement sur la consommation d\u2019alcool. Patients et M\u00e9thodes. Entre janvier 2014 et d\u00e9cembre 2016, les patients usagers de drogue et\/ou alcoolo-d\u00e9pendants ont \u00e9t\u00e9 suivis de fa\u00e7on prospective pendant et apr\u00e8s traitement par AVD. Le suivi h\u00e9patologique \u00e9tait bas\u00e9 sur les recommandations de l\u2019AFEF. Le suivi addictologique \u00e9tait poursuivi de mani\u00e8re habituelle. R\u00e9sultats. Quatre-vingt patients de 2 r\u00e9gions fran\u00e7aises ont \u00e9t\u00e9 trait\u00e9s. Une fibrose s\u00e9v\u00e8re et une cirrhose \u00e9taient observ\u00e9es dans 40% et 60% des cas, un m\u00e9susage d\u2019alcool dans 82% des cas. Le taux d\u2019\u00e9radication du VHC \u00e9tait de 92,5%. Le suivi moyen \u00e9tait de 65 semaines. Le suivi h\u00e9patologique \u00e9tait irr\u00e9gulier dans 34%, absent dans 19% des cas, avec apparition d\u2019un carcinome h\u00e9pato-cellulaire (CHC) dans 5 cas. Le suivi addictologique \u00e9tait r\u00e9gulier dans 47% des cas. A 1 an, 42% des patients avaient un m\u00e9susage d\u2019alcool. Conclusion Le suivi h\u00e9patologique apr\u00e8s \u00e9radication du VHC est suboptimal chez les patients addicts avec cirrhose ayant un fort risque de CHC. Le traitement impacte peu le m\u00e9susage d\u2019alcool. Ces r\u00e9sultats sugg\u00e8rent de renforcer la coop\u00e9ration entre h\u00e9patologues et addictologues pour am\u00e9liorer le suivi.<\/p>\n[download id=\u00a0\u00bb2194″]\n","protected":false},"excerpt":{"rendered":"

2018 C.\u00a0Barrault 1, R.\u00a0Truchi 2, JB.\u00a0Trabut 3, D.\u00a0Carmona 4, I. Rosa 1, E. Gelsi 2, F.\u00a0Roudot-Thoraval 5, A.\u00a0Bachelard 6, S.\u00a0Dominguez 6, C.\u00a0Hezode 5, A.\u00a0Tran 2 1. ELSA et service d\u2019H\u00e9pato-gastro-ent\u00e9rologie, CH Intercommunal de Cr\u00e9teil 2. CSAPA et service d\u2019H\u00e9patologie,\u00a0CHU L’Archet 2, Nice 3. Service d\u2019Addictologie, H\u00f4pital Emile Roux, Limeil-Br\u00e9vannes 4. CSAPA Epices, Cr\u00e9teil 5. Service […]<\/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":[29],"class_list":["post-2101","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-29"],"yoast_head":"\nLe suivi des patients \u00ab addicts \u00bb apr\u00e8s \u00e9radication du VHC par anti-viraux directs est suboptimal : r\u00e9sultats \u00e0 1 an chez 80 patients. - 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\/le-suivi-des-patients-addicts-apres-eradication-du-vhc-par-anti-viraux-directs-est-suboptimal-resultats-a-1-an-chez-80-patients\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le suivi des patients \u00ab addicts \u00bb apr\u00e8s \u00e9radication du VHC par anti-viraux directs est suboptimal : r\u00e9sultats \u00e0 1 an chez 80 patients. - 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