{"id":2106,"date":"2018-10-20T18:40:32","date_gmt":"2018-10-20T16:40:32","guid":{"rendered":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/"},"modified":"2018-11-20T22:33:37","modified_gmt":"2018-11-20T21:33:37","slug":"sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/","title":{"rendered":"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS"},"content":{"rendered":"

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

v quentin, s Nahon, et l’ensemble des investigateurs ANGH<\/em><\/p>\n

Endoscopie <\/strong>– \u00a02018-05-13 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

INTRODUCTION
\nDepuis la premi\u00e8re enqu\u00eate de l\u2019ANGH sur les h\u00e9morragies digestives hautes en 2005 (1) de nombreux changements sont intervenus avec l\u2019arriv\u00e9e des anticoagulants oraux directs, la meilleure diffusion des nouvelles techniques d\u2019h\u00e9mostase endoscopique et la publication de nouvelles recommandations internationales [2], europ\u00e9ennes [3] et fran\u00e7aises [4]. Cette communication est l\u2019occasion d\u2019exposer la premi\u00e8re analyse descriptive apr\u00e8s 6 mois d\u2019inclusion.
\nOBJECTIFS
\nCette \u00e9tude a pour but d\u2019\u00e9tudier si l\u2019\u00e9pid\u00e9miologie, les facteurs de risque, la prise en charge endoscopique et le suivi des recommandations se sont modifi\u00e9s suite \u00e0 ces \u00e9volutions th\u00e9rapeutiques et de la litt\u00e9rature.
\nMETHODES
\nL\u2019\u00e9tude SANGHRIA (Saignements digestifs hauts ANGH Registre d\u2019Incidence Actualis\u00e9) est une \u00e9tude prospective observationnelle multicentrique dont l\u2019ANGH est le promoteur. Les items \u00e9tudi\u00e9s \u00e9taient les donn\u00e9es du centre investigateur, les donn\u00e9es clinico-biologiques du patient, les r\u00e9sultats de l\u2019endoscopie, le suivi \u00e9volutif imm\u00e9diat et \u00e0 6 semaines. Les crit\u00e8res d\u2019inclusion concernaient tous les patients pr\u00e9sentant une h\u00e9mat\u00e9m\u00e8se, un melena ou une an\u00e9mie aigue avec pr\u00e9sence de sang dans l\u2019estomac (gastroscopie, sonde naso-gastrique) survenant en dehors ou au cours d\u2019une hospitalisation. Le recueil des donn\u00e9es s\u2019est effectu\u00e9 dans chaque centre par chaque investigateur via un e-CRF.
\nRESULTATS
\nQuarante-trois centres hospitaliers g\u00e9n\u00e9raux ont particip\u00e9 \u00e0 cette \u00e9tude et inclus 1500 patients sur les six premiers mois. Les 900 premiers dossiers complets ont \u00e9t\u00e9 analys\u00e9s, de fa\u00e7on exclusivement descriptive, pour cette communication.
\nLa r\u00e9partition \u00e9tait de 607 hommes et 293 femmes (67%-33%), \u00e2g\u00e9s de 67,8 ans (21-98 ans). Une cirrhose \u00e9tait pr\u00e9sente chez 22% des patients (82% de cause alcoolique). Une prise d\u2019aspirine \u00e9tait relev\u00e9e chez 28% des patients, d\u2019anti-agr\u00e9gant chez 12% et d\u2019anti-inflammatoires non st\u00e9ro\u00efdiens chez 7%. Vingt pour cent des patients prenaient un anticoagulant oral, dont 56% des anti-vitamine K et 41% des anti-coagulants directs.
\nIl s\u2019agissait d\u2019h\u00e9morragies non hospitali\u00e8res dans 76% des cas. L\u2019horaire d\u2019arriv\u00e9e des patients au centre hospitalier \u00e9tait en heures ouvrables dans 63% des cas, 10% des patients \u00e9taient en \u00e9tat de choc. L\u2019endoscopie \u00e9tait r\u00e9alis\u00e9e chez 98,2% des patients, dans les 24 heures dans 86% des cas (en heures ouvrables dans 88% des cas) et sans anesth\u00e9sie g\u00e9n\u00e9rale dans 70% des cas. Il existait une aide endoscopiste dans 90% des proc\u00e9dures.
\nL\u2019endoscopie \u00e9tait d\u00e9crite comme anormale dans 90% des cas, diagnostiquant la cause la plus probable de l\u2019h\u00e9morragie en lien avec une maladie ulc\u00e9reuse (329\/795), une hypertension portale (143\/795), une oesophagite peptique (83\/795), une n\u00e9oplasie (37\/795), un syndrome de Mallory-Weiss (36\/795) et une anomalie vasculaire (26\/795). Parmi les causes ulc\u00e9reuses, la localisation pr\u00e9pond\u00e9rante \u00e9tait duod\u00e9nale (162\/329), dans l\u2019hypertension portale il s\u2019agissait de l\u2019\u0153sophage (108\/143) et pour les causes tumorales la localisation gastrique (26\/37).
\nL\u2019endoscopie donnait lieu \u00e0 un geste d\u2019h\u00e9mostase dans 32 % des cas, il s\u2019agissait majoritairement dans ces cas de ligatures (37%), de l\u2019injection de s\u00e9rum adr\u00e9nalin\u00e9 (35%) et de pose de clips (35%). On obtenait un arr\u00eat du saignement en fin de geste dans 64% des cas.
\nUne r\u00e9cidive survenait dans 10% des cas dans un d\u00e9lai moyen de 5,5 jours (0-40). La m\u00e9diane de la dur\u00e9e d\u2019hospitalisation post-endoscopie \u00e9tait de 7 jours (\u00e9cart type 10,3). Le nombre moyen total de culots globulaire transfus\u00e9s \u00e9tait de 2,13 (0-17). Un recours \u00e0 la chirurgie avait lieu dans 3% des cas, \u00e0 la radiologie interventionnelle dans 2%.
\nSoixante-neuf de ces 900 premiers patients sont d\u00e9c\u00e9d\u00e9s pendant l\u2019hospitalisation (7,7%) dont 12 (17%) directement en rapport avec l\u2019h\u00e9morragie. A 6 semaines, 111 des 883 patients \u00e9valuables (13%) \u00e9taient d\u00e9c\u00e9d\u00e9s.
\nCONCLUSION
\nPar rapport au travail de 2005, cette premi\u00e8re analyse descriptive de l\u2019\u00e9tude SANGHRIA permet d\u2019observer quelques tendances qu\u2019il faudra cependant pond\u00e9rer avec l\u2019analyse de sous-groupes des populations hospitalis\u00e9es vs non hospitalis\u00e9es : d\u00e9lai de prise en charge endoscopique plus court, taux de traitement endoscopique plus \u00e9lev\u00e9, relative stabilit\u00e9 des taux de r\u00e9cidive h\u00e9morragique, de recours \u00e0 la chirurgie et de mortalit\u00e9.
\nBIBLIOGRAPHIE
\n1. Nahon S et al. Epidemiological and prognostic factors involved in upper gastrointestinal bleeding: results of a French prospective multicenter study. Endoscopy 2012; 44: 998-1006
\n2. Barkun AN et al. International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med 2010;152:101-113
\n3. Gralnek IM et al. Diagnosis and management of nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy 2015; 47:933-953.
\n4. Fiches SFED, Acta endoscopica 2012<\/p>\n

CENTRES INCLUEURS (ordre alphab\u00e9tique)
\nAngoul\u00eame, Annecy, Arles, Aubagne, Avignon, B\u00e9thune, B\u00e9ziers, Cayenne, Cholet, Corbeil \u2013 Sud Francilien, Creil, Cr\u00e9teil, Diaconesse Croix Saint Simon, Dreux, Dunkerque, Etampes \u2013 Sud Essone, Gap, Gonesse, Haguenau, La Roche sur Yon, Lens, Lorient, M\u00e2con, Marne La Vall\u00e9e, Meaux, Melun, Mont\u00e9limar, Montfermeil, Montsouris, Nevers, Niort, Orl\u00e9ans, Pau, Perpignan, Poissy St Germain, Pontivy, Quimper, Saint Brieuc, Saint Camille, Saint Denis, Saint Malo, Tourcoing, Valenciennes, Vannes, Voiron.<\/p>\n[download id=\u00a0\u00bb2152″]\n","protected":false},"excerpt":{"rendered":"

2018 v quentin, s Nahon, et l’ensemble des investigateurs ANGH Endoscopie – \u00a02018-05-13 –\u00a0CO – ________________________________ INTRODUCTION Depuis la premi\u00e8re enqu\u00eate de l\u2019ANGH sur les h\u00e9morragies digestives hautes en 2005 (1) de nombreux changements sont intervenus avec l\u2019arriv\u00e9e des anticoagulants oraux directs, la meilleure diffusion des nouvelles techniques d\u2019h\u00e9mostase endoscopique et la publication de nouvelles […]<\/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":[29],"class_list":["post-2106","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-29"],"yoast_head":"\nSANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS - 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\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS - Abstracts des congr\u00e8s de l'ANGH\" \/>\n<meta property=\"og:description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta property=\"og:url\" content=\"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/\" \/>\n<meta property=\"og:site_name\" content=\"Abstracts des congr\u00e8s de l'ANGH\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\" \/>\n<meta property=\"article:published_time\" content=\"2018-10-20T16:40:32+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2018-11-20T21:33:37+00:00\" \/>\n<meta name=\"author\" content=\"abstracts\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"abstracts\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/\"},\"author\":{\"name\":\"abstracts\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1\"},\"headline\":\"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS\",\"datePublished\":\"2018-10-20T16:40:32+00:00\",\"dateModified\":\"2018-11-20T21:33:37+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/\"},\"wordCount\":862,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"keywords\":[\"2018\"],\"articleSection\":[\"Endoscopie\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/\",\"url\":\"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/\",\"name\":\"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS - Abstracts des congr\u00e8s de l'ANGH\",\"isPartOf\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#website\"},\"datePublished\":\"2018-10-20T16:40:32+00:00\",\"dateModified\":\"2018-11-20T21:33:37+00:00\",\"description\":\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\",\"breadcrumb\":{\"@id\":\"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Accueil\",\"item\":\"https:\/\/angh.net\/abstracts\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/angh.net\/abstracts\/#website\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"name\":\"Abstracts des congr\u00e8s de l'ANGH\",\"description\":\"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003\",\"publisher\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/angh.net\/abstracts\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/angh.net\/abstracts\/#organization\",\"name\":\"ANGH\",\"url\":\"https:\/\/angh.net\/abstracts\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"contentUrl\":\"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg\",\"width\":48,\"height\":18,\"caption\":\"ANGH\"},\"image\":{\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/ANGH-2136322560030484\/\"]},{\"@type\":\"Person\",\"@id\":\"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1\",\"name\":\"abstracts\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g\",\"caption\":\"abstracts\"},\"url\":\"https:\/\/angh.net\/abstracts\/author\/abstracts\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS - Abstracts des congr\u00e8s de l'ANGH","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/","og_locale":"fr_FR","og_type":"article","og_title":"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS - Abstracts des congr\u00e8s de l'ANGH","og_description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","og_url":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/","og_site_name":"Abstracts des congr\u00e8s de l'ANGH","article_publisher":"https:\/\/www.facebook.com\/ANGH-2136322560030484\/","article_published_time":"2018-10-20T16:40:32+00:00","article_modified_time":"2018-11-20T21:33:37+00:00","author":"abstracts","twitter_card":"summary_large_image","twitter_misc":{"\u00c9crit par":"abstracts","Dur\u00e9e de lecture estim\u00e9e":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/#article","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/"},"author":{"name":"abstracts","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1"},"headline":"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS","datePublished":"2018-10-20T16:40:32+00:00","dateModified":"2018-11-20T21:33:37+00:00","mainEntityOfPage":{"@id":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/"},"wordCount":862,"commentCount":0,"publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"keywords":["2018"],"articleSection":["Endoscopie"],"inLanguage":"fr-FR"},{"@type":"WebPage","@id":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/","url":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/","name":"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS - Abstracts des congr\u00e8s de l'ANGH","isPartOf":{"@id":"https:\/\/angh.net\/abstracts\/#website"},"datePublished":"2018-10-20T16:40:32+00:00","dateModified":"2018-11-20T21:33:37+00:00","description":"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study","breadcrumb":{"@id":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/angh.net\/abstracts\/sanghria-etude-prospective-observationnelle-multicentrique-des-hemorragies-digestives-hautes-en-centres-hospitaliers-generaux-en-2017-2018-premiers-resultats-descriptifs-a-6-mois\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Accueil","item":"https:\/\/angh.net\/abstracts\/"},{"@type":"ListItem","position":2,"name":"SANGHRIA : ETUDE PROSPECTIVE OBSERVATIONNELLE MULTICENTRIQUE DES HEMORRAGIES DIGESTIVES HAUTES EN CENTRES HOSPITALIERS GENERAUX EN 2017-2018, PREMIERS RESULTATS DESCRIPTIFS A 6 MOIS"}]},{"@type":"WebSite","@id":"https:\/\/angh.net\/abstracts\/#website","url":"https:\/\/angh.net\/abstracts\/","name":"Abstracts des congr\u00e8s de l'ANGH","description":"Base de donn\u00e9es des abstracts du congr\u00e8s depuis 2003","publisher":{"@id":"https:\/\/angh.net\/abstracts\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/angh.net\/abstracts\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/angh.net\/abstracts\/#organization","name":"ANGH","url":"https:\/\/angh.net\/abstracts\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/","url":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","contentUrl":"https:\/\/angh.net\/abstracts\/wp-content\/uploads\/sites\/2\/2018\/10\/logo_angh_2018_-48px.jpg","width":48,"height":18,"caption":"ANGH"},"image":{"@id":"https:\/\/angh.net\/abstracts\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ANGH-2136322560030484\/"]},{"@type":"Person","@id":"https:\/\/angh.net\/abstracts\/#\/schema\/person\/f532083854369dca4b9f509cfbad90e1","name":"abstracts","image":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2bb25d9cedd377e33f0ebc4fb5994a2f9d3e02f897704acdcc173c15b7c75253?s=96&d=mm&r=g","caption":"abstracts"},"url":"https:\/\/angh.net\/abstracts\/author\/abstracts\/"}]}},"_links":{"self":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/2106","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/comments?post=2106"}],"version-history":[{"count":4,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/2106\/revisions"}],"predecessor-version":[{"id":2154,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/posts\/2106\/revisions\/2154"}],"wp:attachment":[{"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/media?parent=2106"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/categories?post=2106"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/angh.net\/abstracts\/wp-json\/wp\/v2\/tags?post=2106"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}