{"id":2472,"date":"2023-09-21T15:39:55","date_gmt":"2023-09-21T13:39:55","guid":{"rendered":"https:\/\/angh.net\/abstracts\/?p=2472"},"modified":"2023-09-21T15:39:56","modified_gmt":"2023-09-21T13:39:56","slug":"quand-le-polype-semballe-et-la-cirrhose-aussi","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/quand-le-polype-semballe-et-la-cirrhose-aussi\/","title":{"rendered":"Quand le polype s&#8217;emballe&#8230; et la cirrhose aussi !"},"content":{"rendered":"<p><b>2023<\/b><\/p>\n<p><em>LOISEL C (interne), GRASSET D, BILLET G<\/em><\/p>\n<p><b> H\u00e9patologie <\/b> &#8211; 01\/05\/2023 &#8211;  Cas clinique<\/p>\n<p>Nous rapportons l&rsquo;observation d&rsquo;un patient de 58 ans, porteur d&rsquo;une cirrhose mixte dysm\u00e9tabolique et \u00e9thylique sevr\u00e9e, d\u00e9couverte \u00e0 la faveur d&rsquo;une rupture de varices \u0153sophagiennes en 2012.<br \/>\nA partir de 2017, le patient est hospitalis\u00e9 de fa\u00e7on r\u00e9p\u00e9t\u00e9e pour des h\u00e9morragies digestives hautes avec m\u00e9l\u00e9na et d\u00e9globulisation li\u00e9es \u00e0 un polype hyperplasique antral d\u00e9velopp\u00e9 sur hypertension portale. La cirrhose est c\u00f4t\u00e9e CHILD A et la fonction r\u00e9nale est normale.<br \/>\nR\u00e9sections endoscopiques apr\u00e8s r\u00e9sections, il est impossible d&rsquo;en venir \u00e0 bout&#8230; Ce tableau finit par impliquer des transfusions it\u00e9ratives hebdomadaires, les h\u00e9morragies r\u00e9cidivant et le polype hyperplasique grossissant de plus en plus jusqu&rsquo;\u00e0 atteindre 10 cm de diam\u00e8tre !<br \/>\nEntre 2018 et 2021 , de staff en staff r\u00e9gional, les propositions se sont succ\u00e9d\u00e9es : du TIPS \u00e0 la gastrectomie partielle en passant par une thrombose de TIPS, justifiant une embolisation de la veine ombilicale puis une d\u00e9rivation porto-cave&#8230;. il s&rsquo;en est pass\u00e9 des \u00e9v\u00e8nements pour en finir enfin avec les transfusions !<br \/>\nMalheureusement, l&rsquo;hypertension portale n&rsquo;est pas la seule complication de la cirrhose.. Apr\u00e8s un peu de tranquillit\u00e9, il est d\u00e9pist\u00e9 un nodule de carcinome h\u00e9patocellulaire conduisant \u00e0 une radioth\u00e9rapie st\u00e9r\u00e9otaxique avant une possible inscription sur liste de transplantation h\u00e9patique&#8230;<br \/>\nUne revue de la litt\u00e9rature des connaissances sur l&rsquo;\u00e9volution et le traitement des polypes hyperplasiques gastriques li\u00e9s \u00e0 l&rsquo;hypertension portale sera pr\u00e9sent\u00e9e.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2023 LOISEL C (interne), GRASSET D, BILLET G H\u00e9patologie &#8211; 01\/05\/2023 &#8211; Cas clinique Nous rapportons l&rsquo;observation d&rsquo;un patient de 58 ans, porteur d&rsquo;une cirrhose mixte dysm\u00e9tabolique et \u00e9thylique sevr\u00e9e, d\u00e9couverte \u00e0 la faveur d&rsquo;une rupture de varices \u0153sophagiennes en 2012. A partir de 2017, le patient est hospitalis\u00e9 de fa\u00e7on r\u00e9p\u00e9t\u00e9e pour des h\u00e9morragies [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","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":[36],"class_list":["post-2472","post","type-post","status-publish","format-standard","hentry","category-hepatologie","tag-36"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Quand le polype s&#039;emballe... et la cirrhose aussi ! - 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\/quand-le-polype-semballe-et-la-cirrhose-aussi\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quand le polype s&#039;emballe... et la cirrhose aussi ! 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