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"headline": "Diagnostic sur Appendicite",
"description": "Comment diagnostiquer une appendicite ?\nQuels tests sanguins sont utiles ?\nQuels signes cliniques indiquent une appendicite ?\nL'imagerie est-elle toujours nécessaire ?\nPeut-on confondre l'appendicite avec d'autres maladies ?",
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"description": "Quel est le traitement standard de l'appendicite ?\nDes antibiotiques sont-ils nécessaires ?\nPeut-on traiter l'appendicite sans chirurgie ?\nQuelles sont les complications possibles de l'appendicite ?\nQuel est le temps de récupération après une appendicectomie ?",
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"description": "Quelles sont les complications de l'appendicite non traitée ?\nComment se manifeste une péritonite ?\nUn abcès peut-il se former après une appendicite ?\nQuels sont les signes d'une septicémie ?\nLes complications sont-elles fréquentes ?",
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"@type": "Question",
"name": "Comment diagnostiquer une appendicite ?",
"position": 1,
"acceptedAnswer": {
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"text": "Le diagnostic repose sur l'examen clinique, l'échographie et la tomodensitométrie."
}
},
{
"@type": "Question",
"name": "Quels tests sanguins sont utiles ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une numération formule sanguine peut montrer une élévation des globules blancs."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent une appendicite ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur dans le quadrant inférieur droit, fièvre et nausées sont des signes clés."
}
},
{
"@type": "Question",
"name": "L'imagerie est-elle toujours nécessaire ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Pas toujours, mais elle est recommandée si le diagnostic est incertain."
}
},
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"@type": "Question",
"name": "Peut-on confondre l'appendicite avec d'autres maladies ?",
"position": 5,
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{
"@type": "Question",
"name": "Quels sont les symptômes typiques de l'appendicite ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Douleur abdominale, perte d'appétit, nausées et vomissements sont fréquents."
}
},
{
"@type": "Question",
"name": "La douleur de l'appendicite est-elle constante ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "La douleur commence souvent autour du nombril puis se déplace vers le bas à droite."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes atypiques ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, chez certains patients, la douleur peut être moins localisée ou plus diffuse."
}
},
{
"@type": "Question",
"name": "L'appendicite peut-elle provoquer de la fièvre ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, une légère fièvre est courante en cas d'appendicite."
}
},
{
"@type": "Question",
"name": "Les enfants présentent-ils les mêmes symptômes ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les enfants peuvent avoir des symptômes moins typiques, rendant le diagnostic plus difficile."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir l'appendicite ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il n'existe pas de méthode de prévention spécifique pour l'appendicite."
}
},
{
"@type": "Question",
"name": "Une alimentation peut-elle réduire le risque ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une alimentation riche en fibres peut potentiellement réduire le risque d'appendicite."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux influencent-ils le risque ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux d'appendicite peuvent augmenter le risque."
}
},
{
"@type": "Question",
"name": "L'hygiène joue-t-elle un rôle dans la prévention ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Bien que l'hygiène soit importante, elle n'a pas d'impact direct sur l'appendicite."
}
},
{
"@type": "Question",
"name": "Les infections intestinales augmentent-elles le risque ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines infections intestinales peuvent être associées à un risque accru d'appendicite."
}
},
{
"@type": "Question",
"name": "Quel est le traitement standard de l'appendicite ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'appendicectomie, l'ablation chirurgicale de l'appendice, est le traitement standard."
}
},
{
"@type": "Question",
"name": "Des antibiotiques sont-ils nécessaires ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antibiotiques sont souvent administrés avant et après la chirurgie."
}
},
{
"@type": "Question",
"name": "Peut-on traiter l'appendicite sans chirurgie ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Dans certains cas, un traitement antibiotique seul peut être envisagé, mais c'est rare."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles de l'appendicite ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent la péritonite, l'abcès et l'obstruction intestinale."
}
},
{
"@type": "Question",
"name": "Quel est le temps de récupération après une appendicectomie ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "La récupération prend généralement de 1 à 3 semaines, selon la méthode chirurgicale."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications de l'appendicite non traitée ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent la péritonite, l'abcès et la septicémie."
}
},
{
"@type": "Question",
"name": "Comment se manifeste une péritonite ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "La péritonite se manifeste par une douleur abdominale intense, de la fièvre et des vomissements."
}
},
{
"@type": "Question",
"name": "Un abcès peut-il se former après une appendicite ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, un abcès peut se former autour de l'appendice enflammé si non traité."
}
},
{
"@type": "Question",
"name": "Quels sont les signes d'une septicémie ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les signes incluent une fièvre élevée, des frissons, une confusion et une pression artérielle basse."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles fréquentes ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications surviennent dans environ 5 à 10 % des cas d'appendicite."
}
},
{
"@type": "Question",
"name": "Qui est le plus à risque d'appendicite ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les adolescents et les jeunes adultes sont les plus à risque d'appendicite."
}
},
{
"@type": "Question",
"name": "Les hommes sont-ils plus touchés que les femmes ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les hommes ont un risque légèrement plus élevé d'appendicite que les femmes."
}
},
{
"@type": "Question",
"name": "Les antécédents d'appendicite augmentent-ils le risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, avoir des antécédents d'appendicite augmente le risque de récidive."
}
},
{
"@type": "Question",
"name": "Le tabagisme influence-t-il le risque d'appendicite ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des études suggèrent que le tabagisme pourrait être un facteur de risque d'appendicite."
}
},
{
"@type": "Question",
"name": "Les maladies inflammatoires de l'intestin sont-elles un facteur de risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les maladies inflammatoires comme la maladie de Crohn peuvent augmenter le risque."
}
}
]
}
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Endoscopic mucosal resection (EMR) is the standard of care for the complete removal of large (≥ 10 mm) nonpedunculated colorectal polyps (LNPCPs). Increased detection of LNPCPs owing to screening colo...
Biliary cannulation can be challenging even for expert endoscopists, and rescue techniques are limited. Our objective was to determine the feasibility and safety of partial ampullary endoscopic mucosa...
Monocentric, retrospective analysis of a prospectively maintained database in a tertiary referral university hospital. Fourteen patients who required endoscopic retrograde cholangiopancreatography (ER...
The bile duct cannulation success was 99% in the first attempt and 100% overall with the PA-EMR technique. Only one patient experienced mild bleeding, which spontaneously stopped....
PA-EMR is an effective technique that may be considered as a rescue technique for difficult biliary cannulation in expert hands. Future studies including larger cohorts and comparisons with other tech...
Endoscopic mucosal resection (EMR) of non-pedunculated colorectal polyps ≥20mm is technically demanding and should preferentially be performed by specialist endoscopists in referral centres. Little is...
We analysed data on 100 non-supervised EMR procedures performed at our academic endoscopy centre (2016-2021), representing a single endoscopist's learning curve beginning with the first polyp ≥20 mm....
The median polyp size was 30 mm (20-70mm), and 61% of all polyps were ≥30 mm. Predominant polyp morphology was 0-Is (34%) or 0-IIa (47%), and most polyps developed in the ascending colon (36%). In tot...
Structured training is advisable to acquire advanced EMR skills. Our data show that autonomous acquisition of skills after finishing a training course represents an acceptable alternative with good re...
Photodynamic therapy (PDT) was developed for residual or recurrent esophageal cancer after radiotherapy. Here, we report a case of successful treatment of highly elevated esophageal squamous cell carc...
A modified cap-assisted endoscopic mucosal resection (mEMR-C), introduced in this study, was a novel variation of the standard EMR. We aimed to compare the outcomes of mEMR-C and endoscopic submucosal...
This retrospective study included 43 patients who underwent mEMR-C and 156 patients who received ESD at Nanjing Drum Tower Hospital. Baseline characteristics, adverse events, and clinical outcomes wer...
A total of 199 patients underwent endoscopic resection and the en bloc resection rate was 100%. The complete resection rate was comparable in both groups ( P = 1.000). Approximately 9.5% of all patien...
The mEMR-C was found to be the preferable technique for small (≤20 mm) intraluminal gGISTs with shorter operation time and lower cost as compared with ESD....
Polyp recurrence is common after endoscopic mucosal resection (EMR) of non-pedunculated colonic polyps ≥ 20 mm. Two models haven been published for polyp recurrence prediction: Sydney EMR recurrence t...
Retrospective cohort study of patients with non-pedunculated polyps ≥ 20 mm that underwent EMR between 1/1/2012 and 6/30/2020. Univariate and multivariate analysis were performed to identify predictor...
A total of 461 polyps from 461 unique patients were included for analysis. The average polyp size was 29.1 ± 12.4 mm. Recurrence rate at first or second surveillance colonoscopy was 29.0% at a 15.6 mo...
SERT score and mSMSA have poor external validity to predict polyp recurrence after EMR of non-pedunculated polyps > 20 mm. Our new model is simpler and performs better in this multiethnic, non-referra...
Delayed bleeding is among the most common adverse events associated with endoscopic mucosal resection (EMR) of nonampullary duodenal polyps. We evaluated the rate of delayed bleeding and complete defe...
We reviewed the electronic medical records of patients who underwent EMR for nonampullary duodenal polyps of ≥ 10 mm and prophylactic defect closure with TTS suturing between March 2021 and May 2022 a...
36 nonconsecutive patients (61 % women; mean [SD] age, 65 [12] years) underwent EMR of ≥ 10-mm duodenal polyps followed by attempted defect closure with TTS suturing. The mean (SD) lesion size was 29 ...
Prophylactic closure of nonampullary duodenal EMR defects using TTS suturing resulted in a high rate of complete closure and no delayed bleeding events....
Duodenal endoscopic submucosal dissection (ESD) is a high-risk technique; however, prophylactic closure of mucosal defects reduces the risk. Unfortunately, we have encountered cases where closure is d...
Endoscopic mucosal resection (EMR) is an effective method for removing non-pedunculated polyps ≥ 20 mm. We aimed to examine changes in EMR techniques over a 9-year period and evaluate frequency of his...
We identified patients who underwent EMR of non-pedunculated polyps ≥ 20 mm at a safety net and the Veteran's Affairs (VA) hospital in Houston, Texas between 2012 and 2020. Odds ratios (ORs) and 95% c...
461 unique patients were included. The histologic-confirmed recurrence was 29.0% at 15.6 months median follow up (IQR 12.3 - 17.4). Polyps removed between 2018 and 2020 had a 0.43 decreased odds of re...
Histologic-confirmed recurrence after EMR for non-pedunculated polyps ≥ 20 mm decreased over the seven year-period. Saline was associated with a higher risk of recurrence and the use of more viscous a...
The pathological results obtained from endoscopic forceps biopsy (EFB) do not always align with the findings of postoperative endoscopic submucosal dissection (ESD). Furthermore, as ESD becomes more w...
From March 2016 to November 2023, 292 ESD specimens were collected from 262 patients with gastric mucosal lesions. Clinicopathological information, the coincidence rate of pathological diagnosis betwe...
The overall upgraded pathological diagnosis rate between EFB and ESD was 26.4%. The independent predictors for the upgraded group included proximal stomach lesions, lesion size > 2 cm, surface ulcerat...
Biopsy cannot fully represent the lesions of gastric intraepithelial neoplasia (GIN). When a suspected epithelial dysplasia is suspected, a careful endoscopic examination should be conducted to evalua...