Titre : Hépatectomie

Hépatectomie : Questions médicales fréquentes

Termes MeSH sélectionnés :

Practice Guidelines as Topic
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diagnostiquer une maladie nécessitant une hépatectomie ?\nQuels tests sanguins sont utiles avant une hépatectomie ?\nQuels symptômes indiquent une hépatectomie possible ?\nQuelle imagerie est la plus précise pour le foie ?\nComment évaluer la taille des tumeurs hépatiques ?", "url": "https://questionsmedicales.fr/mesh/D006498?mesh_terms=Practice+Guidelines+as+Topic&page=5#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Hépatectomie", "description": "Quels sont les symptômes d'une maladie hépatique avancée ?\nComment se manifeste une tumeur hépatique ?\nQuels signes indiquent une cirrhose ?\nLa perte de poids est-elle un symptôme d'alerte ?\nQuels symptômes peuvent précéder une hépatectomie ?", "url": "https://questionsmedicales.fr/mesh/D006498?mesh_terms=Practice+Guidelines+as+Topic&page=5#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Hépatectomie", "description": "Quelle est la principale indication pour une hépatectomie ?\nQuelles sont les alternatives à l'hépatectomie ?\nComment se déroule une hépatectomie ?\nQuels soins postopératoires sont nécessaires ?\nQuels médicaments sont prescrits après une hépatectomie ?", "url": "https://questionsmedicales.fr/mesh/D006498?mesh_terms=Practice+Guidelines+as+Topic&page=5#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Hépatectomie", "description": "Quelles sont les complications possibles d'une hépatectomie ?\nComment prévenir les infections après une hépatectomie ?\nQuels signes indiquent une hémorragie postopératoire ?\nL'insuffisance hépatique est-elle une complication fréquente ?\nComment gérer la douleur après une hépatectomie ?", "url": "https://questionsmedicales.fr/mesh/D006498?mesh_terms=Practice+Guidelines+as+Topic&page=5#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Hépatectomie", "description": "Quels sont les facteurs de risque pour les tumeurs hépatiques ?\nLe tabagisme augmente-t-il le risque de cancer du foie ?\nComment l'obésité influence-t-elle le risque hépatique ?\nLes antécédents familiaux jouent-ils un rôle ?\nQuel rôle joue l'exposition aux toxines ?", "url": "https://questionsmedicales.fr/mesh/D006498?mesh_terms=Practice+Guidelines+as+Topic&page=5#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une maladie nécessitant une hépatectomie ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Des examens d'imagerie comme l'IRM ou le scanner sont utilisés pour évaluer le foie." } }, { "@type": "Question", "name": "Quels tests sanguins sont utiles avant une hépatectomie ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Les tests de la fonction hépatique, comme les transaminases, sont essentiels." } }, { "@type": "Question", "name": "Quels symptômes indiquent une hépatectomie possible ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Des douleurs abdominales, jaunisse ou perte de poids peuvent indiquer une intervention." } }, { "@type": "Question", "name": "Quelle imagerie est la plus précise pour le foie ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'IRM est souvent la méthode la plus précise pour évaluer les lésions hépatiques." } }, { "@type": "Question", "name": "Comment évaluer la taille des tumeurs hépatiques ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Le scanner abdominal permet de mesurer la taille et l'étendue des tumeurs." } }, { "@type": "Question", "name": "Quels sont les symptômes d'une maladie hépatique avancée ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent la fatigue, l'ictère, et des douleurs abdominales." } }, { "@type": "Question", "name": "Comment se manifeste une tumeur hépatique ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Une tumeur hépatique peut provoquer des douleurs, une masse palpable ou des nausées." } }, { "@type": "Question", "name": "Quels signes indiquent une cirrhose ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent l'ascite, les varices œsophagiennes et la confusion mentale." } }, { "@type": "Question", "name": "La perte de poids est-elle un symptôme d'alerte ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, une perte de poids inexpliquée peut signaler une maladie hépatique grave." } }, { "@type": "Question", "name": "Quels symptômes peuvent précéder une hépatectomie ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Des symptômes comme des douleurs persistantes et des anomalies hépatiques sont fréquents." } }, { "@type": "Question", "name": "Quelle est la principale indication pour une hépatectomie ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "L'hépatectomie est principalement indiquée pour les tumeurs malignes du foie." } }, { "@type": "Question", "name": "Quelles sont les alternatives à l'hépatectomie ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements comme la chimiothérapie ou l'ablation peuvent être envisagés." } }, { "@type": "Question", "name": "Comment se déroule une hépatectomie ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "L'hépatectomie se fait sous anesthésie générale, avec une incision abdominale." } }, { "@type": "Question", "name": "Quels soins postopératoires sont nécessaires ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Les soins incluent la surveillance des signes vitaux et la gestion de la douleur." } }, { "@type": "Question", "name": "Quels médicaments sont prescrits après une hépatectomie ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Des analgésiques et des antibiotiques sont souvent prescrits pour prévenir l'infection." } }, { "@type": "Question", "name": "Quelles sont les complications possibles d'une hépatectomie ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent les infections, les hémorragies et l'insuffisance hépatique." } }, { "@type": "Question", "name": "Comment prévenir les infections après une hépatectomie ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne hygiène et des antibiotiques prophylactiques aident à prévenir les infections." } }, { "@type": "Question", "name": "Quels signes indiquent une hémorragie postopératoire ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Des saignements excessifs, des douleurs abdominales intenses ou des chutes de pression." } }, { "@type": "Question", "name": "L'insuffisance hépatique est-elle une complication fréquente ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Oui, l'insuffisance hépatique peut survenir, surtout si une grande partie du foie est retirée." } }, { "@type": "Question", "name": "Comment gérer la douleur après une hépatectomie ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Des analgésiques et des techniques de relaxation peuvent aider à gérer la douleur." } }, { "@type": "Question", "name": "Quels sont les facteurs de risque pour les tumeurs hépatiques ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'hépatite virale, l'alcoolisme et la cirrhose." } }, { "@type": "Question", "name": "Le tabagisme augmente-t-il le risque de cancer du foie ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme est un facteur de risque reconnu pour le cancer du foie." } }, { "@type": "Question", "name": "Comment l'obésité influence-t-elle le risque hépatique ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "L'obésité augmente le risque de stéatose hépatique et de maladies hépatiques chroniques." } }, { "@type": "Question", "name": "Les antécédents familiaux jouent-ils un rôle ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents familiaux de cancer du foie peuvent augmenter le risque." } }, { "@type": "Question", "name": "Quel rôle joue l'exposition aux toxines ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "L'exposition à des toxines environnementales peut augmenter le risque de maladies hépatiques." } } ] } ] }

Sources (10000 au total)

A critical appraisal of clinical practice guidelines for the diagnosis and management of benign paroxysmal positional vertigo.

Delays in the diagnosis and therapy of benign paroxysmal positional vertigo can greatly impact quality of life and increase healthcare costs for patients. This study aimed to appraise the quality of c... A comprehensive database search of clinical practice guidelines was completed up to 30 October 2021. Four independent reviewers used the Appraisal of Guidelines for Research and Evaluation II instrume... The highest score was in 'clarity and presentation' (58.33 ± 22.7). The lowest score was in 'applicability' (13.96 ± 30.1). Overall, four clinical practice guidelines were 'low quality' and only one g... This review identified a significant lack of quality in clinical practice guideline development for benign paroxysmal positional vertigo, highlighting the need for a more rigorous approach for future ...

Challenges, barriers and solutions for implementing clinical practice guidelines: a qualitative study in southern Iran.

Identifying the challenges of implementing clinical practice guidelines (CPGs) can provide valuable information for decision-makers and health policymakers at the national and local levels. The implem... This qualitative research uses content analysis conducted in 2022 in southern Iran. In-depth interviews were conducted with the physicians and experts in the health system. Interviewing continued unti... The analysis revealed 4 main themes and 20 subthemes. The four main themes included challenges related to physicians, medical education, the health system and patients. The most common themes were the... The most mentioned topic by the experts was training CPGs in medical schools. In Iran's current medical education system, the training of CPGs is not included in the curriculum. It is proposed to refo...

Clinical Practice Guideline for Red Blood Cell Transfusion Thresholds in Very Preterm Neonates.

Red blood cell (RBC) transfusion is a common medical intervention to treat anemia in very preterm neonates; however, best transfusion practices, such as thresholds, remain uncertain.... To develop recommendations for clinicians on the use of RBC transfusions in very preterm neonates.... An international steering committee reviewed evidence from a systematic review of 6 randomized clinical trials (RCTs) that compared high vs low hemoglobin-based or hematocrit-based transfusion thresho... A systematic review of 6 RCTs encompassing 3483 participants (1759 females [51.3%]; mean [SD] age range, 25.9-29.8 [1.5-3.0] weeks) was used as the basis of the recommendations. The ranges for higher ... This consensus statement recommends a restrictive RBC transfusion strategy, with moderate certainty of evidence, for preterm neonates with less than 30 weeks' gestation....

A systematic review and critical evaluation of quality of clinical practice guidelines on fetal growth restriction.

To systematically identify and critically assess the quality of clinical practice guidelines (CPGs) on management fetal growth restriction (FGR).... Medline, Embase, Google Scholar, Scopus and ISI Web of Science databases were searched to identify all relevant CPGs on FGR.... Diagnostic criteria of FGR, recommended growth charts, recommendation for detailed anatomical assessment and invasive testing, frequency of fetal growth scans, fetal monitoring, hospital admission, dr... There is significant heterogeneity in the management of pregnancies complicated by FGR in published CPGs....

Satisfaction with web-based courses on clinical practice guidelines for psychiatrists: Findings from the "Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE)" project.

To disseminate, educate, and validate psychiatric clinical practice guidelines, the Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE) project was launched i...

Automatic literature screening using the PAJO deep-learning model for clinical practice guidelines.

Clinical practice guidelines (CPGs) are designed to assist doctors in clinical decision making. High-quality research articles are important for the development of good CPGs. Commonly used manual scre... Using advanced AI techniques, we propose the Paper title, Abstract, and Journal (PAJO) model, which treats article screening as a classification problem. For training, articles appearing in the curren... We collected 89,940 articles from PubMed to construct a dataset related to neck pain. Extensive experiments show that the PAJO model surpasses the state-of-the-art baseline by 1.91% (F1 score) and 2.2... The PAJO model provides an effective solution for automatic literature screening. It can screen high-quality articles on neck pain and significantly improve the efficiency of CPG development. The meth...

Emergency and sequalae management of traumatic dental injuries: a systematic survey of clinical practice guidelines.

The prevalence and consequences of traumatic dental injuries (TDI) make them a public health problem. Trustworthy TDI clinical practice guidelines (CPGs) assist clinicians in determining a diagnosis a... A systematic search was carried out in MEDLINE, EMBASE, Epistemonikos, Trip database, CPG websites, and dental societies to identify documents providing recommendations for the emergency and sequelae ... Ten CPGs published between 2010 and 2020 were included, mostly from Europe (n = 6). The overall agreement between reviewers was very good (0.94; 95%CI 0.91-0.97). The mean scores (the higher the score... The overall quality of CPGs on TDI was suboptimal. CPG developers should synthesize the evidence and formulate recommendations using high-quality methodologies and standards in a structured, transpare...

Clinical practice guideline recommendations for pediatric solid organ injury care: A Systematic Review.

Observed variations in the management of pediatric solid organ injuries (SOIs) may be due to difficulty in finding and integrating recommendations from multiple clinical practice guidelines (CPGs) wit... We conducted a systematic review of CPGs including at least one recommendation targeting pediatric SOI populations, using Medical Analysis and Retrieval System Online, Excerpta Medica dataBASE, Web of... We identified eight CPGs, including three rated moderate or high quality. Methodological weaknesses included lack of stakeholder involvement beyond surgeons, consideration of applicability (e.g., impl... We identified 15 recommendations on pediatric SOI management from 3 moderate or high-quality CPGs, but only one third were based on at least moderate-quality evidence or were rated as strong. Our resu... Systematic Review/Meta-analysis; Level III....

Evaluation of financial conflicts of interest and quality of evidence in Japanese gastroenterology clinical practice guidelines.

Clinical practice guidelines assist healthcare professionals in providing evidence-based care. However, pharmaceutical companies' financial interests often influence guideline content. This study aime... Using pharmaceutical company disclosed payment data, we evaluated financial conflicts of interest (COI) among Japanese Society of Gastroenterology guideline authors between 2016 and 2021. Additionally... Overall, 88.2% (231/262) of guideline authors received a median of $12 968 (interquartile range [IQR]: $1839-$70 374) in payments between 2016 and 2019 for lectures, writings, and consulting. Chairper... There were extensive financial COI between pharmaceutical companies and guideline authors, and more than 40% of recommendations were based on low-quality evidence. More rigorous and transparent COI po...

Evaluation of the Practice Guideline Used for Rule-Out of Myocardial Infarction at a Tertiary Cardiology Center.

With the current high burden on the healthcare system and limited resources, the efficient utilization of facilities is of utmost importance. We sought to present the practice guideline used at a high... In this prospective cohort study, consecutive patients presenting to the emergency department with chest pain or an angina equivalent were recruited. The primary endpoints consisted of major adverse c... Of the total 1548 patients, the mean age was 50.4 ± 15.7 years. Ninety-nine (10.9%) patients were admitted at the index visit, and 89 patients were consequently diagnosed with acute coronary symptoms.... The Tehran Herat Center protocol was a relatively safe protocol with high efficacy. Despite the high safety of the other diagnostic pathways, the high volume of patients needing additional evaluation ...