Titre : Lévorphanol

Lévorphanol : Questions médicales fréquentes

Termes MeSH sélectionnés :

Colonic Polyps
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"https://questionsmedicales.fr/mesh/D007981?mesh_terms=Colonic+Polyps&page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Lévorphanol", "description": "Quelles complications peuvent survenir avec le lévorphanol ?\nLe lévorphanol peut-il interagir avec d'autres médicaments ?\nComment gérer une réaction allergique au lévorphanol ?\nQuels sont les signes d'une surdose de lévorphanol ?\nLe lévorphanol peut-il causer des problèmes cardiaques ?", "url": "https://questionsmedicales.fr/mesh/D007981?mesh_terms=Colonic+Polyps&page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Lévorphanol", "description": "Qui est à risque de dépendance au lévorphanol ?\nLes jeunes adultes sont-ils plus à risque avec le lévorphanol ?\nQuels facteurs augmentent le risque d'effets secondaires ?\nLe lévorphanol est-il risqué pour les femmes enceintes ?\nLes personnes ayant des problèmes respiratoires sont-elles à risque ?", "url": "https://questionsmedicales.fr/mesh/D007981?mesh_terms=Colonic+Polyps&page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer une douleur nécessitant du lévorphanol ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Un diagnostic se fait par évaluation clinique et historique médical du patient." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour évaluer la douleur ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Des échelles de douleur et des examens physiques sont utilisés pour évaluer l'intensité." } }, { "@type": "Question", "name": "Le lévorphanol est-il prescrit pour tous les types de douleur ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Non, il est principalement utilisé pour la douleur modérée à sévère, pas pour la douleur légère." } }, { "@type": "Question", "name": "Quels critères déterminent l'utilisation du lévorphanol ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Les critères incluent l'intensité de la douleur et la réponse aux traitements antérieurs." } }, { "@type": "Question", "name": "Le lévorphanol est-il utilisé en cas de douleur chronique ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, il peut être utilisé pour la douleur chronique lorsque d'autres traitements échouent." } }, { "@type": "Question", "name": "Quels sont les effets secondaires du lévorphanol ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les effets secondaires incluent la somnolence, la constipation et des nausées." } }, { "@type": "Question", "name": "Le lévorphanol peut-il provoquer des réactions allergiques ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des réactions allergiques peuvent survenir, bien que rares." } }, { "@type": "Question", "name": "Quels symptômes indiquent une surdose de lévorphanol ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent la dépression respiratoire, la somnolence excessive et la confusion." } }, { "@type": "Question", "name": "Comment reconnaître une dépendance au lévorphanol ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Des signes de dépendance incluent le besoin compulsif de médicament et des symptômes de sevrage." } }, { "@type": "Question", "name": "Le lévorphanol peut-il affecter l'humeur ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Oui, il peut provoquer des changements d'humeur, y compris l'euphorie ou la dépression." } }, { "@type": "Question", "name": "Comment prévenir les effets secondaires du lévorphanol ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une surveillance régulière et l'ajustement de la posologie peuvent aider à prévenir les effets secondaires." } }, { "@type": "Question", "name": "Quelles précautions prendre avant de commencer le lévorphanol ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Informez votre médecin de vos antécédents médicaux et des médicaments que vous prenez." } }, { "@type": "Question", "name": "Le lévorphanol est-il sûr pour les personnes âgées ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Il doit être utilisé avec prudence chez les personnes âgées en raison du risque accru d'effets secondaires." } }, { "@type": "Question", "name": "Comment éviter la dépendance au lévorphanol ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Utilisez-le uniquement selon les prescriptions et évitez l'auto-médication." } }, { "@type": "Question", "name": "Quelles alternatives au lévorphanol existent ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Des alternatives incluent d'autres analgésiques opioïdes ou des traitements non opioïdes." } }, { "@type": "Question", "name": "Comment le lévorphanol est-il administré ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Il est généralement administré par voie orale ou intraveineuse selon la situation clinique." } }, { "@type": "Question", "name": "Quelle est la posologie habituelle du lévorphanol ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "La posologie varie, mais commence souvent à 2-4 mg toutes les 6-8 heures selon la douleur." } }, { "@type": "Question", "name": "Le lévorphanol peut-il être combiné avec d'autres analgésiques ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, il peut être utilisé en association avec d'autres analgésiques pour un meilleur contrôle de la douleur." } }, { "@type": "Question", "name": "Quels sont les risques d'un traitement prolongé au lévorphanol ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Un traitement prolongé peut entraîner une tolérance, une dépendance et des effets secondaires accrus." } }, { "@type": "Question", "name": "Comment arrêter le lévorphanol en toute sécurité ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "L'arrêt doit être progressif sous supervision médicale pour éviter les symptômes de sevrage." } }, { "@type": "Question", "name": "Quelles complications peuvent survenir avec le lévorphanol ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent la dépression respiratoire, la constipation sévère et la dépendance." } }, { "@type": "Question", "name": "Le lévorphanol peut-il interagir avec d'autres médicaments ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, il peut interagir avec d'autres médicaments, augmentant le risque d'effets indésirables." } }, { "@type": "Question", "name": "Comment gérer une réaction allergique au lévorphanol ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "En cas de réaction allergique, arrêtez le médicament et consultez immédiatement un médecin." } }, { "@type": "Question", "name": "Quels sont les signes d'une surdose de lévorphanol ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent la somnolence extrême, la confusion et la difficulté à respirer." } }, { "@type": "Question", "name": "Le lévorphanol peut-il causer des problèmes cardiaques ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Il peut provoquer des problèmes cardiaques chez certains patients, surtout en cas de surdose." } }, { "@type": "Question", "name": "Qui est à risque de dépendance au lévorphanol ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les personnes ayant des antécédents de dépendance ou de troubles de l'humeur sont à risque." } }, { "@type": "Question", "name": "Les jeunes adultes sont-ils plus à risque avec le lévorphanol ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les jeunes adultes peuvent être plus susceptibles de développer une dépendance aux opioïdes." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque d'effets secondaires ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "L'âge avancé, les maladies chroniques et l'utilisation concomitante d'autres médicaments augmentent le risque." } }, { "@type": "Question", "name": "Le lévorphanol est-il risqué pour les femmes enceintes ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, il peut présenter des risques pour le fœtus et doit être évité sauf en cas de nécessité." } }, { "@type": "Question", "name": "Les personnes ayant des problèmes respiratoires sont-elles à risque ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elles sont à risque accru de dépression respiratoire lors de l'utilisation de lévorphanol." } } ] } ] }

Sources (7636 au total)

Colonoscopic-assisted laparoscopic wedge resection versus segmental colon resection for benign colonic polyps: a comparative cost analysis.

The colonoscopic-assisted laparoscopic wedge resection (CAL-WR) is proven to be an effective and safe alternative to a segmental colon resection (SCR) for large or complex benign colonic polyps that a... A single-centre 90-day 'in-hospital' comparative cost analysis was performed on patients undergoing CAL-WR or SCR for complex benign polyps between 2016 and 2020. The CAL-WR group consisted of 44 pati... Colonoscopic-assisted laparoscopic wedge resection was associated with significantly fewer complications (7% in the CAL-WR group vs. 45% in the SCR group, P < 0.001), shorter operation time (50 min in... Given the clinical and financial benefits, CAL-WR should be recommended for complex benign polyps that are not eligible for endoscopic resection before major surgery is considered....

Serum biomarkers of colonic polyps in patients with acromegaly: a meta-analysis and systematic review.

In the past few decades, acromegaly and colonic polyps have been associated with an increased risk of colorectal cancer. Previous studies highlighted the importance of serum biomarkers of colonic poly... We reviewed studies on serum biomarkers of colonic polyps in patients with acromegaly, published on PubMed, Embase, Cochrane Library, Medline, and Chinese databases from January 1, 1966, to May 8, 202... Eight articles were included in this study. The mean (standard deviation) concentrations of serum biomarkers for acromegaly with and without colorectal polyps were extracted from these studies. Meta-a... We present the first meta-analysis and systematic review of serum biomarkers in patients with acromegaly or colonic polyps. The prevalence of colonic lesion polyps, is associated with higher IGF-1 × U...

Performance and comparison of artificial intelligence and human experts in the detection and classification of colonic polyps.

The main aim of this study was to analyze the performance of different artificial intelligence (AI) models in endoscopic colonic polyp detection and classification and compare them with doctors with d... We searched the studies on Colonoscopy, Colonic Polyps, Artificial Intelligence, Machine Learning, and Deep Learning published before May 2020 in PubMed, EMBASE, Cochrane, and the citation index of th... A total of 16 studies were included for meta-analysis. Only one study (1/16) presented externally validated results. The area under the curve (AUC) of AI group, expert group and non-expert group for d... The performance of AI in polyp detection and classification is similar to that of human experts, with high sensitivity and moderate specificity. Different tasks may have an impact on the performance o...

Cold snare endoscopic mucosal resection for colon polyps: a systematic review and meta-analysis.

Cold snare endoscopic mucosal resection (CS-EMR) can reduce the risks associated with electrocautery during colon polyp resection. Data on efficacy are variable. This systematic review and meta-analys... We conducted a comprehensive literature search of multiple databases, from inception to March 2023, for studies addressing outcomes of CS-EMR for colon polyps. The weighted pooled estimates with 95 %C... 4137 articles were reviewed, and 16 studies, including 2592 polyps in 1922 patients (51.4 % female), were included. Overall, 54.4 % of polyps were adenomas, 45 % were sessile serrated lesions (SSLs), ... CS-EMR demonstrated an excellent safety profile for colon polyps, with variable recurrence rates based on polyp size and histology. Large prospective studies are needed to validate these findings....

AGA Clinical Practice Update on the Role of Artificial Intelligence in Colon Polyp Diagnosis and Management: Commentary.

The purpose of this American Gastroenterological Association (AGA) Institute Clinical Practice Update (CPU) is to review the available evidence and provide expert commentary on the current landscape o... This CPU was commissioned and approved by the AGA Institute Clinical Practice Updates Committee (CPUC) and the AGA Governing Board to provide timely guidance on a topic of high clinical importance to ...

Impact of margin ablation after EMR of large nonpedunculated colonic polyps in routine clinical practice.

Owing to its simplicity, effectiveness, and safety, EMR is the preferred treatment for the majority of large (≥20 mm) nonpedunculated colonic polyps (LNPCPs); however, residual and recurrent adenomas ... We analyzed data collected in 3 hospitals in Israel: Prospective data were available in 2 hospitals where margin thermal ablation with snare-tip soft coagulation (STSC) is routinely performed after EM... Data from 764 patients with 824 LNPCPs were analyzed. The patient and lesion characteristics were similar between the groups. Four hundred sixty-four LNPCPs were treated by TA-EMR and 360 LNPCPs by S-... TA-EMR leads to a significant reduction in post-EMR recurrence in routine clinical practice....

Polyp detection in the cecum and ascending colon by dye based chromoendoscopy - Is its routine use justified?

colonoscopy is the best method for detecting polyps, with a reduction in colorectal cancer mortality of 29% and reaching 47% for distal tumors. However, it fails to demonstrate a significant reduction... prospective, non-randomized clinical trial. Patients were divided into two groups. The first (G1) underwent a routine colonoscopy, followed by a second endoscopy assessment of ascending colon and cecu... In total, 203 patients were analyzed, 101 in the G1 and 102 in the G2. Newer polyps were identified in both groups after the second assessment with a significantly higher number of polyps detected in ... the second assessment with dye-based chromoendoscopy increases the detection of polyps in the ascending colon and cecum....

Do surface morphology and pit pattern have a role in predicting cancer for colon polyps in North America?

The surface morphology of colorectal polyps is well correlated with submucosal invasion in Eastern Countries but not in North America. We aimed to investigate associations between the Paris classifica... We retrospectively analyzed prospectively collected data of consecutive advanced endoscopic procedures conducted by a single surgeon between August 2017 and October 2018. The data included patients' d... The study consisted of 138 lesions, and the mean age was 67 ± 10 years. The most common polyp locations were cecum (n = 41, 30%) followed by ascending colon (n = 28, 20%), and sigmoid colon (n = 18, 1... Surface morphology and pit pattern can predict submucosal invasion in the North American patient population. Polyp morphology may aid polyp selection for advanced endoscopic interventions....