questionsmedicales.fr
Maladies de l'appareil digestif
Maladies du foie
Insuffisance hépatique
Défaillance hépatique
Maladie du foie en phase terminale
Maladie du foie en phase terminale : Questions médicales fréquentes
Termes MeSH sélectionnés :
Diagnostic
5
Maladie du foie
Biopsie hépatique
Ascite
Encéphalopathie hépatique
Échographie
Tomodensitométrie
Biopsie hépatique
Lésions hépatiques
Symptômes
5
Encéphalopathie hépatique
Troubles de la conscience
Ascite
Pression intra-abdominale
Saignement
Varices œsophagiennes
Démangeaisons
Éruption cutanée
Prévention
5
Dépistage
Maladies hépatiques
Infections hépatiques
Vaccination
Traitements
5
Transplantation hépatique
Médicaments
Transplantation hépatique
Maladie terminale
Médicaments
Complications
Encéphalopathie hépatique
Lactulose
Complications
5
Insuffisance hépatique
Cancer du foie
Insuffisance hépatique
Fonctions hépatiques
Varices œsophagiennes
Saignements
Suivi médical
Traitement précoce
Facteurs de risque
5
Diabète
Maladies hépatiques
Toxines
Produits chimiques
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"name": "Comment diagnostiquer une maladie du foie en phase terminale ?",
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"text": "Le diagnostic repose sur des tests sanguins, échographies et biopsies hépatiques."
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"@type": "Question",
"name": "Quels tests sanguins sont utilisés pour le diagnostic ?",
"position": 2,
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"@type": "Question",
"name": "Quels signes cliniques indiquent une phase terminale ?",
"position": 3,
"acceptedAnswer": {
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"text": "Les signes incluent l'ascite, l'encéphalopathie hépatique et la jaunisse."
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"@type": "Question",
"name": "L'imagerie est-elle utile pour le diagnostic ?",
"position": 4,
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"text": "Oui, l'échographie et le scanner peuvent évaluer l'état du foie."
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"@type": "Question",
"name": "Quelle est l'importance de la biopsie hépatique ?",
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"@type": "Question",
"name": "Qu'est-ce que l'ascite ?",
"position": 8,
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"text": "L'ascite est l'accumulation de liquide dans l'abdomen, causée par une pression accrue."
}
},
{
"@type": "Question",
"name": "Les saignements sont-ils fréquents ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les saignements peuvent survenir en raison de varices œsophagiennes."
}
},
{
"@type": "Question",
"name": "Quels changements cutanés peuvent apparaître ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des démangeaisons et des éruptions cutanées peuvent survenir à cause de l'accumulation de toxines."
}
},
{
"@type": "Question",
"name": "Comment prévenir la maladie du foie ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évitez l'alcool, maintenez un poids santé et vaccinez-vous contre l'hépatite."
}
},
{
"@type": "Question",
"name": "Le dépistage est-il important ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le dépistage régulier peut aider à détecter les maladies hépatiques précocement."
}
},
{
"@type": "Question",
"name": "Quels aliments sont à éviter ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Évitez les aliments gras, salés et riches en sucre pour protéger le foie."
}
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{
"@type": "Question",
"name": "L'exercice physique aide-t-il ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'exercice régulier aide à maintenir un poids santé et à réduire le risque."
}
},
{
"@type": "Question",
"name": "Les infections hépatiques peuvent-elles être évitées ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en évitant les comportements à risque et en se faisant vacciner."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour cette maladie ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des médicaments, des soins de soutien et la transplantation hépatique."
}
},
{
"@type": "Question",
"name": "Comment gérer l'ascite ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'ascite peut être traitée par des diurétiques ou par une paracentèse pour retirer le liquide."
}
},
{
"@type": "Question",
"name": "Quel rôle joue la transplantation hépatique ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La transplantation est souvent le seul traitement curatif pour la maladie en phase terminale."
}
},
{
"@type": "Question",
"name": "Les médicaments peuvent-ils aider ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains médicaments peuvent soulager les symptômes et prévenir les complications."
}
},
{
"@type": "Question",
"name": "Comment traiter l'encéphalopathie hépatique ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle est traitée par des médicaments comme la lactulose et des modifications diététiques."
}
},
{
"@type": "Question",
"name": "Quelles sont les complications possibles ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent l'insuffisance hépatique, les infections et le cancer du foie."
}
},
{
"@type": "Question",
"name": "Comment l'insuffisance hépatique se manifeste-t-elle ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle se manifeste par une défaillance des fonctions hépatiques et des symptômes graves."
}
},
{
"@type": "Question",
"name": "Les varices œsophagiennes sont-elles dangereuses ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles peuvent provoquer des saignements potentiellement mortels."
}
},
{
"@type": "Question",
"name": "Le cancer du foie est-il fréquent ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, il est plus fréquent chez les personnes atteintes de cirrhose ou d'hépatite chronique."
}
},
{
"@type": "Question",
"name": "Comment prévenir les complications ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un suivi médical régulier et un traitement précoce des maladies hépatiques sont essentiels."
}
},
{
"@type": "Question",
"name": "Quels sont les principaux facteurs de risque ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent l'alcoolisme, l'obésité, l'hépatite virale et le diabète."
}
},
{
"@type": "Question",
"name": "L'hépatite C augmente-t-elle le risque ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'hépatite C est un facteur de risque majeur pour la cirrhose et le cancer du foie."
}
},
{
"@type": "Question",
"name": "Le diabète est-il un facteur de risque ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le diabète peut aggraver les maladies hépatiques et augmenter le risque de complications."
}
},
{
"@type": "Question",
"name": "L'exposition à des toxines est-elle un risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'exposition à des produits chimiques toxiques peut endommager le foie."
}
},
{
"@type": "Question",
"name": "Le sexe influence-t-il le risque ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains facteurs de risque peuvent varier selon le sexe, affectant la prévalence."
}
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]
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Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale
Validation scientifique effectuée le 13/03/2025
Contenu vérifié selon les dernières recommandations médicales
3 publications dans cette catégorie
Publications dans "Maladie du foie en phase terminale" :
3 publications dans cette catégorie
Affiliations :
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Publications dans "Maladie du foie en phase terminale" :
3 publications dans cette catégorie
Affiliations :
Division of Critical Care Medicine, Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada bar890@mail.harvard.edu.
Publications dans "Maladie du foie en phase terminale" :
3 publications dans cette catégorie
Affiliations :
Division of Gastroenterology, Department of Medicine, London Health Sciences Center, University of Western Ontario, London, Ontario, Canada.
Publications dans "Maladie du foie en phase terminale" :
3 publications dans cette catégorie
Affiliations :
Division of General Internal Medicine & Geriatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Division of Gastroenterology and Hepatology, Department of Medicine , Stanford University School of Medicine , Redwood City , California , USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Division of Gastroenterology and Hepatology, Department of Medicine , Stanford University School of Medicine , Redwood City , California , USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Head of Division, Division of Gastroenterology, Hepatology & Nutrition, Children's Hospital Los Angeles, 4650 Sunset Boulevard, Los Angeles, CA, USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Department of Pathology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Pittsburgh Liver Research Center, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
King Faisal Specialist Hospital & Research Center, Organ Transplant Center of Excellence, Riyadh 11564, Saudi Arabia.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Department of Anesthesiology and Critical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Division of Pulmonary and Critical Care MedicineMayo ClinicRochesterMinnesotaUSA.
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Publications dans "Maladie du foie en phase terminale" :
2 publications dans cette catégorie
Affiliations :
Centre for Heart Lung Innovation (HLI), University of British Columbia, Vancouver, British Columbia, Canada.
Division of Critical Care Medicine, University of British Columbia, Vancouver, Canada.
Publications dans "Maladie du foie en phase terminale" :
Metastasis on lymph nodes (LNs), the most common way of spread for primary tumor cells, is a sign of increased mortality. However, metastatic LNs are time-consuming and challenging to detect even for ...
Lymphatic drainage from subcostal nodes, along the costal groove, have not previously been characterized as sites for melanoma drainage and metastasis. This study reports a series of patients with sub...
Patients who presented to our institution between 2005 and 2020 with documented cutaneous melanoma and sentinel lymph node biopsy of a subcostal node (sentinel = S), or metastases to subcostal nodes l...
Six patients had subcostal sentinel nodes (SNs). Primary sites included the posterior trunk and lateral chest wall. Subcostal nodes were found under ribs 10-12. Subcostal SNs had at least one dimensio...
Melanoma can metastasize to subcostal lymph nodes and be found at the time of SN biopsy or identified at recurrence. These small nodes are fed by lymphatic channels that run in the neurovascular bundl...
Axillary reverse mapping (ARM) was introduced in 2007 to identify and selectively preserve upper-extremity lymphatics during axillary lymph node surgery to decrease the risk of lymphedema. The patient...
Patients undergoing ALND with or without immediate lymphatic reconstruction (ILR) were enrolled in a prospective trial at two institutional sites between April 2018 and Decemeber 2022. This report ana...
The inclusion criteria were met by 139 patients, who made up the study population (133 with breast cancer and 6 with other disease). Of the breast cancer patients, 99.2% were female, 35.3% (47/133) we...
In the contemporary patient population undergoing ALND, the positivity rate of the ARM LN was relatively high, suggesting that leaving ARM LNs in patients undergoing ALND may not be oncologically safe...
To explore the impact of lymph node diameter on the efficacy and safety of ultrasound-guided microwave ablation (MWA) in the treatment of cervical metastatic lymph nodes (CMLNs) from thyroid cancer....
A total of 32 patients with 58 CMLNs from thyroid cancer underwent ultrasound-guided MWA and were included in the retrospective study. Patients were divided into three groups based on the mean largest...
The technical success rate of this study was 100% (32/32), and they showed no major complications. Compared with measurements taken before MWA, the mean largest diameter and volume of CMLNs, as well a...
MWA is a safe and effective method for treating CMLNs, with advantages for localized nodes but limitations for larger ones. Careful consideration and personalized plans are advised, based on comprehen...
Metastasis in a nonsentinel lymph node (non-SLN) is an unfavorable independent prognostic factor in cutaneous melanoma (CM). Recent data did suggest potential value of completion lymph node dissection...
This retrospective study enrolled 656 cases of melanoma who underwent sentinel lymph node biopsy at Fudan University Shanghai Cancer Center from 2009 to 2017. We identified 81 SLN + AM patients who un...
Ulceration, Clark level, number of deposits in the SLN (NumDep) and maximum size of deposits (MaxSize) are independent risk factors associated with non-SLN metastases. We developed a scoring system th...
A scoring system that included ulceration, Clark level, MaxSize, and NumDep is reliable and effective for predicting non-SLN metastasis in SLN-positive AM....
To investigate thresholds for lymph node yield (LNY), lymph node density (LND), and pN in patients with oral squamous cell carcinoma in relation to previous findings in the literature....
Retrospective register-based study....
Copenhagen Oral Cavity Squamous Cell Carcinoma database....
Appropriate thresholds for LNY, LND, and pN were determined by areas under the curve and subsequently subjected to multivariate analysis. Five-year overall survival and 3-year recurrence-free survival...
In total, 413 patients diagnosed with oral squamous cell carcinoma were included. In the pN0 cohort, no superior/prognostic LNY cutoff values were detected. In the pN+ cohort, areas under the curve de...
Increased nodal yield, decreased LND, and decreasing number of pN were associated with significantly improved survival outcomes. LNY might serve as a prognosticator of survival as well as a surgical q...
The imaging diagnosis of fracture-related infection is often challenging. The aim of this study was to evaluate the value of...
A total of 254 consecutive patients who underwent...
Patients were divided into two groups according to final diagnosis: the infected (N=197) and the non-infected group (N=57). The differences in the inguinal DLN-related parameters, including the long d...
Semiquantitative analysis (especially SUVmax) of the inguinal DLN in...
Lymph nodes open an immune-tolerant pathway for metastasis....
B cell follicles in the lymph node protect vaccines to enhance immune responses....
The survival benefit of inguinal lymph node dissection (ILND) vs no ILND in patients with squamous cell carcinoma of the penis (SCCP) and the absence of lymph node invasion is unclear. We addressed th...
We identified lymph node negative SCCP patients who either underwent ILND (pN0) or clinical examination only (cN0). We tested for the effect of ILND vs no ILND on cancer-specific mortality (CSM) in Ka...
Of 2520 SCCP patients, 369 (15%) underwent ILND (pN0) vs 2151 (85%) did not (cN0). The pN0 vs cN0 distribution according to pT stages was as follows: 80 (7%) vs 1092 (93%) in pT1b, and 289 (21%) vs 10...
In pT2-3 stage SCCP, a significantly lower CSM was recorded in lymph node negative patients treated with ILND than in their clinical lymph node negative counterparts who did not undergo ILND....