La cirrhose : un facteur de risque de candidose invasive méconnu

Zylberfajn, C.; Lobo, David; Annonay, M.; Marquion, F.; Noorah, Zaid; Bouhlel, A.; Merle, Jean‐Claude; Levesque, Éric; Rousseau, Clotilde; Cruaud, P.; Amathieu, Roland; Dhonneur, Gilles

doi:10.1016/j.annfar.2014.07.182

Annales Françaises d'Anesthésie et de Réanimation

2014

DOI: 10.1016/j.annfar.2014.07.182

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La cirrhose : un facteur de risque de candidose invasive méconnu

C. Zylberfajn

David Lobo

M. Annonay

et al.

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“…These abnormalities partly explain the frequency of microbial translocations in these patients, aggravated by the presence of portal hypertension. All of these dysfunctions result in susceptibility to bacterial and fungal infections through translocation and dissemination via the bloodstream and local circulation[11] [12]. Esophageal candidiasis must be adequately managed in cirrhotics, because it is a relative contraindication to ligation of esophageal varices.…”

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Upper Digestive Lesions Not Linked to Portal Hypertension during Cirrhosis: About 82 Cases in the Hepato-Gastroenterology Department of Aristide Le Dantec Hospital

Guèye¹,

Bassène²,

Diallo³

et al. 2020

OJGas

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Introduction: The aim of this study was to determine the frequency of digestive lesions unrelated to portal hypertension during cirrhosis and to look for a possible correlation between these lesions and the severity of chronic liver disease. Material and method: Over a period of 15 months (April 1, 2014 to June 30, 2015), all the records of cirrhotic patients who followed up on an outpatient or inpatient basis in the hepato-gastroenterology department of the Aristide Le Dantec Hospital were collected. The data collected were as follows: age, sex, Child-Pugh severity score, etiology of cirrhosis, indication for endoscopy and endoscopic lesions observed. Results: Data were analyzed from 82 patient records with a mean age of 43 years (range 16 and 79 years) and a sex ratio of 1.4 (54 males). Cirrhosis was classified as Child-Pugh B in 47% of cases and Child-Pugh C in 35% of cases. The etiology was viral B in 75 patients (91.5%), B-D co-infection in 2 cases, and alcoholic in 1 case. The indication for oeso-gastroduodenal endoscopy was a systematic search for signs of portal hypertension in 66 cases (80.4%), upper gastrointestinal haemorrhage in 11 cases (13.4%) and epigastralgia in 6.2% of cases. Endoscopic lesions unrelated to portal hypertension were observed in 61 patients (74.4%). Peptic ulcer was present in 26 patients (31.7%), and congestive gastrobulbitis was observed in 38 patients (46.3%) and erosive gastrobulbitis in 32 patients (39%). Of the 43 upper GI endoscopies with biopsies, Helicobacter pylori was found at histology in 17 cases (39.5%). Eighteen patients (21.9%) had esophageal candidiasis. In multivariate analysis, there was no association be

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mentioning

confidence: 99%

Upper Digestive Lesions Not Linked to Portal Hypertension during Cirrhosis: About 82 Cases in the Hepato-Gastroenterology Department of Aristide Le Dantec Hospital

Guèye¹,

Bassène²,

Diallo³

et al. 2020

OJGas

View full text Add to dashboard Cite

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La cirrhose : un facteur de risque de candidose invasive méconnu

Cited by 1 publication

References 0 publications

Upper Digestive Lesions Not Linked to Portal Hypertension during Cirrhosis: About 82 Cases in the Hepato-Gastroenterology Department of Aristide Le Dantec Hospital

Upper Digestive Lesions Not Linked to Portal Hypertension during Cirrhosis: About 82 Cases in the Hepato-Gastroenterology Department of Aristide Le Dantec Hospital

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