International survey among hepatologists and pulmonologists on the hepatic hydrothorax: plea for recommendations.

Autor: Cadranel JD; Hepatogastroenterology and Nutrition Department GHPSO Boulevard Laennec, 60100, Creil, France. Jeanfrancois.CADRANEL@ghpso.fr., Ollivier-Hourmand I; Hepatogastroenterology department, CHU Caen, Caen, France., Cadranel J; Pneumology Department, Tenon, Paris, France., Thevenot T; Hepatology and Intensive Care Unit, Besançon, France., Zougmore H; Hepatogastroenterology and Nutrition Department GHPSO Boulevard Laennec, 60100, Creil, France., Nguyen-Khac E; Hepatogastroenterology department, Amiens, France., Bureau C; Hepatogastroenterology department, Toulouse, France., Allaire M; Hepatogastroenterology Department, La Pitié Salpétrière, Paris, France., Nousbaum JB; Hepatogastroenterology department, Brest, France., Loustaud-Ratti V; Hepatogastroenterology department, Limoges, France., Causse X; Hepatogastroenterology department, Orléans, France., Sogni P; Hepatology Department, Cochin, Paris, France., Hanslik B; Gastroenterology Practice, Montpellier, France., Bourliere M; Hepatogastroenterology department, Saint-Joseph, Marseille, France., Peron JM; Hepatogastroenterology department, Toulouse, France., Ganne-Carrie N; Hepatogastroenterology department, Bobigny, France., Dao T; Hepatogastroenterology department, CHU Caen, Caen, France., Thabut D; Hepatogastroenterology Department, La Pitié Salpétrière, Paris, France., Maitre B; Pneumology department, CHIC Créteil, Créteil, France., Debzi N; Hepatology Department CHU Mustapha, Alger, Algérie, Algeria., Smadhi R; Hepatogastroenterology and Nutrition Department GHPSO Boulevard Laennec, 60100, Creil, France.; Hepatology Department CHU Mustapha, Alger, Algérie, Algeria., Sombie R; Gastroenterology Department, CHU Yalgado Ouedraogo Ouagadougou, Ouagadougou, Burkina Faso., Kpossou R; Hepatogastroenterology Deparment, National Hospital and University Center Hubert Koutoukou Maga, Cotonou, Benin., Nouel O; Hepatogastroenterology Department, St Brieuc, France., Bissonnette J; Department of Hepatology and Liver Transplantation, University of Montreal Hospital, Montreal, Canada., Ruiz I; Department of Hepatology and Liver Transplantation, University of Montreal Hospital, Montreal, Canada., Medmoun M; Hepatogastroenterology and Nutrition Department GHPSO Boulevard Laennec, 60100, Creil, France., Dastis SN; Hepatogastroenterology Department, Brussels, Belgium., Deltenre P; Hepatogastroenterology Department, Brussels, Belgium., Artru F; Hepatogastroenterology Department, Lausanne, Suisse, Switzerland., Raherison C; Pneumology department, Bordeaux, France., Elkrief L; Hepatogastroenterology department, Tours, France., Lemagoarou T; DIM, GHPSO, Creil, France.
Jazyk: angličtina
Zdroj: BMC gastroenterology [BMC Gastroenterol] 2023 Sep 12; Vol. 23 (1), pp. 305. Date of Electronic Publication: 2023 Sep 12.
DOI: 10.1186/s12876-023-02931-z
Abstrakt: Background: The Hepatic hydrothorax is a pleural effusion related to portal hypertension; its diagnosis and therapeutic management may be difficult. The aims of this article are which follows: To gather the practices of hepatogastroenterologists or pulmonologists practitioners regarding the diagnosis and management of the hepatic hydrothorax.
Methods: Practitioners from 13 French- speaking countries were invited to answer an online questionnaire on the hepatic hydrothorax diagnosis and its management.
Results: Five hundred twenty-eight practitioners (80% from France) responded to this survey. 75% were hepatogastroenterologists, 20% pulmonologists and the remaining 5% belonged to other specialities. The Hepatic hydrothorax can be located on the left lung for 64% of the responders (66% hepatogastroenterologists vs 57% pulmonologists; p = 0.25); The Hepatic hydrothorax can exist in the absence of clinical ascites for 91% of the responders (93% hepatogastroenterologists vs 88% pulmonologists; p = 0.27). An Ultrasound pleural scanning was systematically performed before a puncture for 43% of the responders (36% hepatogastroenterologists vs 70% pulmonologists; p < 0.001). A chest X-ray was performed before a puncture for 73% of the respondeurs (79% hepatogastroenterologists vs 54% pulmonologists; p < 0.001). In case of a spontaneous bacterial empyema, an albumin infusion was used by 73% hepatogastroenterologists and 20% pulmonologists (p < 0.001). A drain was used by 37% of the responders (37% hepatogastroenterologists vs 31% pulmonologists; p = 0.26).An Indwelling pleural catheter was used by 50% pulmonologists and 22% hepatogastroenterologists (p < 0.01). TIPS was recommended by 78% of the responders (85% hepatogastroenterologists vs 52% pulmonologists; p < 0.001) and a liver transplantation, by 76% of the responders (86% hepatogastroenterologists vs 44% pulmonologists; p < 0.001).
Conclusions: The results of this large study provide important data on practices of French speaking hepatogastroenterologists and pulmonologists; it appears that recommendations are warranted.
(© 2023. BioMed Central Ltd., part of Springer Nature.)
Databáze: MEDLINE
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