Pancréatite aiguë, scores de gravité et prise en charge selon les nouvelles recommandations : série marocaine de 356 cas (notice n° 431909)
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| fixed length control field | 04369cam a2200313 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250120233758.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Zerhouni, Ahmed |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Pancréatite aiguë, scores de gravité et prise en charge selon les nouvelles recommandations : série marocaine de 356 cas |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2024.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 30 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Acute pancreatitis (AP) is an acute inflammatory process of the pancreas, the incidence of which is increasing, and the management of which requires multidisciplinary intervention. Our work is a prospective analysis of 356 cases of BP collected in the emergency services, Visceral A and B surgery, and resuscitation of the Hassan II teaching hospital in Fez over a 2-year period from April 2017 to May 2019. The goal of our job is to analyze the epidemiological aspects of PA and mainly to verify the reliability and the feasibility of the new SIRS score in the evaluation of the severity of PA in our context. The mean age was 55±17.29 with a clear female predominance. The diagnosis of BP was established in front of an evocative clinical picture associated with lipasemia> 3x normal in 91.5% of cases. Abdominal CT revealed a predominance of PA stage E balthazar with 37.5% followed by stage C with 32.5%. Biliary etiology is predominant in 78.4% of cases followed by origin Admission SIRS was present in 48% of cases and was persistent beyond 48 hours in 18% of cases. All of the patients who developed a complication during BP had a positive SIRS at admission. The superinfection of the necrosis flows was present in 75.8% of the patients having a persistent SIRS beyond 48h. The complications were mainly dominated by the superinfection of the necrosis flows found in 15% of the cases. According to the Atlanta classification, we found : Medical treatment was initiated in all patients while endoscopic and surgical treatment were much less common In the light of our study, it was concluded that the SIRS score is a simple, precise and specific means for predicting and evaluating the severity of acute pancreatitis taking into account the drawbacks of other multifactorial scores. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | La pancréatite aiguë (PA) est un processus inflammatoire aigu du pancréas dont l’incidence est en augmentation, et dont la prise en charge nécessite une intervention multidisciplinaire. Nous avons réalisé une analyse prospective portant sur 356 cas de PA colligés aux services des urgences et de réanimation du CHU Hassan II de Fès sur une période de deux ans, d’avril 2017 à mai 2019. Le but de notre travail était d’analyser les aspects épidémiologiques des PA, et tout particulièrement de vérifier la fiabilité et la faisabilité du nouveau score « syndrome de réponse inflammatoire systémique » (SIRS) dans l’évaluation de la gravité de la PA dans notre contexte. Le diagnostic de PA a été établi devant un tableau clinique évocateur associé à une lipasémie supérieure à trois fois la normale dans 91,5 % des cas. La tomodensitométrie abdominale a révélé une prédominance des PA de stade E de Balthazar (37,5 %) suivi des stades C (32,5 %). L’étiologie biliaire est prédominante (78,4 % des cas). Le SIRS à l’admission était présent chez 48 % des cas et persistant au-delà de 48 h chez 18 % des cas. La totalité des patients ayant présenté une complication au cours de la PA avait un SIRS positif à l’admission. La surinfection des coulées de nécrose était présente chez 75,8 % des patients ayant un SIRS persistant au-delà de 48 h. Les complications ont été dominées essentiellement par la surinfection des coulées de nécrose retrouvée chez 15 % des cas. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | nouvelles recommandations |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | prise en charge |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | scores de gravité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pancréatite aiguë |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | acute pancreatitis |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | new recommendations |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | severity scores |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | care |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Belhaj, Anas |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Toughrai, Imane |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mazaz, Khalid |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ibn Majdoub, Karim |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Cahiers Santé Médecine Thérapeutique | 33 | 2 | 2024-03-01 | p. 92-97 | 2780-8858 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-cahiers-sante-medecine-therapeutique-2024-2-page-92?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-cahiers-sante-medecine-therapeutique-2024-2-page-92?lang=fr&redirect-ssocas=7080</a> |
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