Place des explorations digestives couplées dans le bilan d’une carence martiale chez le sujet âgé (notice n° 647516)
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| fixed length control field | 03202cam a2200277 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121183551.0 |
| 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 | Ketz, Flora |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Place des explorations digestives couplées dans le bilan d’une carence martiale chez le sujet âgé |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2020.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 65 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | La carence martiale est une pathologie fréquente chez les patients âgés. Elle est le plus souvent due à des lésions digestives et se pose donc la question de la balance bénéfice-risque et de la rentabilité des explorations digestives chez les patients âgés. Les recommandations anglaises préconisent de réaliser des explorations digestives couplées (fibroscopie oeso-gastro-duodénale (FOGD) et coloscopie) dans le même temps, sans qu’il n’existe de limite d’âge supérieur. Dans les études réalisées chez les plus de 75 ans, la rentabilité diagnostique varie entre 63 et 68 %, ce qui est semblable à celle chez les plus jeunes, avec environ 40 % de lésions hautes et de lésions basses. La découverte simultanée de lésions digestives hautes et basses représente environ 10 % des patients âgés. Les complications de la FOGD sont rares et essentiellement liées à l’anesthésie, tandis qu’il existe un petit sur-risque de perforation chez les plus âgés, moins important en cas de coloscanner. Les contre-indications aux endoscopies digestives sont exceptionnelles. En cas d’endoscopies négatives se posera la question de la poursuite ou non des explorations. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Iron deficiency is a common pathology in elderly patients. It is most often due to digestive lesions, so we wonder the benefit-risk balance and yield of digestive explorations. The English recommendations recommend that bidirectional endoscopy (esophagogastroduodenoscopy (EGD) and colonoscopy) is performed at the same time, without any upper age limit. In studies conducted in people over 75 years of age, the yield of diagnostic varies between 63 and 68 %, which is similar to that of younger people. There is about 40 % of the upper lesion and 40 % of the lower lesion. The simultaneous discovery of upper and lower digestive lesions represents about 10 % of elderly patients. Complications of EGD are rare and mainly related to anaesthesia. The main complication of colonoscopy is perforation and there is a small over-risk of perforation in older patients. This risk is less important when we use computed tomographic colonography. Contraindications of endoscopies are very rare. In case of negative endoscopies, we will wonder if we need further explorations or not. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sujet âgé |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | carence martiale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | endoscopies |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | elderly |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | endoscopy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | iron deficiency |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Buisson, Anne |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Levassort, Marine |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Pautas, Éric |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Gériatrie et Psychologie Neuropsychiatrie du Vieillissement | 18 | 4 | 2020-12-01 | p. 377-383 | 2115-8789 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2020-4-page-377?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-geriatrie-et-psychologie-neuropsychiatrie-du-vieillissement-2020-4-page-377?lang=fr&redirect-ssocas=7080</a> |
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