| Title: |
International survey among hepatologists and pulmonologists on the hepatic hydrothorax: plea for recommendations. |
| Authors: |
Cadranel, J.D.; Ollivier-Hourmand, I.; Cadranel, J.; Thevenot, T.; Zougmore, H.; Nguyen-Khac, E.; Bureau, C.; Allaire, M.; Nousbaum, J.B.; Loustaud-Ratti, V.; Causse, X.; Sogni, P.; Hanslik, B.; Bourliere, M.; Peron, J.M.; Ganne-Carrie, N.; Dao, T.; Thabut, D.; Maitre, B.; Debzi, N.; Smadhi, R.; Sombie, R.; Kpossou, R.; Nouel, O.; Bissonnette, J.; Ruiz, I.; Medmoun, M.; Dastis, S.N.; Deltenre, P.; Artru, F.; Raherison, C.; Elkrief, L.; Lemagoarou, T. |
| Publication Year: |
2023 |
| Collection: |
Université de Lausanne (UNIL): Serval - Serveur académique lausannois |
| Subject Terms: |
Humans; Hydrothorax/diagnosis; Hydrothorax/etiology; Hydrothorax/therapy; Gastroenterologists; Pulmonologists; Pleural Effusion/diagnosis; Pleural Effusion/etiology; Pleural Effusion/therapy; Hypertension; Portal; Albumin infusion; Cirrhosis; Hepatic hydrothorax; Indwelling pleural catheter; Liver transplantation; Portal hypertension; Spontaneous bacterial empyema; TIPS; Talcage pleurodesis; Therapeutic pleural puncture |
| Description: |
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. Practitioners from 13 French- speaking countries were invited to answer an online questionnaire on the hepatic hydrothorax diagnosis and its management. 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). The results of this large study provide important data on practices of French speaking hepatogastroenterologists and pulmonologists; it appears that ... |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| ISSN: |
1471-230X |
| Relation: |
BMC Gastroenterology; https://iris.unil.ch/handle/iris/101292; serval:BIB_1C2271EE16DF; 001066725500001 |
| DOI: |
10.1186/s12876-023-02931-z |
| Availability: |
https://iris.unil.ch/handle/iris/101292; https://doi.org/10.1186/s12876-023-02931-z |
| Accession Number: |
edsbas.87D28F3E |
| Database: |
BASE |