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La Revue du praticien最新文献

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[Lower gastrointestinal bleeding]. [下消化道出血]。
La Revue du praticien Pub Date : 2026-05-01
Aïmène Khiari, Marine Camus-Duboc
{"title":"[Lower gastrointestinal bleeding].","authors":"Aïmène Khiari, Marine Camus-Duboc","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Lower gastrointestinal bleeding (LGIB) is a common emergency, defined nowadays as bleeding of colorectal origin. It predominantly affects elderly patients in whom it is associated with increased morbidity and mortality. The main causes include diverticulosis, anorectal disorders, angiodysplasias, ischemic colitis, post-endoscopic resection complications, and tumor-related bleeding. Clinically, lower gastrointestinal bleeding (LGIB) presents with episodes of hematochezia or melena, or sometimes as occult bleeding. Initial assessment of clinico-biological severity and risk of recurrence is essential to determine the need for hospitalization and the timing of diagnostic procedures. Colonoscopy is the reference diagnostic and therapeutic procedure, ideally performed within 24 hours with CT angiography reserved for cases of hemodynamic instability. In case of failure, therapeutic escalation includes repeat endoscopy, arterial embolization, and, as a last resort, surgery. Early multidisciplinary management helps reduce morbidity, mortality, and recurrence.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"525-530"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Patient education in heart failure]. [心衰患者教育]。
La Revue du praticien Pub Date : 2026-05-01
Stéphanie Jullien, Mathilde Mazuyer, Lisa Turmel, Sylvie Lang, Franck Boccara, Laurie Soulat-Dufour, Ariel Cohen
{"title":"[Patient education in heart failure].","authors":"Stéphanie Jullien, Mathilde Mazuyer, Lisa Turmel, Sylvie Lang, Franck Boccara, Laurie Soulat-Dufour, Ariel Cohen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Heart failure is a chronic disease that leads to disabling symptoms and recurrent hospitalizations, mainly for acute heart failure episodes, having a major impact on patients' quality of life. An effective treatment is available but not always accessible, for miscellaneous reasons including difficulties in understanding the prescription and in reaching guideline-directed medical therapies to the optimal tolerated dose.Patient education is a key component of heart failure management, enabling patients to develop individual skills in self-monitoring acute heart failure symptoms and to improve their compliance to treatment, dietary and physical activity. The primary objective of patient education is to encourage patients' empowerment and improve their quality of life. These objectives defined by the care team need to be modulated to patients' expectations, specific needs and level of health literacy, as patients are mainly elderly and exposed to several chronic diseases.The heart failure care pathway is changing with the emerging of new methods such as telemonitoring and specialized nurses. Thus, it is crucial to maintain patient education as a major component of patient care.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"556-560"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Child and adolescent psychiatric semiology is also a matter for pediatricians!] 儿童和青少年精神病学符号学也是儿科医生的事！］
La Revue du praticien Pub Date : 2026-05-01
Sylvie Nathanson
{"title":"[Child and adolescent psychiatric semiology is also a matter for pediatricians!]","authors":"Sylvie Nathanson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"467"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Management of antiplatelet agents and oral anticoagulants in cases of gastrointestinal bleeding]. [抗血小板药物和口服抗凝剂在消化道出血中的应用]。
La Revue du praticien Pub Date : 2026-05-01
Anne-Céline Martin, Enrique Perez-Cuadrado-Robles, Anne Godier
{"title":"[Management of antiplatelet agents and oral anticoagulants in cases of gastrointestinal bleeding].","authors":"Anne-Céline Martin, Enrique Perez-Cuadrado-Robles, Anne Godier","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"507-508"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Cutaneous-predominant Hodgkin's lymphoma]. [皮肤显性霍奇金淋巴瘤]。
La Revue du praticien Pub Date : 2026-05-01
Khadija Kaddar, Yousef Almheirat, Kaoutar Belharti, Siham Dikhaye, Nada Zizi
{"title":"[Cutaneous-predominant Hodgkin's lymphoma].","authors":"Khadija Kaddar, Yousef Almheirat, Kaoutar Belharti, Siham Dikhaye, Nada Zizi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"544-545"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Marketing authorisation of new drugs: a worrying observation]. [新药上市许可：令人担忧的观察]。
La Revue du praticien Pub Date : 2026-05-01
Gilles Bouvenot
{"title":"[Marketing authorisation of new drugs: a worrying observation].","authors":"Gilles Bouvenot","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"482-484"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Diagnostic and therapeutic strategies for small-bowel gastrointestinal bleeding when initial upper endoscopy and colonoscopy are unremarkable]. [首次上镜和结肠镜检查小肠胃肠道出血的诊断和治疗策略不显著]。
La Revue du praticien Pub Date : 2026-05-01
Charles Houdeville, Aymeric Becq
{"title":"[Diagnostic and therapeutic strategies for small-bowel gastrointestinal bleeding when initial upper endoscopy and colonoscopy are unremarkable].","authors":"Charles Houdeville, Aymeric Becq","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Suspected small bowel bleeding is defined as a gastrointestinal bleeding, overt or occult (iron-deficiency anemia), with unremarkable high-quality upper endoscopy and colonoscopy. The main causes are vascular lesions (angiodysplasia) and inflammatory lesions (Crohn's disease). Diagnosis is primarily based on capsule endoscopy, which has an optimal yield if performed within 48 hours on bleeding onset. Deep enteroscopy often allows targeted treatment, but its availability is limited. If the capsule endoscopy is not contributive as well, the bleeding is referred to as obscure gastrointestinal bleeding. Management is not consensual. Treatment of the anemia and surveillance may be an option. It is reasonable course of action to repeat endoscopies, optimizing them, particularly in the event of recurrence.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"531-535"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[The fear of the dead returning in the 18th and 19th centuries]. [18世纪和19世纪对死人复活的恐惧]。
La Revue du praticien Pub Date : 2026-05-01
Philippe Charlier
{"title":"[The fear of the dead returning in the 18th and 19th centuries].","authors":"Philippe Charlier","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"491-493"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Right adrenal and renal hydatid cysts]. [右肾上腺和肾包虫囊肿]。
La Revue du praticien Pub Date : 2026-05-01
Thierry Carmoi, Gaël Freche, Laëtitia Jarry
{"title":"[Right adrenal and renal hydatid cysts].","authors":"Thierry Carmoi, Gaël Freche, Laëtitia Jarry","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"542-543"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Non-portal hypertension-related upper gastrointestinal bleeding]. [非门脉高压相关的上消化道出血]。
La Revue du praticien Pub Date : 2026-05-01
Jérémie Albouys, Pauline Pages
{"title":"[Non-portal hypertension-related upper gastrointestinal bleeding].","authors":"Jérémie Albouys, Pauline Pages","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Non-portal hypertension-related upper gastrointestinal bleeding (UGIB) remains one of the most common emergencies in gastroenterology, accounting for the majority of UGIB cases in Western countries.Its incidence is estimated at 50-150 cases per 100.000 population per year, with a mortality rate that remains between 5% and 10% despite advances in diagnostic and therapeutic strategies. Clinical presentation is often abrupt, typically as hematemesis or melena, requiring prompt and structured management including initial resuscitation, diagnostic and therapeutic endoscopy, and secondary prevention.In recent years, the therapeutic armamentarium available to the endoscopist has expanded with the introduction of innovative devices such as over-the-scope clips, hemostatic powders, and gels. Several randomized trials have refined the optimal timing of endoscopy and compared the efficacy of various techniques.</p>","PeriodicalId":94123,"journal":{"name":"La Revue du praticien","volume":"76 5","pages":"509-514"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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