International survey among hepatologists and pulmonologists on the hepatic hydrothorax: plea for recommendations - Sciences économique et sociales de la santé et traitement de l'information médicale - SESSTIM Access content directly
Journal Articles BMC Gastroenterology Year : 2023

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

Jean-François David Cadranel
  • Function : Author
Jacques Cadranel
  • Function : Author
Honoré Zougmore
  • Function : Author
Xavier Causse
  • Function : Author
Philippe Sogni
  • Function : Author
Bertrand Hanslik
  • Function : Author
Thong Dao
  • Function : Author
Bernard. Maitre
  • Function : Author
Ryad Smadhi
  • Function : Author
Roger Sombie
  • Function : Author
Raimi Kpossou
  • Function : Author
Olivier Nouel
  • Function : Author
Julien Bissonnette
  • Function : Author
Isaac Ruiz
  • Function : Author
Mourad Medmoun
  • Function : Author
Sergio Negrin Dastis
  • Function : Author
Pierre Deltenre
  • Function : Author
Florent Artru
  • Function : Author
Chantal Raherison
  • Function : Author
Laure Elkrief
  • Function : Author
Tristan Lemagoarou
  • Function : Author

Abstract

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.
Fichier principal
Vignette du fichier
s12876-023-02931-z.pdf (1.36 Mo) Télécharger le fichier
Origin Publisher files allowed on an open archive

Dates and versions

hal-04207679 , version 1 (03-06-2024)

Licence

Identifiers

Cite

Jean-François David Cadranel, Isabelle Ollivier-Hourmand, Jacques Cadranel, Thierry Thevenot, Honoré Zougmore, et al.. International survey among hepatologists and pulmonologists on the hepatic hydrothorax: plea for recommendations. BMC Gastroenterology, 2023, 23 (1), pp.305. ⟨10.1186/s12876-023-02931-z⟩. ⟨hal-04207679⟩
79 View
5 Download

Altmetric

Share

Gmail Mastodon Facebook X LinkedIn More