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Colites et iléites inflammatoires

  • D. PateronEmail author
  • O. Gardy
  • C. Lejeune
  • A. Bourrier
Chapter
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Part of the Références en médecine d’urgence. Collection de la SFMU book series (REFERMED)

Résumé

La prise en charge aux urgences des colites et iléites aiguës dépend du ou des motifs de recours aux urgences, de l’existence d’une maladie inflammatoire chronique de l’intestin (MICI) connue et des éléments de gravité que présente le patient. Lorsque le patient n’est pas porteur de MICI connue, il convient dans l’urgence de rassembler les éléments diagnostiques nécessaires, d’évauer le caractère aigu ou répété des troubles digestifs et d’évaluer, en fonction de la gravité, les mesures urgentes à mettre en oeuvre. Lorsqu’une MICI est déjà diagnostiquée, il convient d’évaluer la part liée à une poussée de la maladie, à l’existence de complication infectieuse ou mécanique ou à une pathologie intercurrente et d’apprécier le niveau d’immunodépression du patient [1]. Dans ce cas, le contact avec le médecin réfèrent du patient est un atout très utile pour la prise en charge initiale.

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Copyright information

© Springer-Verlag Paris 2013

Authors and Affiliations

  1. 1.Service des urgencesUniversité Pierre et Marie Curie Paris 6France
  2. 2.Service de gastro-entérologie, Hôpital Saint-Antoine, AP-HPUniversité Pierre et Marie Curie Paris 6ParisFrance

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