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5.199 7.548 5.26-2.766 2.032-6.25 3.242-10.035 3.242A17.52 17.52 0 0 1 0 26.598C3.576 28.746 7.821 30 12.385 30"></path></g></svg></span></a></div></div><hr class="d5c7y9-0 jAAhhm"/></div></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Définition</h3><p>La cholécystite est caractérisée par une inflammation de la paroi de la vésicule biliaire, souvent secondaire à des calculs biliaires. Des crises de coliques vésiculaires aiguës et répétées peuvent évoluer vers la chronicité. </p> <p>La cholécystite touche plus souvent les femmes que les hommes. Il est possible de prévenir les inflammations de la vésicule biliaire par une alimentation saine et équilibrée.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Causes</h3><p>Des crises de coliques précèdent souvent la survenue d`une cholécystite, souvent provoquée par des calculs biliaires.</p> <h3>Autres causes:</h3> <ul> <li>Inflammation d`autres organes (ex. intestin, rein) </li> <li>Après certains traumatismes (coups, accidents) </li> <li>Anomalie congénitale de la vésicule biliaire </li> <li>Polypes </li> <li>Tumeurs </li> <li>Infections </li> <li>Après des interventions chirurgicales abdominales </li> </ul> <h3>Facteurs de risque:</h3> <ul> <li>Surcharge pondérale </li> <li>Alimentation riche en graisses, mais des régimes pauvres en graisses peuvent également favoriser la survenue de cholécystite </li> <li>Alimentation pauvre en fibres, régimes basés sur le jeûne </li> <li>Manque d`exercices physiques </li> </ul> <h3>Facteurs déclenchants d`une crise de cholécystite:</h3> <ul> <li>Repas lourds, riches en graisses </li> <li>Stress </li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Troubles (symptômes)</h3><ul> <li>Crise douloureuse aiguë (colique), principalement dans la partie supérieure de l`abdomen et à droite; les douleurs peuvent également être rétrosternales et irradier jusqu`aux épaules </li> <li>Fièvre, frissons </li> <li>Nausée, vomissements </li> <li>Selles colorées en jaune </li> <li>Jaunisse légère </li> </ul> <p>En cas de cholécystite chronique, les douleurs sont plus sourdes et moins intenses.</p></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Examens (diagnostic)</h3><ul> <li>Anamnèse médicale avec prise en compte des symptômes du patient; les douleurs sous forme de coliques et la sensibilité à la palpation de la partie supérieure de l`abdomen orientent le diagnostic du médecin vers une cholécystite. </li> <li>Examens biologiques de laboratoire: ces examens permettent d`exclure d`autres maladies avec une symptomatologie similaire, telles que infarctus du myocarde, pancréatite aiguë, ulcères gastro-intestinaux, pneumonie, appendicite. </li> <li>Ultrasons: l`examen permet de visualiser les calculs biliaires. </li> <li>Tomodensitométrie </li> <li>Eventuellement laparoscopie avec ablation de la vésicule biliaire </li> </ul></div></div></div><div class="riphwg-1 gBnoao"><div width="12" offset="0" class="riphwg-2 sc-1xct3vi-1 hDbOtM"><div class="no1smy-0 jPwnnt"><h3>Options thérapeutiques</h3><p>Une cholécystite aiguë doit être traitée en milieu hospitalier afin d`éviter la survenue de complications aiguës.</p> <p>Le traitement dépend des causes et de la sévérité de l`inflammation.</p> <ul> <li>Médicaments antispasmodiques </li> <li>Extirpation des calculs : dissolution des calculs grâce à certains médicaments ; destruction des calculs par des ondes de choc (calculs biliaires) </li> <li>Laparoscopie avec ablation de la vésicule biliaire (seulement en dehors de toute crise douloureuse; traitement de premier choix) </li> <li>Laparotomie avec ablation de la vésicule biliaire en cas d`inflammation importante ou en présence de complications </li> <li>Traitement de l`infection concomitante par des antibiotiques </li> </ul> <h3>Mesures générales</h3> <ul> <li>Eviter la surcharge pondérale ainsi que les régimes basés sur le jeûne </li> <li>Alimentation saine et équilibrée riche en fruits et légumes et pauvres en viandes et en graisses; éventuellement recours à des huiles d`origine végétale </li> <li>Activité physique régulière </li> </ul></div></div></div><div class="kw3gvu-1 cqHIiz"><div class="riphwg-1 kw3gvu-2 fycNAX"><div width="12" offset="0" class="riphwg-2 iwBqiC"><div class="kw3gvu-0 eUIIhe"><h1 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Des crises de coliques vésiculaires aiguës et répétées peuvent évoluer vers la chronicité. \u003c/p\u003e\n\u003cp\u003eLa cholécystite touche plus souvent les femmes que les hommes. Il est possible de prévenir les inflammations de la vésicule biliaire par une alimentation saine et équilibrée.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eCauses\u003c/h3\u003e\u003cp\u003eDes crises de coliques précèdent souvent la survenue d`une cholécystite, souvent provoquée par des calculs biliaires.\u003c/p\u003e\n\u003ch3\u003eAutres causes:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eInflammation d`autres organes (ex. intestin, rein) \u003c/li\u003e\n \u003cli\u003eAprès certains traumatismes (coups, accidents) \u003c/li\u003e\n \u003cli\u003eAnomalie congénitale de la vésicule biliaire \u003c/li\u003e\n \u003cli\u003ePolypes \u003c/li\u003e\n \u003cli\u003eTumeurs \u003c/li\u003e\n \u003cli\u003eInfections \u003c/li\u003e\n \u003cli\u003eAprès des interventions chirurgicales abdominales \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eFacteurs de risque:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eSurcharge pondérale \u003c/li\u003e\n \u003cli\u003eAlimentation riche en graisses, mais des régimes pauvres en graisses peuvent également favoriser la survenue de cholécystite \u003c/li\u003e\n \u003cli\u003eAlimentation pauvre en fibres, régimes basés sur le jeûne \u003c/li\u003e\n \u003cli\u003eManque d`exercices physiques \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eFacteurs déclenchants d`une crise de cholécystite:\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eRepas lourds, riches en graisses \u003c/li\u003e\n \u003cli\u003eStress \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eTroubles (symptômes)\u003c/h3\u003e\u003cul\u003e\n \u003cli\u003eCrise douloureuse aiguë (colique), principalement dans la partie supérieure de l`abdomen et à droite;\u0026nbsp; les douleurs peuvent également être rétrosternales et irradier jusqu`aux épaules \u003c/li\u003e\n \u003cli\u003eFièvre, frissons \u003c/li\u003e\n \u003cli\u003eNausée, vomissements \u003c/li\u003e\n \u003cli\u003eSelles colorées en jaune \u003c/li\u003e\n \u003cli\u003eJaunisse légère \u003c/li\u003e\n\u003c/ul\u003e\n\u003cp\u003eEn cas de cholécystite chronique, les douleurs sont plus sourdes et moins intenses.\u003c/p\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eExamens (diagnostic)\u003c/h3\u003e\u003cul\u003e\n \u003cli\u003eAnamnèse médicale avec prise en compte des symptômes du patient; les douleurs sous forme de coliques et la sensibilité à la palpation de la partie supérieure de l`abdomen orientent le diagnostic du médecin vers une cholécystite. \u003c/li\u003e\n \u003cli\u003eExamens biologiques de laboratoire: ces examens permettent d`exclure d`autres maladies avec une symptomatologie similaire, telles que infarctus du myocarde, pancréatite aiguë, ulcères gastro-intestinaux, pneumonie, appendicite. \u003c/li\u003e\n \u003cli\u003eUltrasons: l`examen permet de visualiser les calculs biliaires.\u0026nbsp; \u003c/li\u003e\n \u003cli\u003eTomodensitométrie \u003c/li\u003e\n \u003cli\u003eEventuellement laparoscopie avec ablation de la vésicule biliaire \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}},{"type":"Pe005Text","props":{"extraContentPosition":"left","componentColor":{"mainColor":null,"secondaryColor":"#FFFFFF"},"richText":{"type":"RichText","props":{"content":"\u003ch3\u003eOptions thérapeutiques\u003c/h3\u003e\u003cp\u003eUne cholécystite aiguë doit être traitée en milieu hospitalier afin d`éviter la survenue de complications aiguës.\u003c/p\u003e\n\u003cp\u003eLe traitement dépend des causes et de la sévérité de l`inflammation.\u003c/p\u003e\n\u003cul\u003e\n \u003cli\u003eMédicaments antispasmodiques \u003c/li\u003e\n \u003cli\u003eExtirpation des calculs : dissolution des calculs grâce à certains médicaments ; destruction des calculs par des ondes de choc (calculs biliaires) \u003c/li\u003e\n \u003cli\u003eLaparoscopie avec ablation de la vésicule biliaire (seulement en dehors de toute crise douloureuse; traitement de premier choix) \u003c/li\u003e\n \u003cli\u003eLaparotomie avec ablation de la vésicule biliaire en cas d`inflammation importante ou en présence de complications \u003c/li\u003e\n \u003cli\u003eTraitement de l`infection concomitante par des antibiotiques \u003c/li\u003e\n\u003c/ul\u003e\n\u003ch3\u003eMesures générales\u003c/h3\u003e\n\u003cul\u003e\n \u003cli\u003eEviter la surcharge pondérale ainsi que les régimes basés sur le jeûne \u003c/li\u003e\n \u003cli\u003eAlimentation saine et équilibrée riche en fruits et légumes et pauvres en viandes et en graisses; éventuellement recours à des huiles d`origine végétale \u003c/li\u003e\n \u003cli\u003eActivité physique régulière \u003c/li\u003e\n\u003c/ul\u003e"}},"extraContentBox":false,"extraContentSize":"0.33"}}]},{"type":"Area","children":[{"type":"Wrapper","children":[{"type":"Pe009TeaserGridHeader","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"headline":"Egalement susceptible de vous intéresser"}},{"type":"Pe008TeaserGrid","props":{"componentColor":{"mainColor":"#F7F2E9","secondaryColor":"#FFFFFF"},"teaserCount":3},"children":[{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"24.02.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Adobe_Krebs_Familie.jpeg","loadingIndicator":false,"alt":"Cancer dans la famille","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/cancer_dans_la_famille_une_predisposition_genetique_en_cause"}},"text":{"type":"Text","props":{"type":"normal","content":"Dans certains cas, des changements au sein du génome sont transmis d’une génération à l’autre..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Cancer dans la famille : une prédisposition génétique en cause ?"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"19.02.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Adobe/Adobe_Gehirn_MRI.jpeg","loadingIndicator":false,"alt":"Cavernome","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/le_cavernome_comment_reconnaitre_la_malformation_vasculaire_dans_le_cerveau_et_comment_la_soigner"}},"text":{"type":"Text","props":{"type":"normal","content":"Dr Philippe Bijlenga, médecin adjoint agrégé du service de neurochirurgie des HUG, Genève nous parle du cavernome..."}},"category":"Maladies \u0026 symptômes","headline":{"type":"Headline","props":{"type":"h5","content":"Le cavernome : comment reconnaître la malformation vasculaire dans le cerveau et comment la soigner?"}}}},{"type":"Teaser","props":{"date":{"type":"Text","props":{"type":"small","content":"15.02.2021"}},"image":{"type":"Image","props":{"src":"/.imaging/focus/dam/MyMed/Netzwerk/1549868847.jpg","loadingIndicator":false,"alt":"Apnées du sommeil","ratio":"0.0"}},"teaserType":"default","link":{"type":"Anchor","props":{"href":"/fr/maladies_et_symptomes/apnees_du_sommeil_quand_la_respiration_s_arrete_pendant_la_nuit"}},"text":{"type":"Text","props":{"type":"normal","content":"Une personne adulte sur 15 souffre d’une forme modérée du syndrome d’apnée du sommeil obstructive. 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