{"id":967,"date":"2025-07-29T09:57:46","date_gmt":"2025-07-29T06:57:46","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/cirroz-pecheni\/"},"modified":"2026-07-20T17:46:26","modified_gmt":"2026-07-20T14:46:26","slug":"cirrhose-du-foie","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/fr\/maladies\/hepatiques\/cirrhose-du-foie\/","title":{"rendered":"Cirrhose du foie : \u00e9tiologie, manifestations cliniques, diagnostic et traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">La cirrhose du foie est une atteinte g\u00e9n\u00e9ralis\u00e9e du foie caract\u00e9ris\u00e9e par une n\u00e9crose du parenchyme, une fibrose diffuse et l\u2019apparition de zones anormales de r\u00e9g\u00e9n\u00e9ration du tissu h\u00e9patique, entra\u00eenant une alt\u00e9ration de la structure externe et interne du foie ainsi qu\u2019une perturbation de ses fonctions.<\/p>\n<h2 id=\"classification-de-la-cirrhose\" class=\"wp-block-heading\"><strong>Classification de la cirrhose<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">La cirrhose du foie peut \u00eatre class\u00e9e selon les changements structurels et les stades de compensation.<\/p>\n<p class=\"wp-block-paragraph\"><strong>Selon les changements structurels<\/strong> :<\/p>\n<ul class=\"wp-block-list\">\n<li>Micronodulaire (diam\u00e8tre des nodules de 3 mm \u00e0 1 cm) ;<\/li>\n<li>Macronodulaire (diam\u00e8tre des nodules sup\u00e9rieur \u00e0 1 cm) ; <\/li>\n<li>Mixte ;<\/li>\n<li>Biliaire.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/d1731c97-3c30-4fea-b42b-588241d49ef4\/82af969a-2464-48b5-8ec6-e76a88ff721c\/44a0c6b0-bd1b-46f1-af48-6e4d88a45e29\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8les 3D<\/a> des formes \u00a0de cirrhose selon les changements structurels :<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_6a70fffb63ea0\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/micronodular-cirrhosis-of-liver.webp\" alt=\"Cirrhose micronodulaire du foie\"><span class=\"small-text-article text-main-text-color\">Cirrhose micronodulaire du foie<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/macronodular-cirrhosis-of-liver.webp\" alt=\"Cirrhose macronodulaire du foie\"><span class=\"small-text-article text-main-text-color\">Cirrhose macronodulaire du foie<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/mixed-cirrhosis-of-liver.webp\" alt=\"Cirrhose mixte du foie\"><span class=\"small-text-article text-main-text-color\">Cirrhose mixte du foie<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/biliary-cirrhosis-of-liver.webp\" alt=\"Cirrhose biliaire du foie\"><span class=\"small-text-article text-main-text-color\">Cirrhose biliaire du foie<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_6a70fffb63ea0\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_6a70fffb63ea0\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_6a70fffb63ea0\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_6a70fffb63ea0', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_6a70fffb63ea0',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_6a70fffb63ea0',\n                prevEl: '.carousel-swiper-button-prev-block_6a70fffb63ea0',\n            },\n        })\n    })\n<\/script><\/p>\n<p class=\"wp-block-paragraph\"><strong>Selon les stades de compensation :<\/strong><\/p>\n<ul class=\"wp-block-list\">\n<li>Compens\u00e9e ;<\/li>\n<li>Subcompens\u00e9e ;<\/li>\n<li>D\u00e9compens\u00e9e ;<\/li>\n<li>Terminale.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\">Il existe \u00e9galement une classification clinique prenant en compte les manifestations clinico-laboratoires (Child-Pugh).<\/p>\n<p class=\"wp-block-paragraph\"><strong>Classification de la cirrhose du foie selon le syst\u00e8me Child-Pugh<\/strong><\/p>\n<figure class=\"wp-block-table table-to-cards\">\n<table class=\"has-fixed-layout\">\n<thead>\n<tr>\n<th class=\"has-text-align-center\" data-align=\"center\">Param\u00e8tre clinique <\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">1 point<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">2 points<\/th>\n<th class=\"has-text-align-center\" data-align=\"center\">3 points<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Ascite<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><em>non<\/em><\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">L\u00e9g\u00e8re (r\u00e9pondant au traitement conservateur)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">S\u00e9v\u00e8re (r\u00e9fractaire au traitement conservateur)<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Albumine s\u00e9rique (g\/L)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>35<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">28-35<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><28<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">INR (rapport international normalis\u00e9)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><1,7<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">1,7-2,3<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>2,3<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Bilirubine totale (\u00b5mol\/L)<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\"><34<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">34-51<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">>51<\/td>\n<\/tr>\n<tr>\n<td class=\"has-text-align-center\" data-align=\"center\">Enc\u00e9phalopathie h\u00e9patique<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">non<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Degr\u00e9 I-II<\/td>\n<td class=\"has-text-align-center\" data-align=\"center\">Degr\u00e9 III-IV<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<p class=\"wp-block-paragraph\"><strong>R\u00e9sultats:<\/strong><\/p>\n<p class=\"wp-block-paragraph\">5-6 points : Cirrhose compens\u00e9e (Classe A) ;<\/p>\n<p class=\"wp-block-paragraph\">7-9 points : Cirrhose subcompens\u00e9e (Classe B) ;<\/p>\n<p class=\"wp-block-paragraph\">10-12 points : Cirrhose d\u00e9compens\u00e9e\/terminale (Classe C).<\/p>\n<h2 id=\"etiologie-de-la-cirrhose-du-foie\" class=\"wp-block-heading\"><strong>\u00c9tiologie de la cirrhose du foie<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Selon le rapport de l\u2019Association europ\u00e9enne pour l\u2019\u00e9tude du foie, environ 40 % des transplantations h\u00e9patiques en Europe sont r\u00e9alis\u00e9es pour une cirrhose d\u2019\u00e9tiologie virale (h\u00e9patites virales B, C, D), 33 % pour une cirrhose alcoolique, et 5 % en raison d\u2019une combinaison de ces facteurs \u00e9tiologiques.<\/p>\n<p class=\"wp-block-paragraph\">Les maladies auto-immunes et l\u2019effet toxique de certains m\u00e9dicaments et poisons syst\u00e9miques affectant le tissu h\u00e9patique contribuent \u00e9galement au d\u00e9veloppement de la cirrhose biliaire, li\u00e9e \u00e0 une perturbation de l\u2019\u00e9coulement de la bile dans les syst\u00e8mes de canaux intra- et extrah\u00e9patiques.<\/p>\n<h2 id=\"pathogenese\" class=\"wp-block-heading\"><strong>Pathogen\u00e8se<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Le d\u00e9veloppement de la cirrhose repose sur une atteinte directe du lobule h\u00e9patique (unit\u00e9 structurelle et fonctionnelle) par l\u2019un des facteurs \u00e9tiologiques.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/liver-lobule-acinus.webp\" alt=\"Lobule h\u00e9patique (acinus)\"><figcaption class=\"wp-element-caption\">Lobule h\u00e9patique (acinus) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/50d0ca36-c7c5-4ba0-bbd0-6cbcb5bb4c1a\/dda42b00-3504-421c-bcde-34bba6293593\/70111c28-ac18-43a2-9ac9-401ad1325779\/eb576ab3-0e26-43db-97c2-dd0693ea3cd4\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<p class=\"wp-block-paragraph\">Le processus de l\u00e9sion est prolong\u00e9 et peut durer de quelques mois \u00e0 plusieurs ann\u00e9es. Cette atteinte entra\u00eene la formation de zones de n\u00e9crose du parenchyme h\u00e9patique.  Autour de ces zones de n\u00e9crose se forment des nodules de r\u00e9g\u00e9n\u00e9ration et des zones d\u2019inflammation chronique \u00e9voluant vers une fibrose.<\/p>\n<p class=\"wp-block-paragraph\">Ces nodules de r\u00e9g\u00e9n\u00e9ration compriment les voies biliaires, provoquant des ph\u00e9nom\u00e8nes de stase dans le syst\u00e8me veineux h\u00e9patique et entra\u00eenant une hypertension portale.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/structure-of-liver-tissue-lobules-periportal-tracts.webp\" alt=\"Structure du tissu h\u00e9patique (lobules, tractus p\u00e9riportaux)\"><figcaption class=\"wp-element-caption\">Structure du tissu h\u00e9patique (lobules, tractus p\u00e9riportaux) \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/50d0ca36-c7c5-4ba0-bbd0-6cbcb5bb4c1a\/dda42b00-3504-421c-bcde-34bba6293593\/70111c28-ac18-43a2-9ac9-401ad1325779\/73b996c9-4a29-4125-b666-75bee0627f57\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 id=\"manifestations-cliniques-de-la-cirrhose-du-foie\" class=\"wp-block-heading\"><strong>Manifestations cliniques de la cirrhose du foie<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Aux stades pr\u00e9coces, la maladie peut \u00eatre asymptomatique.<\/p>\n<p class=\"wp-block-paragraph\">Avec la progression de la maladie, les syndromes suivants sont observ\u00e9s : <\/p>\n<ol class=\"wp-block-list\">\n<li><strong>Syndrome g\u00e9n\u00e9ral <\/strong> caract\u00e9ris\u00e9 par une faiblesse, des c\u00e9phal\u00e9es, des naus\u00e9es, une \u00e9l\u00e9vation de la temp\u00e9rature corporelle, des arthralgies, une amertume dans la bouche, une asth\u00e9nie, des douleurs abdominales p\u00e9riodiques ;<\/li>\n<li><strong>Syndrome ict\u00e9rique <\/strong> d\u00fb \u00e0 une cholestase intrah\u00e9patique (perturbation de l\u2019\u00e9coulement biliaire, augmentation de la concentration de bilirubine directe et d\u2019acides biliaires dans le sang). L\u2019augmentation des acides biliaires s\u2019accompagne de prurit cutan\u00e9 ;<\/li>\n<li><strong>H\u00e9patom\u00e9galie<\/strong> et <strong>spl\u00e9nom\u00e9galie<\/strong>;<\/li>\n<li><strong>Syndrome d\u2019hypertension portale <\/strong> observ\u00e9 au stade de d\u00e9compensation. Caract\u00e9ris\u00e9 par une augmentation de la pression dans le syst\u00e8me de la veine porte. Les manifestations cliniques incluent : ascite, varices \u0153sophagiennes, varices rectales, varices de la paroi abdominale ant\u00e9rieure. Des h\u00e9morragies peuvent survenir en raison des varices.<\/li>\n<\/ol>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/hepatic-cirrhosis\/abdomen-appearance-in-liver-cirrhosis-ascites-vascular-dilation-of-abdominal-wall-veinswebp\" alt=\"Aspect de l\u2019abdomen d\u2019un patient atteint de cirrhose du foie (ascite, varices de la paroi abdominale ant\u00e9rieure)\"><figcaption class=\"wp-element-caption\">Aspect de l\u2019abdomen d\u2019un patient atteint de cirrhose du foie : ascite, varices de la paroi abdominale ant\u00e9rieure \u2013 <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/d1731c97-3c30-4fea-b42b-588241d49ef4\/82af969a-2464-48b5-8ec6-e76a88ff721c\/fb7cfe13-5011-48b1-8e48-1f623b7ce18f\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<ol start=\"5\" class=\"wp-block-list\">\n<li><strong>Syndrome douloureux<\/strong>, \u0432li\u00e9 \u00e0 une dyskin\u00e9sie des voies biliaires ;<\/li>\n<li><strong>Enc\u00e9phalopathie h\u00e9patique <\/strong>, provoqu\u00e9e par une concentration prolong\u00e9e de bilirubine directe, qui, en traversant la barri\u00e8re h\u00e9mato-enc\u00e9phalique, endommage les cellules c\u00e9r\u00e9brales ;<\/li>\n<li><strong>Alt\u00e9ration<\/strong> des fonctions synth\u00e9tiques et protectrices <strong>du foie<\/strong>.<\/li>\n<\/ol>\n<p class=\"wp-block-paragraph\">Il est important de noter que la maladie \u00e9volue par stades, et les manifestations cliniques varient avec sa progression.  Aux stades de d\u00e9compensation et terminal, non seulement le syst\u00e8me h\u00e9pato-biliaire est affect\u00e9, mais \u00e9galement d\u2019autres syst\u00e8mes de l\u2019organisme (urinaire, digestif, nerveux, cardiovasculaire, etc.).<\/p>\n<h2 id=\"diagnostic-de-la-cirrhose-du-foie\" class=\"wp-block-heading\"><strong>Diagnostic de la cirrhose du foie<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Le diagnostic repose sur les manifestations cliniques, les facteurs \u00e9tiologiques, ainsi que les m\u00e9thodes instrumentales et de laboratoire.<\/p>\n<h3 id=\"methodes-instrumentales\" class=\"wp-block-heading\"><strong>M\u00e9thodes instrumentales<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>\u00c9chographie (fibro\u00e9lastom\u00e9trie), \u00e9chographie avec doppler pour \u00e9valuer le flux sanguin dans le syst\u00e8me de la veine porte ;<\/li>\n<li>Tomodensitom\u00e9trie (TDM) et imagerie par r\u00e9sonance magn\u00e9tique (<span class=\"glossary-term\" data-title=\"IRM (imagerie par r\u00e9sonance magn\u00e9tique)\" data-tooltip=\"L&#039;imagerie par r\u00e9sonance magn\u00e9tique (IRM) est une technique moderne et non invasive de radiodiagnostic qui permet d&#039;obtenir des images en coupe des organes et des tissus internes. Cet examen repose sur le ph\u00e9nom\u00e8ne de r\u00e9sonance magn\u00e9tique nucl\u00e9aire. Le principal avantage de l&#039;IRM est l&#039;absence de rayonnements ionisants (radiation).\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/irm\/\">IRM<\/span>) ;<\/li>\n<li>Biopsie h\u00e9patique ;<\/li>\n<li>Fibrogastroduod\u00e9noscopie (FGDS) ;<\/li>\n<li>Radiographie g\u00e9n\u00e9rale de la cavit\u00e9 abdominale.<\/li>\n<\/ol>\n<h3 id=\"methodes-de-laboratoire\" class=\"wp-block-heading\"><strong>M\u00e9thodes de laboratoire<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>D\u00e9tection des anticorps contre les virus des h\u00e9patites B, C, D, E ;<\/li>\n<li>Dosage de l\u2019alpha-f\u0153toprot\u00e9ine dans le s\u00e9rum ;<\/li>\n<li>Bilan h\u00e9patique (profil h\u00e9patique) ;<\/li>\n<li>Num\u00e9ration formule sanguine (NFS) ;<\/li>\n<li>Coagulogramme ;<\/li>\n<li>Analyse d\u2019urine ;<\/li>\n<li>Dosage des \u00e9lectrolytes.<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"banner-icons-wrapper\"><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"\" data-link=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 id=\"traitement-de-la-cirrhose-du-foie\" class=\"wp-block-heading\"><strong>Traitement de la cirrhose du foie <\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Le traitement de la cirrhose doit \u00eatre global et inclure les mesures suivantes :<\/p>\n<ol class=\"wp-block-list\">\n<li>Arr\u00eat de la consommation d\u2019alcool ;<\/li>\n<li>R\u00e9gime alimentaire, correction des d\u00e9s\u00e9quilibres \u00e9lectrolytiques (sodium, potassium, chlore), correction des d\u00e9s\u00e9quilibres prot\u00e9iques ;<\/li>\n<li>Traitement limit\u00e9 par une h\u00e9patotoxicit\u00e9 m\u00e9dicamenteuse.<\/li>\n<\/ol>\n<h3 id=\"traitement-medical\" class=\"wp-block-heading\"><strong>Traitement m\u00e9dical<\/strong><\/h3>\n<ol class=\"wp-block-list\">\n<li>Th\u00e9rapie par perfusion (en cas de sympt\u00f4mes d\u2019intoxication) ;<\/li>\n<li>Utilisation de pr\u00e9parations \u00e0 base d\u2019acide ursod\u00e9soxycholique ;<\/li>\n<li>Pr\u00e9parations de S-ad\u00e9nosyl-L-m\u00e9thionine ;<\/li>\n<li>Glucocortico\u00efdes ;<\/li>\n<li>Pr\u00e9vention des complications h\u00e9morragiques ;<\/li>\n<li>Traitement diur\u00e9tique ;<\/li>\n<li>Traitement visant \u00e0 \u00e9liminer les virus tropiques pour le tissu h\u00e9patique ;<\/li>\n<li>Traitement des pathologies concomitantes.<\/li>\n<\/ol>\n<p class=\"wp-block-paragraph\">M\u00e9thodes chirurgicales : Laparocent\u00e8se et transplantation h\u00e9patique.<\/p>\n<p class=\"wp-block-paragraph\"><strong>Indications pour la transplantation h\u00e9patique<\/strong> : <\/p>\n<ul class=\"wp-block-list\">\n<li>Processus pathologique irr\u00e9versible avec un pronostic de vie inf\u00e9rieur \u00e0 12 mois ;<\/li>\n<li>Absence d\u2019effet du traitement conservateur ;<\/li>\n<li>Cirrhose progressive avec une esp\u00e9rance de vie inf\u00e9rieure \u00e0 celle attendue apr\u00e8s transplantation.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Qu\u2019est-ce que la cirrhose du foie en termes simples ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie est l\u2019issue de diverses maladies chroniques du foie, o\u00f9 les cellules normales du foie sont remplac\u00e9es par du tissu cicatriciel fibreux, entra\u00eenant une perturbation de toutes les fonctions de l\u2019organe, y compris la synth\u00e8se des prot\u00e9ines et la d\u00e9toxification de l\u2019organisme.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Comment se manifeste la cirrhose du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie peut se manifester par des sympt\u00f4mes tels qu\u2019une fatigue accrue, des naus\u00e9es, un go\u00fbt amer dans la bouche, des douleurs abdominales (le plus souvent dans l\u2019hypochondre droit), un ict\u00e8re (coloration jaune de la peau et des yeux), une ascite (accumulation de liquide dans l\u2019abdomen, se traduisant par une augmentation du volume abdominal), ainsi qu\u2019une h\u00e9patom\u00e9galie et une spl\u00e9nom\u00e9galie. Aux stades avanc\u00e9s de la maladie apparaissent des sympt\u00f4mes plus graves, tels que l\u2019enc\u00e9phalopathie h\u00e9patique, des h\u00e9morragies et une insuffisance h\u00e9patique progressive, qui peuvent conduire au d\u00e9c\u00e8s.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Peut-on gu\u00e9rir la cirrhose du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose du foie est incurable.  Cependant, \u00e0 un stade pr\u00e9coce, une alimentation adapt\u00e9e et un traitement peuvent ralentir la progression de la maladie et am\u00e9liorer la qualit\u00e9 et la dur\u00e9e de vie.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Comment diagnostiquer la cirrhose du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Le diagnostic repose sur les manifestations cliniques, les analyses de laboratoire (num\u00e9ration formule sanguine, bilan h\u00e9patique, tests pour les h\u00e9patites virales, etc.), l\u2019\u00e9chographie abdominale ou la TDM, et, en cas de doute, une biopsie h\u00e9patique.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Quelle est la diff\u00e9rence entre la cirrhose du foie et le cancer du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose est une maladie chronique du foie caract\u00e9ris\u00e9e par une cicatrisation et une alt\u00e9ration des fonctions, tandis que le cancer du foie (carcinome h\u00e9patocellulaire) est une tumeur maligne.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Quels sont les stades de la cirrhose du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose est divis\u00e9e en quatre stades selon le degr\u00e9 d\u2019atteinte et la fonction h\u00e9patique : compens\u00e9e, subcompens\u00e9e, d\u00e9compens\u00e9e et terminale.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. La cirrhose du foie chez les femmes et les hommes : y a-t-il des diff\u00e9rences ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les sympt\u00f4mes sont similaires, mais les femmes pr\u00e9sentent plus t\u00f4t des troubles hormonaux, tandis que les hommes montrent plus fr\u00e9quemment des sympt\u00f4mes d\u2019hypertension portale. Sur le plan \u00e9tiologique, chez les femmes, la cirrhose se d\u00e9veloppe plus souvent dans un contexte d\u2019atteinte toxique (y compris l\u2019alcool), tandis que chez les hommes, elle survient plut\u00f4t sur fond d\u2019h\u00e9patite virale ou d\u2019alcoolisme.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Quels sont les dangers de la cirrhose du foie ?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cirrhose peut entra\u00eener des complications graves, telles que l\u2019insuffisance h\u00e9patique, l\u2019hypertension portale, l\u2019ascite, les h\u00e9morragies variqueuses, et augmente consid\u00e9rablement le risque de carcinome h\u00e9patocellulaire.  Aux stades terminaux, les complications peuvent \u00eatre fatales.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]. VOKA 3D Anatomy & Pathology (VOKA 3D Anatomie et Pathologie). <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible depuis\u00a0: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Aprosina ZG. Chronic diffuse liver diseases (current trends). Clin Pharmacol Ther (Rus). 1996;5(1):14-18. [En russe.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Bakulin IG, Varlamicheva AA. Hepatorenal syndrome: practical recommendations for diagnosis and treatment. Almanac of Clinical Medicine. 2014;(13):23-31. [En russe.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Ivashkin VT, Lapina TL, editors. Gastroenterology. National guidelines. Moscow: GEOTAR-Media; 2015. 480 p. [En russe.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Mekhtiev SN, Grinevich VB, Chepur SV, Gancho VY. Portal hypertension in patients with chronic hepatitis and liver cirrhosis. St. Petersburg: Bresta; 2004. 320 p. [En russe.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Nikitin IG, Storozhakov GI. Chronic hepatitis C: current issues of diagnosis and treatment. Clin Perspect Gastroenterol Hepatol (Rus). 2001;(3):7-11. [En russe.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Pavlov CS, Damulin VD, Ivashkin VT. Hepatic encephalopathy: pathogenesis, clinical features, diagnosis, and therapy. Russ J Gastroenterol Hepatol Coloproctol. 2016;26(1):44-53. [En russe.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Pimanov S. Decompensated liver cirrhosis: treatment considering international recommendations. Moscow: Prakticheskaya Meditsina; 2016. 88 p. [En russe.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Schiff ER, Sorrell MF, Maddrey WC, editors. Schiff\u2019s Diseases of the Liver. Liver cirrhosis and its complications. Liver transplantation. Moscow: GEOTAR-Media; 2012. 592 p. [En russe.]<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Arroyo V, Moreau R, Jalan R, Gin\u00e8s P; EASL-CLIF Consortium CANONIC Study. Acute-on-chronic liver failure: A new syndrome that will re-classify cirrhosis. J Hepatol. 2015;62(Suppl):S131\u2013S143.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">11.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>European Association for the Study of the Liver. EASL Clinical Practice Guidelines: Wilson\u2019s disease. J Hepatol. 2012 Mar;56(3):671-685.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">12.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>European Association for the Study of the Liver. EASL Clinical Practice Guidelines on the management of hepatic encephalopathy. J Hepatol. 2022;77:807-824.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">13.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>European Association for the Study of the Liver. EASL Clinical Practice Guidelines: Autoimmune hepatitis. J Hepatol. 2015;63(4):971-1004.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">14.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Sanyal A, Mullen K, Bass N. The treatment of hepatic encephalopathy in the cirrhotic patient. Gastroenterol Hepatol (NY). 2010;6(4 Suppl 8):1-12.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>La cirrhose du foie est une atteinte g\u00e9n\u00e9ralis\u00e9e du foie caract\u00e9ris\u00e9e par une n\u00e9crose du parenchyme, une fibrose diffuse et l&rsquo;apparition de zones anormales de r\u00e9g\u00e9n\u00e9ration du tissu h\u00e9patique, entra\u00eenant une alt\u00e9ration de la structure externe et interne du foie ainsi qu&rsquo;une perturbation de ses fonctions. Classification de la cirrhose La cirrhose du foie peut [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"template":"","diseases_category":[254],"class_list":["post-967","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-hepatiques"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Cirrhose du foie : causes, stades, sympt\u00f4mes, diagnostic et traitement<\/title>\n<meta name=\"description\" content=\"D\u00e9couvrez la cirrhose du foie, une atteinte g\u00e9n\u00e9ralis\u00e9e alt\u00e9rant la structure et les fonctions de l\u2019organe. 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