{"id":1805,"date":"2005-10-01T01:00:00","date_gmt":"2005-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/endoscopie-digestive-et-alerte-au-prion-3-cas-dans-le-meme-centre\/"},"modified":"2018-10-20T18:39:37","modified_gmt":"2018-10-20T16:39:37","slug":"endoscopie-digestive-et-alerte-au-prion-3-cas-dans-le-meme-centre","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/endoscopie-digestive-et-alerte-au-prion-3-cas-dans-le-meme-centre\/","title":{"rendered":"ENDOSCOPIE DIGESTIVE ET ALERTE AU PRION. \n3 CAS DANS LE MEME CENTRE."},"content":{"rendered":"<p><strong>2005<\/strong><\/p>\n<p><em>Olivier NOUEL ,H\u00f4pital Yves Le FOLL ,St Brieuc<\/em><\/p>\n<p><strong>Endoscopie <\/strong>&#8211; \u00a02005-08-26 &#8211;\u00a0COS &#8211;<\/p>\n<p>________________________________<\/p>\n<p>La circulaire du \u2026pr\u00e9cise dans quels cas lors d\u2019une endoscopie digestive, l\u2019ESB doit \u00eatre soup\u00e7onn\u00e9e et quels mesures doivent \u00eatre prises vis-a-vis des endoscopes, des laves endoscopes et des malades \u00e9ventuellement en contact avec des appareils souill\u00e9s.<br \/>\nCes mesures sont contraignantes, ch\u00e8res (destruction des endoscopes) et leur utilit\u00e9 pourrait \u00eatre discut\u00e9es.<br \/>\nA l\u2019h\u00f4pital de St BRIEUC, une proc\u00e9dure, reposant sur une feuille \u00e0 remplir par le prescripteur a \u00e9t\u00e9 adopt\u00e9e par le CLIN. Cette proc\u00e9dure scrupuleusement appliqu\u00e9e a d\u00e9montr\u00e9 son inefficacit\u00e9 puisque nous nous sommes retrouv\u00e9s 3 fois confront\u00e9s \u00e0 un cas ou un endoscope avait \u00e9t\u00e9 utilis\u00e9 chez un malades suspect d\u2019ESB.<br \/>\nCas N\u00b01 : Un homme de 50 ans est hospitalis\u00e9 pour vomissements incoercibles. Il n\u2019y a pas d\u2019occlusion, une gastroscopie demand\u00e9e par les urgences est normale. Il existe des troubles neurologiques et une confusion. Le neurologue \u00e9voque le diagnostic d\u2019ESB. Pour le WE, les endoscopies sont arr\u00eat\u00e9es, les malades dirig\u00e9s, les programmes annul\u00e9s. Sur le TDM r\u00e9alis\u00e9 le lundi, le malade a une tumeur c\u00e9r\u00e9brale.<br \/>\nCas N\u00b02 : Un homme de 74 ans hospitalis\u00e9 depuis plus de 3 semaines en g\u00e9riatrie pour perte d\u2019autonomie est transf\u00e9r\u00e9 dans le service pour douleurs abdominales et rectorragies. Une coloscopie courte retrouve une Colite isch\u00e9mique \u2026 .Avant son retour en g\u00e9riatrie, je demande une consultation de neurologie. Le diagnostic d\u2019ESB est \u00e9voqu\u00e9. L\u2019endoscope est s\u00e9questr\u00e9, les machines d\u00e9sinfect\u00e9es les connectiques chang\u00e9es, une cellule de crise mise en place. Le malade d\u00e9c\u00e8de. 2 mois plus tard, le diagnostic est confirm\u00e9. L\u2019endoscope et les connectiques sont d\u00e9truits.<br \/>\nCas N\u00b03 : Un homme de 54 ans est hospitalis\u00e9 pour un syndrome de sevrage alcoolique. Dans le cadre du bilan de sa maladie alcoolique du foie une gastroscopie est r\u00e9alis\u00e9e, qui montre une oesophagite s\u00e9v\u00e8re.<br \/>\n10 jours apr\u00e8s l\u2019admission, les manifestations du syndrome de sevrage persistent. Un TDM et une consultation de neurologie sont demand\u00e9s. Le TDM est normal mais le diagnostic d\u2019ESB est encore \u00e9voqu\u00e9. Nous suivons les m\u00eames proc\u00e9dures et attendons patiemment les r\u00e9sultats de l&rsquo;examen du cerveau &#8230; <\/p>\n<p>Comment \u00e9viter de telles alertes (vraies ou fausses ) ?<br \/>\n&#8211; Ne pas faire d\u2019endoscopies aux d\u00e9ments<br \/>\n&#8211; Demander (ou ne pas demander) de consultations de neurologie<br \/>\n&#8211; Examiner tous les malades avant une endoscopie<\/p>\n<p>D\u2019autres id\u00e9es ?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2005 Olivier NOUEL ,H\u00f4pital Yves Le FOLL ,St Brieuc Endoscopie &#8211; \u00a02005-08-26 &#8211;\u00a0COS &#8211; ________________________________ La circulaire du \u2026pr\u00e9cise dans quels cas lors d\u2019une endoscopie digestive, l\u2019ESB doit \u00eatre soup\u00e7onn\u00e9e et quels mesures doivent \u00eatre prises vis-a-vis des endoscopes, des laves endoscopes et des malades \u00e9ventuellement en contact avec des appareils souill\u00e9s. Ces mesures sont [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[6],"tags":[16],"class_list":["post-1805","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-16"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ENDOSCOPIE DIGESTIVE ET ALERTE AU PRION. 3 CAS DANS LE MEME CENTRE. - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/endoscopie-digestive-et-alerte-au-prion-3-cas-dans-le-meme-centre\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ENDOSCOPIE DIGESTIVE ET ALERTE AU PRION. 3 CAS DANS LE MEME CENTRE. - 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