{"id":1862,"date":"2009-10-01T01:00:00","date_gmt":"2009-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/tous-les-polypes-colorectaux-doivent-ils-etre-analyses\/"},"modified":"2018-10-20T18:39:48","modified_gmt":"2018-10-20T16:39:48","slug":"tous-les-polypes-colorectaux-doivent-ils-etre-analyses","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/tous-les-polypes-colorectaux-doivent-ils-etre-analyses\/","title":{"rendered":"Tous les polypes colorectaux doivent-ils \u00eatre analys\u00e9s ?"},"content":{"rendered":"<p><strong>2009<\/strong><\/p>\n<p><em>Bernard DENIS, Jacques BOTTLAENDER, Anne Marie WEISS, Andr\u00e9 PETER, Gilles BREYSACHER, Pascale CHIAPPA, Isabelle GENDRE, Philippe PERRIN.M\u00e9decine A, H\u00f4pitaux Civils de COLMAR, ADECA Alsace.<\/em><\/p>\n<p><strong>Endoscopie <\/strong>&#8211; \u00a02009-05-26 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>L\u2019examen anatomopathologique des polypes colorectaux r\u00e9s\u00e9qu\u00e9s par endoscopie repr\u00e9sente une charge de travail importante pour les pathologistes ainsi qu\u2019un co\u00fbt non n\u00e9gligeable. Il n\u2019a d\u2019impact sur la prise en charge que lorsqu\u2019il guide le traitement d\u2019un cancer invasif ou la surveillance coloscopique ult\u00e9rieure. But : \u00e9valuer s\u2019il est possible de ne pas faire l\u2019examen anatomo-pathologique de certains polypes colorectaux sans risque pour le patient.<br \/>\nM\u00e9thodes : Evaluation r\u00e9trospective de tous les polypes r\u00e9s\u00e9qu\u00e9s dans une campagne d\u00e9partementale de d\u00e9pistage organis\u00e9 de septembre 2003 \u00e0 ao\u00fbt 2008 et \u00e9valuation prospective de tous les polypes r\u00e9s\u00e9qu\u00e9s dans une unit\u00e9 hospitali\u00e8re d\u2019endoscopie de janvier \u00e0 ao\u00fbt 2008.<br \/>\nR\u00e9sultats : L\u2019\u00e9tude r\u00e9trospective portait sur 4360 polypes, ses r\u00e9sultats figurent dans le tableau. L\u2019\u00e9tude prospective concernait 355 polypes r\u00e9s\u00e9qu\u00e9s lors de 175 coloscopies chez 68 femmes et 107 hommes de 64.8 ans d\u2019\u00e2ge moyen. Il s\u2019agissait dans 47.4% des cas d\u2019une 1\u00e8re coloscopie et dans 46.5% des cas d\u2019une coloscopie de surveillance pour ant\u00e9c\u00e9dent personnel de cancer colorectal (CCR) ou d\u2019ad\u00e9nome. Des ant\u00e9c\u00e9dents familiaux de CCR \u00e9taient not\u00e9s dans 13.9% des cas. 263 (74.1%) polypes \u00e9taient &#8804; 5mm et 54 (15.2%) &#8805; 10mm. Il y avait 90 (25.7%) polypes non ad\u00e9nomateux, 76 (21.4%) ad\u00e9nomes avanc\u00e9s et 2 (0.6%) carcinomes invasifs. L\u2019examen anatomopathologique \u00e9tait jug\u00e9 utile par l\u2019endoscopiste pour 148 polypes (41.1%). Ce taux d\u2019examens utiles variait selon la taille des polypes (26.1% pour les polypes &#8804; 5mm, 73.7% pour ceux de 6 \u00e0 9mm et 92.5% pour ceux &#8805; 10mm)(p&lt;0.001) et selon le contexte (57.1% en cas de 1\u00e8re coloscopie, 26.8% en cas de coloscopie it\u00e9rative, 23.4% en cas d\u2019ant\u00e9c\u00e9dent personnel de CCR ou d\u2019ad\u00e9nome)(p 5mm doivent \u00eatre analys\u00e9s. Au contraire, un grand nombre de polypes &#8804; 5 mm peut ne pas \u00eatre analys\u00e9, modulable selon le niveau de risque jug\u00e9 acceptable. Les polypes &#8804; 5mm associ\u00e9s \u00e0 un CCR ou \u00e0 un polype &#8805; 10mm ou qui surviennent \u00e0 un tr\u00e8s grand \u00e2ge peuvent ne pas \u00eatre analys\u00e9s sans aucun risque pour le patient (15 \u2013 20% des polypes) ; les polypes &#8804; 5 mm associ\u00e9s \u00e0 un (des) polype(s) de 6 \u00e0 9 mm avec un risque de surveiller 1 patient sur 175 \u00e0 5 ans au lieu de 3 ans (10% des polypes) et les polypes &#8804; 5 mm isol\u00e9s chez des personnes qui doivent de toute fa\u00e7on \u00eatre surveill\u00e9es en raison d\u2019ant\u00e9c\u00e9dent personnel ou familial de CCR ou d\u2019ad\u00e9nome avec un risque de surveiller 1 patient sur 44 \u00e0 5 ans au lieu de 3 ans (un tiers des polypes).<br \/>\nTaille des polypes\t    &#8804; 5 mm\t         6 \u2013 9 mm\t&#8805; 10 mm\t        total<br \/>\nNombre n (%)\t            2351 (53.9)\t         630 (14.5)\t1379 (31.6)\t4360 (100)<br \/>\nPolypes ad\u00e9nomateux n (%)   1361 (66.8)\t         483 (82.0)\t1290 (96.1)\t3134 (71.9)<br \/>\nAd\u00e9nomes avanc\u00e9s n (%)\t    280 (11.9)\t         177 (28.1)\t1221 (88.5)\t1748 (40.1)<br \/>\nCancers invasifs n (%)\t    0 (0)\t         1 (0.2)\t69 (5.0)\t70 (1.6)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2009 Bernard DENIS, Jacques BOTTLAENDER, Anne Marie WEISS, Andr\u00e9 PETER, Gilles BREYSACHER, Pascale CHIAPPA, Isabelle GENDRE, Philippe PERRIN.M\u00e9decine A, H\u00f4pitaux Civils de COLMAR, ADECA Alsace. Endoscopie &#8211; \u00a02009-05-26 &#8211;\u00a0CO &#8211; ________________________________ L\u2019examen anatomopathologique des polypes colorectaux r\u00e9s\u00e9qu\u00e9s par endoscopie repr\u00e9sente une charge de travail importante pour les pathologistes ainsi qu\u2019un co\u00fbt non n\u00e9gligeable. Il n\u2019a [&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":[20],"class_list":["post-1862","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-20"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tous les polypes colorectaux doivent-ils \u00eatre analys\u00e9s ? - 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\/tous-les-polypes-colorectaux-doivent-ils-etre-analyses\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tous les polypes colorectaux doivent-ils \u00eatre analys\u00e9s ? 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