{"id":1979,"date":"2014-10-01T01:00:00","date_gmt":"2014-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/utilisation-des-protheses-coliques-en-intention-pre-operatoire-dans-la-prise-en-charge-des-cancers-en-occlusion-etude-retrospective-multicentrique-du-pronostic-carcinologique\/"},"modified":"2018-10-20T18:40:08","modified_gmt":"2018-10-20T16:40:08","slug":"utilisation-des-protheses-coliques-en-intention-pre-operatoire-dans-la-prise-en-charge-des-cancers-en-occlusion-etude-retrospective-multicentrique-du-pronostic-carcinologique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/utilisation-des-protheses-coliques-en-intention-pre-operatoire-dans-la-prise-en-charge-des-cancers-en-occlusion-etude-retrospective-multicentrique-du-pronostic-carcinologique\/","title":{"rendered":"Utilisation des proth\u00e8ses coliques en intention pr\u00e9-op\u00e9ratoire dans la prise en charge des cancers en occlusion : \u00e9tude r\u00e9trospective multicentrique du pronostic carcinologique."},"content":{"rendered":"

2014<\/strong><\/p>\n

V Quentin, P Pequin, B Bour, A P\u00e9laquier, AJ R\u00e9my, B Denis, A Boruchowicz, C Locher, D Bernardini, R Faroux, F Heluwaert, G Macaigne, D Grasset, J Privat, JP Arpurt, L Falize, M Kaassis, RL Vitte, S Nahon, R Arotcarena<\/em><\/p>\n

Endoscopie <\/strong>– \u00a02014-04-09 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Nous avons r\u00e9cemment communiqu\u00e9 sur la pratique de pose de proth\u00e8se colique dans les centres hospitaliers g\u00e9n\u00e9raux (CHG) en pathologie tumorale, toutes indications confondues (1). L\u2019activit\u00e9 des h\u00f4pitaux g\u00e9n\u00e9raux dans cette \u00e9tude semblait concordante aux centres r\u00e9f\u00e9rents en termes d\u2019indications et de r\u00e9sultats. Actuellement, la controverse repose sur l\u2019utilit\u00e9 de cette technique en pr\u00e9-op\u00e9ratoire selon la technique dite de \u00ab bridge to surgery \u00bb en terme de pronostic carcinologique et de r\u00e9sultats chirurgicaux (2-4).
\nIl est propos\u00e9 une \u00e9tude r\u00e9trospective descriptive nationale au sein de 20 centres de l\u2019association nationale des h\u00e9pato-gastroent\u00e9rologues des h\u00f4pitaux g\u00e9n\u00e9raux (ANGH) centr\u00e9e sur les patients ayant \u00e9t\u00e9 trait\u00e9s dans cette indication afin d\u2019observer leur \u00e9volution \u00e0 long terme.
\nOBJECTIF PRINCIPAL : Taux de survie sans r\u00e9cidive carcinologique \u00e0 3 ans de la pose de proth\u00e8se colique
\nOBJECTIFS SECONDAIRES : Description du taux de complications et de mortalit\u00e9 en post op\u00e9ratoire(J 30), Evaluation carcinologique \u00e0 3 et 5 ans, Evaluation des pratiques de pose de proth\u00e8ses coliques en pr\u00e9 op\u00e9ratoire de tumeurs colo-rectales dans les CHG par une \u00e9tude r\u00e9trospective descriptive simple (comparaison des r\u00e9sultats \u00e0 ceux de la litt\u00e9rature).
\nPATIENTS
\nSeront inclus dans un premier temps tous les patients ayant eu un code T2A de proth\u00e8se colique entre le 01\/01\/2008 et le 31\/12\/2010 afin d\u2019\u00e9tudier la population globale. Puis seront isol\u00e9s les patients trait\u00e9s en intention pr\u00e9-op\u00e9ratoire curative, ce groupe constituera le c\u0153ur de l\u2019\u00e9tude. Cette intention curative regroupant les patients non m\u00e9tastatiques mais aussi les patients dont les m\u00e9tastases sont consid\u00e9r\u00e9s comme secondairement r\u00e9s\u00e9cables. Sont exclus les patients dont l\u2019indication est une tumeur extra colique ou une compression sur carcinose.
\nMETHODES
\nLe recueil des donn\u00e9es s\u2019effectuera dans chaque centre par chaque investigateur via un tableur Excel. L\u2019investigateur principal centralisera l\u2019ensemble du recueil pour analyse statistique. Les items \u00e9tudi\u00e9s seront : mois et ann\u00e9e de naissance, \u00e2ge au diagnostic, sexe, ann\u00e9e de pose, syndrome occlusif, m\u00e9tastases, intention palliative\/bridge, localisation tumorale, r\u00e9cidive anastomotique, longueur proth\u00e8se, marque, probl\u00e8me technique, complication, d\u00e9lai complication, succ\u00e8s clinique, nombre de jours d\u2019hospitalisation, d\u00e9lai d\u00e9c\u00e8s, traitement post proth\u00e8se, chirurgie de la tumeur primitive, d\u00e9lai, stomie d\u00e9finitive, chirurgie en un temps, complication J30, dur\u00e9e hospitalisation, stade TNM, stade UICC, traitement post chirurgical, \u00e9volutivit\u00e9 n\u00e9oplasique, d\u00e9lai \u00e9volutivit\u00e9, d\u00e9lai survie\/d\u00e9c\u00e8s, vivant au 31\/12\/2013. Une d\u00e9claration au CCTIRS est en cours, puis une d\u00e9claration \u00e0 la CNIL sera r\u00e9alis\u00e9e.
\nRESULTATS
\nLes r\u00e9sultats ne sont actuellement pas disponibles, seuls 3 centres sur les 20 ayant transmis leur tableur \u00e0 la date de soumission des r\u00e9sum\u00e9s pour le congr\u00e8s de l\u2019ANGH de B\u00e9ziers 2014. Les principaux r\u00e9sultats disponibles fin mai seront transmis au conseil scientifique de Toulon.
\nREFERENCES
\n1.Quentin V et al. Utilisation des proth\u00e8ses coliques en pathologie tumorale dans les h\u00f4pitaux g\u00e9n\u00e9raux. Etude r\u00e9trospective dans 4 centres en 2009-2010. JFHOD 2012.
\n2.Van Hooft JE et al. Colonic stenting versus emergency surgery for acute left-sided malignant colonic obstruction: a multicenter randomized trial. Lancet Oncol;2011;12:344-52.
\n3.Tan CJ et al. Systematic review and meta analysis of randomized clinical trials of self-expanding metallic stents as a bridge to surgery versus emergency surgery for malignant left sided large bowel obstruction. Br J Surg 2012;99:469-76.
\n4.Sagar J. Colorectal stents for the management of malignant colonic obstructions. Cochrane Database Syst Rev 2011;11:CD007378.<\/p>\n","protected":false},"excerpt":{"rendered":"

2014 V Quentin, P Pequin, B Bour, A P\u00e9laquier, AJ R\u00e9my, B Denis, A Boruchowicz, C Locher, D Bernardini, R Faroux, F Heluwaert, G Macaigne, D Grasset, J Privat, JP Arpurt, L Falize, M Kaassis, RL Vitte, S Nahon, R Arotcarena Endoscopie – \u00a02014-04-09 –\u00a0CO – ________________________________ Nous avons r\u00e9cemment communiqu\u00e9 sur la pratique de […]<\/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":[25],"class_list":["post-1979","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-25"],"yoast_head":"\nUtilisation des proth\u00e8ses coliques en intention pr\u00e9-op\u00e9ratoire dans la prise en charge des cancers en occlusion : \u00e9tude r\u00e9trospective multicentrique du pronostic carcinologique. - 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