{"id":2099,"date":"2018-10-20T18:40:28","date_gmt":"2018-10-20T16:40:28","guid":{"rendered":"https:\/\/angh.net\/abstracts\/apport-de-lecho-endoscopie-rectale-dans-la-prediction-du-type-de-chirurgie-de-lendometriose\/"},"modified":"2018-11-29T11:41:29","modified_gmt":"2018-11-29T10:41:29","slug":"apport-de-lecho-endoscopie-rectale-dans-la-prediction-du-type-de-chirurgie-de-lendometriose","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/apport-de-lecho-endoscopie-rectale-dans-la-prediction-du-type-de-chirurgie-de-lendometriose\/","title":{"rendered":"Apport de l\u2019\u00e9cho-endoscopie rectale dans la pr\u00e9diction du type de chirurgie de l\u2019endom\u00e9triose."},"content":{"rendered":"

2018<\/strong><\/p>\n

Victor Desplats, Fr\u00e9d\u00e9rick Moryoussef, Antonio d\u2019Alessandro, Joseph du Cheyron, Morgane Rompteaux, Gilles Roseau, Arnaud Fauconnier, Ren\u00e9-Louis Vitte<\/em><\/p>\n

Endoscopie <\/strong>– \u00a02018-05-10 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

Introduction et objectif de l\u2019\u00e9tude
\nL\u2019endom\u00e9triose est une maladie sous-diagnostiqu\u00e9e dont la localisations recto- sigmo\u00efdienne peut \u00eatre responsable de sympt\u00f4mes digestifs non sp\u00e9cifiques (douleurs abdominales, troubles du transit, dysch\u00e9sie et rectorragies). Deux approches chirurgicales existent : la r\u00e9section recto-sigmo\u00efdienne (pastille ou r\u00e9section segmentaire) et la dissection intra-musculeuse (shaving). L\u2019objectif de cette \u00e9tude \u00e9tait d\u2019\u00e9valuer si les donn\u00e9es apport\u00e9es par l\u2019\u00e9cho-endoscopie rectale (EER) pouvaient pr\u00e9dire le type de geste chirurgical.
\nMat\u00e9riel et m\u00e9thodes
\nCette \u00e9tude r\u00e9trospective monocentrique a \u00e9t\u00e9 conduite chez des patientes pr\u00e9sentant une endom\u00e9triose avec des localisations recto-sigmo\u00efdiennes \u00e9valu\u00e9es par \u00e9cho-endoscopie et qui avaient re\u00e7u un traitement chirurgical curatif entre janvier 2012 et mars 2018. Une analyse univari\u00e9e a \u00e9t\u00e9 r\u00e9alis\u00e9e sur les donn\u00e9es \u00e9cho-endoscopiques des nodules d\u2019endom\u00e9triose (\u00e9paisseur, largeur, infiltration de la sous-muqueuse, pr\u00e9sence d\u2019une voussure dans la lumi\u00e8re digestive et pr\u00e9sence de localisation recto-sigmo\u00efdiennes multiples d\u2019endom\u00e9triose), suivie d\u2019une r\u00e9gression logistique.
\nR\u00e9sultats
\nSur 362 patientes pr\u00e9-incluses trait\u00e9es, 73 patientes avec endom\u00e9triose recto-sigmo\u00efdienne ont b\u00e9n\u00e9fici\u00e9 d\u2019une EER avant traitement chirurgical curatif. En analyse univari\u00e9e, l\u2019\u00e9paisseur, la largeur et la pr\u00e9sence d\u2019une infiltration de la sous-muqueuse ont \u00e9t\u00e9 identifi\u00e9es comme potentiels facteurs pr\u00e9dictifs du type de r\u00e9section digestive. En r\u00e9gression logistique multivari\u00e9e, seule l\u2019\u00e9paisseur apparaissait comme facteur pr\u00e9dictif (OR= 1,49 ; IC95% [1,04 \u2013 2,12] ; p=0,028). L\u2019analyse de la courbe ROC permettait de pr\u00e9dire qu\u2019une \u00e9paisseur de plus de 5,20 mm n\u00e9cessitait une r\u00e9section recto-sigmo\u00efdienne avec une sensibilit\u00e9 de 76%, une sp\u00e9cificit\u00e9 de 82% et une AUC de 0,82. Les seuils de 100% de sensibilit\u00e9 et de 100% de sp\u00e9cificit\u00e9 \u00e9taient de 0,90 mm et 10,00 mm respectivement.
\nConclusion
\nLa pr\u00e9sence d\u2019un nodule recto-sigmo\u00efdien d\u2019endom\u00e9triose de plus de 5,20 mm d\u2019\u00e9paisseur mis en \u00e9vidence lors du bilan pr\u00e9-th\u00e9rapeutique par EER pr\u00e9dit la n\u00e9cessit\u00e9 d\u2019un traitement chirurgical par r\u00e9section recto-sigmo\u00efdienne. D\u2019autres \u00e9tudes prospectives sont n\u00e9cessaires pour valider ces r\u00e9sultats.<\/p>\n[download id=\u00a0\u00bb2244″]\n","protected":false},"excerpt":{"rendered":"

2018 Victor Desplats, Fr\u00e9d\u00e9rick Moryoussef, Antonio d\u2019Alessandro, Joseph du Cheyron, Morgane Rompteaux, Gilles Roseau, Arnaud Fauconnier, Ren\u00e9-Louis Vitte Endoscopie – \u00a02018-05-10 –\u00a0CO – ________________________________ Introduction et objectif de l\u2019\u00e9tude L\u2019endom\u00e9triose est une maladie sous-diagnostiqu\u00e9e dont la localisations recto- sigmo\u00efdienne peut \u00eatre responsable de sympt\u00f4mes digestifs non sp\u00e9cifiques (douleurs abdominales, troubles du transit, dysch\u00e9sie et rectorragies). […]<\/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":[29],"class_list":["post-2099","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-29"],"yoast_head":"\nApport de l\u2019\u00e9cho-endoscopie rectale dans la pr\u00e9diction du type de chirurgie de l\u2019endom\u00e9triose. - Abstracts des congr\u00e8s de l'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\/apport-de-lecho-endoscopie-rectale-dans-la-prediction-du-type-de-chirurgie-de-lendometriose\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Apport de l\u2019\u00e9cho-endoscopie rectale dans la pr\u00e9diction du type de chirurgie de l\u2019endom\u00e9triose. - 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