{"id":2108,"date":"2018-10-20T18:40:32","date_gmt":"2018-10-20T16:40:32","guid":{"rendered":"https:\/\/angh.net\/abstracts\/complications-digestives-post-radiques-alternative-therapeutique-la-medecine-hyperbare\/"},"modified":"2021-10-06T14:18:16","modified_gmt":"2021-10-06T12:18:16","slug":"complications-digestives-post-radiques-alternative-therapeutique-la-medecine-hyperbare","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/complications-digestives-post-radiques-alternative-therapeutique-la-medecine-hyperbare\/","title":{"rendered":"Complications digestives post-radiques. Alternative th\u00e9rapeutique : la m\u00e9decine hyperbare."},"content":{"rendered":"<p><strong>2018<\/strong><\/p>\n<p><em>Agn\u00e8s PELAQUIER, Groupement Hospitalier Portes de Provence; ALBERTINI Jean Jacques,Avignon<\/em><\/p>\n<p><strong>GASTROENTEROLOGIE\u00a0<\/strong>&#8211; \u00a02018-05-15 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Mme G., 56 ans, consulte pour des douleurs anales invalidantes, insomniantes, et alt\u00e9rant fortement sa qualit\u00e9 de vie (insomnie, syndrome d\u00e9pressif), avec alccolisations massives r\u00e9actionnelles \u00e0 vis\u00e9e anxiolytique et antalgique. G\u00eane fonctionnelle quotidienne \u00e0 la d\u00e9f\u00e9cation.<br \/>\nAtcd : carcinome \u00e9pidermo\u00efde du canal anal T1 N0 M0, trait\u00e9 chirurgicalement (pi\u00e8ce d\u2019h\u00e9morro\u00efdectomie et r\u00e9section d\u2019un polype anal), puis par radioth\u00e9rapie 11 ans auparavant.<br \/>\nSur les examens cliniques et paracliniques, ano-rectite s\u00e9v\u00e8re ulc\u00e9r\u00e9e post radique, sans argument pour une reprise \u00e9volutive n\u00e9oplasique.<br \/>\nCompte tenu d\u2019une absence d\u2019efficacit\u00e9 des diff\u00e9rents traitements antalgiques (notamment palier III), des injections p\u00e9rin\u00e9ales et d\u2019un impact psycho-social majeur, d\u00e9cision d\u2019un traitement en caisson hyperbare.<br \/>\nAu bout de 50 s\u00e9ances, patiente m\u00e9tamorphos\u00e9e, avec nette am\u00e9lioration du confort de vie, diminution majeure des besoins en morphiniques, et am\u00e9lioration locale nette avec diminution r\u00e9gression de l\u2019ulc\u00e9ration anale post-radique. Efficacit\u00e9 durable pendant 4 ans.<\/p>\n<p>La m\u00e9decine hyperbare peut \u00eatre b\u00e9n\u00e9fique aux patients porteurs de pathologies chroniques, afin d&rsquo;am\u00e9liorer la cicatrisation, et notamment sur des terrains particuliers sur lesquels elle est consid\u00e9r\u00e9e comme d\u00e9licate (patient diab\u00e9tique, art\u00e9riopathe, restauration d\u2019un tissu l\u00e9s\u00e9 post radioth\u00e9rapie, prise de greffe tissulaire sur des terrains difficiles comme la chirurgie plastique apr\u00e8s br\u00fblure). L\u2019oxyg\u00e8ne sous pression poss\u00e8de 4 types de propri\u00e9t\u00e9s : r\u00e9oxyg\u00e9nation tissulaire, circulatoire, bact\u00e9ricide, stimulation cellulaire (fibroblastes, ost\u00e9oblastes&#8230;) et de certains facteurs (VEGF).<br \/>\nDans notre sp\u00e9cialit\u00e9, nous sommes r\u00e9guli\u00e8rement confront\u00e9s \u00e0 des l\u00e9sions plus ou moins tardives post radiques : rectite, anite et ent\u00e9rite surtout, dont certaines sont mutilantes, bien que compl\u00e8tement sous estim\u00e9es et banalis\u00e9es \u00e0 tort.<br \/>\nLes \u00e9tudes concernant la m\u00e9decine hyperbare sont prometteuses, mais restent actuellement insuffisantes, avec des effectifs r\u00e9duits, notamment en ce qui concerne les complications digestives post radiques.<br \/>\nUn traitement par caisson hyperbare peut \u00eatre une alternative th\u00e9rapeutique int\u00e9ressante en cas de complications symptomatiques potentiellement handicapantes, de la radioth\u00e9rapie.<\/p>\n[download id=\u00a0\u00bb2215&Prime;]\n","protected":false},"excerpt":{"rendered":"<p>2018 Agn\u00e8s PELAQUIER, Groupement Hospitalier Portes de Provence; ALBERTINI Jean Jacques,Avignon GASTROENTEROLOGIE\u00a0&#8211; \u00a02018-05-15 &#8211;\u00a0CC &#8211; ________________________________ Mme G., 56 ans, consulte pour des douleurs anales invalidantes, insomniantes, et alt\u00e9rant fortement sa qualit\u00e9 de vie (insomnie, syndrome d\u00e9pressif), avec alccolisations massives r\u00e9actionnelles \u00e0 vis\u00e9e anxiolytique et antalgique. G\u00eane fonctionnelle quotidienne \u00e0 la d\u00e9f\u00e9cation. Atcd : carcinome [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[29],"class_list":["post-2108","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-29"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Complications digestives post-radiques. 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