{"id":2284,"date":"2019-12-31T19:32:06","date_gmt":"2019-12-31T18:32:06","guid":{"rendered":"https:\/\/angh.net\/abstracts\/la-dissection-sous-muqueuse-en-centre-hospitalier-general-premiere-serie-europeenne\/"},"modified":"2019-12-31T19:32:06","modified_gmt":"2019-12-31T18:32:06","slug":"la-dissection-sous-muqueuse-en-centre-hospitalier-general-premiere-serie-europeenne","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/la-dissection-sous-muqueuse-en-centre-hospitalier-general-premiere-serie-europeenne\/","title":{"rendered":"\u201cLa dissection sous muqueuse en Centre Hospitalier G\u00e9n\u00e9ral: premi\u00e8re s\u00e9rie europ\u00e9enne\u201d."},"content":{"rendered":"<p><strong>2019<\/strong><\/p>\n<p><em>Fr\u00e9d\u00e9rick Moryoussef, Serge Bellon, Ren\u00e9 Louis Vitte<\/em><\/p>\n<p><strong>Endoscopie <\/strong>&#8211; \u00a02019-05-24 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Introduction:<br \/>\nIl n\u2019existe pas \u00e0 ce jour de s\u00e9ries \u00e9valuant la pratique de la dissection sous muqueuse  en Europe exclusivement en centre hospitalier g\u00e9n\u00e9ral. Cette technique en plein essor trouve, de plus, toute sa place dans la prise en charge de nos malades. Cependant, elle n\u00e9cessite une bonne formation pratique et th\u00e9orique en raison des complications. Aucun groupe international n\u2019a pu d\u00e9finir de seuil minimal par centre . Nous avons donc cherch\u00e9 \u00e0 identifier quels \u00e9taient les crit\u00e8res de succ\u00e8s ( En bloc R0) et de complications de nos dissections depuis 2010.<br \/>\nPatients et M\u00e9thodes:<br \/>\nS\u00e9rie r\u00e9trospective depuis 2010 entre les h\u00f4pitaux de Poissy et d\u2019Avignon incluant tout patient ayant b\u00e9n\u00e9fici\u00e9 d\u2019une dissection sous muqueuse du tractus digestif haut ( \u0153sophage\/estomac) ou bas ( rectum) ;<br \/>\nR\u00e9sultats :<br \/>\n17 patients ont \u00e9t\u00e9 inclus. 9\/17 ( 53%) des patients pr\u00e9sentaient une l\u00e9sion haute et 8\/17 ( 47%) des patients pr\u00e9sentaient une l\u00e9sion basse. La taille moyenne des l\u00e9sions \u00e9tait de 25(5-60)mm . Le temps moyen de dissection \u00e9tait de 120( 60-240) minutes. 9\/17 patients soit 53% ont b\u00e9n\u00e9fici\u00e9 d\u2019une resection \u00ab En Bloc R0 \u00bb avec un taux global de complication de 23% ( perforation per-proc\u00e9dure trait\u00e9e endoscopiquement). Les facteurs de succ\u00e8s pour une r\u00e9section \u00ab en bloc R0 \u00bb en analyse univari\u00e9e \u00e9taient la taille ( p<0.05) et la localisation haute ( p<0.05) de la l\u00e9sion. Aucun facteur \u00e0 risque de complication ne sortait positif. \nConclusion : \nA partir de cette s\u00e9rie, dont le bais principal est le tr\u00e8s faible effectif, le taux de r\u00e9section \u00ab en Bloc R0 \u00bb  est plus faible que ceux retrouv\u00e9s  dans la litt\u00e9rature n\u00e9cessitant une meilleur s\u00e9lection de nos malades et une meilleur formation. Cependant, le taux de complication reste similaire ce qui nous encourage \u00e0 poursuivre notre apprentissage. D\u2019autres centres sont invit\u00e9s \u00e0 inclure en vue de la pr\u00e9sentation \u00e0 Ajaccio de r\u00e9sultats plus robustes\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2019 Fr\u00e9d\u00e9rick Moryoussef, Serge Bellon, Ren\u00e9 Louis Vitte Endoscopie &#8211; \u00a02019-05-24 &#8211;\u00a0CO &#8211; ________________________________ Introduction: Il n\u2019existe pas \u00e0 ce jour de s\u00e9ries \u00e9valuant la pratique de la dissection sous muqueuse en Europe exclusivement en centre hospitalier g\u00e9n\u00e9ral. Cette technique en plein essor trouve, de plus, toute sa place dans la prise en charge de [&hellip;]<\/p>\n","protected":false},"author":1,"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":[30],"class_list":["post-2284","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-30"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u201cLa dissection sous muqueuse en Centre Hospitalier G\u00e9n\u00e9ral: premi\u00e8re s\u00e9rie europ\u00e9enne\u201d. - 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\/la-dissection-sous-muqueuse-en-centre-hospitalier-general-premiere-serie-europeenne\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u201cLa dissection sous muqueuse en Centre Hospitalier G\u00e9n\u00e9ral: premi\u00e8re s\u00e9rie europ\u00e9enne\u201d. - 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