{"id":2347,"date":"2020-09-25T22:14:03","date_gmt":"2020-09-25T20:14:03","guid":{"rendered":"https:\/\/angh.net\/abstracts\/interet-de-la-coloscopie-en-immersion-etude-monocentrique-retrospective\/"},"modified":"2020-09-25T22:14:03","modified_gmt":"2020-09-25T20:14:03","slug":"interet-de-la-coloscopie-en-immersion-etude-monocentrique-retrospective","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/interet-de-la-coloscopie-en-immersion-etude-monocentrique-retrospective\/","title":{"rendered":"Int\u00e9r\u00eat de la coloscopie en immersion : \u00e9tude monocentrique r\u00e9trospective"},"content":{"rendered":"<p><strong>2020<\/strong><\/p>\n<p><em>Ren\u00e9-Louis Vitte, Fr\u00e9d\u00e9rick Moryoussef, Hanene Habbassi, Ruth Tennenbaum. CHI Poissy Saint Germain.<\/em><\/p>\n<p><strong>Endoscopie <\/strong>&#8211; \u00a02020-07-10 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Introduction : La coloscopie est l\u2019outil de d\u00e9pistage des ad\u00e9nomes et du cancer colo-rectal mais des cancers de l\u2019intervalle peuvent appara\u00eetre principalement en cas de non respect des recommandations de suivi ou de qualit\u00e9 de l\u2019examen.  Un des crit\u00e8res concerne le taux d\u2019intubation caecale fonction de la morphologie du patient, de la technique ou de l\u2019exp\u00e9rience de l\u2019op\u00e9rateur. En cas de coloscopie incompl\u00e8te la coloscopie en immersion est alternative facile et \u00e9conomique. L\u2019objectif \u00e9tait donc d\u2019\u00e9valuer la faisabilit\u00e9 de cette technique et son taux de succ\u00e8s.<br \/>\nMat\u00e9riels et m\u00e9thodes : Nous avons inclus de fa\u00e7on r\u00e9trospective l\u2019ensemble des coloscopies en immersion r\u00e9alis\u00e9es sur le CHI Poissy St Germain. Les examens \u00e9taient r\u00e9alis\u00e9s sous anesth\u00e9sie g\u00e9n\u00e9rale avec endoscope Pentax EC38-i10F2 ou Fuse F1C-150. Un  CAP \u00e9tait mont\u00e9 pour les indications de polypectomie. La progression jusqu\u2019au bas fond caecal se faisait avec aspiration des r\u00e9sidus et instillation d\u2019eau \u00e0 temp\u00e9rature ambiante par pompe \u00e0 galets (MTW) suivie d\u2019une  Insufflation d\u2019air ou de CO2 au retrait pour examen de la muqueuse colique.<br \/>\nR\u00e9sultats : 20 coloscopies en immersion ont \u00e9t\u00e9 r\u00e9alis\u00e9es par un seul op\u00e9rateur de mai 2018 \u00e0 juin 2020. L\u2019\u00e2ge moyen des patients \u00e9tait de 64 ans (50-80). Les indications de la coloscopie princeps \u00e9taient les suivantes : d\u00e9pistage (n=12), carence en fer (n=3), rectorragies (n=2), douleurs abdominales (n=2), fixation caecale en TEP-scan (n=1).  Les patients \u00e9taient adress\u00e9s par 10 gastroent\u00e9rologues pour : \u00e9chec de coloscopie (n=10), polypectomie\/mucosectomie (n=6), ant\u00e9c\u00e9dent de coloscopie difficile (n=2), ob\u00e9sit\u00e9 (n=2).  Le taux d\u2019Intubation du bas-fond caecal \u00e9tait de 100%, avec 26 polypes d\u00e9pist\u00e9s, 24 r\u00e9s\u00e9qu\u00e9s de 3 \u00e0 20mm : 0-Is (n=8), 0-IIa (n=12), 0-IIb (n=4) dont 13 ad\u00e9nomes en  dysplasie de bas grade , 2 ad\u00e9nomes festonn\u00e9s sessiles sans dysplasie (n=2) et 9 en attente d\u2019interpr\u00e9tation (n=9). Parmi les patients r\u00e9f\u00e9r\u00e9s pour polypectomie\/mucosectomie (n=6), 2 patients n\u2019ont pu \u00eatre trait\u00e9s (LST caecale de tr\u00e8s grande taille et l\u00e9sion valvulaire). Il n\u2019existait pas  de complication  li\u00e9e au geste durant l\u2019hospitalisation.<br \/>\nConclusion : La coloscopie en immersion a permis de rattraper de mani\u00e8re simple, sans formation pr\u00e9alable, des \u00e9checs de coloscopie dans 100% des cas. Pour les patients r\u00e9f\u00e9r\u00e9s pour r\u00e9section de polypes, le taux de succ\u00e8s \u00e9tait de 67% sur cette courte s\u00e9rie. La coloscopie en immersion est une technique d\u2019appropriation ais\u00e9e et simple \u00e0 mettre en \u0153uvre permettant de rattraper les \u00e9checs de coloscopie et de polypectomie.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2020 Ren\u00e9-Louis Vitte, Fr\u00e9d\u00e9rick Moryoussef, Hanene Habbassi, Ruth Tennenbaum. CHI Poissy Saint Germain. Endoscopie &#8211; \u00a02020-07-10 &#8211;\u00a0CO &#8211; ________________________________ Introduction : La coloscopie est l\u2019outil de d\u00e9pistage des ad\u00e9nomes et du cancer colo-rectal mais des cancers de l\u2019intervalle peuvent appara\u00eetre principalement en cas de non respect des recommandations de suivi ou de qualit\u00e9 de l\u2019examen. [&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":[31],"class_list":["post-2347","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-31"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Int\u00e9r\u00eat de la coloscopie en immersion : \u00e9tude monocentrique r\u00e9trospective - 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\/interet-de-la-coloscopie-en-immersion-etude-monocentrique-retrospective\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Int\u00e9r\u00eat de la coloscopie en immersion : \u00e9tude monocentrique r\u00e9trospective - 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