{"id":2607,"date":"2024-10-07T18:45:42","date_gmt":"2024-10-07T16:45:42","guid":{"rendered":"https:\/\/angh.net\/abstracts\/?p=2607"},"modified":"2024-10-07T18:45:43","modified_gmt":"2024-10-07T16:45:43","slug":"etude-prospective-sur-les-coloscopies-sans-ag-hypnose-meopa-du-ch-daix-les-bains","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/etude-prospective-sur-les-coloscopies-sans-ag-hypnose-meopa-du-ch-daix-les-bains\/","title":{"rendered":"Etude prospective sur les coloscopies sans AG (hypnose + MEOPA) du CH d’Aix-les-Bains"},"content":{"rendered":"

2024<\/b><\/p>\n

Dr M\u00e9lodie ABOUSALIHAC, Dr Ana-Maria IRIMIA, Dr Gaelle d’HAUTEFEUILLE, Dr Simona TIRZIU, Dr Aude TURCRY<\/em>

Endoscopie <\/b> – 13\/06\/2024 – Communication orale<\/p>\n

En raison de la crise COVID et de l’acc\u00e8s au bloc restreint, nous avons propos\u00e9 \u00e0 nos patients de r\u00e9aliser leur coloscopie sans AG (conversation th\u00e9rapeutique +\/- MEOPA). Nous avons inclus en prospectif tous les examens de coloscopie (+\/-FOGD) sans AG de janvier 2021 \u00e0 aout 2021 de fa\u00e7on \u00e0 \u00e9valuer la faisabilit\u00e9, la s\u00e9curit\u00e9 et la tol\u00e9rance de ce type de proc\u00e9dure. Au total 289 patients ont \u00e9t\u00e9 inclus, dans 99% des cas ils b\u00e9n\u00e9ficiaient d’une coloscopie seule. L’examen \u00e9tait complet dans 88% des cas. Si des polypes \u00e9taient detect\u00e9s, ils \u00e9taient resequ\u00e9s dans 81% des cas, les cas o\u00f9 les polypes \u00e9taient laiss\u00e9s en place se justifiaient par leur taille. Il n’a \u00e9t\u00e9 relev\u00e9 qu’une seule complication (malaise vagal). La dur\u00e9e moyenne de l’examen \u00e9tait inf\u00e9rieure \u00e0 45 minutes dans 75% des cas. Le patient restait moins de 2 heures dans le service dans 79% des cas. L’examen \u00e9tait jug\u00e9 comme comfortable dans 90% des cas, l’EVA moyenne pendant l’examen \u00e9tait de 5,1 (0.10) (ponctuelle 74%, intermittente 22%, continue 3%). 87% des patients recommenceraient cet examen sans AG. Au total, cette \u00e9tude nous a permis de montrer que les examens sans AG donnent satisfaction en terme de qualit\u00e9 d’examen, dur\u00e9e de proc\u00e9dure, et satisfaction du patient, la douleur du patient restant supportable et ponctuelle dans la majorit\u00e9 des cas. Cela a \u00e9galement valoris\u00e9 grandement le r\u00f4le des param\u00e9dicaux notamment celles qui pratiquent la conversation therapeutique. <\/p>\n","protected":false},"excerpt":{"rendered":"

2024 Dr M\u00e9lodie ABOUSALIHAC, Dr Ana-Maria IRIMIA, Dr Gaelle d’HAUTEFEUILLE, Dr Simona TIRZIU, Dr Aude TURCRY Endoscopie – 13\/06\/2024 – Communication orale En raison de la crise COVID et de l’acc\u00e8s au bloc restreint, nous avons propos\u00e9 \u00e0 nos patients de r\u00e9aliser leur coloscopie sans AG (conversation th\u00e9rapeutique +\/- MEOPA). Nous avons inclus en prospectif […]<\/p>\n","protected":false},"author":1,"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":[6],"tags":[48],"class_list":["post-2607","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-48"],"yoast_head":"\nEtude prospective sur les coloscopies sans AG (hypnose + MEOPA) du CH d'Aix-les-Bains - 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\/etude-prospective-sur-les-coloscopies-sans-ag-hypnose-meopa-du-ch-daix-les-bains\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Etude prospective sur les coloscopies sans AG (hypnose + MEOPA) du CH d'Aix-les-Bains - 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