Comment réséquer les polypes colorectaux de petite taille ? (notice n° 664364)
[ vue normale ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 04285cam a2200361 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121193630.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Perrod, Guillaume |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Comment réséquer les polypes colorectaux de petite taille ? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2019.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 30 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Polyps smaller than 10 mm are the most common lesions encountered during screening colonoscopy and are associated with low risk of colorectal cancer. These lesions are classified according to their size as diminutive polyps (< 5 mm) or small polyps (6-9 mm). Despite improvement in real time characterisation techniques, small polyps must be endoscopically resected. Strategies such as “resect and discard” or “diagnosed and leave behind” are dedicated to expert centres with a high degree of confidence in optical diagnosis. Many endoscopic techniques are available for polyps resection, whose effectiveness is variable in the literature. Incomplete resection rates range from 7% to 10% and are responsible for up to 27% of interval cancer. The European Society of Digestive Endoscopy established in 2012 (updated in 2017) recommendations for the resection of small polyps. Cold snare resection is the gold standard for these polyps because it is associated with a high rate of complete resection, a better histological analysis and a low rate of complications. In case of difficult positioning, the use of the cold biopsy forceps can be used for very small polyps (<4 mm). The use of hot biopsy forceps should be proscribed as it is associated with a low rate of complete resection and post resection complications. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Les polypes de petite taille (< 10 mm) sont les lésions les plus fréquemment rencontrées lors d’une coloscopie de dépistage. On distingue les micropolypes ou « diminutive polyps (< 5 mm), des petits polypes ou « small polyps » (6-9 mm) dont le risque de dégénérescence dans la littérature est estimé à 0,5-2 %. Malgré l’amélioration des techniques de caractérisation endoscopique optique, les polypes de petite taille doivent faire l’objet d’une résection endoscopique. Les stratégies de « resect and discard » (résection-destruction) ou de « predict and leave behind » (diagnostic sans résection), stratégies sans analyse histologique, doivent être réservées aux centres experts présentant un degré de confiance élevé en prédiction histologique fondée sur l’analyse optique. Il existe de nombreuses techniques endoscopiques pour l’exérèse de ces polypes, dont l’efficacité est variable. On estime que les taux de résections incomplètes varient de 7 % à 10 %, et qu’elles sont responsables d’environ 10 % à 27 % des cas de cancer d’intervalle. La société européenne d’endoscopie digestive (ESGE) a établi en 2012 des recommandations pour la prise en charge des polypes de petite taille, mises à jour en 2017. L’exérèse à l’anse froide est la technique de référence pour ces lésions, car elle est associée à un taux élevé de résection complète, à une meilleure analyse histologique et à un faible taux de complication. En cas de positionnement difficile, l’utilisation de la pince à biopsie froide pourra être utilisée pour les très petits polypes (< 4 mm). L’utilisation de la pince à biopsie chaude doit être proscrite car elle a un faible taux d’ablation complète et augmente le risque de complication post-exérèse. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | anse de polypectomie diathermique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | polypectomie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | micropolypes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | anse de polypectomie froide |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | petits polypes |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pince à biopsie froide |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pince à biopsie chaude |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hot biopsy forceps |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | polypectomy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | small polyps |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hot snare polypectomy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cold biopsy forceps |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cold snare polypectomy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | diminutive polyps |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Rahmi, Gabriel |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Cellier, Christophe |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Hépato-Gastro & Oncologie Digestive | 26 | 2 | 2019-02-01 | p. 186-190 | 2115-3310 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2019-2-page-186?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2019-2-page-186?lang=fr&redirect-ssocas=7080</a> |
Pas d'exemplaire disponible.
Réseaux sociaux