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Méthodes de renforcement de la détection endoscopique des fines lésions muqueuses du côlon et de l’intestin

Methods enhancing the endoscopic detectability of tiny mucosal lesions in colon and intestine

  • Published:
Acta Endoscopica

Résumé

Le cancer colorectal a connu au cours de ce siècle une augmentation constante d’incidence et est devenu, à l’échelon mondial, la plus fréquente des lésions malignes. Le pronostic de l’affection est étroitement lié au stade de la tumeur au moment de sa détection. Pour cette raison, les stratégies adoptées dans la prévention, le diagnostic et le traitement sont devenues largement dépendantes de la détection des stades précurseurs. La vidéo endoscopie à haute résolution, combinée à des techniques destinées à investiguer la surface muqueuse du côlon (chromoscopie et examen au microscope à balayage en immersion), permettent d’observer des détails de la surface épithéliale de la muqueuse du côlon et du rectum. Grâce à ces méthodes, il est possible d’observer facilement un nombre considérable de lésions correspondant à divers phénotypes histologiques.

Summary

Colorectal cancer has been showing a steady increase in incidence during the last century, becoming one of the most frequent malignancies in the world. The prognosis of the disease is closely related to the stage of the tumor at the time of detection. Therefore it becomes a priority to identify the most likely precursors so that appropriate strategies in their prevention, diagnosis and treatment can be established. High resolution video endoscopy combined with techniques to demonstrate the mucosal surface of the colon (chromoscopy and scanning immersion) highlight in detail the epithelial surface of the colon and rectum. By these methods, a considerable number of lesions, representing a variety of histologic phenotypes, can easily be observed.

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Références

  1. ADACHI M., MUTO T., MORIOKA Y., IKEGANA T., HARA M. — Flat adenoma and flat mucosal carcinoma (IIb type) — A new precursor of colorectal carcinoma? Report of two cases.Dis. Colon Rectum, 1988,31, 236–243.

    Article  PubMed  CAS  Google Scholar 

  2. ADACHI M., MUTO T., OKINAGA K, MORIOKA Y. — Clinicopathologic features of the flat adenoma.Dis. Colon Rectum, 1991,34, 981–986.

    Article  PubMed  CAS  Google Scholar 

  3. FENOGLIO C.M., RICHART R.M., KAYE G.D. — Comparative electron-microscopic features of normal, hyperplastic, and adenomatous human colonic epithelium.Gastroenterology, 1975,69, 100–109.

    PubMed  CAS  Google Scholar 

  4. HIRATA I., TANAKA M., SUGIMOTO K.et al. — Clinicopathological study on flat and depressed minute colorectal carcinomas.Dig. Endosc. 1991,3, 526–535.

    Article  Google Scholar 

  5. HUNT D.R., CHERIAN M. — Endoscopic diagnosis of small flat carcinoma of the colon: report of three cases.Dis. Colon Rectum, 1990,33, 143–147.

    Article  PubMed  CAS  Google Scholar 

  6. HSHI H., TATSUTA M., TSUTSUI S.et al. — Early depressed adenocarcinomas of the large intestine. Cancer. 1992,69, 2406–2410.

    Article  Google Scholar 

  7. HSHI H., KITAMURA S., NAKAIZUMI A.et al. — Clinicopathological features and endoscopic diagnosis of superficial early adenocarcinomas of the large intestine.Dig. Dis. Sci. 1993,38, 1333–1337.

    Article  Google Scholar 

  8. JACKMAN R.J., MAYO C.W. — The adenoma-carcinoma sequence in cancer of the colon.Surg. Gynecol. Obstet. 1951,93, 327–330.

    PubMed  CAS  Google Scholar 

  9. JARAMILLO E., SLEZAK P. — The use of high resolution electronic video endoscopy, computerized image processing and chromoscopy to study the colorectal mucosa.Acta Endoscopica, 1993,23, 59–62.

    Google Scholar 

  10. JARAMILLO E., WATANABE M., WITT H., SLEZAK P. — Scanning immersion electronic video endoscopy: a new method to study the epithelial surface of the lower gastrointestinal tract.Acta Endoscopica, 1993,23, 163–169.

    Google Scholar 

  11. JARAMILLO E., WATANABE M., SLEZAK P., RUBIO C. — Flat neoplastic lesions of the colon and rectum detected by high resolution video endoscopy and chromoscopy.Gastrointest. Endosc. 1995,42, 114–122.

    Article  PubMed  CAS  Google Scholar 

  12. JARAMILLO E., WATANABE M., BEFRITS R., PONCE V., LÉON F., RUBIO C., SLEZAK P. — Small, flat colorectal neoplasias in long-standing ulcerative colitis detected by high-resolution electronic video endoscopy.Gastrointest. Endosc. 1996,44, 15–22.

    Article  PubMed  CAS  Google Scholar 

  13. KASUMI A., KRATZER G.L. — Fast-growing cancer of the colon and rectum.Am. Surg. 1992,58, 383–386.

    PubMed  CAS  Google Scholar 

  14. KAZUNORI I., MASHIRO T. — Chromoscopy. In Sivak M.V. (ed):Gastroenterologic Endoscopy. 1st Ed., WB Saunders Company, Philadelphia 1987, 203–220.

    Google Scholar 

  15. KUDO S. — Endoscopic mucosal resection of flat and depressed types of early colorectal cancer.Endoscopy, 1993,25, 455–461.

    PubMed  CAS  Google Scholar 

  16. KURAMOTO S., OOHARA T. — Minute cancers arising de novo in the human large intestine.Cancer, 1988,61, 829–834.

    Article  PubMed  CAS  Google Scholar 

  17. KURAMOTO S., OOHARA T. — Flat early cancers of the large intestine.Cancer, 1989,64, 950–955.

    Article  PubMed  CAS  Google Scholar 

  18. KURAMOTO S., IHARA O., SAKAI S., SHIMAZU R., KAMINISHI M., OOHARA T. — Depressed adenoma in the large intestine: endoscopic features.Dis. Colon Rectum, 1990,33, 108–112.

    Article  PubMed  CAS  Google Scholar 

  19. LYNCH H.T., SMYRK T., LANSPA S.J.et al. — Flat adenomas in a colon cancer-prone kindred.J. Natl. Cancer Inst., 1988,80, 278–282.

    Article  PubMed  CAS  Google Scholar 

  20. MATSUMOTO T., HDA M., KUWANO Y., TADA S., YAO T., FUJISHIMA M. — Minute non-polypoid adenoma of the colon detected by colonoscopy: correlation between endoscopic and histologic findings.Gastrointest. Endosc. 1992,38, 645–650.

    PubMed  CAS  Google Scholar 

  21. MINAMOTO T., MAI M., OGINO T.et al. — Early invasive colorectal carcinomas metastatic to the lymph node with attention to their nonpolypoid development.Am. J. Gastroenterol. 1993,88, 1035–1039.

    PubMed  CAS  Google Scholar 

  22. MINAMOTO T., SAWAGUCHI K., MAI M.et al. — Infrequent k-ras activation in superficial type (flat) colorectal adenomas and adenocarcinomas.Cancer Res. 1994,54, 2841–2844.

    PubMed  CAS  Google Scholar 

  23. MINAMOTO T., SAWAGUCHI K., OHTA T.et al. — Superficial-type adenomas and adenocarcinomas of the colon and rectum: a comparitive morphological study.Gastroenterology, 1994,106, 1436–1443.

    PubMed  CAS  Google Scholar 

  24. MION F., DESSEEIGNE F., NAPOLEON B.et al. — Failure of endoscopic detection of a de novo carcinoma of the colon in a patient with adenomatous polyp.Gastrointest. Endosc. 1992,38, 703–706.

    PubMed  CAS  Google Scholar 

  25. MITOOKA H., FUJIMORI T., OHNO S.et al. — Chromoscopy of the colon using indigo carmine dye with electrolyte lavage solution.Gastrointest. Endosc. 1992,38, 373–374.

    Article  PubMed  CAS  Google Scholar 

  26. MORSON B.C. — Precancerous lesions of the colon and rectum.JAMA, 1962,179, 316–321.

    PubMed  CAS  Google Scholar 

  27. MUTO T., BUSSEY H.J.R., MORSON B.C. — The evolution of cancer of the colon and rectum.Cancer, 1975,36, 2251–2270.

    Article  PubMed  CAS  Google Scholar 

  28. MUTO T., KAMIYA J., SAWADA T.et al. — Small «flat adenoma» of the bowel with special reference to its clinicopathological features.Dis. Colon Rectum, 1985,28, 847–851.

    Article  PubMed  CAS  Google Scholar 

  29. O’BRIEN M.J., WINAWER S.J., ZAUBER A.G.et al. and The National Polyp Study Workgroup. — The National Polyp Study: patient and polyp characteristics associated with high-grade dysplasia in colorectal adenomas.Gastroenterology, 1990,98, 371–379.

    PubMed  CAS  Google Scholar 

  30. PHELPS P.C., TPOKER C., TRUMP B.F. — Surface ultrastructure of normal, adenomatous, and malignant epithelium from human colon.Scan Electron Microsc, 1979, 169–175.

  31. SHIMODA T., IKEGAMI M., FUJISAKI J., MATSUI T., AIZAWA S., ISHIKAW A. — Early colorectal carcinoma with special reference to its development de novo.Cancer, 1989,64, 1138–1146.

    Article  PubMed  CAS  Google Scholar 

  32. WATANABE H. — Case presentation of early colorectal carcinoma and its pathological diagnosis by leading pathologists.Stomach and Intestine, 1992,27, 633–671 [in japanese].

    Google Scholar 

  33. WATANABE T., SAWADA T., KUBOTA Y.,et al. — Malignant potential in flat elevations.Dis. Colon Rectum, 1993,36, 548–553.

    Article  PubMed  CAS  Google Scholar 

  34. WOLBER R.A., OWEN D.A. — Flat adenomas of the colon.Hum. Pathol. 1991,22, 70–74.

    Article  PubMed  CAS  Google Scholar 

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Author notes

  1. P. Slezak

    Present address: Endoscopy Unit, Dept Internal Medicine, Karolinska Hospital, 171 76, Stockolm, Sweden

Authors and Affiliations

  1. Section of Gastrointestinal Endoscopy, Dept of Internal Medicine, Karolinska Hospital, Stockholm, Sweden

    E. Jaramillo, K. Koizumi, C. Rubio & P. Slezak

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  1. E. Jaramillo
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  2. K. Koizumi
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  3. C. Rubio
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  4. P. Slezak
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Jaramillo, E., Koizumi, K., Rubio, C. et al. Méthodes de renforcement de la détection endoscopique des fines lésions muqueuses du côlon et de l’intestin. Acta Endosc 26, 293–299 (1996). https://doi.org/10.1007/BF02963393

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  • DOI: https://doi.org/10.1007/BF02963393

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