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Coloscopie diagnostique

Diagnostic colonoscopy

  • Published:
Acta Endoscopica

Résumé

Les indications d’une coloscopie diagnostique demeurent limitées par les contraintes liées à l’exécution d’une coloscopie totale chez l’enfant: nécessité de matériel adapté, préparation colique, sédation anesthésique. Schématiquement, deux situations justifient une coloscopie: 1) les rectorragies dont les étiologies sont analysées en fonction de l’âge des enfants, 2) les maladies inflammatoires cryptogénétiques de l’intestin (MICI). Sont successivement décrits ou analysés, les lésions endoscopiques de la maladie de Crohn et de la rectocolite hémorragique, leurs traits distinctifs, les règles de dépistage des lésions dysplasiques dans les pancolites ulcéreuses, la place de l’endoscopie dans la surveillance du traitement des MICI en particulier après traitement chirurgical, les contre-indications.

Summary

The indications of diagnostic colonoscopy are still limited by the constraints linked to the performance of total colonoscopy for infants: need for suitable instruments, colic preparation, anesthetic sedation. In outline, colonoscopy is justified in two situations: 1) rectal bleeding, the etiologies of which are analysed according to the age of the patients, 2) intestinal cryptogenetic inflammatory diseases (ICID). We successively described or analysed the endoscopic lesions of Crohn’s disease and hemorrhagic rectocolitis, their distinctive characters, the rules for detecting dysplastic lesions in ulcerative pancolitis, the place of endoscopy in the surveillance of the treatment of ICID, in particular, after surgical treatment, the contra-indications.

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Authors and Affiliations

  1. Services de Gastroentérologie-Nutrition Pédiatrique, de l’Hôpital Necker-Enfants Malades et de l’Hôpital Robert Debré, Paris, France

    J. F. Mougenot, J. P. Cezard & O. Goulet

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  1. J. F. Mougenot
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  2. J. P. Cezard
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  3. O. Goulet
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Mougenot, J.F., Cezard, J.P. & Goulet, O. Coloscopie diagnostique. Acta Endosc 24, 435–447 (1994). https://doi.org/10.1007/BF02968665

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