Acta Endoscopica

, Volume 35, Supplement 2, pp 544–546 | Cite as

Les mucosectomies: comment ?

  • Th. Barrioz
Ateliers
  • 26 Downloads

Conclusion

La résection muqueuse endoscopique est un progrès considérable pour l’endoscopiste. Cette méthode nous permet d’être plus ambitieux et surtout contrairement aux techniques de destruction nous fournit une pièce pour l’analyse histologique. La morbidité est faible mais impose de maîtriser les techniques d’hémostase. Techniquement le geste est relativement simple au niveau du colon notamment. Cependant, la résection doit être bien conduite pour des raisons carcinologiques: il faut disposer d’une marge de sécurité à la périphérie de la lésion et en profondeur et tenir compte des risques d’envahissement lymphatiques et vasculaires pour prendre en compte l’envahissement pariétal. Le traitement et l’analyse de la pièce de résection doivent ainsi être des plus soigneux. Les larges mucosectomies semblent avoir un bel avenir mais le matériel idéal reste à déterminer.

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Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Th. Barrioz
    • 1
  1. 1.Poitiers

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