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Place des minisondes dans l'exploration des affections de la paroi du tube digestif

Place of mini-probes for investigation of digestive wall conditions

  • Minisondes
  • Published:
Acta Endoscopica

Conclusion

En dépit des progrès technologiques et de définition échographique que représentent des minisondes à haute fréquence, il ne faut pas perdre de vue que de nombreauses applications ne sont pas encore validées ou le sont partiellement. L'indication la plus claire demeure le bilan d'extension pariétal en particulier avant mucosectomie, l'extension ganglionnaire paraissant encore controversée. Les minisondes cumulant cet avantage avec celui de pouvoir être utilisé en cas de sténose et au cours d'une endoscopie conventionnelle. Le problème de la fragilité de ces minisondes dont le nombre moyen d'examen varie autour de 100 devra être séirieusemant pris en charge par les fabricants, les budgets hospitaliers privés ou publics intégrant mal ce type de matériel dit «lourd» mais à durée de vie limitée.

Conclusion

In spite of technological and echographic definition progresses of the high frequency mini-probes, we cannot forget that numerous applications are not yet completely validated. The most obvious indication is the parietal extension assessment particularly before mucosectomy, the lymph node extension still seeming controversial. The mini-probes add this advantage to the one of being used in case of stenosis and during conventional ultrasonography. The fragility of these mini-probes with a variable average examination number (about 100) is a serious problem, which should be seriously studied by the manufacturers; public or private hospital budgets badly accepting this type of “heavy” but live-limited equipment.

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  1. Hôpital Nord, chemin des Bourrelys, 13915, Marseille Cedex 20, (Frace)

    M. Barthet

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Barthet, M. Place des minisondes dans l'exploration des affections de la paroi du tube digestif. Acta Endosc 32, 101–106 (2002). https://doi.org/10.1007/BF03018035

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