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Le traitement endoscopique des complications de la chirurgie digestive

Endoscopic treatment of digestive surgery complications

  • Mise Au Point / Update
  • Published:
Acta Endoscopica

Résumé

Le développement de l’endoscopie thérapeutique représente actuellement une alternative à une nouvelle intervention chirurgicale en cas de complication après une chirurgie hépato-biliaire, pancréatique, oeso-gastrique ou recto-colique. Les complications post-opératoires les plus fréquentes sont les sténoses anastomotiques, le lâchage de sutures digestives ou bilio-digestives, les plaies biliaires et les collections abdomino-pelviennes.

Nous allons voir successivement la place et les résultats du traitement endoscopiques pour:

  • les sténoses des voies biliaires après chirurgie hépatobiliaire

  • les plaies et fistules des voies biliaires

  • les sténoses et fistules des anastomoses oeso-gastriques ou oeso-jéjunales

  • les collections et abcès abdomino-pelviens.

Abstract

The development of therapeutic endoscopy currently represents an alternative to further surgical intervention in the event of complication after hepatobiliary, pancreatic, gastrooesophageal and colorectal surgery. The most frequent post-operatory complications are anastomotic stenoses, the release of digestive or biliodigestive sutures, biliary lesions and abdominal-pelvic collections.

We will successively look at the role and results of endoscopic treatment for:

  • bile duct stenoses following hepatobiliary surgery

  • bile duct stenoses and fistulas

  • stenoses and fistulas of gastro-oesophageal or jejuno-oesophageal anastomoses

  • abdominopelvic collections and abscesses.

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Authors and Affiliations

  1. Unité d’endoscopie digestive, Institut Paoli-Calmettes, 232, bd Ste-Marguerite, F-13273, Marseille cedex 9, France

    M. Giovannini

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  1. M. Giovannini
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Correspondence to M. Giovannini.

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Giovannini, M. Le traitement endoscopique des complications de la chirurgie digestive. Acta Endosc 38, 468–475 (2008). https://doi.org/10.1007/s10190-008-0006-7

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  • DOI: https://doi.org/10.1007/s10190-008-0006-7

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