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Traitement de première ligne de l’incontinence anale 肛门失禁的一线治疗
Colon and Rectum Pub Date : 2018-11-01 DOI: 10.3166/CER-2018-0046
H. Damon
{"title":"Traitement de première ligne de l’incontinence anale","authors":"H. Damon","doi":"10.3166/CER-2018-0046","DOIUrl":"https://doi.org/10.3166/CER-2018-0046","url":null,"abstract":"L’incontinence fecale n’est pas une maladie, il s’agit d’un symptome dont l’expression clinique et les mecanismes sont tres variables. Neanmoins, les traitements constituant la premiere ligne therapeutique sont souvent communs a la grande majorite des patients. Cette premiere ligne therapeutique comprend quatre volets : les conseils hygienodietetiques, les traitements regulateurs du transit, la reeducation perineale et l’electrostimulation du nerf tibial posterieur (TENS). Les conseils hygienodietetiques sont fondamentaux, la tenue d’un cahier alimentaire peut aider a individualiser les erreurs dietetiques. Les traitements regulateurs du transit ont pour but de ralentir le transit en cas de diarrhee ou de faciliter la vidange rectale en cas de dyschesie associee a l’incontinence anale. La reeducation perineale a pour but de renforcer les capacites fonctionnelles du sphincter anal et de corriger les anomalies de la sensibilite rectale. Enfin, la technique du TENS peut apporter, dans certains cas, une reelle amelioration symptomatique.","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69373392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Complications digestives de l’immunothérapie des cancers 癌症免疫治疗的消化并发症
Colon and Rectum Pub Date : 2018-11-01 DOI: 10.3166/CER-2018-0053
F. Carbonnel
{"title":"Complications digestives de l’immunothérapie des cancers","authors":"F. Carbonnel","doi":"10.3166/CER-2018-0053","DOIUrl":"https://doi.org/10.3166/CER-2018-0053","url":null,"abstract":"L’immunotherapie des cancers est en plein developpement. Les anti-CTLA-4 et anti-PD-1 ont ameliore le pronostic de nombreuses tumeurs malignes au premier rang desquelles le melanome et le cancer du poumon non a petites cellules. Cependant, ces medicaments sont a l’origine d’effets indesirables immunomedies ; les localisations digestives sont frequentes et graves. Cet article decrit la presentation clinique et le traitement de ces complications de l’immunotherapie. Les deux principales formes cliniques sont la colite aigue (similaire aux poussees de colite inflammatoire) et la colite microscopique.","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47122260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conclusion 结论
Colon and Rectum Pub Date : 2018-11-01 DOI: 10.3166/cer-2018-0051
J. Zeitoun, V. de Parades
{"title":"Conclusion","authors":"J. Zeitoun, V. de Parades","doi":"10.3166/cer-2018-0051","DOIUrl":"https://doi.org/10.3166/cer-2018-0051","url":null,"abstract":"","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49086388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prise en charge de l’incontinence anale après échec des traitements de première ligne 一线治疗失败后肛门失禁的管理
Colon and Rectum Pub Date : 2018-11-01 DOI: 10.3166/CER-2018-0048
F. Drissi, G. Meurette
{"title":"Prise en charge de l’incontinence anale après échec des traitements de première ligne","authors":"F. Drissi, G. Meurette","doi":"10.3166/CER-2018-0048","DOIUrl":"https://doi.org/10.3166/CER-2018-0048","url":null,"abstract":"Si l’approche conservatrice de l’incontinence anale ne suffit pas a rendre au patient un confort suffisant, il faut alors proposer d’aller plus loin et envisager des traitements plus invasifs. L’arsenal therapeutique s’est considerablement elargi au cours des 20 dernieres annees avec des approches chirurgicales mini-invasives ciblant le sphincter, la statique rectale ou bien l’innervation pelvienne. Aujourd’hui, il est possible de proposer un algorithme de prise en charge tenant compte des anomalies anatomiques, du souhait du patient et de l’agressivite des differentes approches. L’objectif est d’ameliorer la qualite de vie de nos patients et de trouver une alternative a la stomie definitive ou bien a la resignation au port de protections. Les therapeutiques dont nous disposons comprennent la neuromodulation sacree ; la chirurgie de correction d’un trouble de la statique rectale ; la reparation sphincterienne, les irrigations coliques anterogrades et retrogrades et la stomie. D’autres approches encore en evaluation meritent d’etre evoquees comme les injections intrasphincteriennes, le renforcement sphincterien, mais c’est dans le cadre d’essais cliniques que les patients peuvent beneficier de ces traitements innovants non encore valides.","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49598119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comptes-rendus de congrès : ASCO 2018 会议报告:ASCO 2018
Colon and Rectum Pub Date : 2018-11-01 DOI: 10.3166/cer-2018-0052
A. Lièvre, T. Aparicio, F. Bibeau, T. Walter
{"title":"Comptes-rendus de congrès : ASCO 2018","authors":"A. Lièvre, T. Aparicio, F. Bibeau, T. Walter","doi":"10.3166/cer-2018-0052","DOIUrl":"https://doi.org/10.3166/cer-2018-0052","url":null,"abstract":"","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
La formation en chirurgie colorectale en 2018 et plus tard� 2018年及以后的结肠直肠手术培训
Colon and Rectum Pub Date : 2018-11-01 DOI: 10.3166/CER-2018-0055
Q. Denost
{"title":"La formation en chirurgie colorectale en 2018 et plus tard�","authors":"Q. Denost","doi":"10.3166/CER-2018-0055","DOIUrl":"https://doi.org/10.3166/CER-2018-0055","url":null,"abstract":"","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prise en charge d’un traumatisme périnéal postobstétrical avec lésions sphinctériennes (OASIS : Obstetrical Anal Sphincter Injuries) : réparation immédiate vs secondaire ? 宫内括约肌损伤会阴创伤的管理(绿洲:产科肛门括约肌损伤):立即修复还是继发性修复?
Colon and Rectum Pub Date : 2018-11-01 DOI: 10.3166/CER-2018-0044
A. Dubois, G. Carrier
{"title":"Prise en charge d’un traumatisme périnéal postobstétrical avec lésions sphinctériennes (OASIS : Obstetrical Anal Sphincter Injuries) : réparation immédiate vs secondaire ?","authors":"A. Dubois, G. Carrier","doi":"10.3166/CER-2018-0044","DOIUrl":"https://doi.org/10.3166/CER-2018-0044","url":null,"abstract":"","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69373385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Foxtrot Collaborative Group (2012) Lancet Oncol 13:1152–60 Feasibility of Preoperative Chemotherapy for Locally Advanced, Operable Colon Cancer: the Pilot Phase of a Randomised Controlled Trial Foxtrot Collaborative Group (2012) Lancet Oncol(13):1152 - 60局部晚期可手术结肠癌术前化疗的可行性:一项随机对照试验的试点阶段
Colon and Rectum Pub Date : 2018-11-01 DOI: 10.3166/CER-2018-0056
G. Meurette
{"title":"Foxtrot Collaborative Group (2012) Lancet Oncol 13:1152–60 Feasibility of Preoperative Chemotherapy for Locally Advanced, Operable Colon Cancer: the Pilot Phase of a Randomised Controlled Trial","authors":"G. Meurette","doi":"10.3166/CER-2018-0056","DOIUrl":"https://doi.org/10.3166/CER-2018-0056","url":null,"abstract":"","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69372980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 21
L’incontinence anale du post-partum 产后肛门失禁
Colon and Rectum Pub Date : 2018-11-01 DOI: 10.3166/CER-2018-0047
Nadia Fathallah, Lucas Spindler, J. Zeitoun, C. Thomas, E. Azria, L. Abbès, V. Parades
{"title":"L’incontinence anale du post-partum","authors":"Nadia Fathallah, Lucas Spindler, J. Zeitoun, C. Thomas, E. Azria, L. Abbès, V. Parades","doi":"10.3166/CER-2018-0047","DOIUrl":"https://doi.org/10.3166/CER-2018-0047","url":null,"abstract":"L’incontinence anale (IA) du post-partum est un sujet d’actualite du fait de sa prevalence elevee et de son impact social important. Sa prise en charge est complexe en raison d’un mecanisme multifactoriel impliquant le plus souvent une neuropathie pudendale et des modifications tissulaires mais egalement des dechirures sphincteriennes dont l’impact n’est pas negligeable a long terme. Plus des trois quarts des patientes symptomatiques recuperent dans les six mois du post-partum en raison de l’amelioration spontanee des lesions nerveuses et tissulaires. Concernant les patientes avec dechirure sphincterienne obstetricale, une reparation est a preconiser bien que ses effets positifs se degradent a long terme. La regularisation du transit, eventuellement completee par une reeducation anale, est l’approche initiale de l’IA du post-partum et ameliore bon nombre de patientes. La neuromodulation sacree est reservee aux echecs du traitement medical, voire meme en lieu et place de la reparation sphincterienne et donne des resultats interessants a court et a long terme aussi bien sur l’IA que sur une incontinence urinaire eventuellement associee. L’approche preventive de l’IA du post-partum est primordiale et vise a depister les patientes a risque, bien que les indications de la cesarienne programmee « protectrice » fassent encore l’objet de debat.","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49051327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
À s’y méprendre ! 错了!
Colon and Rectum Pub Date : 2018-10-16 DOI: 10.3166/CER-2018-0049
N. Musquer
{"title":"À s’y méprendre !","authors":"N. Musquer","doi":"10.3166/CER-2018-0049","DOIUrl":"https://doi.org/10.3166/CER-2018-0049","url":null,"abstract":"","PeriodicalId":56167,"journal":{"name":"Colon and Rectum","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69373403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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