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Echoendoscopie et pathologie ano-rectale: revue de la littérature 1995–1996

Endoscopic ultrasonography and anorectal diseases: litterature review 1995 – 1996

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Acta Endoscopica

Résumé

Les performances de l’échoendoscopie en pathologie rectale ont été largement évaluées et sont actuellement bien connues. Quelques applications nouvelles en pathologie rectale ont été décrites, d’intérêt anecdotique. Le bilan échoendoscopique préthérapeutique du cancer rectal est bien standardisé. Les indications réellement utiles de l’échoendoscopie pour le choix du traitement du cancer rectal se précisent, et concernent surtout les petites tumeurs bas situées. En matière de cancer rectal, l’IRM avec antenne de surface endorectale commencer à concurrencer l’échoendoscopie. Il n’y a pas eu de nouveauté technologique significative en échoendoscopie pour la pathologie rectale. Au contraire, en pathologie anale, l’échoendoscopie a progressé avec la possibilité d’explorer l’appareil sphinctérien anal par voie vaginale. Cette voie d’abord semble intéressante en particulier pour les ruptures sphinctériennes post-obstétricales. Les autres indications de l’échoendoscopie en matière de suppurations périanales et de ruptures sphinctériennes ont été confortées.

Summary

Performances of endoscopic ultrasonography for rectal diseases have been widely evaluated and are now well known. Few new indications for rectal diseases have been described, of anecdotal interest. Endosonographic staging for rectal cancer is well standardized. The situations when endosonography is actually useful for choosing the treatment of rectal cancer are becoming clear and mainly concern small tumours situated in the lower rectum. With regard to rectal cancer, MRI with an endorectal surface coil is on the way to compete with endosonography. There was no real technological progress in the field of endosonography for rectal diseases. On the contrary, endosonography did progress in the field of anal diseases with vaginal endosonography for imaging the anal sphincters. This vaginal approach seems to be interesting, mainly for imaging sphincter defects following childbirth. Other indications of endosonography for perianal sepsis and sphincter defects have been confirmed.

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Author notes

  1. B. Denis

    Present address: Service de Médecine A, Hôpital Pasteur, 68024, Colmar Cedex, France

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  1. Service de Médecine A, Hôpital Pasteur, 68024, Colmar Cedex, France

    J. Bottlaender

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  1. B. Denis
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Denis, B., Bottlaender, J. Echoendoscopie et pathologie ano-rectale: revue de la littérature 1995–1996. Acta Endosc 26, 361–368 (1996). https://doi.org/10.1007/BF02968849

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