Résumé
Les lésions tumorales du côlon adénomes et cancer, prédominent sur la partie basse, rectum et sigmoide. La rectosigmoidoscopie est un examen efficace dans la détection des lésions coliques lorsqu’elle est faite avec un fibrorectosigmoidoscope qui explore en moyenne un territoire de 50 cm. 70% des lésions tumorales coliques sont à la portée de cet instrument. Au cours de 566 examens réalisés avec l’appareil TCF I S OLYMPUS, nous avons détecté 191 lésions tumorales (153 adénomes et 38 cancers). Parmi ces lésions, 39 étaient situées entre 0 et 14 cm de l’anus, 60 entre 15 et 24 cm et 92 entre 25 et 60 cm. La résection endoscopique des adénomes assure une prévention efficace du cancer colique sur le segment soumis à l’examen. La fibrorectosigmoidoscopie examen bref, bien toléré par le patient, ne demande pas de préparation prolongée, contrairement aux méthodes d’exploration intégrale du côlon, le lavement baryté en double contraste et la coloscopie conventionnelle. Elle représent avec le test HEMOCCULT un progrès important dans la détection et la prévention du cancer colique.
Summary
The tumoral lesions of the colon, adenomas and cancers are predominant in the lower part of the intestinal tract (rectum and sigmoid). The rectosigmoidoscopy is an efficient examination in the detection of colic lesions when performed with a fibrorectosigmoidoscope which explores an average field of 50 cm. 70% of the tumoral colic lesions are accessible to this instrument. In 566 examinations realised with the TCF I S OLYMPUS, we have detected 191 tumoral lesions (153 adenomas and 38 cancers). Among these lesions, 39 were located between 0 and 14 cm of the rectum, 60 between 15 and 24 cm and 92 between 25 and 60 cm. The endoscopic resection of adenomas ensures an efficient prevention of colic cancer in the segment examined. The fibrorectosigmoidoscopy is a quick examination, well tolerated by the patient which does not require any long preparation, contrary to the complete exploration methods for the colon (the barium enema with air contrast and the conventional endoscopy). It represents with the HEMOCCULT test an important progress in the detection and the prevention of colic cancer.
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Lambert, R., Chabanon, R. & Olive, C. Détection et prévention du cancer du côlon par la rectosigmoïdoscopie. Acta Endosc 9, 201–211 (1979). https://doi.org/10.1007/BF02973638
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DOI: https://doi.org/10.1007/BF02973638