Une technique introduite en Belgique par notre service de pneumologie<\/strong><\/p>\n<\/p>\n
Des d\u00e9veloppements r\u00e9cents, li\u00e9s \u00e0 l\u2019apport de l\u2019\u00e9chographie endoscopique, ont consid\u00e9rablement augment\u00e9 le domaine d\u2019exploration de la bronchoscopie souple, qui est un outil diagnostique indispensable dans le diagnostic des maladies pulmonaires.<\/p>\n
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L\u2019endoscope \u00e9chographique permet, par rapport au bronchoscope classique, de voir de l\u2019autre c\u00f4t\u00e9 de la paroi des bronches et d\u2019examiner des structures comme les ganglions ou des tumeurs qui se trouvent au voisinage des bronches principales.<\/p>\n
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L\u2019int\u00e9r\u00eat r\u00e9side dans le fait, qu\u2019il est possible de ponctionner ces structures suspectes \u00e0 l\u2019aide d\u2019une fine aiguille introduite dans l\u2019endoscope et dirig\u00e9e avec pr\u00e9cision par \u00e9chographie. L\u2019examen ult\u00e9rieur du pr\u00e9l\u00e8vement au microscope permet d\u2019en pr\u00e9ciser la nature.<\/p>\n
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Cet examen se fait sous anesth\u00e9sie locale, en ambulatoire et remplace d\u00e9j\u00e0 de nombreux examens chirurgicaux plus invasifs, plus co\u00fbteux et qui n\u00e9cessitent une hospitalisation. C\u2019est une r\u00e9volution dans l\u2019\u00e9valuation de maladies comme le cancer du poumon.<\/p>\n
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Les pneumologues de l\u2019h\u00f4pital Saint-Pierre ont introduit cette technique en Belgique, form\u00e9 de nombreux confr\u00e8res en Belgique et \u00e0 l\u2019\u00e9tranger et publi\u00e9 des travaux scientifiques dans le domaine.<\/span><\/p>\n <\/p>\n
En pratique, cet examen est utilis\u00e9 pour rep\u00e9rer et biopsier (prendre des morceaux de tissu pour analyse microscopique) des ganglions p\u00e9ribronchiques ou des l\u00e9sions pulmonaires p\u00e9riph\u00e9riques. Il s\u2019effectue sous anesth\u00e9sie locale et d\u00e9connection par administration de Midazolam. <\/span>
<\/span>Un Dormicom\u00a9 sera administr\u00e9 au patient.<\/span>
<\/span>Il faut \u00eatre \u00e0 jeun de 4h ; et avoir arr\u00eat\u00e9 les m\u00e9dicaments ayant un effet sur la coagulation (apr\u00e8s concertation avec votre pneumologue). Suite \u00e0 l\u2019administration de Midazolam, vous ne pourrez pas conduire votre v\u00e9hicule apr\u00e8s l\u2019examen.<\/span><\/p>\n[\/et_pb_text][et_pb_accordion open_toggle_text_color=”#00B9B4″ icon_color=”#00B9B4″ _builder_version=”4.14.7″ _module_preset=”default” toggle_text_color=”#00B9B4″ width=”100%” custom_margin=”|-198px||||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_accordion_item title=”EBUS” _builder_version=”4.14.7″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content” open=”on”]<\/p>\n
L\u2019EBUS, ou <\/span>\u00a0<\/span>EndoBronchial UltraSound, est un examen endoscopique <\/b>de la trach\u00e9e et des bronches permettant l\u2019exploration des bronches par fibroscopie coupl\u00e9e \u00e0 une \u00e9chographie.\u00a0<\/span><\/p>\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Bronchoscopie ” _builder_version=”4.14.7″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content” open=”off”]<\/p>\n
La bronchoscopie est un examen permettant l\u2019exploration de la trach\u00e9e et des bronches. Il est n\u00e9cessaire au diagnostic de pathologies infectieuses, tumorales et inflammatoires touchant les bronches et les poumons.<\/span>
<\/span>Cet examen s\u2019effectue \u00e0 l\u2019aide d\u2019un fibroscope souple, muni d\u2019une source lumineuse, sous anesth\u00e9sie locale.<\/span>
<\/span>Il faut \u00eatre \u00e0 jeun de 4h ; et avoir arr\u00eat\u00e9 les m\u00e9dicaments ayant un effet sur la coagulation (apr\u00e8s concertation avec votre pneumologue). <\/span><\/p>\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Photodetection” _builder_version=”4.14.7″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content” open=”off”]<\/p>\n
La bronchoscopie est un examen permettant l\u2019exploration de la trach\u00e9e et des bronches. La photod\u00e9tection est une bronchoscopie particuli\u00e8re qui a pour but la\u00a0 d\u00e9tection pr\u00e9coce du cancer bronchique. Elle est en g\u00e9n\u00e9ral indiqu\u00e9e lors de la d\u00e9couverte d\u2019un cancer pulmonaire ou touchant la sph\u00e8re ORL.\u00a0\u00a0<\/span><\/p>\nCet examen s\u2019effectue \u00e0 l\u2019aide d\u2019un fibroscope souple, muni d\u2019une source lumineuse particuli\u00e8re, sous anesth\u00e9sie locale.<\/span>
<\/span>Il faut \u00eatre \u00e0 jeun de 4h ; et avoir arr\u00eat\u00e9 les m\u00e9dicaments ayant un effet sur la coagulation (apr\u00e8s concertation avec votre pneumologue).<\/span><\/p>\n[\/et_pb_accordion_item][et_pb_accordion_item title=”Bronchoscopie rigide” open=”off” _builder_version=”4.14.7″ _module_preset=”default” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n
La bronchoscopie rigide est r\u00e9alis\u00e9e sous anesth\u00e9sie g\u00e9n\u00e9rale. Il s\u2019agit d\u2019un examen de la trach\u00e9e et des bronches principales qui se pratique \u00e0 travers un tube rigide introduit par la bouche jusque dans la trach\u00e9e. Celui-ci permet le passage d\u2019instruments n\u00e9cessaires \u00e0 la r\u00e9alisation de pr\u00e9l\u00e8vements de tissu au niveau de la trach\u00e9e ou des bronches, d\u2019extraction de corps \u00e9tranger, du traitement de certaines l\u00e9sions de la trach\u00e9e ou des bronches. Il permet aussi le placement de proth\u00e8ses\u00a0 dans l\u2019arbre bronchique.\u00a0\u00a0<\/span><\/p>\nCet examen se fait en salle d’op\u00e9ration avec une hospitalisation de 2 jours minimum en unit\u00e9 de pneumologie (unit\u00e9 409). Le jour de l\u2019examen, il faut \u00eatre \u00e0 jeun de 4h ; et avoir arr\u00eat\u00e9 les m\u00e9dicaments ayant un effet sur la coagulation (apr\u00e8s concertation avec votre pneumologue).<\/span><\/p>\n[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
Un outil diagnostique indispensable dans le diagnostic des maladies pulmonaires qui permet de voir de l\u2019autre c\u00f4t\u00e9 de la paroi des bronches et d\u2019examiner les ganglions ou des tumeurs.<\/p>\n","protected":false},"featured_media":876,"parent":836,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"Le service de pneumologie dispose d'une clinique compl\u00e8te de l\u2019asthme et de l\u2019allergologie<\/b> dot\u00e9e des techniques diagnostiques les plus modernes (NO exhal\u00e9, tests de provocation) avec une \u00e9cole de l\u2019asthme. La recherche clinique est d\u00e9velopp\u00e9e dans de nombreux secteurs du service.","_et_gb_content_width":"","_price":"","_stock":"","_tribe_ticket_header":"","_tribe_default_ticket_provider":"","_tribe_ticket_capacity":"0","_ticket_start_date":"","_ticket_end_date":"","_tribe_ticket_show_description":"","_tribe_ticket_show_not_going":false,"_tribe_ticket_use_global_stock":"","_tribe_ticket_global_stock_level":"","_global_stock_mode":"","_global_stock_cap":"","_tribe_rsvp_for_event":"","_tribe_ticket_going_count":"","_tribe_ticket_not_going_count":"","_tribe_tickets_list":"[]","_tribe_ticket_has_attendee_info_fields":false},"categories":[1871,44],"tags":[1262,1270,1267,1261,602,1268],"class_list":["post-5540","service","type-service","status-publish","has-post-thumbnail","hentry","category-pneumologie","category-specialite","tag-bronchoscopie","tag-cryobiopsie","tag-ebus","tag-echoendoscopie","tag-endoscopie","tag-photodetection"],"acf":[],"yoast_head":"\nEndoscopie bronchique - CHU Saint-Pierre | UMC Sint-Pieter<\/title>\n<meta name=\"description\" content=\"Un outil diagnostique indispensable dans le diagnostic des maladies pulmonaires qui permet de voir de l\u2019autre c\u00f4t\u00e9 de la paroi des bronches et d\u2019examiner les ganglions ou des tumeurs.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.stpierre-bru.be\/service\/pneumologie\/echoendoscopie-bronchique\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Endoscopie bronchique - 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