Article pp.1-2 du Vol.28 n°4 (1998)

ACTA ENDOSCOPICA

RI~DACTEURS EN C H E F / E D I T O R S P. MAINGUET (Bruxelles), F. VICARI (Nancy)

Ch. FLORENT (Paris) R E D A C T E U R S / C O E D I T O R S

Allemagne : M. CLASSEN (Mtinich), M. JUNG (Mayence), B. MANEGOLD (Mannheim), A. PFEIFFER (MUnich).

Angleterre : A.T.R. AXON (Leeds), Ch. WILLIAMS (Londres).

Belgique : M. CREMER (Bruxelles), A. ELEWAUT (Bruxelles), A. GULBIS (Bruxelles), Y. VAN MAERCKE (Anvers), G. VANTRAPPEN (Bruxelles).

Espagne : LR. ARMENGOL MIRO (Barcelone), J. BOIX I VALVERDE (Barcelone), J.M. BORDAS (Barcelone), J.M. POU FERNANDEZ (Barcelone), J.A. RAMIREZ ARMENGOL (Madrid), J.L. VASQUEZ IGLESIAS (La Corogne).

France : J. BOYER (Angers), J. FAIVRE (Dijon), B. MOULINIER (Lyon), R. GIULI (Paris), J.F. REY (Saint-Laurent-du-Var), D. SAUTEREAU (Limoges).

Hollande : K. HUIBREGTSE (Amsterdam), G. TYTGAT (Amsterdam).

Hongrie : L. SIMON (Szekszard).

l!talie : G. BATTAGLIA (Padoue), G. CALETTI (Bologne), G. COSTAMAGNA (Rome), F. ROSSINI (Turin), A. RUSSO (Catane).

Portugal : J.M. CARRILHO RIBEIRO (Lisbonne), DINIZ DE FREITAS (Lisbonne), GINESTAL DA CRUZ (Lisbonne), LOMBA VIANA (Lisbonne), MASCARENHAS SARAIVA (Lisbonne).

~Roumanie : A. OPROIU (Bucarest), O. PASCU (Cluj Napoca), C. STANCIU (lasi), Simona VALEAN (Cluj).

Sulsse : Ph. MONNIER (Lausanne), M. VOIROL (Yverdon-les-Bains

Tch~coslovaquie : Z. MARATKA (Prague).

C O R R E S P O N D A N T S Canada : N.E. MARCON (Toronto).

Colombie : S. FASSLER (Bogota), A. PENALOZA (Bogota).

Israel : M. BEER GABEL (Jerusalem), P. ROZEN (Tel Aviv).

Japon : K. KAWA1 (Kyoto), T. KIDOKORO (Nagoya), T. NAGAYO (Nagoya)

USA : J. WAYE (New York).

R U B R I Q U E S

Accessoires d'endosc~pie : LM. CANARD (Paris).

Anapath : Anne JOURET (Bruxelles), Claire LEGENDRE (Versailles).

Cvetio-ehirurgie : J. LEROY (Lisieux), M~ VAN KEMMEL (Lille), J. MARESCAUX (Strasbourg), J.F. GIGOT (Bruxelles), A. MONTORI (Rome).

Echo-endoscopie : H. GRIMM (Kiehl), M. GIOVANNIN1

(Marseille), L. PALAZZO (Paris), V. GILLARD (Liege).

Entgroscopie : G. GAY (Nancy), F.P. ROSSINI (Turin), A. VAN GOSSUM (Bruxelles).

Europe : M. GREFF (Saint-Laurent-du-Var), V. LAMY (CharleroiL A. MARTIN (Padoue).

Gyn&'ologie : H. Ch. VERHOEVEN (Dt~sseldoff).

Image : J.S. DELMOTTE (Lille), J. LAURENT (Nancy).

Multi-mgdia : T. LEBER (Vienne-Paris).

Organisation des Cours Europgens d'Endoscopie Digestive : J. Ch. AUDIGIER (Saint-Etienne), F. COSENTINO (Milan), D. COUMAROS (Strasbourg).

Proctologic : P. DIETERLING (Nancy).

Radiologie : R. DONDELINGER (Liege).

R.M.N. : C. MATOS (Bruxelles), D. REGENT (Nancy), P.J. VALETTE (Lyon).

SFED : Ph. HOUCKE (Lille), J. LAPUELLE (ToulouseL vdtgrinaire : F. DARGENT (Paris).

RI~DACTION ENDOSCOPICA BRUXELLES B~t. Les Arches, Site U.C.L., rue Martin V, 40, Bo~te n ~ 4, B 1200 BRUXELLES.

Tel. : 00 (32) 2762.79.68.

F~DITION A D M I N I S T R A T I O N ENDOSCOPICA NANCY 127, rue Saint-Dizier, 54000 NANCY.

Tel. : 03.83.37.44.38 - Fax : 03.83.35.34.53.

Direction : F. VICARI.

~ecretariat-Publicit6 : L. DEVRED.

Photographie : M. MERLE.

Bancs d'essai : B. WATRIN.

Relations : G. GAY.

Conseil Juridique : Ch~ DEMOYEN (Paris)~

A B O N N E M E N T S 1998 (5 num~ros par an + 2 num~ros sp~ciaux) Pour la France, port inclus :

Le num~ro . . . 220 FF Abonnement :

Tarif normal . . . 780 FF Etudiants . . . 490 FF Pour r~tranger 9

Le numdra . . . 250 FF Abonnement (port inclus) :

Europe . . . 990 FF Autres pays . . . 1 010 FF

Les commandes et reglements sont ~ adresser '~

Orders and payments must be sent to.

ENDOSCOPICA, 127, rue Saint-Dizier, F-54000 NANCY

Banque : Credit Agricole - 6, rue des Michottes, F-54000 NANCY - Compte n ~ 700 5314 6140

E d i t o r i a l

Le Club Europ6en d'Ent roscopie, quel avenir ?

F o n d e e n 1996 p a r F.P, R O S S I N I et G. G A Y , le b u t initial de ce C l u b e t a i t d e r e g r o u p e r les G a s t r o - e n t e r o l o g u e s i n t e r e s s e s p a r le d e v e l o p p e m e n t t e c h n o l o g i q u e d e l ' e n t e r o s c o p i e e n r a i s o n d u r e n o u v e a u de l ' e n t e r o s c o p i e , quelles q u e s o i e n t ses m o d a l i t e s .

O n p e u t c o n s i d e r e r h l ' a u b e de 1998, q u e cet o b j e c t i f est a t t e i n t :

- - 48 G a s t r o - E n t e r o l o g u e s qui o n t p a y e l e u r c o t i s a t i o n s o n t inscrits a u C l u b . Ils s o n t i s s u s d e t o u s l e s p a y s de la C o m m u n a u t 6 E u r o p e e n n e , m a i s il f a u t s a v o i r e g a l e m e n t q u ' i l existe a u s s i d e s m e m b r e s issus d ' A m e r i q u e d u N o r d , et ce, p a r m i les G a s t r o - e n t e - r o l o g u e s les p l u s c e l ~ b r e s !

- - M i s e a u p o i n t d ' e n t e r o s c o p e s s e m i - l o n g s , d e p r e s d e 3 m 6 t r e s , a y a n t t o u t e s les c a r a c t e r i s t i q u e s t e c h n o l o g i q u e s d e s v i d e o - e n d o s c o p e s les p l u s m o d e r n e s .

- - M e t h o d o l o g i e d e r e a l i s a t i o n d e l ' e x a m e n c o m m u n e a u x d i f f e r e n t e s 6 q u i p e s e u r o p e e n n e s . A s a v o i r : n e c e s s i t 6 d ' u n e a n e s t h e s i e g e n e r a l e , u t i l i s a t i o n d ' u n s u r t u b e - - m i s a u p o i n t p a r les m e m b r e s d u C l u b - - d a n s la m a j o r i t 6 d e s s i t u a t i o n s si l ' o n s o u h a i t e o b t e n i r u n e e x p l o r a t i o n c o m p l e t e d u j e j u n u m , c o n f o r t et s e c u r i t 6 s u p p l e m e n t a i r e s a p p o r t e s p a r l ' u t i l i s a t i o n d e la r a d i o l o g i e , possibilit6 d ' u t i l i s e r la v o i e a n a l e a v e c u n rai- d i s s e u r l o r s q u e l ' i n d i c a t i o n a n e m i e p a r s p o l i a t i o n c h r o n i q u e le n e c e s s i t e .

- - I n d i c a t i o n s v a l i d ~ e s d a n s les s i t u a t i o n s s u i v a n t e s : p a t i e n t p r e s e n t a n t u n e a n e m i c p a r s p o l i a t i o n c h r o n i q u e ~ e x p l o r a t i o n s h a u t e et b a s s e n e g a t i v e s , s y n d r o m e d e m a l a b - s o r p t i o n ~ e x p l o r a t i o n e n d o s c o p i q u e d u o d e n a l e nfigative, b i o p s i e s d e s l e s i o n s t u m o - r a l e s s t 6 n o s a n t e s l o c a l i s 6 e s a u x p r e m i e r e s a n s e s j e j u n a l e s o u a u x d e r n i 6 r e s a n s e s ileales, b i o p s i e s a u t o r i s a n t la raise e n e v i d e n c e d u f a c t e u r 6 t i o l o g i q u e c h e z d e s p a t i e n t s i m m u n o - d e p r i m e s p r e s e n t a n t u n e d i a r r h e e .

D e s p r o g r ~ s s o n t e n c o r e ~ realiser, n o n p a s t a n t s u r le p l a n d u d ~ v e l o p p e m e n t t e c h - n o l o g i q u e d e s e n d o s c o p i e s q u e de l ' a m d l i o r a t i o n d e s a c c e s s o i r e s n e c e s s a i r e s ~ l ' e n t d r o - scopie t h e r a p e u t i q u e , tels q u e d e s r o b o t s t r a n s m e t t a n t d e s i m a g e s g distance... D e p l u s , les r e s u l t a t s o b t e n u s p a r l ' e n t e r o s c o p i e d o i v e n t ~tre c o m p a r e s ~ c e u x o b t e n u s p a r le d d v e l o p p e m e n t d e s e x p l o r a t i o n s m o r p h o l o g i q u e s : t o m o d e n s i t o m d t r i e et I R M virtuels.

D ' a u t r e p a r t , d e s p r o p o s i t i o n s t h e r a p e u t i q u e s d o i v e n t 6tre v a l i d e e s g l o n g t e r m e e n p a r t i c u l i e r les p r o c d d u r e s - - laser, t h e r m o c o a g u l a t i o n , et m a i n t e n a n t p l a s m a a r g o n - - utilisees d a n s les t r a i t e m e n t s d e s m a l f o r m a t i o n s a r t d r i o - v e i n e u s e s d u grele.

C e s 6 v a l u a t i o n s , ces c o n f r o n t a t i o n s , s e r o n t c o n d u i t e s o b l i g a t o i r e m e n t a v e c t o u s n o s c o l l e g u e s cliniciens, r a d i o l o g u e s i n t e r e s s e s p a r la p a t h o l o g i e d e l ' i n t e s t i n gr~le. N o t r e C l u b doit d o n c d e v e n i r p l u r i d i s c i p l i n a i r e et ~ t e r m e , ce n ' e s t p a s d u C l u b E u r o p d e n d ' E n t e r o s c o p i e d o n t il f a u d r a parler, m a i s d u C l u b E u r o p e e n p o u r l ' E t u d e d e s M a l a - dies de l ' i n t e s t i n Gr6le.

C ' e s t d a n s ce c o n t e x t e , q u e se t i e n d r a le p r o c h a i n M e e t i n g d u C l u b E u r o p d e n d ' E n t ~ r o s c o p i e les

J e u d i 2 5 j n i n 1 9 9 8 h p a r t i r d e 1 4 h e u r e s e l V e n d r e d i 2 6 j u i n 1 9 9 8 j u s q u e 1 4 h e u r e s H o t e l A l t e a - - N A N C Y

L e s t h e m e s s e r o n t t e c h n i q u e s et p r a t i q u e s a v e c u n e d e m o n s t r a t i o n tel~visee L I L L E / N A N C Y , le v e n d r e d i m a t i n , m a i s t o u s l e s G a s t r o - E n t e r o l o g u e s 6 g a l e m e n t i n t e r e s s e s p a r l ' i n t e s t i n grele, se r e t r o u v e r o n t s u r d e s t h e m e s c l i n i q u e s :

- - L d s i o n s gr~le a s s o c i e e s a u x A I N S , - - P o l y p o s e s f a m i l i a l e s et gr~le, - - M a l a b s o r p t i o n grele,

- - M a l a d i e c~eliaque : q u e l l e p l a c e p o u r l ' e n t e r o s c o p i e ?

- - E n f i n , u n e s e s s i o n s e r a c o n s a c r e e ~ la raise e n p l a c e d e l ' 6 v a l u a t i o n e u r o p d e n n e d u t r a i t e m e n t d e s m a l f o r m a t i o n s a r t e r i o - v e i n e u s e s d u grele.

E n q u e l q u e sorte, le C l u b E u r o p d e n d ' E n t e r o s c o p i e est arriv~ ~ m a t u r i t d , s u r le p l a n f i n a n c i e r , g r a c e a u s o u t i e n c o n t i n u d ' O L Y M P U S E u r o p e . II c o n v i e n t d e c o n t i n u e r le travail e n t r e p r i s et p o u r a t t e i n d r e les o b j e c t i f s r a p p e l e s p l u s h a u t , d e se r e m e t t r e e n c a u s e n o t a m m e n t p o u r d d v e l o p p e r u n e c o o p e r a t i o n a v e c les a u t r e s s p e c i a l i t e s g a s t r o - e n t d r o l o g i q u e s i n t e r e s s d e s ~ la c o n n a i s s a n c e de la p a t h o l o g i e de l ' i n t e s t i n gr~le.

L o n g u e vie ~ I ' E C E et b i e n v e n u e ~ N A N C Y .

G e r a r d G A Y

S e c r e t a r y o f t h e E u r o p e a n C l u b o f E n t e r o s c o p y P.S. : Je suis stir que la France gagnera la Coupe du Monde de Football !

Cet article des Editions Lavoisier est disponible en acces libre et gratuit sur archives-acen.revuesonline.com

E d i t o r i a l

ACTA E N D O S C O P I C A assure la publication :

- - d ' a r t i c l e s originaux se rapportant I'endoscopie

dans ses

- - de bancs d'essai de

materiel endos- copique ;

- -

d'analyses bibliographiques.

ACTA E N D O S C O P I C A interesse :

les Gastroenterologues, Gynecologues, O.R.L., Pneumologues, Urologues, Anato- mopathologistes, Chirurgiens, Echogra- phistes, Radiologues et tout Medecin ou

I'endoscopie.

ACTA ENDOSCOPICA publishes : - - original articles concerning endoscopy

in its medical and surgical applications ; - - experimental studies of endoscopic ins-

trumentations ; - - bibliographical analysis.

ACTA ENDOSCOPICA is published for :

Gastroenterologists, Gynecologists, E.N.T., Pneumofogists, Urologists, Anatomopatho- Iogists, Surgeons, Echographists, Radiolo- gists and all Physicians interested by en- doscopy.

What future for the European Club of Enteroscopy ?

W i t h the renewal o f enteroscopy, F.P. R O S S I N I and G. G A Y founded the European Club of Enteroscopy in 1996 : the initial purpose of this Club was to bring together all the Gastroenterologists interested in the technological development of ente- roscopy whatever the modalities of this procedure.

A t the beginning of 1998's, this goal was reached :

- - 48 Gastroenterologists have paid their fees and are members of the Club. These members come from all European community countries. We must point out that well- known American Gastro-enterologists are also members of our Club.

- - Approximately, 3 meter long enteroscopes with all modern capacities of electronic videoendoscopes have been developed.

- - All European teams apply the same procedure during an enteroscopy examina- tion : complete examination of the jejunum in the majority of cases with an overtube developed by the members of the Club - - additional safety and comfort with the use of Xrays in clinic occult digestive gastrointestinal bleeding the use ~f overtube by anal route when necessary.

- - Evaluated indications in the following cases :patients with chronic digestive occult bleeding with upper and lower negative endoscopy, malabsorption syndrome with nega- tive duodenal endoscopy, biopsies of stenosis tumors" in jejunal and ileal loops, demons- tration of the causal agent in immunologically depressed patients" with diarrhea.

There is still progress to be made not so much from the point of view of the technolo- gical development of endoscopes but rather in the improved manufacture of therapeutic accessories. In addition, the result of enteroscopic examinations will have to be compared with the results o fall the developed morphological procedures such as : Virtual CT-Scan and MRL Finally, therapeutic procedures, such as laser, argon plasma coagulation in venous arterious malformations must also be evaluated. All these evaluations will have to be done with all the clinicians, especially radiologists interested in small bowel pathology.

Our Club must therefore become multidisciplinary, no longer the ECE, but rather the European Club for the Study of Small Bowel Diseases .t

In this context, the next meeting of the European Club of Enteroscopy will take place

o n

Thursday, June 25th (afternoon) Friday, June 26th (morning) Mercure Hotel

(France)

The main topics will be technical and concrete with a live video transmission L I L L E / N A N C Y on the Friday afternoon 1.30 p.m. if we are not disturbed by the World Cup. But all the Gastroenterologists interested in the small bowel will discuss clinical topics :

- - How to explore the small bowel, the role of enteroscopy, - - NSAID's small bowel lesions,

- - Familial polyposes and small bowel, - - Malabsorption, caeliac disease, - - Caeliac disease, role of the enteroscopy.

- - Arterio-venous malformations and proposition for a European therapeutic eva- luation by enteroscopy.

We can say that the European Club o f Enteroscopy has reached maturity from a financial point of view, thanks to the permanent grant from O L Y M P U S Europe. The work undertaken must continue in order to reach the targets mentioned above and we must constantly modify our methods in order to cooperate with the other Gastro-entero- logists interested in the knowledge of small bowel pathology disciplines.

Long live the E.C.E., and welcome to Nancy.

G4rard G A Y

Secretary of The European Club of Enteroscopy

P.S. : I am sure that FRANCE will win the World Cup !

Cet article des Editions Lavoisier est disponible en acces libre et gratuit sur archives-acen.revuesonline.com