Article pp.1-2 du Vol.31 n°5 (2001)

CTA ENDOSCOPICA

R I ~ D A C T E U R S E N C H E F / E D I T O R S P. MAINGUET (Bruxelles), F. VICARI (Nancy)

Ch. FLORENT (Paris), G. GAY (Nancy), M. JUNG (Mayence) R I ~ D A C T E U R S / C O E D I T O R S

,llemagne : M. CLASSEN (Mtinich), M. MAIER (Puttlingen), B. MANEGOLD (Mannheim), A. PFEIFFER (Mtinich).

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;elgique : M. CREMER (Bruxelles), A. ELEWAUT (Bruxelles), A. GULBIS (Bruxelles).

;spagne : J.R. 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).

'rauee : J. BOYER (Angers), J. FAIVRE (Dijon), J.M. CANARD (Paris), R. GIULI (Paris), J.F. REY (Saint-Laurent-du-Var), D. SAUTEREAU (Limoges).

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

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MASCARENHAS SARAIVA (Lisbonne).

1oumauie : A. OPROIU (Bucarest), O. PASCU (Cluj Napoca), C. STANCIU (Iasi), Simona VALEAN (Cluj).

:uisse : Ph. MONNIER (Lausanne), M. VOIROL

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C O R R E S P O N D A N T S

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apon: K. KAWAI (Osaka), T. KIDOKORO (Nagoya), T. NAGAYO (Nagoya).

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JSA : J. WAYE (New York), K.F. BINMOELLER (San Diego).

R U B R I Q U E S

mapath : Anne JOURET (Bmxelles), Claire LEGENDRE

(Versailles).

~ancs d'essai : Ch. LETARD (Poitiers).

?celio-chirurgie : J. LEROY (Lisieux), M. VAN KEMMEL (Lille), J. MARESCAUX (Strasbourg), J.E. GIGOT (Bruxelles), A. MONTORI (Rome).

~cho-endoscopie : H. GRIMM (Kiehl), M. GIOVANNINI (Marseille), L. PALAZZO (Paris), V. GILLARD (Liege).

?nt~roscopie : G. GAY (Nancy), F.P. ROSSINI (Turin), A. VAN GOSSUM (Bmxelles).

~urope : M. GREFF (Saint-Lanrent-du-Var), V. LAMY (Charleroi), A. MART1N (Padoue).

3yn~cologie : H. Ch. VERHOEVEN (Dfisseldorl).

:MG-HGE: Ph. HOUCKE (Lille).

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

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

"(rin~ologie : A. WATIER (Sherbrooke).

~roctologie : P. DIETERLING (Nancy).

~adiologie : R. DONDELINGER (Li6ge).

~.M.N. : C. MATOS (Bmxelles), D. REGENT (Nancy), P.J. VALETI'E (Lyon).

;FED : J. LAPUELLE (Toulouse).

/~t~rinaire : F. DARGENT (Paris).

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E d i t o r i a l

Gastro-ent6rologie et p6rin6ologie...

en parfaite harmonie

J ' a i t o u j o u r s e n m 6 m o i r e c e t t e p h r a s e d e l ' u n d e v o s c o m p a t r i o t e s : << I1 n ' y a p a s d e d i f f 6 r e n c e e n t r e l ' e s p r i t h u m a i n e t u n p a r a c h u t e . . , t o u s d e u x p o u r f o n c - t i o n n e r d o i v e n t r e s t e r b i e n o u v e r t s . . . >>. A c t a E n d o s c o p i c a a f a i t p r e u v e d ' i n i t i a t i v e e n d e m a n d a n t ~a u n G a s t r o - e n t 6 r o l o g u e q u 6 b 6 c o i s ( q u i r e v i e n t d ' u n e a n n 6 e s a b - b a t i q u e e n P 6 r i n 6 o l o g i e e n E u r o p e ) d e m e t t r e s u r p i e d u n e 6 d i t i o n s p 6 c i a l e e n P 6 r i n 6 o l o g i e d a n s u n e r e v u e d ' E n d o s c o p i e D i g e s t i v e .

L e G a s t r o - e n t 6 r o l o g u e c l i n i c i e n t r a i t e r 6 g u l i 6 r e m e n t d e s p r o b l 6 m e s d e c o n s t i - p a t i o n , d ' i n c o n t i n e n c e f 6 c a l e , d e d y s c h 6 s i e , d ' a n i s m e , d e d o u l e u r s p e l v i - p 6 r i - n 6 a l e s . I1 s ' o c c u p e r a r e m e n t d e s p a t h o l o g i e s u r i n a i r e s , g y n 6 c o l o g i q u e s , s e x o l o - g i q u e s a s s o c i 6 e s p u i s q u e d 6 j h , il s e s e n t s u b m e r g 6 p a r la c o m p l e x i t 6 d e c e r t a i n s d e c e s cas. L a p 6 r i n 6 o l o g i e s e v e u t u n e n o u v e l l e s p 6 c i a l i t 6 q u i s u g g ~ r e u n e a p p r o c h e i n t 6 g r 6 e e t g l o b a l e d u p l a n c h e r p e l v i e n . E l l e se v e u t p l u r i d i s c i p l i n a i r e e t s e d o i t d e r 6 u n i r d e s g a s t r o - e n t 6 r o l o g u e s , d e s u r o l o g u e s , d e s c o l o - p r o c t o l o g u e s , d e s c h i r u r - g i e n s , d e s g y n 6 c o l o g u e s - o b s t 6 t r i c i e n s , d e s p 6 d i a t r e s , d e s g 6 r i a t r e s , d e s s e x o l o g u e s , d e s r a d i o l o g i s t e s , d e s n e u r o l o g u e s e t n e u r o p h y s i o l o g i s t e s , d e s s p 6 c i a l i s t e s e n e x p l o r a t i o n s f o n c t i o n n e l l e s d e s p s y c h o l o g u e s / p s y c h i a t r e s e t e n f i n d e s k i n 6 s i t h 6 r a - p e u t e s s p 6 c i a l i s 6 s e n r 6 6 d u c a t i o n p e l v i - p 6 r i n 6 a l e q u i p a r t a g e n t t o u s la m ~ m e v i s i o n << u n i c i s t e >~, la m ~ m e a p p r o c h e i n t 6 g r 6 e d e la p a t h o l o g i e p e l v i - p 6 r i n 6 a l e .

D a n s c e p r e m i e r n u m 6 r o d e p 6 r i n 6 o l o g i e , q u i r e g r o u p e d e s c o n f r e r e s d e p a y s d i f f 6 r e n t s , n o u s a b o r d e r o n s le c o n c e p t d e p 6 r i n 6 o l o g i e ( D r R i c h a r d V i l l e t ) , n o u s r e v e r r o n s c e r t a i n s p r i n c i p e s d e b a s e e n a n a t o m i e (pr M a u r i c e L a u d e ) . N o u s t o u - c h e r o n s a u s s i a u p 6 r i n 6 e p 6 d i a t r i q u e ( D r R a y m o n d R e d i n g ) p u i s q u e n o u s v o y o n s l e s s 6 q u e l l e s d e c e s p a t h o l o g i e s d a n s n o t r e c l i e n t 6 1 e a d u l t e . L ' e x p l o r a t i o n f o n c - t i o n n e l l e d u p l a n c h e r p e l v i e n s e r a r e v u e p a r le D r J e a n - P i e r r e G a l a u p q u i n o u s o b l i g e r a h r e v o i r q u e t q u e s 6 1 6 m e n t s d e la p h y s i o l o g i e u r o l o g i q u e t o u t e n n o u s d 6 c r i v a n t l e s t e c h n i q u e s d ' a v a n t - g a r d e d a n s l ' 6 v a l u a t i o n c l i n i q u e d e la f o n c t i o n p 6 r i n 6 a l e p o u r le G a s t r o - e n t 6 r o l o g u e .

L e D r L a u r e n t S i p r o u d h i s f e r a u n e m i s e ~ j o u r s u r la n o t i o n d e d y s c h 6 s i e . C o m m e l ' a c c o u c h e m e n t e t la g r o s s e s s e s o n t les f a c t e u r s d 6 c l e n c h a n t s ?a c o u r t e t l o n g t e r m e d e m u l t i p l e s p a t h o l o g i e s p e l v i - p 6 r i n 6 a l e s , n o u s n o u s d e v i o n s d e r e v o i r d a n s le d 6 t a i l s l ' a s s o c i a t i o n a c c o u c h e m e n t - p l a n c h e r p e l v i e n ( D r A n n i e B e a u d o i n ) .

L a p 6 r i n 6 o l o g i e v i e n t d ' a c c o u c h e r . . . E l l e r e p r 6 s e n t e p o u r le G a s t r o - e n t 6 r o - l o g u e c l i n i c i e n u n e n o u v e l l e a v e n u e d ' i n t e r v e n t i o n o f 1 il t i e n t u n r61e p r i m o r d i a l . N o u s a u r o n s c e r t a i n e m e n t d e s a j u s t e m e n t s m a j e u r s ~ f a i r e m a i s l ' e f f o r t e n v a u t la p e i n e .

P a r a i l l e u r s , A c t a E n d o s c o p i c a a p r i s la d 6 c i s i o n d ' i n c l u r e d a n s c h a c u n d e s e s p r o c h a i n s n u m 6 r o s a u m o i n s u n a r t i c l e d e p 6 r i n 6 o l o g i e . V o i c i q u e l q u e s t i t r e s q u i s a u r o n t v o u s i n t 6 r e s s e r :

- - L ' 6 c h o g r a p h i e e n d o a n a l e : D r B u c h a n a n , D r B a r t r a m .

- - I m p l i c a t i o n s h l o n g t e r m e d e s a b u s p h y s i q u e s / s e x u e l s s u r la s p h 6 r e p e l v i - p 6 r i n 6 a l e : D r W a t i e r e t al.

- - P a t h o p h y s i o l o g i e , 6 v a l u a t i o n e t t r a i t e m e n t m 6 d i c a l d e l ' i n c o n t i n e n c e f 6 c a l e : D r R a o .

- - L ' e n c o p r 6 s i e : D r L o e n i n g - B a u c k e .

- - P r i s e e n c h a r g e c h i r u r g i c a l e d u p l a n c h e r p e l v i e n : D r V i l l e t . - - L e p 6 r i n 6 e d e s c e n d a n t : D r P i g o t .

- - L a r 6 6 d u c a t i o n p e l v i - p 6 r i n 6 a l e : M . V a l a n c o g n e , D r W a t i e r .

- - L e p l a n c h e r p e l v i e n n e u r o l o g i q u e e t le g a s t r o e n t 6 r o l o g u e : D r H e r b a u t . - - L e s y n d r o m e d u p l a n c h e r p e l v i e n h y p e r a c t i f : D r V a n L u n s e n .

- - L a d 6 f 6 c o g r a p h i e : D r S i p r o u d h i s . - - L ' e n t 6 r o c ~ l e : D r S i p r o u d h i s .

A l a i n W A T I E R D i r e c t e u r d u S e r v i c e d e P d r i n d o l o g i e C e n t r e H o s p i t a l i e r U n i v e r s i t a i r e d e S h e r b r o o k e

S h e r b r o o k e , Q u d b e c ( C a n a d a )

V o l u m e 31 - N ~ 5 - 2001 I

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

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

- - d'articles originaux se rapportant I'endoscopie dans ses applications me- dicales et chirurgicales ;

- - de bancs d'essai de materiel endos- copique ;

- - d'analyses bibliographiques.

A C T A E N D O S C O P I C A int(~resse : les Gastroentdrologues, Gyn~cologues,

O.R.L., Pneumologues, Urologues, Anato- mopathologistes,

Echogra- phistes,

tout

Medecin ou Technicien curieux de I'endo- scopie.

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., Pneumologists, Urologists, Anatomopatho- Iogists, Surgeons, Echographists, Radio- logists, Veterinaries and all Physicians interested by endoscopy.

Gastro-enterology and perineology...

in perfect harmony

I s t i l l remember these words from one o f your compatriots : ~ There is no diffe- rence between the human mind and a parachute.., to function both must remain well open... ~. Acta Endoscopica demonstrated much initiative when they asked a gastro- enterologist f r o m Quebec (jftst back f r o m a one-year sabbatical in Perineology in Europe) to prepare a special issue on Perineology in a Journal o f Digestive Endo- scopy.

Clinical gastro-enterologists regularly treat problems o f constipation, fecal incon- tinence, dyschesia, anismus, pelvi-perineal pain. Rarely do they treat associated uri- nary, gynecological or sexual pathologies since they are already submerged by the complexity o f some o f these cases. Perineology is a new specialty which proposes an integrated and global approach to the pelvic floor. It is multidisciplinary and asso- ciates specialists in gastro-enterology, urology, colo-proctology, surgery, obstetrics- gynecology, pediatrics, geriatrics, sexology, radiology, neurology and neurophysio- logy, specialists in functional exploration, psychology~psychiatry and finally, kinesitherapists specializing in pelvi-perineal re-education, all o f whom share the same unifying vision, the same integrated approach to pelvi-perineal pathologies.

Peers f r o m various countries have come together f o r this special issue on Perineology to discuss its concept (D r Richard Villet) and to review various basic anatomical principles (pr Maurice Laude). The pediatric perineum is also over- viewed (D r Raymond Reding) since sequellae o f its pathologies are encountered in our adult patients. Functional exploration o f the pelvic floor will be reviewed by Dr Jean-Pierre Galaup who will examine with us certain elements o f urological phy- siology while describing innovative techniques in the clinical evaluation o f perineal function now available to gastro-enterologists.

D r Laurent Siproudhis will update our notions on dyschesia.

Since pregnancy and childbirth are long and short term triggering factors f o r many pelvioperineal pathologies, we thought it necessary to review details o f the childbirth pelvic floor association (D r Annie Beaudoin).

Perineology is born... For the gastro-enterologist, it represents a new avenue o f intervention where he will play a primordial role. We will most certainly have to adjust in major ways but the effort is well worth it.

On the other hand, Acta Endoscopica has decided to include in each o f its next issues at least one article in Perineology. Here are a few titles which should be o f interest to you :

- - Endoanal echography : D r Buchanan, D r Bartram.

- - Long term implications o f physical and sexual abuses on the pelvi-perineal sphere: D r Watier et

- - Pathophysiology, evaluation and medical treatment o f anal incontinence : D r Rao.

- - Encopresis : D r Loening-Baucke.

- - Surgical management o f the pelvic floor: D r Villet.

- - The descending perineum : D r Pigot.

- - Pelvi-Perineal re-education : M. Valancogne, D r Watier.

- - Neurological pelvic floor and the gastro-enterologist : D r Herbaut.

- - The hyperactive pelvic floor syndrome: D r Van Lunsen.

- - Defecography : D r Siproudhis.

- - Enterocele : D r Siproudhis.

Alain W A TIER Chair, Service de p6rin6ologie Centre hospitalier universitaire de Sherbrooke Sherbrooke, Qu6bec (Canada)

Acta Endoscopica

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