Titre : Douleur postopératoire

Douleur postopératoire : Questions médicales fréquentes

Termes MeSH sélectionnés :

Endoscopic Mucosal Resection
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diagnostic ?\nLa douleur postopératoire peut-elle être confondue avec d'autres douleurs ?", "url": "https://questionsmedicales.fr/mesh/D010149?mesh_terms=Endoscopic+Mucosal+Resection&page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Douleur postopératoire", "description": "Quels sont les symptômes de la douleur postopératoire ?\nLa douleur postopératoire est-elle toujours localisée ?\nPeut-on ressentir des douleurs fantômes après une opération ?\nLa douleur postopératoire peut-elle affecter le sommeil ?\nQuels facteurs aggravent la douleur postopératoire ?", "url": "https://questionsmedicales.fr/mesh/D010149?mesh_terms=Endoscopic+Mucosal+Resection&page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Douleur postopératoire", "description": "Comment prévenir la douleur postopératoire ?\nLe choix de la technique chirurgicale influence-t-il la douleur ?\nL'éducation du patient aide-t-elle à prévenir la douleur ?\nLes médicaments préopératoires peuvent-ils réduire la douleur ?\nLe soutien psychologique est-il important ?", "url": "https://questionsmedicales.fr/mesh/D010149?mesh_terms=Endoscopic+Mucosal+Resection&page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Douleur postopératoire", "description": "Quels traitements sont disponibles pour la douleur postopératoire ?\nLes opioïdes sont-ils utilisés pour la douleur postopératoire ?\nLa physiothérapie aide-t-elle à soulager la douleur postopératoire ?\nLes traitements alternatifs sont-ils efficaces ?\nComment la gestion de la douleur est-elle planifiée ?", "url": "https://questionsmedicales.fr/mesh/D010149?mesh_terms=Endoscopic+Mucosal+Resection&page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Douleur postopératoire", "description": "Quelles complications peuvent aggraver la douleur postopératoire ?\nLa douleur postopératoire peut-elle devenir chronique ?\nQuels signes indiquent une complication sérieuse ?\nComment les complications sont-elles gérées ?\nLes antécédents médicaux influencent-ils les complications ?", "url": "https://questionsmedicales.fr/mesh/D010149?mesh_terms=Endoscopic+Mucosal+Resection&page=3#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Douleur postopératoire", "description": "Quels facteurs augmentent le risque de douleur postopératoire ?\nLe type de chirurgie influence-t-il la douleur ?\nLe niveau d'anxiété affecte-t-il la douleur postopératoire ?\nLes habitudes de vie influencent-elles la douleur postopératoire ?\nLes médicaments pris avant l'opération influencent-ils la douleur ?", "url": "https://questionsmedicales.fr/mesh/D010149?mesh_terms=Endoscopic+Mucosal+Resection&page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment évaluer la douleur postopératoire ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "La douleur est évaluée à l'aide d'échelles numériques ou visuelles." } }, { "@type": "Question", "name": "Quels signes indiquent une douleur postopératoire sévère ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Une douleur intense, une agitation ou des signes de détresse peuvent indiquer une douleur sévère." } }, { "@type": "Question", "name": "Quand consulter un médecin pour la douleur postopératoire ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Consultez si la douleur persiste au-delà de ce qui est attendu ou s'aggrave." } }, { "@type": "Question", "name": "Quels examens peuvent aider au diagnostic ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "Des examens d'imagerie ou des analyses peuvent être réalisés si la douleur est atypique." } }, { "@type": "Question", "name": "La douleur postopératoire peut-elle être confondue avec d'autres douleurs ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Oui, elle peut être confondue avec des douleurs liées à des complications chirurgicales." } }, { "@type": "Question", "name": "Quels sont les symptômes de la douleur postopératoire ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent douleur, sensibilité, gonflement et parfois fièvre." } }, { "@type": "Question", "name": "La douleur postopératoire est-elle toujours localisée ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Pas toujours, elle peut irradier ou être diffuse selon l'intervention." } }, { "@type": "Question", "name": "Peut-on ressentir des douleurs fantômes après une opération ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des douleurs fantômes peuvent survenir après une amputation ou une chirurgie nerveuse." } }, { "@type": "Question", "name": "La douleur postopératoire peut-elle affecter le sommeil ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la douleur peut perturber le sommeil et affecter la récupération." } }, { "@type": "Question", "name": "Quels facteurs aggravent la douleur postopératoire ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Le stress, l'anxiété et les mouvements peuvent aggraver la douleur postopératoire." } }, { "@type": "Question", "name": "Comment prévenir la douleur postopératoire ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Une bonne gestion de la douleur préopératoire et des techniques de relaxation peuvent aider." } }, { "@type": "Question", "name": "Le choix de la technique chirurgicale influence-t-il la douleur ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certaines techniques minimales peuvent réduire la douleur postopératoire." } }, { "@type": "Question", "name": "L'éducation du patient aide-t-elle à prévenir la douleur ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Oui, informer le patient sur la gestion de la douleur peut réduire l'anxiété et la douleur." } }, { "@type": "Question", "name": "Les médicaments préopératoires peuvent-ils réduire la douleur ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des analgésiques administrés avant l'opération peuvent diminuer la douleur postopératoire." } }, { "@type": "Question", "name": "Le soutien psychologique est-il important ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le soutien psychologique peut aider à gérer l'anxiété et la douleur postopératoire." } }, { "@type": "Question", "name": "Quels traitements sont disponibles pour la douleur postopératoire ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Les traitements incluent analgésiques, anti-inflammatoires et thérapies physiques." } }, { "@type": "Question", "name": "Les opioïdes sont-ils utilisés pour la douleur postopératoire ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les opioïdes peuvent être prescrits pour les douleurs postopératoires sévères." } }, { "@type": "Question", "name": "La physiothérapie aide-t-elle à soulager la douleur postopératoire ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Oui, la physiothérapie peut aider à réduire la douleur et améliorer la mobilité." } }, { "@type": "Question", "name": "Les traitements alternatifs sont-ils efficaces ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Des approches comme l'acupuncture peuvent aider, mais les preuves varient." } }, { "@type": "Question", "name": "Comment la gestion de la douleur est-elle planifiée ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "La gestion de la douleur est planifiée avant l'opération et ajustée après selon les besoins." } }, { "@type": "Question", "name": "Quelles complications peuvent aggraver la douleur postopératoire ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Des infections, des hématomes ou des complications nerveuses peuvent aggraver la douleur." } }, { "@type": "Question", "name": "La douleur postopératoire peut-elle devenir chronique ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Oui, dans certains cas, la douleur postopératoire peut évoluer vers une douleur chronique." } }, { "@type": "Question", "name": "Quels signes indiquent une complication sérieuse ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Fièvre élevée, rougeur, gonflement ou douleur intense peuvent indiquer une complication." } }, { "@type": "Question", "name": "Comment les complications sont-elles gérées ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Les complications sont gérées par des traitements médicaux appropriés et parfois une intervention chirurgicale." } }, { "@type": "Question", "name": "Les antécédents médicaux influencent-ils les complications ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des antécédents de maladies chroniques peuvent augmenter le risque de complications postopératoires." } }, { "@type": "Question", "name": "Quels facteurs augmentent le risque de douleur postopératoire ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "L'âge avancé, l'obésité et les antécédents de douleur chronique augmentent le risque." } }, { "@type": "Question", "name": "Le type de chirurgie influence-t-il la douleur ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, les chirurgies plus invasives sont souvent associées à une douleur postopératoire plus intense." } }, { "@type": "Question", "name": "Le niveau d'anxiété affecte-t-il la douleur postopératoire ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un niveau d'anxiété élevé peut intensifier la perception de la douleur postopératoire." } }, { "@type": "Question", "name": "Les habitudes de vie influencent-elles la douleur postopératoire ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme et l'inactivité physique peuvent augmenter le risque de douleur postopératoire." } }, { "@type": "Question", "name": "Les médicaments pris avant l'opération influencent-ils la douleur ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Oui, certains médicaments peuvent interférer avec la gestion de la douleur postopératoire." } } ] } ] }

Sources (10000 au total)

Feasibility and safety of partial ampullary endoscopic mucosal resection: a novel technique for difficult biliary cannulation (with video).

Biliary cannulation can be challenging even for expert endoscopists, and rescue techniques are limited. Our objective was to determine the feasibility and safety of partial ampullary endoscopic mucosa... Monocentric, retrospective analysis of a prospectively maintained database in a tertiary referral university hospital. Fourteen patients who required endoscopic retrograde cholangiopancreatography (ER... The bile duct cannulation success was 99% in the first attempt and 100% overall with the PA-EMR technique. Only one patient experienced mild bleeding, which spontaneously stopped.... PA-EMR is an effective technique that may be considered as a rescue technique for difficult biliary cannulation in expert hands. Future studies including larger cohorts and comparisons with other tech...

Endoscopic Mucosal Resection of Non-pedunculated Colorectal Polyps ≥20mm: Outcome in a Self-taught Skills Environment.

Endoscopic mucosal resection (EMR) of non-pedunculated colorectal polyps ≥20mm is technically demanding and should preferentially be performed by specialist endoscopists in referral centres. Little is... We analysed data on 100 non-supervised EMR procedures performed at our academic endoscopy centre (2016-2021), representing a single endoscopist's learning curve beginning with the first polyp ≥20 mm.... The median polyp size was 30 mm (20-70mm), and 61% of all polyps were ≥30 mm. Predominant polyp morphology was 0-Is (34%) or 0-IIa (47%), and most polyps developed in the ascending colon (36%). In tot... Structured training is advisable to acquire advanced EMR skills. Our data show that autonomous acquisition of skills after finishing a training course represents an acceptable alternative with good re...

Comparison of Modified Cap-Assisted Endoscopic Mucosal Resection and Endoscopic Submucosal Dissection in Treating Intraluminal Gastric Gastrointestinal Stromal Tumor (≤20 mm).

A modified cap-assisted endoscopic mucosal resection (mEMR-C), introduced in this study, was a novel variation of the standard EMR. We aimed to compare the outcomes of mEMR-C and endoscopic submucosal... This retrospective study included 43 patients who underwent mEMR-C and 156 patients who received ESD at Nanjing Drum Tower Hospital. Baseline characteristics, adverse events, and clinical outcomes wer... A total of 199 patients underwent endoscopic resection and the en bloc resection rate was 100%. The complete resection rate was comparable in both groups ( P = 1.000). Approximately 9.5% of all patien... The mEMR-C was found to be the preferable technique for small (≤20 mm) intraluminal gGISTs with shorter operation time and lower cost as compared with ESD....

New Model to Predict Recurrence After Endoscopic Mucosal Resection of Non-pedunculated Colonic Polyps ≥ 20 mm.

Polyp recurrence is common after endoscopic mucosal resection (EMR) of non-pedunculated colonic polyps ≥ 20 mm. Two models haven been published for polyp recurrence prediction: Sydney EMR recurrence t... Retrospective cohort study of patients with non-pedunculated polyps ≥ 20 mm that underwent EMR between 1/1/2012 and 6/30/2020. Univariate and multivariate analysis were performed to identify predictor... A total of 461 polyps from 461 unique patients were included for analysis. The average polyp size was 29.1 ± 12.4 mm. Recurrence rate at first or second surveillance colonoscopy was 29.0% at a 15.6 mo... SERT score and mSMSA have poor external validity to predict polyp recurrence after EMR of non-pedunculated polyps > 20 mm. Our new model is simpler and performs better in this multiethnic, non-referra...

Through-the-scope suture closure of nonampullary duodenal endoscopic mucosal resection defects: a retrospective multicenter cohort study.

Delayed bleeding is among the most common adverse events associated with endoscopic mucosal resection (EMR) of nonampullary duodenal polyps. We evaluated the rate of delayed bleeding and complete defe... We reviewed the electronic medical records of patients who underwent EMR for nonampullary duodenal polyps of ≥ 10 mm and prophylactic defect closure with TTS suturing between March 2021 and May 2022 a... 36 nonconsecutive patients (61 % women; mean [SD] age, 65 [12] years) underwent EMR of ≥ 10-mm duodenal polyps followed by attempted defect closure with TTS suturing. The mean (SD) lesion size was 29 ... Prophylactic closure of nonampullary duodenal EMR defects using TTS suturing resulted in a high rate of complete closure and no delayed bleeding events....

Evolution of endoscopic mucosal resection (EMR) technique and the reduced recurrence of large colonic polyps from 2012 to 2020.

Endoscopic mucosal resection (EMR) is an effective method for removing non-pedunculated polyps ≥ 20 mm. We aimed to examine changes in EMR techniques over a 9-year period and evaluate frequency of his... We identified patients who underwent EMR of non-pedunculated polyps ≥ 20 mm at a safety net and the Veteran's Affairs (VA) hospital in Houston, Texas between 2012 and 2020. Odds ratios (ORs) and 95% c... 461 unique patients were included. The histologic-confirmed recurrence was 29.0% at 15.6 months median follow up (IQR 12.3 - 17.4). Polyps removed between 2018 and 2020 had a 0.43 decreased odds of re... Histologic-confirmed recurrence after EMR for non-pedunculated polyps ≥ 20 mm decreased over the seven year-period. Saline was associated with a higher risk of recurrence and the use of more viscous a...

Risk factors for pathological upgrading and noncurative resection in patients with gastric mucosal lesions after endoscopic submucosal dissection.

The pathological results obtained from endoscopic forceps biopsy (EFB) do not always align with the findings of postoperative endoscopic submucosal dissection (ESD). Furthermore, as ESD becomes more w... From March 2016 to November 2023, 292 ESD specimens were collected from 262 patients with gastric mucosal lesions. Clinicopathological information, the coincidence rate of pathological diagnosis betwe... The overall upgraded pathological diagnosis rate between EFB and ESD was 26.4%. The independent predictors for the upgraded group included proximal stomach lesions, lesion size > 2 cm, surface ulcerat... Biopsy cannot fully represent the lesions of gastric intraepithelial neoplasia (GIN). When a suspected epithelial dysplasia is suspected, a careful endoscopic examination should be conducted to evalua...