{"id":22569,"date":"2018-11-08T14:01:21","date_gmt":"2018-11-08T14:01:21","guid":{"rendered":"https:\/\/saintjoseph.agepcom.fr\/?post_type=service&#038;p=12544"},"modified":"2022-05-13T16:13:46","modified_gmt":"2022-05-13T14:13:46","slug":"chirurgie-digestive","status":"publish","type":"service","link":"https:\/\/devhml.givememore.net\/specialites\/chirurgie-digestive\/","title":{"rendered":"Chirurgie digestive"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Le service de chirurgie digestive est dirig\u00e9 par le<strong> <a title=\"L\u2019\u00e9quipe\" href=\"https:\/\/devhpsj.givememore.net\/specialites\/chirurgie-digestive\/lequipe\/\" target=\"_blank\" rel=\"noopener\"><u>Dr J\u00e9r\u00f4me Loriau<\/u><\/a>.<\/strong><\/p>\n\n\n\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:66.66%\">\n<p class=\"wp-block-paragraph\">Il prend en charge l\u2019ensemble de la pathologie chirurgicale de<strong> l\u2019appareil digestif.<\/strong><br>Qu\u2019il s\u2019agisse de pathologies b\u00e9nignes (hernies, v\u00e9sicule biliaire) ou de canc\u00e9rologie digestive (cancer colorectal, pancr\u00e9as, foie) le service a pour priorit\u00e9s une prise en charge rapide, l\u2019utilisation de techniques mini invasives (c\u0153lioscopie), le d\u00e9veloppement de toutes les techniques permettant un <strong>r\u00e9tablissement rapide <\/strong>et la lutte contre la<strong> douleur.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Les consultations sont organis\u00e9es sur 2 sites<\/strong> : \u00e0 l&rsquo;H\u00f4pital Paris Saint-Joseph, Paris 14 et \u00e0 l&rsquo;H\u00f4pital Marie-Lannelongue, Plessis Robinson 92.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:33.33%\">\n<div class=\"wp-block-image\"><figure class=\"alignright\"><a href=\"https:\/\/devhpsj.givememore.net\/wp-content\/uploads\/2015\/01\/logo-centre-colorectale1.jpg\" target=\"_blank\" rel=\"noopener\"><img decoding=\"async\" src=\"https:\/\/devhml.givememore.net\/wp-content\/uploads\/2022\/04\/logo-centre-colorectale1-295x300-1.jpg\" alt=\"logo-centre-colorectale\" class=\"wp-image-5641\"\/><\/a><\/figure><\/div>\n<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"une-prise-en-charge-rapide\">Une prise en charge rapide<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">D\u00e8s la consultation avec le chirurgien tout est mis en place pour qu\u2019ensemble, et selon la prise en charge que vous n\u00e9cessitez, vous soyez admis au moment qui vous convient.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"les-techniques-mini-invasives-la-coelioscopie-et-les-techniques-notes\">Les techniques mini-invasives : la c\u0153lioscopie et les techniques NOTES<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Aujourd\u2019hui la grande majorit\u00e9 des interventions de chirurgie digestive peuvent \u00eatre r\u00e9alis\u00e9es sous c\u0153lioscopie.<br>De tr\u00e8s nombreuses \u00e9tudes scientifiques ont prouv\u00e9 que la technique c\u0153lioscopique ou, au lieu de r\u00e9aliser de grandes incisions abdominales, on utilise des incisions centim\u00e9triques pour ins\u00e9rer les instruments dans l\u2019abdomen \u00e9tait totalement s\u00fbre. En outre ces \u00e9tudes ont montr\u00e9 le b\u00e9n\u00e9fice que cette technique apporte en mati\u00e8re de : lutte contre la douleur, diminution de consommation de m\u00e9dicaments antalgiques, reprise rapide du transit, diminution de la dur\u00e9e d\u2019hospitalisation. C\u2019est la raison pour laquelle nous choisissons d\u2019utiliser la c\u0153lioscopie \u00e0 chaque fois que celle ci est possible et adapt\u00e9e au patient.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"retablissement-rapide-et-lutte-contre-la-douleur\">R\u00e9tablissement rapide et lutte contre la douleur<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La mobilisation rapide des patients, l\u2019alimentation pr\u00e9coce post-op\u00e9ratoire, la limitation de l\u2019usage des drains et sondes qui limitent la mobilit\u00e9 du patient, l\u2019utilisation de m\u00e9dicaments&nbsp; antalgiques ne nuisant pas \u00e0 la reprise du transit sont devenues les cl\u00e9s de la lutte contre la survenue des complications post-op\u00e9ratoires et du confort des patients.<br>De la consultation d\u2019anesth\u00e9sie \u00e0 la sortie en passant par le bloc op\u00e9ratoire et l\u2019unit\u00e9 d\u2019hospitalisation, nous utilisons tous les moyens techniques disponibles pour lutter contre la douleur et favoriser la r\u00e9cup\u00e9ration : c\u0153lioscopie, anesth\u00e9siques locaux, hypnose\u2026<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"ast-oembed-container \" style=\"height: 100%;\"><iframe title=\"R\u00e9habilitation Am\u00e9lior\u00e9e Apr\u00e8s Chirurgie (RAAC) du c\u00f4lon\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/NZzcUyoAIbc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Le service de chirurgie digestive est dirig\u00e9 par le Dr J\u00e9r\u00f4me Loriau. Il prend en charge l\u2019ensemble de la pathologie chirurgicale de l\u2019appareil digestif.Qu\u2019il s\u2019agisse de pathologies b\u00e9nignes (hernies, v\u00e9sicule biliaire) ou de canc\u00e9rologie digestive (cancer colorectal, pancr\u00e9as, foie) le service a pour priorit\u00e9s une prise en charge rapide, l\u2019utilisation de techniques mini invasives (c\u0153lioscopie), [&hellip;]<\/p>\n","protected":false},"author":25,"featured_media":0,"parent":0,"menu_order":5,"template":"","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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