Obesity is a cardiovascular disease affecting every country in the world. This pathology affects around 30% of the urban population of West Africa. It is said to be moderate when a person's body mass index (BMI) is between 30 and 35. It is calculated as follows: weight/height².
Moderate obesity may be the result of a significantly higher intake of calories in the body to those burned through physical exertion.
Although this form of obesity is the least dangerous, it still carries risks of cancer, diabetes and hypertension.
To avoid these risks, consult a health professional to find out the real cause of your moderate obesity and/or consult a dietician to get back on track with a healthy diet.
Following this, an innovative minimally invasive treatment, called endosleeve, can be offered.
Biliary lithiasis is a pathology that mainly affects women (3 times more than men). The cause is the presence of stones in the bile ducts or gallbladder. Other factors can increase the risk of contracting biliary lithiasis: obesity or sudden, rapid weight loss, pregnancy, or fasting.
A person suffering from biliary lithiasis may have difficulty breathing, fever, feeling a sudden, intense pain in the upper right and/or mid-abdomen abdomen for more than 6 hours, pain in the shoulder or between the shoulder blades, yellowing of the skin, red urine and incessant vomiting .
If you have any of these symptoms, an abdominal ultrasound is necessary to confirm the presence of gallstones in the gallbladder. If you are suffering from biliary lithiasis, you will be offered ERCP or a biliary prosthesis.
Jaundice is a yellowing of the skin and eyes caused by an accumulation of bilirubin in the blood. is a yellowing of the skin and eyes caused by an accumulation of bilirubin in the blood. If bile, generated by the liver, gets stuck there, unable to reach the intestine, it creates jaundice.
There are two types of jaundice: hemolytic and hepatobiliary.
The first signs of yellowing usually appear in the eye, not on the skin. It will then develop all over the skin.
When someone has jaundice, they may also experience dark urine, itching or pain in the abdomen.
Jaundice develops in people with liver and pancreatic cancer.
This pathology can be fatal in infants, developing serious forms in adulthood such as convulsions or cerebral palsy.
ERCP and biliary catheterization are used to treat jaundice.
Innovative, minimally invasive treatment. The principle is to make several sutures in the stomach wall to reduce its size. The major advantage of this technique is that it can be performed endoscopically, without resection, scarring or alteration of the anatomy.
Endosleeve is indicated for obese patients with a body mass index (BMI) between 30 and 40, or for morbidly obese patients (BMI over 40). (ss AG - outpatient or 1 night)
Catheterization involves inserting a catheter into the mucosa. The aim of this procedure is to remove stones from the bile ducts (the canal between the gallbladder and the liver) and unblock the bile ducts with prostheses. This helps prevent the risk of biliary lithiasis and jaundice.
This operation requires you to have been fasting since the evening before and is carried out in two stages:
This procedure takes an average of 30 to 45 minutes.
Endoscopic Retrograde Cholangio Pancreatography (ERCP) detects all types of pathologies linked to the biliary-pancreatic system by observing the bile and pancreatic ducts through an endoscope. Performed by a gastroenterologist, the operation lasts on average between 30 and 45 minutes.
If you think you have pancreatic cancer, a congenital anomaly or other types of biliary or pancreatic disease, we recommend you have an ERCP. General anesthesia is not necessarily required for ERCP.
For the operation to go as smoothly as possible, you must fast for 6 hours beforehand, drink nothing for two hours afterwards and eat nothing for 5 hours afterwards.
A biliary prosthesis is placed, temporarily or permanently depending on the situation, inside a patient's body to improve digestion. Once the ERCP has been used, the doctor will know which type of biliary prosthesis is best suited to the patient.
Its purpose is to accompany bile, generated by the liver, to the intestine. This prevents jaundice if the bile gets stuck in the liver and can't reach the intestine.
The hepatogastroenterologist is the specialist in biliary prosthesis.
The operation is performed endoscopically under general anaesthetic.
Hemorrhoid embolization treats internal hemorrhoids in the body. It helps prevent vascular congestion leading to hemorrhoidal vein disease. The aim of embolization is to block the vessels supplying the hemorrhoidal pack. During the procedure, the radiologist inserts a catheter into an artery (most often an artery in the arm) and then proceeds to the vessels in the rectum and anal canal that feed the hemorrhoids. Small platinum springs or microparticles are injected through this catheter to block the vessels. This leads to a reduction in the blood supply and subsequent decongestion of the hemorrhoidal plexuses, thus putting an end to the symptoms (chronic bleeding).
There are no incisions or scars in the anus, as everything takes place via the vessels, i.e. the endo-vascular route.
The procedure takes between 30 minutes and 1 hour under local anaesthetic.
Gastroentérologue expérimenté, il est un des 1ers opérateurs en France à proposer l’endosleeve. Il est également expert en endoscopies diagnostiques et interventionnelles biliaires et pancréatiques, écho-endoscopies diagnostiques et interventionnelle, écho endoscopie thérapeutique et entéroscopies.
Responsabilité de l’unité d’hospitalisation, Service d’Hépato gastro-entérologie, CHU de Strasbourg;
Attaché des Hôpitaux, Service de Chirurgie Thoracique, CHU Strasbourg;
Attaché des Hôpitaux, Service d’Hépato gastroentérologie, CHU Saint-Antoine, Paris;
Attaché des Hôpitaux, service de gastroentérologie, CHU Saint-Antoine, Paris;
Praticien Hospitalier, CHU Saint-Antoine, Paris ;
Attaché des Hôpitaux, Hôpital Beaujon, Clichy ;
Membre de la Société Nationale Française de Gastro-entérologie.
Membre de la Société Française d’Endoscopie Digestive .
Membre de la Société Médicale d’Imagerie Endoscopique et Recherche (SMIER);