{"id":10335,"date":"2015-11-24T14:36:14","date_gmt":"2015-11-24T13:36:14","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=10335"},"modified":"2015-11-24T14:36:14","modified_gmt":"2015-11-24T13:36:14","slug":"questions-a-julien-dutilh-pneumologue","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/questions-a-julien-dutilh-pneumologue\/","title":{"rendered":"Questions \u00e0 Julien Dutilh, pneumologue"},"content":{"rendered":"

Votre arriv\u00e9e dans le service de pneumologie a permis de d\u00e9velopper\u00a0consid\u00e9rablement l\u2019activit\u00e9 d\u2019endoscopie interventionnelle. En quoi consiste cette pratique ?<\/strong>
\nL\u2019endoscopie interventionnelle regroupe les endoscopies th\u00e9rapeutiques (bronchoscopie rigide) et certaines endoscopies complexes. Pour ce qui est des bronchoscopies rigides, cette technique s\u2019utilise principalement dans les cas de cancers du poumon pour d\u00e9sobstruer les bronches, puis pour mettre en place des proth\u00e8ses apr\u00e8s la d\u00e9sobstruction. Bien que cette activit\u00e9 existe au sein du service de pneumologie CHU de Poitiers depuis plusieurs ann\u00e9es, l\u2019apport de mon exp\u00e9rience acquise dans un service d\u2019endoscopie interventionnelle sp\u00e9cialis\u00e9 a permis de cr\u00e9er une v\u00e9ritable \u00e9quipe interventionnelle, m\u00e9dicale et soignante. Cela a favoris\u00e9 la pratique r\u00e9guli\u00e8re de l\u2019endoscopie interventionnelle, de mani\u00e8re hebdomadaire et parfois en urgence, ainsi que la r\u00e9alisation de deux \u00e0 trois \u00e9cho-endoscopies bronchiques par semaine (un acte permettant de biopsier les ganglions m\u00e9diastinaux).<\/p>\n

Quels sont les enjeux de ce d\u00e9veloppement ?<\/strong>
\nIl s\u2019agit de pratiques relativement invasives qui ne se font qu\u2019en CHU, car elles n\u00e9cessitent un \u00e9quipement sp\u00e9cifique et la proximit\u00e9 d\u2019un plateau de r\u00e9animation. Nous avons cr\u00e9\u00e9 une nouvelle activit\u00e9 r\u00e9gionale de recours, importante notamment pour les centres hospitaliers du Poitou-Charentes, qui devrait encore pouvoir se d\u00e9velopper davantage gr\u00e2ce \u00e0 l\u2019ouverture prochaine centre d\u2019explorations techniques et interventionnelles au CHU. En tant que membre de groupe d\u2019endoscopie de langue fran\u00e7aise, je prends \u00e9galement part \u00e0 des protocoles de recherche clinique mutualis\u00e9s, actuellement sur les simulateurs en endoscopie. Au CHU, nous travaillons \u00e0 la cr\u00e9ation d\u2019un protocole de recherche clinique en \u00e9cho-endoscopie, \u00e0 l\u2019horizon 2016.<\/p>\n

Quelle est votre activit\u00e9 en canc\u00e9rologie ?<\/strong>
\nNous sommes trois pneumologues, dont deux \u00e0 mi-temps, \u00e0 exercer au p\u00f4le r\u00e9gional de canc\u00e9rologie. Je re\u00e7ois des patients atteints de cancers du poumon pour des traitements par chimioth\u00e9rapie, je participe aux r\u00e9unions de concertation pluridisciplinaire d\u2019oncologie thoracique, et j\u2019assure leur suivi en consultation, en relation avec le service de pneumologie et de chirurgie thoracique. Je participe par ailleurs \u00e0 une activit\u00e9 de recherche clinique. Une dizaine d\u2019essais cliniques sont actuellement ouverts, nous permettant de tester de nouveaux protocoles et m\u00e9dicaments dont certains aboutiront \u00e0 une mise sur le march\u00e9.<\/p>\n

Pourquoi \u00e9tait-il important de cr\u00e9er une journ\u00e9e de consultations par semaine, en pneumologie, \u00e0 Montmorillon ?<\/strong>
\nCela nous a permis d\u2019apporter une offre de soins de proximit\u00e9 aux habitants du Montmorillonais, en proposant sur place des consultations de pneumologie, des fibroscopies bronchiques et des explorations fonctionnelles respiratoires. En l\u2019espace de six mois, nous avons rempli tous nos cr\u00e9neaux, avec notamment des patients qui n\u2019auraient pas toujours fait le d\u00e9placement jusqu\u2019\u00e0 Poitiers. La prise en charge du cancer du poumon a \u00e9t\u00e9 consid\u00e9rablement am\u00e9lior\u00e9e : du d\u00e9pistage au soin, en lien avec le p\u00f4le r\u00e9gional de canc\u00e9rologie du CHU, le patient dialogue avec un interlocuteur unique de proximit\u00e9, ce qui est bien s\u00fbr plus confortable et rassurant.<\/p>\n","protected":false},"excerpt":{"rendered":"

Julien Dutilh a rejoint le CHU de Poitiers pour son premier poste en novembre 2014. Le jeune pneumologue, issu de la Facult\u00e9 de m\u00e9decine et de pharmacie\u2026","protected":false},"author":1,"featured_media":10336,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10335","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"acf":[],"yoast_head":"\nQuestions \u00e0 Julien Dutilh, pneumologue - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/en\/questions-a-julien-dutilh-pneumologue\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Questions \u00e0 Julien Dutilh, pneumologue - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Julien Dutilh a rejoint le CHU de Poitiers pour son premier poste en novembre 2014. 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