{"id":4442533,"date":"2023-03-31T14:12:04","date_gmt":"2023-03-31T12:12:04","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=4442533"},"modified":"2023-03-31T14:12:08","modified_gmt":"2023-03-31T12:12:08","slug":"labellisation-du-centre-de-reference-en-endometriose","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/labellisation-du-centre-de-reference-en-endometriose\/","title":{"rendered":"Labellisation du centre de r\u00e9f\u00e9rence en endom\u00e9triose"},"content":{"rendered":"\n

Qu\u2019est-ce que l\u2019endom\u00e9triose\u00a0?<\/strong><\/h3>\n

L\u2019endom\u00e9triose est une maladie gyn\u00e9cologique complexe qui touche une femme sur dix en \u00e2ge de procr\u00e9er. Elle se caract\u00e9rise par la pr\u00e9sence de cellules d\u2019origine ut\u00e9rine en dehors de l\u2019ut\u00e9rus qui entrainent des douleurs et saignements lors des cycles menstruels. Les cons\u00e9quences de cette maladie sont vari\u00e9es et les femmes prises en charge ont ainsi des attentes diff\u00e9rentes. \u00ab\u00a0Il n\u2019y a pas de sch\u00e9ma standard dans la prise en charge de l\u2019endom\u00e9triose\u00a0\u00bb<\/em>, indique le professeur Fritel, \u00ab\u00a0Elle n\u00e9cessite une expertise et l\u2019intervention, le plus souvent, de plusieurs sp\u00e9cialistes\u00a0\u00bb. <\/em>La prise en charge de l\u2019endom\u00e9triose n\u2019est recommand\u00e9e que lorsqu\u2019elle affecte la vie quotidienne avec des sympt\u00f4mes intenses.<\/p>\n

Labellisation de l\u2019Agence r\u00e9gionale de sant\u00e9<\/strong><\/h3>\n

Dans le cahier des charges de l\u2019appel \u00e0 candidatures, pour \u00eatre labellis\u00e9s, les centres multidisciplinaires doivent proposer une prise en charge compl\u00e8te de l\u2019endom\u00e9triose, proposer des traitements m\u00e9dicaux et chirurgicaux pour les formes simples de la maladie. Enfin, chaque centre doit \u00e9galement travailler en \u00e9troite collaboration avec une association de patientes. \u00ab\u00a0La labellisation de l\u2019ARS est une reconnaissance de ce qui se faisait d\u00e9j\u00e0 au CHU de Poitiers\u00a0\u00bb<\/em>, pr\u00e9cise le professeur Fritel, \u00ab\u00a0Elle nous encourage \u00e0 continuer et \u00e0 formaliser la fili\u00e8re de soins mais elle ne se suffit pas en soi-m\u00eame\u00a0\u00bb<\/em>.<\/p>\n

La prise en charge de l\u2019endom\u00e9triose au CHU de Poitiers<\/strong><\/h3>\n

Au CHU de Poitiers, l\u2019offre de soins pour la prise en charge de l\u2019endom\u00e9triose est compl\u00e8te. Cela commence par le diagnostic, par une imagerie d\u00e9di\u00e9e qui peut \u00eatre r\u00e9alis\u00e9e par le service de gyn\u00e9cologie, d\u2019imagerie ou de gastro-ent\u00e9rologie. Elle est ensuite compl\u00e9t\u00e9e par la prise en charge de la fertilit\u00e9 par le centre d\u2019assistance m\u00e9dicale \u00e0 la procr\u00e9ation, la prise en charge de la douleur chronique par le centre r\u00e9gional d\u2019\u00e9tude et de traitement de la douleur. Enfin, la prise en charge chirurgicale de l\u2019endom\u00e9triose est coordonn\u00e9e par le service de gyn\u00e9cologie en collaboration avec celui de chirurgie visc\u00e9rale ou encore d\u2019urologie ou de chirurgie thoracique. Depuis 2015, la fili\u00e8re a \u00e9t\u00e9 structur\u00e9e et des r\u00e9unions pluridisciplinaires ont \u00e9t\u00e9 instaur\u00e9es, tous les quinze jours, pour les prises en charge complexes.<\/p>\n

Structuration territoriale de la prise en charge <\/strong><\/h3>\n

En 2018, au niveau national, l\u2019HAS et le coll\u00e8ge des gyn\u00e9cologues et obst\u00e9triciens ont \u00e9mis des recommandations pour la prise en charge de l\u2019endom\u00e9triose. L\u2019objectif de ces recommandations est de pouvoir proposer \u00e0 chaque patiente un parcours de soins homog\u00e8ne et individuel avec, comme point cl\u00e9, l\u2019information des patientes. \u00ab\u00a0La cr\u00e9ation de ce r\u00e9f\u00e9rentiel \u00e0 pour but de faciliter les \u00e9changes entre les acteurs, afin qu\u2019ils aient une base commune pour la prise en charge des patientes\u00a0\u00bb<\/em> pr\u00e9cise le professeur Fritel. Ces recommandations mettent ainsi l\u2019accent sur la n\u00e9cessit\u00e9 d\u2019une approche pluriprofessionnelle adapt\u00e9e et des traitements individualis\u00e9s. En 2021, a \u00e9t\u00e9 fond\u00e9e l\u2019Association fili\u00e8re endom\u00e9triose Nouvelle-Aquitaine (AFENA). Elle participe \u00e0 la prise en charge des femmes atteintes d\u2019endom\u00e9triose, en offrant notamment une meilleure connaissance des praticiens et des \u00e9tablissements du territoire impliqu\u00e9s dans la prise en charge de la maladie. Le professeur Fritel est secr\u00e9taire g\u00e9n\u00e9ral de cette association. \u00ab\u00a0Nous avons le souhait de soigner au plus pr\u00e8s de la patiente et pour cela il faut, \u00e0 la fois que les patientes sachent \u00e0 qui s\u2019adresser mais aussi que l\u2019ensemble des professionnels aient acc\u00e8s aux bonne pratiques\u00a0\u00bb<\/em>. \u00a0L\u2019association permet ainsi une action de liaison et de formation r\u00e9guli\u00e8re des praticiens du territoire.<\/p>\n\n\n\n
\n

Pour plus d\u2019informations sur la prise en charge de l\u2019endom\u00e9triose au CHU de Poitiers : https:\/\/www.chu- poitiers.fr\/specialites\/gynecologie\/endometriose\/<\/a><\/p>\n

Pour toute information g\u00e9n\u00e9rale sur l\u2019endom\u00e9triose : https:\/\/www.endofrance.org\/<\/a><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

En f\u00e9vrier\u00a02022, un appel \u00e0 candidatures a \u00e9t\u00e9 lanc\u00e9 par l\u2019Agence r\u00e9gionale de sant\u00e9 (ARS), pour la labellisation de centres de r\u00e9f\u00e9rence\u2026","protected":false},"author":12,"featured_media":4443385,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-4442533","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"\nLabellisation du centre de r\u00e9f\u00e9rence en endom\u00e9triose - 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\/labellisation-du-centre-de-reference-en-endometriose\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Labellisation du centre de r\u00e9f\u00e9rence en endom\u00e9triose - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"En f\u00e9vrier\u00a02022, un appel \u00e0 candidatures a \u00e9t\u00e9 lanc\u00e9 par l\u2019Agence r\u00e9gionale de sant\u00e9 (ARS), pour la labellisation de centres de r\u00e9f\u00e9rence en endom\u00e9triose. 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