Titre
Le reflux gastro-oesophagien: l'apport de l'endoscopie dans l'indication opératoire et les contrôles postopératoires [Gastroesophageal reflux: importance of endoscopy in surgical indications and postoperative control].
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Helvetica Chirurgica Acta
Auteur(s)
Savary, M.
Auteure/Auteur
Monnier, P.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0018-0181
Statut éditorial
Publié
Date de publication
1981
Volume
47
Numéro
6
Première page
693
Dernière page/numéro d’article
706
Langue
français
Résumé
Endoscopy constitutes an important investigation in the presence of a gastro-oesophageal reflux. The primary intention is to exclude the possibility of an organic pathology, for example cancer, which has not been demonstrated by other investigative procedures. Accordingly it must provide a detailed exploration of the whole superior digestive tract, from the mouth to the duodenum. Secondly, endoscopy must establish the consequence of the reflux on the mucosa of the lower oesophagus both by a macroscopic and a detailed microscopic description. Peptic lesions are classified according to 4 degrees of severity. The difficulty in evaluating the very early lesions (1st degree) and the advanced stages (4th degree) necessitates systematic biopsies of the lesions. The erythroplasic type of carcinoma in situ can present the same endoscopic changes as a 1st degree peptic lesion, whereas the exclusion of an adenocarcinoma constitutes the major preoccupation at the time of endoscopy of a 4th degree oesophagitis.
PID Serval
serval:BIB_7FD8927C037F
PMID
Date de création
2011-07-29T13:47:55.521Z
Date de création dans IRIS
2025-05-21T04:39:29Z