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Les ulcères « peptiques » de ľœsophage ne sont pas une complication de ľépithélium de Barrett

Peptic ulcers of the esophagus are not a complication of Barretťs epithelium

Las úlceras « pépticas » en el esófago no son una complicación del epitelio de Barrett

  • Published:
Acta Endoscopica

Résumé

Cette étude porte sur 246 ulcères « peptiques » de ľœsophage classés selon les données endoscopiques en quatre types (ulcère de Wolf, ulcère de Lyall, ulcère de Savary et ulcère de Barrett). Elle démontre que tous ces ulcères sont en règle générale provoqués par le reflux gastro-œsophagien pathologique et non pas par la muqueuse cylindrique hétérotopique du bas-œsophage. De plus, elle prouve que de nombreux ulcères de Barrett se développent comme la totalité des ulcères jonctionnels sur la muqueuse épidermoïde de ľœsophage.

Summary

This study focussed on 246 peptic ulcers of the esophagus. These were put into four categories according to endoscopic data : Wolffs ulcer, Lyalľs ulcer, Savory’s ulcer and Barretťs ulcer. The data showed that all of these ulcers were generally caused by pathological gastroesophageal reflux and not by columnar heterotopic mucosa of the lower esophagus. Furthermore, the study proves that a large number of Barrett ulcers develop on the epithelium of the esophagus in the same way as all junctional ulcers.

Resumen

Este estudio se hace sobre 246 úlceras « pépticas » en el esófago clasificadas según los datos endoscópicos en cuatro tipos (úlcera de Wolf, úlcera de Lyall, úlcera de Savary y úlcera de Barrett). Demuestra que todas estas úlceras por regla general son producidas por el reflujo gastro-esofágico patológico y no por la mucosa cilíndrica heterotópica del esófago inferior. Además el estudio prueba que numerosas úlceras de Barrett se desarrollan como la totalidad de las úlceras de la unión mucosa esófago-gástrica, sobre la mucosa epidermoide del esófago.

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Authors and Affiliations

  1. Institut Universitaire de Pathologie, Bugnon 25, Lausanne, (Suisse)

    Ch. Fontolliet

  2. Dépt. de Chirurgie, C.H.U.V., Lausanne, (Suisse)

    J. Wellinger

  3. Registre Vaudois des Tumeurs, Institut Universitaire de Médecine Sociale et Préventive, Lausanne, (Suisse)

    F. Levi

  4. C.H.U.V., Service O.R.L., Lausanne, (Suisse)

    J. -B. Ollyo, E. Brossard & Ph. Monnier

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  1. J. -B. Ollyo
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  5. F. Levi
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  6. Ph. Monnier
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Ollyo, J.B., Fontolliet, C., Wellinger, J. et al. Les ulcères « peptiques » de ľœsophage ne sont pas une complication de ľépithélium de Barrett. Acta Endosc 21, 681–692 (1991). https://doi.org/10.1007/BF02968565

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