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Aspects endoscopiques des maladies inflammatoires du côlon

Endoscopic aspects of inflammatory bowel disease

  • Published:
Acta Endoscopica

Résumé

La coloscopie flexible est une technique très efficace qui a élargi les possibilités diagnostiques et la prise en charge des maladies inflammatoires du côlon. En dépit de son caractère relativement invasif et d’une préparation intestinale assez vigoureuse, la coloscopie est une exploration diagnostique pratique, effectuée avec peu de complications chez le nourrisson et l’enfant.

Les multiples biopsies perendoscopiques constituent une source considérable d’informations dans le diagnostic et le traitement des patients dont les signes cliniques sont évocateurs de maladie inflammatoire du côlon. La coloscopie contribue également au diagnostic différenciel, à l’évaluation de l’étendue de l’activité inflammatoire et/ou d’une évolution aiguë ou chronique, préalablement à une intervention chirurgicale. La coloscopie est également très efficace dans la surveillance des lésions pré-cancéreuses et le diagnostic des lésions malignes, sur colite ulcéreuse.

Summary

Flexible colonoscopy is a very effective technique that has made substantial contributions to the diagnosis and management of various disorders of the large intestine. Despite its relative invasiveness and the rather vigorous bowel preparation, colonoscopy is a practical diagnostic procedure that can be performed with very few complications in infants and children.

Colonoscopy with multiple biopsies is a considerable source of information in the diagnostic approach and therapeutical management of patients with a clinical suspicion of inflammatory bowel disease. This procedure can be a helpful technique in establishing other diseases considered in the differential diagnosis, determining the extent of inflammatory activity, and/or assessing the chronic and acute changes prior to surgery. Colonoscopy is also an effective procedure in the follow up for precancerous and cancerous changes in ulcerative colitis.

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  1. Academic children’s Hospital Free University of Brussels, Laarbeehlaan 101, 1090, Brussels, Belgium

    U. Blecker MD & E. Lebenthal

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  1. U. Blecker MD
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Blecker, U., Lebenthal, E. Aspects endoscopiques des maladies inflammatoires du côlon. Acta Endosc 24, 477–485 (1994). https://doi.org/10.1007/BF02968669

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