Résumé
Le reflux duodéno-gastro-œsophagien des sécrétions bilio-pancréatiques majore les effets délétères sur la muqueuse œsophagienne du reflux gastro-œsophagien de la sécrétion gastrique acide. Il a ainsi été incriminé dans le risque accru d’œsophagite, d’oesophage de Barrett et d’adénocarcinome de l’œsophage, les Acides Biliaires, la Trypsine et la Lysolécithine sont les composants nocifs de ce reflux. Sa mise en évidence est permise par le système Bilitec qui identifie comme marqueur, la Bilirubine.
Summary
Duodenogastroesophageal reflux of biliopancreatic secretions majors the deleterious effects of gastroesophageal reflux of acid gastric secretion on esophageal mucosa. Thus, it has been incriminated as an increased risk of esophagitis, Barrett’s esophagus and esophageal adenocarcinoma. Biliary Acids, Trypsin and Lysolecithin are the nocious components of this reflux. It can be evidenced with the help of Bilitec system which identifies Bilirubin as marker.
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Papazian, A. Le reflux duodéno-gastro-œsophagien et la maladie de reflux. Acta Endosc 33, 691–696 (2003). https://doi.org/10.1007/BF03002607
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DOI: https://doi.org/10.1007/BF03002607