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Acta Endoscopica

, Volume 36, Issue 5, pp 731–738 | Cite as

Sténoses intestinales : étiologie, pathogenèse et expression clinique

  • M. Pennazio
Article

Résumé

Les sténoses de l’intestin grêle se rencontrent rarement en pratique clinique. Elles peuvent provoquer une occlusion intestinale aiguë mais le plus souvent, elles se présentent sur un mode insidieux. Bien que différentes affections puissent entrainer la formation de sténoses de l’intestin grêle, les deux aspects cliniques de plus en plus reconnus sont les sténoses secondaires à la maladie de Crohn et celles induites par l’utilisation des AINS. Une entité autonome, rare, récemment décrite sous le terme d’entérite ulcéreuse sténosante multifocale cryptogénétique, pourrait probablement expliquer certaines sténoses antérieurement définies comme idiopathiques.

Motsclés

AINS intestin grêle maladie de Crohn occlusion intestinale sténoses 

Small intestinal strictures : etiology, pathogenesis and clinical presentation

Summary

Smallbowel strictures are uncommonly encountered in clinical practice. They may lead to acute bowel obstruction but, most frequently, present insidiously. Although a variety of pathological processes can lead to stricture formation within the small intestine, two increasingly recognized clinical conditions are represented by smallbowel strictures secondary to Crohn’s disease and to NSAID use. A rare distinctive entity, recently described as cryptogenic multifocal ulcerous stenosing enteritis, could probably explain some strictures previously defined as idiopathic.

Keywords

bowel obstruction Crohn’s disease NSAlDs small-bowel strictures 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • M. Pennazio
    • 1
  1. 1.2nd Division of Gastroenterology, Department of Gastroenterology and Clinical NutritionS. Giovanni A.S. HospitalTurinItaly

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