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La dysphagie à endoscopie « normale »

Dysphagia with “normal” endoscopy

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Acta Endoscopica

Résumé

La dysphagie est un motif fréquent de consultation en gastroentérologie. Elle est considérée, à juste titre, comme un symptôme d’alarme imposant le recours à l’endoscopie quelle que soit la présentation clinique. L’endoscopie va permettre le diagnostic de cancer de l’oesophage, d’oesophagite peptique sévère, de sténose peptique, d’achalasie de l’oesophage évoluée.

Il est possible que l’endoscopie ne puisse pas identifier l’origine de la dysphagie pour plusieurs raisons: la cause n’est pas oesophagienne, les anomalies endoscopiques sont minimes ou non reconnues, ou il s’agit d’un trouble moteur oesophagien. La prise en charge diagnostique et thérapeutique des dysphagies d’origine oro-pharyngée ne sera pas détaillée dans ce texte.

Abstract

Dysphagia is a frequent trigger for gastroenterology consultation. It is rightly considered as an alarming symptom requiring endoscopy whatever its clinical presentation is. Endoscopy will allow for diagnosing oesophageal cancer, severe peptic oesophagitis, peptic stenosis and latestage oesophageal achalasia.

It is possible that endoscopy cannot pinpoint the origin of dysphagia for several reasons: the underlying cause is not in the oesophagus; endoscopic abnormalities are minimal or not recognized, or it is an oesophageal motor disorder. The diagnostic and therapeutic management of oro-pharyngeal dysphagia will not be detailed in this article.

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Authors and Affiliations

  1. Service d’hépato-gastroentérologie, hôpital Saint-André, CHU de Bordeaux, F-33075, Bordeaux, France

    F. Zerbib & H. Lamouliatte

Authors
  1. F. Zerbib
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  2. H. Lamouliatte
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Correspondence to F. Zerbib.

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Zerbib, F., Lamouliatte, H. La dysphagie à endoscopie « normale ». Acta Endosc 38, 443–451 (2008). https://doi.org/10.1007/s10190-008-0004-9

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  • DOI: https://doi.org/10.1007/s10190-008-0004-9

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