Troubles moteurs œsophagiens associés au reflux gastro-œsophagien (notice n° 265731)
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|---|---|
| fixed length control field | 03497cam a2200301 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250112075224.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Roman, Sabine |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Troubles moteurs œsophagiens associés au reflux gastro-œsophagien |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2020.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 97 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Des anomalies de la jonction œso-gastrique (hernie hiatale, hypotonie) et des troubles mineurs du péristaltisme œsophagien (syndrome de motricité inefficace, péristaltisme fragmenté) sont souvent observés chez les patients présentant un reflux gastro-œsophagien. La présence de troubles moteurs fréquemment associés au reflux gastro-œsophagien (RGO) peut être un argument pour le diagnostic de reflux lorsque l’endoscopie et la pH-(impédance)métrie ne permettent pas de conclure formellement. Les troubles moteurs peuvent régresser ou persister après traitement anti-reflux. Ils ne sont pas responsables de symptôme spécifique. La recherche de troubles moteurs œsophagiens est obligatoire avant chirurgie anti-reflux pour éliminer une achalasie ou une absence de péristaltisme, qui sont des contre-indications à la réalisation d’une fundoplicature. Il n’y a pas d’étude ayant démontré l’intérêt d’adapter la chirurgie anti-reflux en cas de troubles mineurs du péristaltisme œsophagien. Certains types de chirurgie bariatrique comme l’anneau gastrique et la sleeve gastrectomie sont responsables de RGO. Ces interventions sont plutôt déconseillées chez les patients ayant un RGO préexistant. La recherche systématique d’un RGO avant chirurgie bariatrique n’est toutefois pas recommandée en l’absence de symptôme. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Esophago-gastric junction (EGJ) abnormalities (hiatal hernia, hypotensive EGJ) and minor disorders of esophageal peristalsis (ineffective esophageal motility, fragmented peristalsis) are frequently observed in patients with gastro-esophageal reflux disease (GERD). Identification of esophageal motility disorders associated with GERD might be an argument for the diagnosis of reflux when upper gastro-esophageal endoscopy or pH-(impedance) monitoring cannot allow a conclusive diagnosis. Esophageal motility disorders can resolve or persist after GERD treatment. They are not associated with any specific symptom. Esophageal manometry is mandatory is the work up before anti-reflux surgery to rule out esophageal motility disorders such as achalasia or absent contractility that may contra-indicate fundoplication. There is no study to demonstrate that fundoplication should be tailored according to the presence of ineffective esophageal motility or fragmented peristalsis. Some bariatric surgeries such as gastric lapband and sleeve gastrectomy can facilitate the occurrence of GERD : they should not be performed in case of known GERD. However a systematic search of GERD before bariatric surgery is not recommended in asymptomatic patients. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | reflux |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hernie hiatale |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | fundoplicature |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sleeve gastrectomie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hypomotricité |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | fundoplication |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hiatal hernia |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | reflux |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | sleeve gastrectomy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | hypomotility |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mion, François |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Hépato-Gastro & Oncologie Digestive | 27 | 5 | 2020-05-01 | p. 456-461 | 2115-3310 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2020-5-page-456?lang=fr">https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2020-5-page-456?lang=fr</a> |
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