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L'endoscopie diagnostique et thérapeutique dans les affections de l'œsophage

par Deltenre, Michel Arthur ;Cartenian, R.;De Vos, A.
Référence Acta chirurgica Belgica (Ed. bilingue), 82, 4, page (305-320)
Publication Publié, 1982

Article révisé par les pairs

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Résumé :

Modern digestive endoscopy gives an accurate differential diagnosis in oesophageal tumours (90% of correct histological definition), in bleeding lesions of the oesophagus and oesophagitis, and also information about the prognosis. From the therapeutic point of view, fiberendoscopy improves comfort, safety and efficacy of the dilatation for achalasia or inflammatory strictures (respectively 65% and 80% of good results) and the removal of foreign bodies. Sclerosing injections of esophageal varices is reported to be effective for stopping bleeding in 90% of the patients (with 1/3 of short-dated relapse). Controlled studies are still necessary in this field. Intraluminal prosthesis, inserted by esophagoscopy, improves survival conditions in patients with inoperable malignant strictures. Mortality directly related to this procedure is below 5%.