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L'usage des colorants de muqueuse en endoscopie digestive haute: Intérêt, applications pratiques, perspectives

The dye spraying methods in upper gastrointestinal endoscopy Indications and current practice

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Acta Endoscopica

Résumé

Les colorants de muqueuse agissent soit du fait de leur absorption par l'épithélium digestif concerné, soit par un effet de contraste du fait d'un «tapissage» de la muqueuse. Les colorants les plus utilisés sont les solutions iodo-iodurées, le, Bleu de Méthylène et le Bleu de Toluidine. L'utilisation, de colorants au cours de l'endoscopie est facile et possible en pratique courante selon une méthode d'application directe.

Le Bleu de Méthylène est particulièrement intéressant dans le diagnostic et la surveillance des ulcères linéaires, et le Lugol dans l'étude des, dysplasies et carcinomes intramuqueux de l'œsophage associés ou non au cancer invasif. Les auteurs discutent les indications pratiques et les perspectives qu'offre l'usage des colorants au cours de l'endoscopie digestive haute.

Summary

Application of dyes during oesophago-gastro-duodenoscopy either realises a vital staining if absorbed by the mucosa, or gives contrast changes to the normal mucosal, redness.

Stains usually used are Lugol's solution, Methylene Blue and Toluidine Blue. The use of stains during the endoscopy is simple, and possible, in routine procedure, by direct application of dyes under visual control. Methylene Blue is remarquably interesting in the diagnosis and follow up of linear ulcers, and Lugol's solution in the study of dysplasia andin situ carcinoma of the esophagus. The authors discuss the practical indications and perspectives of the dye scattering method in upper gastrointestinal endoscopy.

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Authors and Affiliations

  1. Clinique Médicale B-Pavillon Calmette-Guérin, C.H.U. de Grenoble, 38043, Grenoble Cedex, (France)

    C. Treille, H. Aubert & M. Rachail

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  1. C. Treille
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  2. H. Aubert
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  3. M. Rachail
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Treille, C., Aubert, H. & Rachail, M. L'usage des colorants de muqueuse en endoscopie digestive haute: Intérêt, applications pratiques, perspectives. Acta Endosc 11, 369–381 (1981). https://doi.org/10.1007/BF02970410

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