Résumé
Différentes techniques endoscopiques sont en cours d’évaluation dans les traitements du reflux gastro-oesophagien. Les méthodes de traitement peu invasives sont fondées sur des tentatives d’améliorer le fonctionnement de la barrière œsogastrique au cours du reflux. Les moyens endoscopiques permettant d’atteindre ce but sont les suivants: sutures endoluminales perendoscopiques, hyperthermie par radiofréquence, injection ou implantation de matériel biocompatible. Les premiers résultats de ces traitements endoscopiques sont prometteurs. Toutefois, avant de les envisager dans le cadre d’une application clinique de routine, des études ultérieures de leurs effets à long terme et l’évaluation du risque d’éventuelles complications sont nécesaires sur un nombre plus important de patients.
Summary
Various endoscopic techniques are currently evaluated for the treatment of gastroesophageal reflux disease. These minimal invasive treatment modalities are based on the attempts to improve the gastroesophageal reflux barrier. By endoscopic means this can be achieved in various ways: by endoscopically placed endoluminal sutures, application of radiofrequency energy, and finally injection or implantation of biocompatible materials. First results of these endoscopic therapies are promising. However, before they can be considered ready for routine clinical application, ongoing studies have to evaluate long-term effects and potential complications in larger patient populations.
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Neu, B., Weigert, N., Neuhaus, H. et al. Traitement endoscopique du reflux gastro-œsophagien. Acta Endosc 32, 787–796 (2002). https://doi.org/10.1007/BF03028483
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DOI: https://doi.org/10.1007/BF03028483
Mots-clés
- hyperthermie par radiofréquence
- implantation de matériel par endoscopie
- injection endoscopique
- reflux gastro-œsophagien
- suture endoscopique