Docteur André GIBERT - Hépato- Gastro- Entérologie
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histoire naturelle du reflux gastro- oesophagien

 (Malfertheiner P et al. Aliment Pharmacol Ther. 2011 Nov 9
L'évolution naturelle du reflux gastro-oesophagien (RGO), largement étudié au cours des 30 dernières années, n'en reste pas moins méconnue.
L'évolution du RGO est cyclique pour certains malades alors que pour d'autres, les manifestations cliniques sont continues.
Dans ce travail, les auteurs ont suivi des malades pendant cinq ans, sous traitement anti- sécrétoires ( IPP), après la découverte du RGO. 
En conclusion, cette étude montre que l'évolution vers une oesophagite sévère ou un endobrachyoesophage était très rare chez les malades qui n'en présentaient pas initialement. En fait, l'évolution vers un endobrachyoesophage était observée chez 12,1% et 19,7% des malades respectivement porteurs d'une oesophagite non sévère ou sévère. Les lésions de reflux restent stables, le plus souvent, au cours du temps.

147 commentaires pour histoire naturelle du reflux gastro- oesophagien:

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