{"id":346345,"date":"2014-01-30T00:00:00","date_gmt":"2014-01-29T23:00:00","guid":{"rendered":"https:\/\/medizinonline.com\/les-plaintes-gastro-intestinales-restent-un-defi-en-2014\/"},"modified":"2014-01-30T00:00:00","modified_gmt":"2014-01-29T23:00:00","slug":"les-plaintes-gastro-intestinales-restent-un-defi-en-2014","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/les-plaintes-gastro-intestinales-restent-un-defi-en-2014\/","title":{"rendered":"Les plaintes gastro-intestinales restent un d\u00e9fi en 2014"},"content":{"rendered":"<p><strong>Ce num\u00e9ro est consacr\u00e9 \u00e0 la gastro-ent\u00e9rologie. Concr\u00e8tement, il s&#8217;agit de l&#8217;incontinence f\u00e9cale et de l&#8217;\u0153sophage de Barrett.<\/strong><\/p>\n<p> <!--more--> <\/p>\n<p>La premi\u00e8re constitue un domaine tr\u00e8s complexe, ce qui se remarque d\u00e8s la d\u00e9finition exacte : la plupart du temps, on observe une combinaison de diff\u00e9rents sympt\u00f4mes, qui peuvent aller de l&#8217;incontinence passive \u00e0 l&#8217;incontinence d&#8217;urgence en passant par les fuites f\u00e9cales. Ce qui est souvent sous-estim\u00e9, c&#8217;est la composante psychologique. Si quelqu&#8217;un perd involontairement des selles, cela s&#8217;accompagne g\u00e9n\u00e9ralement d&#8217;une grande honte, ce qui rend d&#8217;autant plus importante la question cibl\u00e9e du m\u00e9decin traitant sur de tels probl\u00e8mes. L&#8217;incontinence touche en particulier les personnes \u00e2g\u00e9es et les personnes atteintes de d\u00e9mence, mais elle peut \u00e9galement survenir chez les femmes ayant subi un traumatisme \u00e0 la naissance ou apr\u00e8s une op\u00e9ration de la r\u00e9gion anale.<\/p>\n<p>En ce qui concerne le traitement, il convient tout d&#8217;abord de prendre des mesures conservatrices : une alimentation riche en fibres, \u00e9ventuellement des agents gonflants riches en fibres en guise de soutien, ainsi que du lop\u00e9ramide et du biofeedback. Si cela ne fonctionne pas, des mesures chirurgicales invasives peuvent \u00eatre envisag\u00e9es, la neuromodulation sacr\u00e9e \u00e9tant la plus prometteuse.<\/p>\n<p>L&#8217;\u0153sophage de Barrett est d\u00e9fini comme la pr\u00e9sence d&#8217;\u00e9pith\u00e9lium cylindrique dans l&#8217;\u0153sophage distal, avec en plus une m\u00e9taplasie intestinale sp\u00e9cialis\u00e9e. Comme cet \u00e9pith\u00e9lium dit de Barrette peut donner naissance \u00e0 des dysplasies et, dans le pire des cas, \u00e0 des ad\u00e9nocarcinomes, le d\u00e9pistage doit \u00eatre discut\u00e9, surtout chez les patients pr\u00e9sentant de multiples facteurs de risque. D&#8217;autant plus que l&#8217;ad\u00e9nocarcinome, m\u00eame s&#8217;il se d\u00e9veloppe rarement, a un tr\u00e8s mauvais pronostic. Pour le traitement des dysplasies &#8220;de haut grade&#8221;, la r\u00e9section muqueuse et l&#8217;ablation par radiofr\u00e9quence donnent toutes deux de tr\u00e8s bons r\u00e9sultats \u00e0 long terme, la r\u00e9section endoscopique \u00e9tant pr\u00e9f\u00e9rable au traitement chirurgical en raison de taux de complications plus faibles.<\/p>\n<p>Dans cette optique, je vous souhaite une lecture passionnante sur ces deux th\u00e8mes importants de la gastroent\u00e9rologie !<\/p>\n<p><strong>PD Dr. med. Stephan Vavricka, Zurich<\/strong><\/p>\n<p><em>PRATIQUE DU M\u00c9DECIN DE FAMILLE 2014 ; 9(1) : 16<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ce num\u00e9ro est consacr\u00e9 \u00e0 la gastro-ent\u00e9rologie. Concr\u00e8tement, il s&#8217;agit de l&#8217;incontinence f\u00e9cale et de l&#8217;\u0153sophage de Barrett.<\/p>\n","protected":false},"author":4,"featured_media":40303,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"pmpro_default_level":"","cat_1_feature_home_top":false,"cat_2_editor_pick":false,"csco_eyebrow_text":"Gastroent\u00e9rologie","footnotes":""},"category":[11531,11414,11368,11549],"tags":[50831,57834,57817,57839,31208,57827],"powerkit_post_featured":[],"class_list":["post-346345","post","type-post","status-publish","format-standard","has-post-thumbnail","category-formation-continue","category-gastro-enterologie-et-hepatologie","category-geriatrie-fr","category-rx-fr","tag-adenocarcinome","tag-barret-oesophage","tag-chaise","tag-epithelium-cylindrique","tag-gastroenterologie-fr","tag-incontinence-fecale","pmpro-has-access"],"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-07-02 10:36:47","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"wpml_current_locale":"fr_FR","wpml_translations":{"it_IT":{"locale":"it_IT","id":346349,"slug":"i-disturbi-gastrointestinali-continuano-ad-essere-una-sfida-nel-2014","post_title":"I disturbi gastrointestinali continuano ad essere una sfida nel 2014","href":"https:\/\/medizinonline.com\/it\/i-disturbi-gastrointestinali-continuano-ad-essere-una-sfida-nel-2014\/"},"pt_PT":{"locale":"pt_PT","id":346356,"slug":"as-queixas-gastro-continuam-a-ser-um-desafio-em-2014","post_title":"As queixas Gastro continuam a ser um desafio em 2014","href":"https:\/\/medizinonline.com\/pt-pt\/as-queixas-gastro-continuam-a-ser-um-desafio-em-2014\/"},"es_ES":{"locale":"es_ES","id":346362,"slug":"las-quejas-gastro-continuan-siendo-un-reto-en-2014","post_title":"Las quejas gastro contin\u00faan siendo un reto en 2014","href":"https:\/\/medizinonline.com\/es\/las-quejas-gastro-continuan-siendo-un-reto-en-2014\/"}},"_links":{"self":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/346345","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/comments?post=346345"}],"version-history":[{"count":0,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/posts\/346345\/revisions"}],"wp:attachment":[{"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/media?parent=346345"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/category?post=346345"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/tags?post=346345"},{"taxonomy":"powerkit_post_featured","embeddable":true,"href":"https:\/\/medizinonline.com\/fr\/wp-json\/wp\/v2\/powerkit_post_featured?post=346345"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}