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Anomalies pariétales vésiculaires : fautil les reconnaître? À quelle place l’échoendoscopie peutelle prétendre dans leur évaluation?

Gallbladder wall anomalies: should they be recognised? What place for endoscopic ultrasonography in their staging?

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Résumé

Les anomalies pariétales vésiculaires constituent, avec la lithiase biliaire, l’ensemble de la pathologie vésiculaire. Les séries chirurgicales, et l’usage très répandu de l’imagerie digestive notamment de l’échographie, ont permis de bien connaître leurs caractéristiques. En présence d’épaississements de paroi ou de polypes, un diagnostic, le plus précis possible, s’impose, avec la préoccupation constante de ne pas méconnaître un cancer. Dans ce contexte, l’utilisation récente de l’échoendoscopie semble prometteuse. Outre la qualité de ses performances dans le bilan d’extension des cancers vésiculaires, elle permet une caractérisation fiable de la plupart des polypes. Sa place est donc à présent incontournable dans les arbres de décisions thérapeutiques de ces affections.

Summary

Gallbladder wall anomalies constitute with gallstones, the whole of gallbladder pathology. Surgical series and the widespread use of digestive imaging and especially ultrasonography, allowed to better know their characteristics. In presence of wall thickening or polyps, the most accurate diagnosis is required with the constant preoccupation of not missing a cancer. In this context, the recent use of endoscopic ultrasonography seems quite promising. In addition to the quality of its performance in the staging of gallbladder cancers, it allows for an accurate characterisation of most polyps. Its place is therefore preponderant in the therapy decision tree of these pathologies.

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Correspondence to G. Roseau.

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Roseau, G. Anomalies pariétales vésiculaires : fautil les reconnaître? À quelle place l’échoendoscopie peutelle prétendre dans leur évaluation?. Acta Endosc 34, 87–95 (2004). https://doi.org/10.1007/BF03008980

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Mots-clés

  • adénomyomatose
  • cancer vésiculaire
  • échoendoscopie
  • polypes vésiculaires

Key-words

  • adenomyomatosis
  • endoscopic ultrasonography
  • gallbladder cancer
  • gallbladder polyps