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Relations entre œsophagite et endobrachyœsophage

Relationships between esophagitis and Barrett’s esophagus

  • Published:
Acta Endoscopica

RéSUMé

Un consensus existe au sujet d’une relation stricte entre reflux gastro-œsophagien (RGO), œsophagite et endobrachyœsophage (EBO). Bien que le RGO soit une des pathologies gastroentcrologiques les plus fréquentes, de nombreux facteurs inconnus semblent responsables du développement de ????, qui survient chez une minorité de malades [7 à 23 %]. D’après les données relatives à la prévalence dans la population générale, basées sur les rapports d’autopsie, il semble que la majorité des cas de RGO demeurent non diagnostiqués tout au long de leur vie.

Les hypothèses avancées sur les facteurs en cause concernent le reflux alcalin ou le niveau œsophagien atteint par le liquide reflué. Des études ultérieures sont nécessaires pour parvenir à une compréhension plus satisfaisante de la relation entre œsophagite et EBO, ainsi que l’impact du traitement anti-reflux médical et chirurgical sur la progression de la maladie. La surveillance périodique des formes les plus sévères du RGO et de l’œsophagite semble la plus appropriée, compte tenu de l’incidence élevée de l’??? chez ces patients (16 à 23 %).

Summary

There is general agreement that a strict relationship exists between gastroesophageal reflux disease (GERD), esophagitis, and Barrett’s esophagus (BE). Being GERD one of the most frequent gastroenterological condition, still unknown factors are responsible for the development of BE, which occurs only in a minority of patients (7 to 23 %). From prevalence data in general population inferred from autopsy report, it seems that the majority of cases of BE remain undiagnosed during lifetime.

Hypotheses are advanced on the relevance of factors such as alcaline reflux, or the intraesophageal level of reflux. At the present time, there is need for further studies in order to achieve a more satisfactory understanding of the relationship between esophagitis and BE, and the impact of surgical and medical antireflux therapy on the progression of the disease. Periodic surveillance of the more severe forms of GERD and esophagitis seems to be appropriate because of the quite high incidence of BE (16 to 23 %) in these patients.

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RéFéRENCES

  1. ATTWOOD S.E.A., DE MEESTER T.R., BREMNER C.G., BARLOW A.P., HINDER R.A. - Alkaline gas- troesofageal reflux: implications in the development of complications in Barrett’columnar-lined lower esophagus.Surgery, 1989,106, 764–770.

    PubMed  CAS  Google Scholar 

  2. BALDI F., CORINALDESI R., FERRARINI F., STAN-GHELLINI V., MIGLIOLI M., BARBARA L. - Gastric secretion and emptying of liquids in reflux esophagitis.Dig. Dis. Sci., 1981,97, 886–889.

    Article  Google Scholar 

  3. BORRIE G., GOLDWATER L. - Columnar cell lined esophagus: Assesment of etiology and treatment : A 22 years experience.J. Thorac. Cardiovasc. Surg., 1976,71, 825–834.

    PubMed  CAS  Google Scholar 

  4. BROSSARD E., OLLYO J.B., MONNIER P.H. et al. - Columnar-type epithelium (Barrett’s epithelium) develops after healing in 18 % of adults with erosive of ulcerative reflux esophagitis. Gaslroenterology, 1991, 100, A36 (Abstract).

  5. BURBIGE E.J., RADIGAN J.J. - Characteristics of the columnar-cell lined (Barrett’s) esophagus.Gastrointest. Endosc, 1979,25, 133–136.

    Article  PubMed  CAS  Google Scholar 

  6. BURNS T.W., VENTURATOS S.G. - Esophageal motor function and response to acid perfusion in patients with symptomatic reflux esophagitis.Dig. Dis. Sci., 1985,30, 529–535.

    Article  PubMed  CAS  Google Scholar 

  7. CAMERON A.J., PAYNE W.S. - Barrett’s esophagus occurring as a complication of scleroderma.Mayo Clin. Proc, 1978,53, 612–615.

    PubMed  CAS  Google Scholar 

  8. CAMERON A.J., ZINSMEISTER AR., BALLARD D.J., CARNEY J.A. - Prevalence of columnar lined (Barrett’s) esophagus. Comparison of population-based clinical and autopsy findings.Gastroenterology, 1990,99, 918–922.

    PubMed  CAS  Google Scholar 

  9. COOPER B.T., BARBEZAT G.O. - Barrett’s esophagus: a clinical study of 52 patients.Q. J. Med., 1987,62, 97–108.

    PubMed  CAS  Google Scholar 

  10. DEMEESTER T.R., ATTWOOD S.E., SMYRK T.C. etal. - Surgical therapy in Barrett’s esophagus.Ann. Surg., 1990,212, 528–540.

    Article  PubMed  CAS  Google Scholar 

  11. DODDS W.J., HOGAN W.J., HELM J.F. and DENT J. - Pathogenesis of reflux esophagitis.Gastroenterology, 1981,87, 376.

    Google Scholar 

  12. GILCHRIST A.M., LEVINE M.S., CARR R.F., SAUL S.H., KATZKA D.A., HERLINGER H., laufer I. - Barrett’s esophagus-diagnosis by double contrast esophagography.Am. J. Roentgenoi, 1988,150, 97–102.

    CAS  Google Scholar 

  13. GILLISON E.W., DE CASTRO V.A.M., NYHUS L.M., KUSAKARI K., BOMBECK C.T. - The significance of bile in reflux esophagitis.Surgery Gynecol. Obstet., 1972,134, 419–424.

    CAS  Google Scholar 

  14. GOLDMAN M.C., BECKMAN R.C. - Barrett syndrome: case report with discussion about concepts of a pathogenesis.Gastroenterology, 1960,39, 104–110.

    PubMed  CAS  Google Scholar 

  15. GORE S., SUTTON R., EYRE-BROOK I.A. et al. - Regression of columnar epithelium in Barrett’s esophagus with omeprazole. Gut, 1990,31, A 1191 (abstract).

  16. Gruppo Operativo per lo Studio delle Precancerosi dell’ Esofago (GOSPE): Barrett’s esophagus : epidemiological and clinical results of a multicentric survey.Int. J. Cancer., 1991,48, 364–368.

    Article  Google Scholar 

  17. HALVORSEN J.F., SENIB B.K.H. - The Barrett syndrome: an acquired condition secondary to reflux esophagitis.Acta Chir. Scand., 1975,141, 683–687.

    PubMed  CAS  Google Scholar 

  18. HERLIHY K.J., ORLANDO R.C, BRYSON C, BOZYMSKL E.M., CARNEY C.N., POWELL D.W. - Barrett’s esophagus: clinical, endoscopic, histologie, mano- metric and electrical potential difference characteristics.Gastroenterology, 1984,86, 436–443.

    PubMed  CAS  Google Scholar 

  19. HOWARD P.J., MAHER J., PRYDE A., HEADING R.C. - Symptomatic gastroesophageal reflux, abnormal acid exposure and mucosal acid sensitivity are three separated, though related, aspects of gastroesophageal reflux disease.Gut, 1991,32, 128–132.

    Article  PubMed  CAS  Google Scholar 

  20. JOHNSSON F., JOELSSON B., GUDMUNDSSON K., GREIFF L. - Symptoms and endoscopic findings in the gastroesophageal reflux disease.Scand. J. Gastroenterol, 1987,22, 714–718.

    Article  PubMed  CAS  Google Scholar 

  21. KAHRILAS P.J., DODDS W.J., HOGAN W.J., KERN M., ARNDORFER R.C., REECE A. - Esophageal peristaltic dysfunction in peptic esophagitis.Gastroenterology, 1986,91, 897–904.

    PubMed  CAS  Google Scholar 

  22. KORTAN P., WARREN R.E., GARDNER J., GINSBERG R.J., DIAMANT N.E. -Barretts esophagus in a patient with surgically treated achalasia.J. Clin. Gastroenterol., 1981,3, 357–360.

    Article  PubMed  CAS  Google Scholar 

  23. MADDERN G.J., CHATTERTON BE., COLLINS P.J., HOROWITZ M., SHEARMAN D.J.C., JAMIESON G.G. - Solid and liquid gastric emptying in patients with gastroesophageal reflux. British journal of surgery. 1985,72, 344–347.

    Article  PubMed  CAS  Google Scholar 

  24. MANN N.S., TSAI M.F., NAIR P.K. - Barrett’s esophagus in patients with symptomatic reflux esophagitis.Am. J. Gastroenterol., 1989,84, 1494–1496.

    PubMed  CAS  Google Scholar 

  25. MCCALLUM R.W., BERKOWITZ D.M., LERNER E. - Gastric emptying in patients with gastroesophageal reflux.Gastroenterology, 1981,80, 285–291.

    PubMed  CAS  Google Scholar 

  26. MOSSBERG S.M. - The columnar-lined esophagus (Barrett syndrome): an acquired condition?Gastroenterology, 1966,50, 671–676.

    PubMed  CAS  Google Scholar 

  27. NAEF A.P., SAVARY M., OZZELLO L. - Columnarlined lower esophagus: an acquired lesion with malignant predisposition.J. Thorac. Cardiovasc. Surg., 1975,70, 826–835.

    PubMed  CAS  Google Scholar 

  28. NEBEL O.T., FORNES M.F., CASTELL D.O. - Symptomatic gastroesophageal reflux: incidence and precipitating factors.Am. J. Dig. Dis. Sci., 1976,21, 953–956.

    Article  CAS  Google Scholar 

  29. ORTIZ ESCANDELL A., MARTINEZ DE HARO L.F., PARILLA PARFCIO P., MOLINA MARTINEZ J., AGUAYO ALBASINI J.L., MARTINEZ GOMEZ D. - Quantification of Gastroesophageal reflux in Barrett’s esophagus.Rev. Esp. Enferm. Dig., 1990,77, 171–175.

    PubMed  CAS  Google Scholar 

  30. OVASKA J., MIETTINEN M.. KIVILAAKSO E. - Adenocarcinoma arising in Barrett’s esophagus.Dig. Dis. Sci., 1989,34, 1336–1339.

    Article  PubMed  CAS  Google Scholar 

  31. PACE F., SANTALUCIA F., BIANCHI PORRO G. - Natural history of gastroesophageal reflux disease without oesophagitis.Gut, 1991,32, 854–858.

    Article  Google Scholar 

  32. PALMER E.D. - The hiatus hernia-esophagitis-esopha- geal stricture complex. Twenty-year prospective study.Am. J. Med., 1968,44, 566–579.

    Article  PubMed  CAS  Google Scholar 

  33. PATEL G.K., CLIFF S.A., READ R.C. - Mechanism of gastroesophageal reflux (GER) in patients with Barrett’s esophagus (abstract).Gastroenterology, 1982,82, 1146.

    Google Scholar 

  34. PHILLIPS R.W., WONG R.K. - Barrett’s esophagus. Natural history, incidence, etiology, and complications.Gastroenterol. Clin. North. Am., 1991,20, 791–816.

    PubMed  CAS  Google Scholar 

  35. PUJIOL P., TOSSO H., RAVENBAKHT M., BRULEY DES VARANNES S., CLOAREC D., GALMICHE J.P. - Acid gastroesophageal reflux in Barrett’s esophagus.Z. Gastroenterol., 1989,27, 50–53.

    Google Scholar 

  36. ROTHERY G.A., PATTERSON J.E., STODARD C.J., DAY D.W. - Histological and histochemical changes in the columnar-lined (Barrett’s) oesophagus.Gut, 1986,27, 1062–1068.

    Article  PubMed  CAS  Google Scholar 

  37. SAMPLINER R. - Antireflux surgery and Barrett’s esophagus regression: Wheel of fortune, or to tell the truth?Am. J. Gastroenterol., 1991,86, 645–646.

    PubMed  CAS  Google Scholar 

  38. SARR M.G., HAMILTON S.R., MARRONE G.C., CAMERON J.L. - Barrett’s esophagus: its prevalence and association with adenocarcioma in patients with symptoms of gastroesophageal reflux.Am. J. Surg., 1985,149, 187–193.

    Article  PubMed  CAS  Google Scholar 

  39. SCHNELL TV., SONTAG S.J., MILLER T., CHEJFEC G., KURUCAR C, OCONNELL S.- Are there indentifiable risk factors for the presence of Barrett’s esophagus in patients with gastroesophageal reflux?Gastroenterology, 1991,100, A156 (abstract).

    Google Scholar 

  40. SCHWEITZER E.J., HARMON J.W., BASSBLAND BATZRI S. - Bile acid reflux precedes mucosal barrier disruption in the rabbit esophagus.Am. J. Physiol., 1984,247, G480.

    PubMed  CAS  Google Scholar 

  41. STARNES VA., ADKINS R.B., BALLINGER J.F., SAWYERS J.L. - Barrett’s esophagus: a surgical entity.Arch. Surg., 1984,119, 563–567.

    PubMed  CAS  Google Scholar 

  42. SYMONDS DA., RAMSEY H.E. - Adenocarcinoma arising in Barrett’s esophagus with Zollinger Ellison syndrome.Am. J. din. Pathol., 1980,73, 823–826.

    CAS  Google Scholar 

  43. WARING J.P., LEGRAND J., CHINICHIAN A., SANOWSKI R.A. - Duodenogastric reflux in patients with Barrett’s esophagus.Dig. Dis. Sci., 1990,35, 759–762.

    Article  PubMed  CAS  Google Scholar 

  44. WESDORP I.C., BARTELSMAN J., SCHIPPER M.E.I., TYTGAT G.N.- Effect of long term treatment with cimetidine and antacids in Barrett’s esophagus.Gut, 1981,22, 724–727.

    Article  PubMed  CAS  Google Scholar 

  45. WILLIAMSON W.A., ELLIS F.H. Jr., GIBB S.P., SHAHIAN D.M., ARETZ HT. - Effect of antireflux operation on Barrett’s mucosa.Ann. Thorac. Surg., 1990,49, 537–542.

    Article  PubMed  CAS  Google Scholar 

  46. WINTERS C. Jr., SPURLING T.J., CHOBANIAN S.J., CURTIS D.J., ESPOSITO R.L., HACKER J.F. 3rd, JOHNSON D.A., CRUESS D.F., COTELINGAM J.D., GURNEY M.S. et al. - Barrett’s esophagus: a prevalent, occult complication of gastroesophageal reflux disease.Gastroenterology, 1987,92, 118–124.

    PubMed  Google Scholar 

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  1. Istituto Regina Elena, Roma, Italy

    P. Fracasso, V. Stigliano & M. Crespi

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Fracasso, P., Stigliano, V. & Crespi, M. Relations entre œsophagite et endobrachyœsophage. Acta Endosc 22, 461–466 (1992). https://doi.org/10.1007/BF02965108

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