Prise en charge des corps étrangers du tractus digestif (notice n° 663148)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 03943cam a2200325 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121193239.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Britschu, Océane |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Prise en charge des corps étrangers du tractus digestif |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2021.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 43 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | L’ingestion de corps étrangers représente la deuxième indication d’endoscopie en urgence. Elle concerne les enfants dans plus de 70 % des cas. Chez l’adulte, ce sont les impactions alimentaires qui sont les plus fréquentes ; elles doivent systématiquement faire chercher une maladie œsophagienne sous-jacente. Diagnostiquer l’ingestion est généralement facile, reposant sur un interrogatoire détaillé et sur des clichés radiographiques. La recherche d’éventuelles complications est indispensable (perforation, fistule, hémorragie, occlusion…). Les objets ingérés sont le plus souvent trouvés dans l’œsophage (80 %) et à moindre mesure dans l’estomac (15 %). Quatre-vingts à 90 % des corps étrangers ingérés progressent spontanément dans le tractus gastro-intestinal. Seuls 10 à 20 % restent impactés, nécessitant un geste endoscopique et moins de 1 % une prise en charge chirurgicale. L’indication et le délai de réalisation d’une endoscopie digestive haute dépendent de plusieurs facteurs, les principaux étant la localisation et le type de corps étranger ingéré. Seuls les corps étrangers obstructifs de l’œsophage, les piles-boutons et objets pointus ou tranchants intra-œsophagiens nécessitent une endoscopie en urgence absolue (< 6 heures). L’extraction endoscopique est un succès dans plus de 92 % des cas et s’associe à un faible risque de complications (< 5 %). Bien que moins fréquents, les corps étrangers intra-rectaux ne sont pas rares ; en cas d’échec d’extraction manuelle ou endoscopique, le recours à la chirurgie est nécessaire. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Foreign body ingestion is the second indication for emergency endoscopy. It affects children in more than 70% of cases. In adults, food impactions are the most frequent; they should systematically be checked for an underlying esophageal pathology. Diagnosis is usually easy, based on detailed questioning and X-ray images. It is essential to look for complications (perforation, fistula, gastro-intestinal bleeding, occlusion ...). Ingested objects are mostly found in the esophagus (80%) and to a lesser extent in the stomach (15%). 80 to 90% of ingested foreign bodies progress spontaneously in the gastrointestinal tract. Only 10 to 20% remain impacted, requiring endoscopic management and less than 1% surgical intervention. The indication and time frame for upper gastro-intestinal endoscopy depend on several factors, the main ones being the location and type of foreign body ingested. Only obstructive foreign bodies from the esophagus, button batteries, magnets and intra-esophageal sharps require an absolute emergency endoscopy (< 6 hours). Endoscopic extraction is successful in over 92% of cases and is associated with a low risk of complications (< 5%). Although less common, intra-rectal foreign bodies are not uncommon; surgery may be necessary in case of manual or endoscopic extraction failure. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | endoscopie en urgence |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | corps étranger |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | impaction alimentaire |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pile-bouton |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dysphagie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | emergency endoscopy |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | food impaction |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | foreign body |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | button batterie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | dysphagia |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Caron, Bénédicte |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Berdugo, Yaniv |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gronier, Olivier |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Hépato-Gastro & Oncologie Digestive | 28 | 1 | 2021-01-01 | p. 38-45 | 2115-3310 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2021-1-page-38?lang=fr&redirect-ssocas=7080">https://shs.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2021-1-page-38?lang=fr&redirect-ssocas=7080</a> |
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