pH-métrie œsophagienne par capsule Bravo®: faut-il réaliser la pose au cours d’une gastroscopie sous sédation ? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2010-12

AUTHORS

F. Mion, J.-C. Letard, S. Roman, F. Zerbib

ABSTRACT

La pH-métrie œsophagienne par capsule télémétrique (système Bravo®) permet un enregistrement plus prolongé et dans des conditions plus physiologiques. Le but de ce travail était d’évaluer, sur une cohorte rétrospective, si les résultats obtenus étaient différents selon le mode d’implantation de la capsule. Une pH-métrie oesophagienne par le système Bravo® a été réalisée chez 145 patients: 85 sans anesthésie ni endoscopie (par voie nasale ou orale) et 60 au cours d’une gastroscopie réalisée sous anesthésie générale. La voie orale est préférable à la voie nasale (35 % d’échec par voie nasale). Le taux d’échec global (échec de l’examen ou enregistrement d’une durée inférieure à 48 heures) ou lié à la pose du dispositif était identique dans les deux groupes. L’enregistrement de 48 heures était disponible chez 123 patients (85 %): la rentabilité diagnostique des 24 heures supplémentaires d’enregistrement était de 18 %, sans différence significative entre les deux groupes. L’implantation du dispositif peut donc se faire avec ou sans gastroscopie: les résultats sont similaires, et le choix dépendra de l’expertise locale et de l’indication de la pH-métrie. More... »

PAGES

424-427

Journal

TITLE

Acta Endoscopica

ISSUE

6

VOLUME

40

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10190-010-0103-2

DOI

http://dx.doi.org/10.1007/s10190-010-0103-2

DIMENSIONS

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