Indications émergentes de la radiofréquence endoscopique View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-03

AUTHORS

A. Becq, M. Camus, G. Rahmi, V. de Parades, A. Laquière, C. Boustière, P. Marteau, X. Dray

ABSTRACT

La radiofréquence (RF) est un traitement validé de l’endobrachyoesophage dysplasique. Cette revue de la littérature a pour objectif d’évaluer les techniques, l’efficacité et les effets indésirables de la RF endoscopique dans d’autres indications, émergentes. Quatre études prospectives (total 69 patients) ont montré que la RF permettait d’obtenir une rémission complète de néoplasies intraépithéliales oesophagiennes malpighiennes en dysplasie de haut grade ou avec carcinome épidermoïde in situ dans 80 % des cas, avec cependant un risque substantiel de sténoses oesophagiennes proximales. Dans l’indication des ectasies vasculaires antrales de l’estomac, une étude pilote prospective (six patients), une étude prospective monocentrique ouverte (21 patients) et une étude rétrospective multicentrique (24 patients) montrent que la RF semble un traitement efficace en termes de diminution du recours aux transfusions. Une étude prospective ouverte monocentrique (39 patients) et une étude rétrospective multicentrique (17 patients) suggèrent que la RF est un traitement efficace de la rectopathie radique hémorragique chronique. Une étude rétrospective comparative (64 patients) montre que la radiofréquence améliore la durée de perméabilité des prothèses dans les situations de sténoses biliaires malignes. Une étude pilote suggère que la RF endobiliaire peut également être une option intéressante dans les sténoses biliaires bénignes réfractaires. Les données sont encore limitées concernant la radiofréquence lors de ponction sous échoendoscopie pour des cancers du pancréas localement avancés non réséquables et pour les traitements des adénopathies médiastinales. La radiofréquence endoscopique est une modalité thérapeutique qui ouvre de nouvelles perspectives dans la destruction des néoplasies intraépithéliales oesophagiennes malpighiennes à un stade précoce, dans le traitement hémostatique de lésions vasculaires digestives (ectasies vasculaires antrales de l’estomac et rectopathie radique hémorragique) et dans les maladies biliaires. More... »

PAGES

122-131

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10190-015-0437-x

DOI

http://dx.doi.org/10.1007/s10190-015-0437-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1044479677


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