{"id":1943,"date":"2011-10-01T01:00:00","date_gmt":"2011-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/un-rectum-qui-a-de-lestomac\/"},"modified":"2018-10-20T18:40:01","modified_gmt":"2018-10-20T16:40:01","slug":"un-rectum-qui-a-de-lestomac","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/un-rectum-qui-a-de-lestomac\/","title":{"rendered":"Un rectum qui a de l\u2019estomac"},"content":{"rendered":"<p><strong>2011<\/strong><\/p>\n<p><em>G. Barjonet\u00b0, C. Njapoum Tamokoue\u00b0, J.F. Boivin\u00b0\u00b0\u00b0Sce M\u00e9decine B H\u00f4pital Ren\u00e9 Arbeltier 77120 Coulommier<br \/>\n\u00b0\u00b0 Sce d\u2019anatomo-pathologie CH Lagny-Marne la Vall\u00e9e 77405 Lagny sur Marne Cedex<\/em><\/p>\n<p><strong>Endoscopie <\/strong>&#8211; \u00a02011-05-23 &#8211;\u00a0PW &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Un patient de 25 ans, affect\u00e9 d\u2019un l\u00e9ger retard mental et d\u2019une ob\u00e9sit\u00e9 (IMC \u00e0 35), \u00e0 l\u2019alimentation d\u00e9s\u00e9quilibr\u00e9e, consulte en d\u00e9cembre 2010 pour diarrh\u00e9e intermittente depuis octobre 2010 avec parfois naus\u00e9es et pyrosis. Une fibroscopie et coloscopie sont propos\u00e9es et r\u00e9alis\u00e9es le 17\/02\/11. La FOGD est macroscopiquement normale, ainsi que les biopsies de D2, de l\u2019antre et du fundus. La coloscopie totale avec il\u00e9oscopie terminale est \u00e9galement normale ainsi que les biopsies de l\u2019il\u00e9on, du c\u00f4lon droit et gauche, mais il est relev\u00e9 un aspect inhabituel du bas rectum, comportant une plage de muqueuse ovalaire d\u2019environ 2&#215;3 cm avec un plissement \u00ab c\u00e9r\u00e9briforme \u00bb (Photos). Les biopsies \u00e0 ce niveau d\u00e9crivent une muqueuse gastrique fundique avec discr\u00e8te gastrite chronique non active, atrophie glandulaire focale et dystrophie glandulaire micro-kystique. Une rectoscopie de contr\u00f4le sera r\u00e9alis\u00e9e le 01\/04\/11 : aspect identique ; biopsies confirmant l\u2019h\u00e9t\u00e9rotopie gastrique fundique rectale.<br \/>\nMoins d\u2019une cinquantaine de cas ont \u00e9t\u00e9 publi\u00e9s, chez l\u2019enfant ou l\u2019adulte jeune, la discussion n\u2019\u00e9tant pas tranch\u00e9e entre une origine cong\u00e9nitale ou acquise. Une infestation \u00e0 Helicobacter pylori peut entrainer ulc\u00e9ration et h\u00e9morragie. Il n\u2019existe pas de recommandation concernant la surveillance endoscopique de cette anomalie ; un risque de cancerisation a \u00e9t\u00e9 d\u00e9crit. En cas de complication, des traitements anti-H2 semblent avoir \u00e9t\u00e9 propos\u00e9s avec un certain succ\u00e8s, cependant la r\u00e9section  (chirurgicale ou endoscopique) semble alors la m\u00e9thode th\u00e9rapeutique de choix.<br \/>\nIl peut \u00eatre int\u00e9ressant d\u2019avoir vu au moins une fois cette anomalie pour savoir la diagnostiquer rapidement.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2011 G. Barjonet\u00b0, C. Njapoum Tamokoue\u00b0, J.F. Boivin\u00b0\u00b0\u00b0Sce M\u00e9decine B H\u00f4pital Ren\u00e9 Arbeltier 77120 Coulommier \u00b0\u00b0 Sce d\u2019anatomo-pathologie CH Lagny-Marne la Vall\u00e9e 77405 Lagny sur Marne Cedex Endoscopie &#8211; \u00a02011-05-23 &#8211;\u00a0PW &#8211; ________________________________ Un patient de 25 ans, affect\u00e9 d\u2019un l\u00e9ger retard mental et d\u2019une ob\u00e9sit\u00e9 (IMC \u00e0 35), \u00e0 l\u2019alimentation d\u00e9s\u00e9quilibr\u00e9e, consulte en d\u00e9cembre [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[6],"tags":[22],"class_list":["post-1943","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-22"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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