{"id":3607,"date":"2022-06-21T22:12:15","date_gmt":"2022-06-21T22:12:15","guid":{"rendered":"https:\/\/cdhf2022.local\/?post_type=digestive-condition&#038;p=3607"},"modified":"2022-10-25T15:55:02","modified_gmt":"2022-10-25T15:55:02","slug":"oesophage-de-barrett","status":"publish","type":"digestive-condition","link":"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/","title":{"rendered":"\u0152sophage de Barrett"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Apprenez-en davantage sur cette condition unique avec laquelle vivent 800 000 Canadiens.<\/p>\n\n\n<div class=\"wp-block-ub-content-toggle wp-block-ub-content-toggle-block\" id=\"ub-content-toggle-block-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" data-mobilecollapse=\"false\" data-desktopcollapse=\"true\" data-preventcollapse=\"false\" data-showonlyone=\"true\">\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #ffffff; \" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #ffffff;\" aria-controls=\"ub-content-toggle-panel-0-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" tabindex=\"0\">\n\t\t\t<h2 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" style=\"color: #1f1f1f; \">Qu\u2019est-ce que l\u2019\u0153sophage de Barrett?<\/h2>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #e32f68;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-0-f19e6d3c-755c-486e-bc9b-8696d02a53ac\">\n\n<p class=\"wp-block-paragraph\">Le r\u00e9sum\u00e9 infographique sur l\u2019\u0153sophage de Barrett, d\u00e9velopp\u00e9 par Medtronic, d\u00e9crit une maladie provoqu\u00e9e par la modification des cellules de la muqueuse de la partie inf\u00e9rieure de l\u2019\u0153sophage. L\u2019\u0153sophage est le conduit qui fait parvenir la nourriture de la cavit\u00e9 buccale \u00e0 l\u2019estomac.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Environ 800\u00a0000\u00a0Canadiens vivent avec cette maladie et pr\u00e8s de la moiti\u00e9 d\u2019entre eux n\u2019ont aucun sympt\u00f4me. Les personnes atteintes de l\u2019\u0153sophage de Barrett seraient plus \u00e0 risque de d\u00e9velopper un cancer de l\u2019\u0153sophage. Il est donc important qu\u2019elles se soumettent \u00e0 un test de d\u00e9pistage.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/10\/CA-ET-GR-0007-F-CDHF-GERD-InfoGraphic11x17.webp\" alt=\"Qui est \u00e0 risque de d\u00e9velopper l\u2019\u0153sophage de Barrett?\" class=\"wp-image-3608 lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/10\/CA-ET-GR-0007-F-CDHF-GERD-InfoGraphic11x17.webp\" alt=\"Qui est \u00e0 risque de d\u00e9velopper l\u2019\u0153sophage de Barrett?\" class=\"wp-image-3608\"><\/noscript><figcaption>d\u00e9velopp\u00e9 par Medtronic<\/figcaption><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">Quelles sont les causes de l\u2019\u0153sophage de Barrett?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019\u0153sophage de Barrett se retrouve plus fr\u00e9quemment chez les personnes souffrant de\u00a0<a href=\"https:\/\/cdhf.ca\/fr\/digestive-disorders\/gerd\/\">reflux gastro-\u0153sophagien pathologique (RGO)<\/a>. Le RGO est une maladie courante o\u00f9 le contenu de l\u2019estomac, y compris l\u2019acide et la bile, remonte dans l\u2019\u0153sophage. L\u2019\u0153sophage de Barrett serait une r\u00e9ponse de l\u2019organisme qui tenterait de prot\u00e9ger l\u2019\u0153sophage des effets irritants de l\u2019acide et de la bile en changeant le type de muqueuse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Malheureusement, on croit que ce trouble accro\u00eetrait le risque de d\u00e9velopper un\u00a0<a href=\"https:\/\/cdhf.ca\/fr\/digestive-disorders\/esopagheal-cancer\/\"><u>cancer de l\u2019\u0153sophage<\/u><\/a>. La plupart des m\u00e9decins recommandent aux personnes souffrant de ce trouble de subir une endoscopie environ tous les deux ans. Cela permet aux m\u00e9decins de d\u00e9pister le cancer et de commencer un traitement le plus t\u00f4t possible. Dans certains cas, une surveillance par endoscopie sur une base r\u00e9guli\u00e8re est recommand\u00e9e.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Qui est \u00e0 risque de d\u00e9velopper l\u2019\u0153sophage de Barrett?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les personnes les plus \u00e0 risque sont les hommes caucasiens de plus de 50\u00a0ans ayant des ant\u00e9c\u00e9dents familiaux de la maladie et ayant pr\u00e9sent\u00e9 des sympt\u00f4mes de reflux pendant plus d\u2019un an. Pour qu\u2019un diagnostic d\u2019\u0153sophage de Barrett puisse \u00eatre pos\u00e9, les patients soup\u00e7onn\u00e9s d\u2019\u00eatre atteints de la maladie doivent subir une endoscopie et une biopsie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">De nombreuses questions au sujet de ce trouble demeurent sans r\u00e9ponse. On ne comprend pas encore tout \u00e0 fait ce qui pr\u00e9dispose certaines personnes \u00e0 d\u00e9velopper cette maladie. Par cons\u00e9quent, on ne saurait dire si toutes les personnes atteintes du reflux gastro-\u0153sophagien pathologique (RGO) devraient subir un test de d\u00e9pistage de l\u2019\u0153sophage de Barrett ou seulement celles poss\u00e9dant certains facteurs de risque.<\/p>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #ffffff; \" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #ffffff;\" aria-controls=\"ub-content-toggle-panel-1-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" tabindex=\"0\">\n\t\t\t<h2 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" style=\"color: #1f1f1f; \">Signes et sympt\u00f4mes\u00a0<\/h2>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #e32f68;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-1-f19e6d3c-755c-486e-bc9b-8696d02a53ac\">\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/10\/french-2.webp\" alt=\"\" class=\"wp-image-3631 lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/10\/french-2.webp\" alt=\"\" class=\"wp-image-3631\"><\/noscript><figcaption>Infographic developed by Medtronic<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">L\u2019\u0153sophage de Barrett est-il plus fr\u00e9quent chez les personnes atteintes de RGO?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Oui, l\u2019\u0153sophage de Barrett est plus fr\u00e9quent chez les personnes atteintes de RGO. Bien que l\u2019\u0153sophage de Barrett ne pr\u00e9sente souvent aucun sympt\u00f4me \u00e9vident, les personnes atteintes de RGO peuvent pr\u00e9senter les sympt\u00f4mes ci-dessous\u00a0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Br\u00fblures d\u2019estomac<\/li><li>R\u00e9gurgitation<\/li><li>Apn\u00e9e du sommeilDouleur thoracique<\/li><li>Une toux chronique<\/li><li>\u00c9ructation<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019\u0153sophage de Barrett est plus fr\u00e9quent chez les personnes caucasiennes et touche plus d\u2019hommes que de femmes. Une endoscopie permet g\u00e9n\u00e9ralement de le diagnostiquer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Il s\u2019agit d\u2019une chirurgie d\u2019un jour s\u00e9curitaire qui consiste \u00e0 faire passer dans la bouche un tube flexible muni d\u2019une cam\u00e9ra pour examiner la muqueuse de l\u2019\u0153sophage et y pr\u00e9lever un petit \u00e9chantillon de tissu (biopsie).<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/10\/esophagus-1-FR.webp\" alt=\"\" class=\"wp-image-4228 lazyload\" width=\"582\" height=\"166\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/10\/esophagus-1-FR.webp\" alt=\"\" class=\"wp-image-4228\" width=\"582\" height=\"166\"><\/noscript><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">Qu\u2019arrive-t-il si l\u2019\u0153sophage de Barrett n\u2019est pas trait\u00e9?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les patients atteints de ce syndrome ont jusqu\u2019\u00e0 60\u00a0fois plus de risques de d\u00e9velopper un cancer de l\u2019\u0153sophage (ad\u00e9nocarcinome). L\u2019ad\u00e9nocarcinome pr\u00e9sente un faible taux de survie apr\u00e8s cinq ans, soit 14\u00a0%. Les patients atteints de l\u2019\u0153sophage de Barrett touch\u00e9s par les facteurs de risque d\u00e9crits pr\u00e9c\u00e9demment devraient consulter leur m\u00e9decin afin de d\u00e9terminer le traitement le plus efficace pour r\u00e9duire ces risques.<\/p>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #ffffff; \" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #ffffff;\" aria-controls=\"ub-content-toggle-panel-2-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" tabindex=\"0\">\n\t\t\t<h2 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" style=\"color: #1f1f1f; \">D\u00e9pistage et traitement\u00a0<\/h2>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #e32f68;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-2-f19e6d3c-755c-486e-bc9b-8696d02a53ac\">\n\n<h3 class=\"wp-block-heading\">Comment pose-t-on un diagnostic d\u2019\u0153sophage de Barrett?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Il existe plusieurs traitements de l\u2019\u0153sophage de Barrett, mais votre m\u00e9decin voudra tout d\u2019abord poser un diagnostic exact. Si vous pr\u00e9sentez des\u00a0<a href=\"https:\/\/cdhf.ca\/fr\/digestive-disorders\/barretts-esophagus\/living-positively-with-barretts-esophasgus\/\">sympt\u00f4mes de RGO<\/a>\u00a0persistants, votre m\u00e9decin pourrait proc\u00e9der \u00e0 une endoscopie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019\u0153sophage de Barrett est diagnostiqu\u00e9 par endoscopie, une chirurgie d\u2019un jour s\u00e9curitaire qui consiste \u00e0 faire passer dans la bouche un tube flexible muni d\u2019une cam\u00e9ra pour examiner la muqueuse de l\u2019\u0153sophage et y pr\u00e9lever un petit \u00e9chantillon de tissu (biopsie). Bien souvent, l\u2019endoscopiste peut constater un changement dans l\u2019apparence de la muqueuse de l\u2019\u0153sophage, ce qui pourrait sugg\u00e9rer la pr\u00e9sence d\u2019un \u0153sophage de Barrett. Cependant, le diagnostic ne peut \u00eatre pos\u00e9 qu\u2019en examinant soigneusement la biopsie au microscope.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019\u0153sophage de Barrett pourrait accro\u00eetre le risque de d\u00e9velopper un cancer de l\u2019\u0153sophage. La plupart des m\u00e9decins recommandent aux personnes atteintes de l\u2019\u0153sophage de Barrett de subir une endoscopie environ tous les deux ans pour d\u00e9pister un cancer, ce qui permettrait de commencer un traitement le plus t\u00f4t possible. Dans certains cas, une surveillance par endoscopie sur une base r\u00e9guli\u00e8re est recommand\u00e9e.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">M\u00e9dication<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les m\u00e9dicaments suivants r\u00e9duisent l\u2019acidit\u00e9 gastrique et contr\u00f4lent les sympt\u00f4mes du RGO. On y retrouve notamment les antiacides, les inhibiteurs de la pompe \u00e0 protons et les antagonistes des r\u00e9cepteurs H2.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong><strong>Les antiacides agissent\u00a0<\/strong><\/strong>en neutralisant<strong> <\/strong>l\u2019acide pr\u00e9sent dans l\u2019estomac. Ils sont utiles chez les patients pr\u00e9sentant des sympt\u00f4mes intermittents qui n\u00e9cessitent un soulagement rapide. Cependant, pour traiter un ulc\u00e8re, des doses fr\u00e9quentes sont n\u00e9cessaires et des m\u00e9dicaments plus efficaces sont maintenant disponibles.<\/li><li><strong>Les inhibiteurs de la pompe \u00e0 protons <\/strong>sont les m\u00e9dicaments les plus efficaces pour r\u00e9duire l\u2019acidit\u00e9 et traiter les ulc\u00e8res. Ils agissent en bloquant les pompes \u00e0 protons qui s\u00e9cr\u00e8tent de l\u2019acide dans l\u2019estomac et sont les plus efficaces pour bloquer l\u2019acide.<\/li><li><strong>Les antagonistes des r\u00e9cepteurs H2 <\/strong>agissent en bloquant les histamines qui stimulent la s\u00e9cr\u00e9tion d\u2019acide dans l\u2019estomac. Ce sont des m\u00e9dicaments d\u2019ordonnance, mais certains sont maintenant disponibles en vente libre et ne n\u00e9cessitent aucune ordonnance m\u00e9dicale.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Comment traiter l\u2019\u0153sophage de Barrett?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Les options de traitement envisageables varient selon le stade ou la gravit\u00e9 de l\u2019\u0153sophage de Barrett. Un m\u00e9decin pourra vous sugg\u00e9rer l\u2019option la mieux adapt\u00e9e \u00e0 vos besoins.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">La surveillance<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">La surveillance par endoscopie et biopsie est l\u2019une des m\u00e9thodes de traitement pouvant \u00eatre recommand\u00e9es par un m\u00e9decin \u00e0 la suite d\u2019un diagnostic d\u2019\u0153sophage de Barrett. Cela signifie que votre m\u00e9decin effectuera un examen de votre \u0153sophage et pr\u00e9l\u00e8vera un \u00e9chantillon du tissu touch\u00e9. Les examens sont r\u00e9alis\u00e9s \u00e0 une certaine fr\u00e9quence afin de surveiller si la maladie progresse vers des stades avanc\u00e9s. La fr\u00e9quence des examens peut d\u00e9pendre du stade de l\u2019\u0153sophage de Barrett ou de sa gravit\u00e9.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Options relatives \u00e0 l\u2019endoscopie<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Beaucoup d\u2019options de traitement par endoscopie sont offertes pour traiter l\u2019\u0153sophage de Barrett. Elles comportent plusieurs m\u00e9thodes de r\u00e9section des tissus pour \u00e9liminer les muqueuses de l\u2019\u0153sophage atteintes.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Ablation par radiofr\u00e9quence<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.medtronic.com\/ca-fr\/votre-sante\/traitements-therapies\/reflux-disease-testing-treatment\/barretts\/radiofrequency-ablation.html\">L\u2019ablation par radiofr\u00e9quence (ARF)<\/a>\u00a0utilise l\u2019\u00e9nergie thermique pour \u00e9liminer les tissus touch\u00e9s par la maladie tout en pr\u00e9servant les tissus sains sous-jacents. L\u2019ARF est une technologie \u00e9prouv\u00e9e qui r\u00e9duit le risque relatif de progression de la maladie vers le cancer de l\u2019\u0153sophage.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Visionnez la vid\u00e9o ci-dessous con\u00e7ue par Medtronic pour d\u00e9couvrir le fonctionnement du syst\u00e8me d\u2019ablation par radiofr\u00e9quence Barrx<sup>MC<\/sup>\u00a0et pour en apprendre davantage sur les r\u00e9sultats pr\u00e9visibles de cette intervention.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Barrx 360 RFA Balloon Catheter Animation\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/s9khaVztuRo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Histoire d&#8217;un patient d&#8217;ablation par radiofr\u00e9quence<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Mary partage son exp\u00e9rience d&#8217;avoir re\u00e7u un diagnostic d&#8217;\u0153sophage de Barrett et d&#8217;avoir choisi un traitement par ablation par radiofr\u00e9quence.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pour en savoir plus sur l&#8217;ablation par radiofr\u00e9quence, consultez les informations patient de Medtronic. (En anglais uniquement)<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"Barrett\u2019s Esophagus Patient Story\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/9Yh0wjZcBqc?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\">\n\n\n\n<h3 class=\"wp-block-heading\">R\u00e9f\u00e9rences<\/h3>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">R\u00e9f\u00e9rence\u00a01\u00a0: N.\u00a0J.\u00a0Shaheen, P.\u00a0Sharma, B.\u00a0F.\u00a0Overholt et coll., \u00ab\u00a0Radiofrequency ablation in Barrett\u2019s esophagus with dysplasia\u00a0\u00bb,\u00a0<em>The New England Journal of Medicine<\/em>, vol.\u00a0360 (2009), p.\u00a02277\u20112288.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">R\u00e9f\u00e9rence\u00a02\u00a0: K.\u00a0N.\u00a0Phoa, F.\u00a0G.\u00a0Van\u00a0Vilsteren, R.\u00a0E.\u00a0Pouw, B.\u00a0L.\u00a0Weusten et coll., \u00ab\u00a0Radiofrequency ablation vs endoscopic surveillance for patients with Barrett esophagus and low-grade dysplasia: a randomized clinical trial\u00a0\u00bb,\u00a0<em>The Journal of the American Medical Association<\/em>, vol.\u00a0311, n<sup>o<\/sup>\u00a012 (26\u00a0mars\u00a02014), p.\u00a01209\u20111217.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">R\u00e9f\u00e9rence\u00a03\u00a0: W.\u00a0A.\u00a0Wolf, S.\u00a0Pasricha, C.\u00a0Cotton et coll., \u00ab\u00a0Incidence of Esophageal Adenocarcinoma and Causes of Mortality after Radiofrequency Ablation of Barrett\u2019s esophagus\u00a0\u00bb,\u00a0<em>Gastroenterology<\/em>, vol.\u00a0149 (2015), p.\u00a01752\u20111761.<\/p>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #ffffff; \" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #ffffff;\" aria-controls=\"ub-content-toggle-panel-3-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" tabindex=\"0\">\n\t\t\t<h2 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" style=\"color: #1f1f1f; \">Statistiques<\/h2>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #e32f68;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-3-f19e6d3c-755c-486e-bc9b-8696d02a53ac\">\n\n<h3 class=\"wp-block-heading\">Statistiques relatives \u00e0 l\u2019\u0153sophage de Barrett:<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>L\u2019\u0153sophage de Barrett est une maladie provoqu\u00e9e par la modification des cellules de la muqueuse de la partie inf\u00e9rieure de l\u2019\u0153sophage.<\/li><li>L\u2019\u0153sophage de Barrett peut entra\u00eener un ad\u00e9nocarcinome de l\u2019\u0153sophage.<\/li><li>Environ 0,5\u00a0% des personnes qui en sont atteintes d\u00e9veloppent un cancer de l\u2019\u0153sophage (Soci\u00e9t\u00e9 canadienne du cancer, 2018).<\/li><li>La pr\u00e9valence estim\u00e9e de l\u2019\u0153sophage de Barrett est de 2 \u00e0 7\u00a0% (Mac\u00edas-Garc\u00eda et coll., 2016)<\/li><li>L\u2019\u0153sophage de Barrett serait le r\u00e9sultat d\u2019un reflux gastro-\u0153sophagien pathologique (RGO). De 10 \u00e0 15\u00a0% des cas de RGO se d\u00e9t\u00e9rioreront en \u0153sophage de Barrett (Schlottmann et coll., 2018)<\/li><\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img decoding=\"async\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/10\/french-GERD-infographic-663x1024.webp\" alt=\"\" class=\"wp-image-3640 lazyload\"><noscript><img decoding=\"async\" src=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/10\/french-GERD-infographic-663x1024.webp\" alt=\"\" class=\"wp-image-3640\"><\/noscript><figcaption>Infographic from Medtronic<\/figcaption><\/figure>\n<\/div>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity is-style-wide\">\n\n\n\n<h3 class=\"wp-block-heading\">R\u00e9f\u00e9rences:<\/h3>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Soci\u00e9t\u00e9 canadienne du cancer, Cancer de l\u2019\u0153sophage\u00a0\u2013 \u00c9tats pr\u00e9canc\u00e9reux de l\u2019\u0153sophage, 2008.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Mac\u00edas-Garc\u00eda et J.\u00a0E.\u00a0Dom\u00ednguez-Mu\u00f1oz, \u00ab\u00a0Update on management of Barrett\u2019s esophagus\u00a0\u00bb,\u00a0<em>World Journal of Gastrointestinal Pharmacology and Therapeutics<\/em>, vol.\u00a07, n<sup>o<\/sup>2 (6\u00a0mai\u00a02016), p.\u00a0227\u2011234.<\/p>\n\n\n\n<p class=\"has-small-font-size wp-block-paragraph\">Schlottmann et coll., \u00ab\u00a0Gastroesophageal reflux and Barrett\u2019s esophagus: A pathway to esophageal adenocarcinoma\u00a0\u00bb,\u00a0<em>Updates in Surgery<\/em>\u00a0(23\u00a0Juillet\u00a02018).<\/p>\n\n<\/div>\n\t\t<\/div>\n\n<div class=\"wp-block-ub-content-toggle-accordion\" style=\"border-color: #ffffff; \" id=\"ub-content-toggle-panel-block-\">\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-title-wrap\" style=\"background-color: #ffffff;\" aria-controls=\"ub-content-toggle-panel-4-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" tabindex=\"0\">\n\t\t\t<h2 class=\"wp-block-ub-content-toggle-accordion-title ub-content-toggle-title-f19e6d3c-755c-486e-bc9b-8696d02a53ac\" style=\"color: #1f1f1f; \">Questions fr\u00e9quemment pos\u00e9es<\/h2>\n\t\t\t<div class=\"wp-block-ub-content-toggle-accordion-toggle-wrap right\" style=\"color: #e32f68;\"><span class=\"wp-block-ub-content-toggle-accordion-state-indicator wp-block-ub-chevron-down\"><\/span><\/div>\n\t\t<\/div>\n\t\t\t<div role=\"region\" aria-expanded=\"false\" class=\"wp-block-ub-content-toggle-accordion-content-wrap ub-hide\" id=\"ub-content-toggle-panel-4-f19e6d3c-755c-486e-bc9b-8696d02a53ac\">\n\n<h3 class=\"wp-block-heading\">Foire aux questions sur l\u2019\u0153sophage de Barrett<\/h3>\n\n\n\n<p class=\"question wp-block-paragraph\"><strong>Quels en sont les sympt\u00f4mes?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Aucun sympt\u00f4me ne distingue l\u2019\u0153sophage de Barrett, outre les sympt\u00f4mes habituels du reflux gastro-\u0153sophagien pathologique (ou RGO), dont les br\u00fblures d\u2019estomac, les douleurs \u00e0 la poitrine et la r\u00e9gurgitation.<\/p>\n\n\n\n<p class=\"question wp-block-paragraph\"><strong>Qui est \u00e0 risque?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Les patients atteints du RGO sont plus \u00e0 risque de d\u00e9velopper l\u2019\u0153sophage de Barrett, ainsi que les hommes caucasiens de plus de 50\u00a0ans pr\u00e9sentant des sympt\u00f4mes de RGO chronique. D\u2019autres facteurs de risque comprennent le diagnostic de l\u2019\u0153sophage de Barrett \u00e0 un jeune \u00e2ge ou des ant\u00e9c\u00e9dents familiaux de cette maladie. Un surplus de poids ou l\u2019ob\u00e9sit\u00e9 (indice de masse corporelle de 25 \u00e0 30) double pratiquement les risques d\u2019une personne de d\u00e9velopper le\u00a0<a href=\"https:\/\/cdhf.ca\/fr\/digestive-disorders\/esopagheal-cancer\/\">cancer de l\u2019\u0153sophage<\/a>.<\/p>\n\n\n\n<p class=\"question wp-block-paragraph\"><strong>Comment pose-t-on un diagnostic d\u2019\u0153sophage de Barrett?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019\u0153sophage de Barrett ne peut pas \u00eatre diagnostiqu\u00e9 uniquement d\u2019apr\u00e8s ses sympt\u00f4mes. Une endoscopie digestive haute doit \u00eatre r\u00e9alis\u00e9e par un gastroent\u00e9rologue afin qu\u2019un diagnostic puisse \u00eatre pos\u00e9. L\u2019intervention permet au m\u00e9decin d\u2019observer directement l\u2019\u0153sophage et d\u2019y pr\u00e9lever des \u00e9chantillons de tissu.<\/p>\n\n\n\n<p class=\"question wp-block-paragraph\"><strong>Comment un m\u00e9decin soigne-t-il un patient atteint de l\u2019\u0153sophage de Barrett?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si le syndrome est d\u00e9tect\u00e9, il est important de r\u00e9aliser des gastroscopies r\u00e9guli\u00e8res avec biopsies de l\u2019\u0153sophage pour d\u00e9pister et traiter une dysplasie ou un cancer pr\u00e9coce avant que le probl\u00e8me ne s\u2019aggrave. Le plan de traitement variera en fonction des r\u00e9sultats de la biopsie. Plusieurs options de traitement sont offertes lorsque l\u2019on d\u00e9piste une dysplasie de haut grade ou un cancer pr\u00e9coce. Ces options comprennent l\u2019ablation par radiofr\u00e9quence, pour \u00e9liminer le tissu dysplasique tout en pr\u00e9servant les tissus sains sous-jacents, et l\u2019intervention chirurgicale, o\u00f9 l\u2019on pratique une r\u00e9section de la partie atteinte de l\u2019\u0153sophage.<\/p>\n\n\n\n<p class=\"question wp-block-paragraph\"><strong>Existe-t-il des options de traitement?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Oui, il a \u00e9t\u00e9 d\u00e9montr\u00e9 que le traitement avec la technologie d\u2019ablation par radiofr\u00e9quence r\u00e9duit la progression de la maladie en retirant les tissus pr\u00e9canc\u00e9reux de l\u2019\u0153sophage. Les patients atteints de l\u2019\u0153sophage de Barrett qui sont trait\u00e9s par l\u2019ablation par radiofr\u00e9quence ont moins de risque que la maladie \u00e9volue en cancer de l\u2019\u0153sophage, en comparaison des patients sous surveillance.<\/p>\n\n\n\n<p class=\"question wp-block-paragraph\"><strong>J\u2019ai re\u00e7u un diagnostic d\u2019\u0153sophage de Barrett. Est-ce que cela signifie que je vais d\u00e9velopper un cancer de l\u2019\u0153sophage?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Parfois, les cellules de la partie inf\u00e9rieure de l\u2019\u0153sophage sont remplac\u00e9es par des cellules cylindriques ressemblant \u00e0 celles de l\u2019estomac et de l\u2019intestin gr\u00eale. Ce changement d\u2019aspect est appel\u00e9 \u0153sophage de Barrett. L\u2019\u0153sophage de Barrett pourrait accro\u00eetre le risque de d\u00e9velopper un cancer de l\u2019\u0153sophage. La maladie peut \u00eatre ma\u00eetris\u00e9e \u00e0 l\u2019aide de m\u00e9dicaments. Votre m\u00e9decin doit surveiller attentivement l\u2019\u00e9tat des cellules de votre \u0153sophage afin de r\u00e9duire au minimum le risque de d\u00e9velopper un cancer.<\/p>\n\n\n\n<p class=\"question wp-block-paragraph\"><strong>Si je suis atteint de l\u2019\u0153sophage de Barrett, vais-je d\u00e9velopper un cancer de l\u2019\u0153sophage?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019\u0153sophage de Barrett pourrait accro\u00eetre le risque de d\u00e9velopper un cancer de l\u2019\u0153sophage. Cependant, le risque r\u00e9el de d\u00e9velopper un cancer de l\u2019\u0153sophage chez les personnes atteintes de ce syndrome demeure controvers\u00e9. La plupart des m\u00e9decins recommandent aux personnes atteintes de l\u2019\u0153sophage de Barrett de subir une endoscopie environ tous les deux ans pour d\u00e9pister un cancer, ce qui permettrait de commencer un traitement le plus t\u00f4t possible. Dans certains cas, une surveillance par endoscopie sur une base r\u00e9guli\u00e8re est recommand\u00e9e.<\/p>\n\n<\/div>\n\t\t<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>Apprenez-en davantage sur cette condition unique avec laquelle vivent 800 000 Canadiens.<\/p>\n","protected":false},"author":1,"featured_media":259,"template":"","categories":[125],"tags":[87,136],"class_list":["post-3607","digestive-condition","type-digestive-condition","status-publish","has-post-thumbnail","hentry","category-home-dig-con-fr","tag-acid-reflux-fr","tag-rgo"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u0152sophage de Barrett - Canadian Digestive Health Foundation<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0152sophage de Barrett - Canadian Digestive Health Foundation\" \/>\n<meta property=\"og:description\" content=\"Apprenez-en davantage sur cette condition unique avec laquelle vivent 800 000 Canadiens.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/\" \/>\n<meta property=\"og:site_name\" content=\"Canadian Digestive Health Foundation\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/CDHFdn\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-25T15:55:02+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/barretts-esophagus.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"2000\" \/>\n\t<meta property=\"og:image:height\" content=\"1333\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@TheCDHF\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/\",\"url\":\"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/\",\"name\":\"\u0152sophage de Barrett - Canadian Digestive Health Foundation\",\"isPartOf\":{\"@id\":\"https:\/\/cdhf.ca\/fr\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/barretts-esophagus.webp\",\"datePublished\":\"2022-06-21T22:12:15+00:00\",\"dateModified\":\"2022-10-25T15:55:02+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\/\/cdhf.ca\/fr\/digestive-conditions\/oesophage-de-barrett\/#primaryimage\",\"url\":\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/barretts-esophagus.webp\",\"contentUrl\":\"https:\/\/cdhf.ca\/wp-content\/uploads\/2022\/06\/barretts-esophagus.webp\",\"width\":2000,\"height\":1333,\"caption\":\"Close up of sick man suffering from throat problems, grey background, isolated. 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