{"id":7707,"date":"2022-04-11T09:00:00","date_gmt":"2022-04-11T09:00:00","guid":{"rendered":"https:\/\/www.hancockhealth.org\/?p=7707"},"modified":"2023-09-06T13:27:53","modified_gmt":"2023-09-06T13:27:53","slug":"surgery-can-help-with-stubborn-acid-reflux-but-it-comes-with-some-downsides","status":"publish","type":"post","link":"https:\/\/www.hancockhealth.org\/fr\/2022\/04\/surgery-can-help-with-stubborn-acid-reflux-but-it-comes-with-some-downsides\/","title":{"rendered":"La chirurgie peut aider en cas de reflux acide tenace, mais elle comporte certains inconv\u00e9nients\ufffc"},"content":{"rendered":"
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\n Conseils de sant\u00e9<\/a> <\/div>\n\n

La chirurgie peut aider en cas de reflux acide tenace, mais elle comporte certains inconv\u00e9nients\ufffc<\/h1>\n\n
\n\n 11 avril 2022<\/span>\n\n
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Personne ne veut vivre avec des br\u00fblures d\u2019estomac chroniques, et il est bon de savoir que vous n\u2019\u00eates pas oblig\u00e9 de le faire. La chirurgie peut \u00eatre une solution pour toute personne dont les br\u00fblures d'estomac persistent malgr\u00e9 les changements de m\u00e9dicaments et de mode de vie, ou pour celles qui souffrent d'une inflammation \u0153sophagienne grave, d'un \u0153sophage de Barrett ou d'un \u0153sophage r\u00e9tr\u00e9ci.<\/p>\n<\/div>

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Bien entendu, la chirurgie n\u2019est pas un choix \u00e0 faire \u00e0 la l\u00e9g\u00e8re et il est important de recueillir autant d\u2019informations que possible avant de le faire. Si vous cherchez un point de d\u00e9part, lisez la suite.<\/p>\n<\/div>

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Causes et traitements du reflux acide <\/strong><\/h2>\n<\/div>
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Une valve sous l\u2019\u0153sophage, lorsqu\u2019elle fonctionne correctement, constitue une barri\u00e8re entre l\u2019acide gastrique et votre \u0153sophage. Lorsque cette valvule devient faible ou endommag\u00e9e, des reflux acides, des br\u00fblures d'estomac, des difficult\u00e9s \u00e0 avaler, des douleurs thoraciques et d'autres sympt\u00f4mes s'ensuivent. Si le reflux devient chronique ou grave, il s\u2019agit d\u2019un reflux gastro-\u0153sophagien (RGO). <\/p>\n<\/div>

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Pour les reflux l\u00e9gers ou mod\u00e9r\u00e9s, changements de style de vie<\/a> font souvent l'affaire. Les options en vente libre sont \u00e9galement une option et des m\u00e9dicaments sur ordonnance sont disponibles. Et lorsque rien de tout cela n\u2019est suffisant, la chirurgie devient envisageable.<\/p>\n<\/div>

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Options chirurgicales<\/strong><\/h2>\n<\/div>
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Le RGO peut entra\u00eener de graves complications qui vont bien au-del\u00e0 de l\u2019inconfort. L'acide gastrique peut entra\u00eener une inflammation de l'\u0153sophage et, si elle persiste, provoquer des saignements, des ulc\u00e8res et des l\u00e9sions tissulaires rendant la d\u00e9glutition difficile. En dernier recours, la chirurgie peut inverser ces complications.<\/p>\n<\/div>

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Fundoplicature<\/a> est l\u2019option standard et peut \u00eatre r\u00e9alis\u00e9e sous forme de chirurgie ouverte ou laparoscopique. Cela n\u00e9cessite quelques jours de pr\u00e9paration, pendant lesquels vous prenez un m\u00e9dicament pour nettoyer les intestins et suivez un r\u00e9gime liquide clair. La chirurgie elle-m\u00eame relie la partie sup\u00e9rieure de l\u2019estomac \u00e0 l\u2019\u0153sophage, renfor\u00e7ant ainsi la valvule afin que l\u2019\u0153sophage puisse gu\u00e9rir. <\/p>\n<\/div>

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Apr\u00e8s une chirurgie ouverte, les patients se r\u00e9tablissent g\u00e9n\u00e9ralement \u00e0 l'h\u00f4pital pendant plusieurs jours et ont besoin de 4 \u00e0 6 semaines pour reprendre une activit\u00e9 normale. La fundoplicature laparoscopique n\u00e9cessite g\u00e9n\u00e9ralement 2 \u00e0 3 jours d'hospitalisation et 2 \u00e0 3 semaines suppl\u00e9mentaires de r\u00e9cup\u00e9ration. Dans les deux cas, manger des aliments mous pendant un certain temps est utile pour permettre \u00e0 l\u2019\u0153sophage de gu\u00e9rir.<\/p>\n<\/div>

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R\u00e9sultats<\/h2>\n<\/div>
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La fundoplicature est g\u00e9n\u00e9ralement r\u00e9ussi<\/a>, avec environ 90% de patients rapportant que leurs sympt\u00f4mes disparaissent, mais environ 10% signalent des difficult\u00e9s \u00e0 avaler et pr\u00e8s de 20% constatent une augmentation des sympt\u00f4mes li\u00e9s aux gaz comme des ballonnements, des flatulences et des \u00e9ructations. <\/p>\n<\/div>

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Si vous envisagez une intervention chirurgicale pour corriger le reflux acide \u2013 ou pour toute autre raison \u2013 et que vous avez des questions, nos chirurgiens ont des r\u00e9ponses. V\u00e9rifier HancockSurgery.com<\/a> pour obtenir des informations sur ce qui se passe avant, pendant et apr\u00e8s la chirurgie, ainsi que des d\u00e9tails sur certaines des proc\u00e9dures que nous effectuons le plus souvent.<\/p>\n<\/div>

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Chronic acid reflux and GERD are uncomfortable. 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