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[Digestive localizations of scleroderma].

R Modigliani

    Annales De Medecine Interne
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    Systemic scleroderma commonly affects the gastro-intestinal tract, causing motility disorders like reflux, dysphagia, and constipation. Treatment focuses on managing these symptoms, as there is no cure.

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    Area of Science:

    • Gastroenterology
    • Rheumatology
    • Pathology

    Context:

    • Systemic scleroderma, a collagen vascular disease, frequently impacts the gastro-intestinal (GI) tract.
    • Over 50% of patients experience GI involvement, with the esophagus, small intestine, colon, and stomach being primary targets.

    Purpose:

    • To detail the mechanisms and clinical manifestations of gastro-intestinal involvement in systemic scleroderma.
    • To outline the spectrum of GI complications and current symptomatic treatment strategies.

    Summary:

    • GI symptoms stem from motility disorders due to nerve damage, smooth muscle atrophy, and fibrous infiltration.
    • Manifestations include esophageal reflux, dysphagia, small intestinal pseudo-obstruction, malabsorption, severe constipation, and acute abdominal emergencies like obstruction or infarction.

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  • Treatment is symptomatic, addressing reflux complications and malabsorption with antibiotics.
  • Impact:

    • Highlights the significant GI burden of systemic scleroderma, emphasizing motility dysfunction as the core issue.
    • Underscores the need for targeted symptomatic management of diverse GI complications in scleroderma patients.