{"id":9058,"date":"2026-08-25T16:12:52","date_gmt":"2026-08-25T14:12:52","guid":{"rendered":"https:\/\/reseau-amylose.org\/jesuissoignant\/?page_id=9058"},"modified":"2026-08-25T16:40:30","modified_gmt":"2026-08-25T14:40:30","slug":"pour-le-gastro-enterologue","status":"publish","type":"page","link":"https:\/\/reseau-amylose.org\/jesuissoignant\/pour-le-gastro-enterologue\/","title":{"rendered":"Pour le Gastro-ent\u00e9rologue"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"9058\" class=\"elementor elementor-9058\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-78146bb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"78146bb\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a84baca\" data-id=\"a84baca\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-22997e7 elementor-widget elementor-widget-heading\" data-id=\"22997e7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Pour le Gastro-ent\u00e9rologue<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5ef0619 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"5ef0619\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9b8de46 elementor-widget elementor-widget-heading\" data-id=\"9b8de46\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">L'amylose cardiaque et ses troubles digestifs<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f78212c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f78212c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-79f0a54\" data-id=\"79f0a54\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c64f271 elementor-widget elementor-widget-text-editor\" data-id=\"c64f271\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>Beaucoup de patients amylo\u00efdes n&rsquo;auront jamais de sympt\u00f4mes digestifs. Quand ils apparaissent, trois troubles reviennent le plus souvent : la constipation, la diarrh\u00e9e et la gastropar\u00e9sie. Le gastro-ent\u00e9rologue intervient en 2\u00e8me ligne, apr\u00e8s \u00e9chec des mesures de premi\u00e8re intention prises par le cardiologue ou le m\u00e9decin traitant, ou d&#8217;embl\u00e9e devant un signe d&rsquo;alerte. Le tube digestif est \u00e9galement l&rsquo;un des organes cibles pour la biopsie diagnostique de l&rsquo;amylose AL.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-356293f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"356293f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-208061b\" data-id=\"208061b\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-54e4111 elementor-widget elementor-widget-heading\" data-id=\"54e4111\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Points cl\u00e9s pour les professionnels de sant\u00e9<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-289dcec elementor-widget elementor-widget-text-editor\" data-id=\"289dcec\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>La majorit\u00e9 des patients amylo\u00efdes n&rsquo;ont jamais de sympt\u00f4mes digestifs ; quand ils surviennent, ce sont surtout constipation, diarrh\u00e9e et gastropar\u00e9sie.<\/li><li>Deux m\u00e9canismes distincts : infiltration directe de la paroi digestive, ou dysautonomie (atteinte des nerfs de la digestion).<\/li><li>Le gastro-ent\u00e9rologue intervient en 2\u00e8me ligne, apr\u00e8s \u00e9chec des mesures de premi\u00e8re intention (r\u00e8gles hygi\u00e9no-di\u00e9t\u00e9tiques, laxatifs doux, fractionnement des repas).<\/li><li>Une alternance diarrh\u00e9e\/constipation doit faire \u00e9voquer une constipation sous-jacente masqu\u00e9e.<\/li><li>Le tube digestif est un site de biopsie diagnostique pour l&rsquo;amylose AL \u2014 une endoscopie prescrite pour explorer des sympt\u00f4mes peut \u00eatre l&rsquo;occasion d&rsquo;un pr\u00e9l\u00e8vement.<\/li><li>Des signes d&rsquo;alerte (rectorragies, vomissements incoercibles, perte de poids rapide, arr\u00eat du transit, douleurs intenses) imposent une consultation rapide.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f989646 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f989646\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4bb9046\" data-id=\"4bb9046\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a2f5d8d elementor-widget elementor-widget-heading\" data-id=\"a2f5d8d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pourquoi le tube digestif peut-il \u00eatre concern\u00e9 ?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f580f55 elementor-widget elementor-widget-text-editor\" data-id=\"f580f55\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L&rsquo;amylose cardiaque est une maladie o\u00f9 une prot\u00e9ine anormale, dite \u00ab amylo\u00efde \u00bb, s&rsquo;accumule dans certains organes \u2014 principalement le c\u0153ur, mais aussi parfois le tube digestif (\u0153sophage, estomac, intestin). Deux m\u00e9canismes sont possibles, parfois associ\u00e9s :<\/p><ul><li><strong>Infiltration directe : <\/strong>les d\u00e9p\u00f4ts amylo\u00efdes s&rsquo;installent directement dans la paroi du tube digestif.<\/li><li><strong>Dysautonomie : <\/strong>les d\u00e9p\u00f4ts touchent les nerfs qui contr\u00f4lent la digestion, le tube digestif fonctionnant alors au ralenti ou de fa\u00e7on d\u00e9sordonn\u00e9e.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-44edfae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"44edfae\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3c1527f\" data-id=\"3c1527f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0495a82 elementor-widget elementor-widget-heading\" data-id=\"0495a82\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Les trois troubles digestifs les plus fr\u00e9quents<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bd51ba2 elementor-widget elementor-widget-heading\" data-id=\"bd51ba2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Constipation<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc35acb elementor-widget elementor-widget-text-editor\" data-id=\"bc35acb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>M\u00e9canisme : <\/strong>lorsque les nerfs qui commandent l&rsquo;intestin sont touch\u00e9s, le transit ralentit. Les selles restent plus longtemps dans l&rsquo;intestin, deviennent plus dures, entra\u00eenant inconfort, ballonnements, voire une fausse impression de diarrh\u00e9e par \u00ab d\u00e9bordement \u00bb autour de selles bloqu\u00e9es.<\/p><p><strong>Mesures de premi\u00e8re intention (cardiologue\/m\u00e9decin traitant) : <\/strong>alimentation normale en fibres, activit\u00e9 physique quotidienne, hydratation d&rsquo;environ 1 litre d&rsquo;eau par jour (\u00e0 ajuster avec le cardiologue sous diur\u00e9tiques), laxatif doux en premi\u00e8re intention puis traitement plus complet type Macrogol si besoin.<\/p><p><strong>Quand adresser au gastro-ent\u00e9rologue : <\/strong>si la constipation persiste malgr\u00e9 ces mesures.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3695120 elementor-widget elementor-widget-heading\" data-id=\"3695120\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Diarrh\u00e9e<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9751067 elementor-widget elementor-widget-text-editor\" data-id=\"9751067\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>M\u00e9canisme : <\/strong>moins fr\u00e9quente que la constipation, elle touche surtout certaines formes h\u00e9r\u00e9ditaires de la maladie. Elle peut provenir d&rsquo;un d\u00e9r\u00e8glement des nerfs intestinaux ou d&rsquo;une prolif\u00e9ration anormale de bact\u00e9ries dans l&rsquo;intestin gr\u00eale.<\/p><p><strong>Mesures de premi\u00e8re intention : <\/strong>traitement symptomatique ralentisseur du transit si diarrh\u00e9e prolong\u00e9e ; antibioth\u00e9rapie courte si colonisation bact\u00e9rienne suspect\u00e9e ; surveillance de l&rsquo;hydratation et du poids.<\/p><p><span style=\"color: #e8429a\"><strong>\u26a0 Point important : <\/strong>une alternance diarrh\u00e9e\/constipation cache souvent une constipation sous-jacente \u2014 \u00e0 v\u00e9rifier avant de traiter comme une diarrh\u00e9e.<\/span><\/p><p><strong>Quand adresser au gastro-ent\u00e9rologue : <\/strong>si la diarrh\u00e9e persiste malgr\u00e9 ces mesures.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9315473 elementor-widget elementor-widget-heading\" data-id=\"9315473\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Gastropar\u00e9sie<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5b7fa4a elementor-widget elementor-widget-text-editor\" data-id=\"5b7fa4a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>M\u00e9canisme : <\/strong>l&rsquo;estomac se vide plus lentement que la normale. Les aliments stagnent, entra\u00eenant une sensation de lourdeur, une sati\u00e9t\u00e9 pr\u00e9coce, des naus\u00e9es, parfois des vomissements post-prandiaux.<\/p><p><strong>Mesures de premi\u00e8re intention : <\/strong>fractionnement des repas, r\u00e9duction des graisses (plus longues \u00e0 dig\u00e9rer), compl\u00e9ments nutritionnels oraux si l&rsquo;alimentation devient insuffisante, traitements stimulant la vidange gastrique \u00e0 discuter avec le m\u00e9decin traitant.<\/p><p><strong>Quand adresser au gastro-ent\u00e9rologue : <\/strong>si les sympt\u00f4mes persistent, s&rsquo;aggravent, ou si l&rsquo;alimentation devient difficile \u2014 des examens compl\u00e9mentaires ou traitements sp\u00e9cifiques peuvent alors \u00eatre envisag\u00e9s dans les formes s\u00e9v\u00e8res.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-80ee19b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"80ee19b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-0f0aefb\" data-id=\"0f0aefb\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f5289d4 elementor-widget elementor-widget-text-editor\" data-id=\"f5289d4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Signes d&rsquo;alerte n\u00e9cessitant une consultation rapide<\/strong><\/p><ul><li>Selles noires ou sang dans les selles.<\/li><li>Vomissements r\u00e9p\u00e9t\u00e9s ou impossibilit\u00e9 de s&rsquo;alimenter.<\/li><li>Perte de poids rapide et inexpliqu\u00e9e.<\/li><li>Arr\u00eat total des selles et des gaz.<\/li><\/ul><p>Douleurs abdominales intenses et inhabituelles.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-be5140e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"be5140e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b5bc77b\" data-id=\"b5bc77b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a2cdeae elementor-widget elementor-widget-heading\" data-id=\"a2cdeae\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Le r\u00f4le diagnostique du gastro-ent\u00e9rologue<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5cc38ef elementor-widget elementor-widget-text-editor\" data-id=\"5cc38ef\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Au-del\u00e0 de la prise en charge symptomatique, le tube digestif est l&rsquo;un des sites de biopsie utilis\u00e9s pour confirmer et typer une amylose, en particulier l&rsquo;amylose AL \u2014 au m\u00eame titre que la biopsie r\u00e9nale ou h\u00e9patique. Une endoscopie digestive r\u00e9alis\u00e9e pour explorer des sympt\u00f4mes persistants peut ainsi \u00eatre l&rsquo;occasion d&rsquo;un pr\u00e9l\u00e8vement \u00e0 vis\u00e9e diagnostique en cas de suspicion d&rsquo;amylose. Pour les modalit\u00e9s pr\u00e9cises de pr\u00e9l\u00e8vement et de conditionnement (fixation formol + tissu congel\u00e9), voir la page <a href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/pour-lanatomopathologiste\/\" target=\"_blank\" rel=\"noopener\">Pour l&rsquo;Anatomopathologiste<\/a>.<\/p><p>\u00a0<\/p><p>Pour la conduite \u00e0 tenir d\u00e9taill\u00e9e (posologies, algorithmes de traitement) d\u00e9j\u00e0 en place pour le cardiologue et le m\u00e9decin traitant, consultez la page <a href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/symptomes-digestifs-hepatiques\/\" target=\"_blank\" rel=\"noopener\">Sympt\u00f4mes digestifs \u2013 h\u00e9patiques<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-fc92f9b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"fc92f9b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-8a0fd54\" data-id=\"8a0fd54\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-66 elementor-top-column elementor-element elementor-element-39ff2a5\" data-id=\"39ff2a5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5052d30 elementor-widget elementor-widget-button\" data-id=\"5052d30\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/documentation\/documentation-triptyques-reseau-amylose\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">T\u00e9l\u00e9chargez le document patient \u00ab Amylose cardiaque et troubles digestifs \u2014 Parlons-en ! \u00bb<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-16 elementor-top-column elementor-element elementor-element-32accff\" data-id=\"32accff\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-647cec9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"647cec9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2414412\" data-id=\"2414412\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9cadef7 elementor-widget elementor-widget-heading\" data-id=\"9cadef7\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FAQ \u2014 Questions fr\u00e9quentes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d9b650d elementor-widget elementor-widget-toggle\" data-id=\"d9b650d\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2281\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2281\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Quand un patient amylo\u00efde doit-il \u00eatre adress\u00e9 au gastro-ent\u00e9rologue ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2281\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2281\"><p>Lorsque la constipation, la diarrh\u00e9e ou la gastropar\u00e9sie persistent malgr\u00e9 les mesures de premi\u00e8re intention prises par le cardiologue ou le m\u00e9decin traitant, ou d&#8217;embl\u00e9e devant un signe d&rsquo;alerte.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2282\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-2282\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Pourquoi une alternance diarrh\u00e9e\/constipation doit-elle alerter ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2282\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-2282\"><p>Parce qu&rsquo;elle cache souvent une constipation avec fausse diarrh\u00e9e par d\u00e9bordement autour de selles bloqu\u00e9es, plut\u00f4t qu&rsquo;une v\u00e9ritable diarrh\u00e9e.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2283\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-2283\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Le tube digestif peut-il servir au diagnostic de l'amylose ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2283\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-2283\"><p>Oui, la biopsie digestive est l&rsquo;un des sites utilis\u00e9s pour confirmer et typer une amylose AL, au m\u00eame titre que la biopsie r\u00e9nale ou h\u00e9patique.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2284\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-2284\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Quels signes digestifs n\u00e9cessitent une consultation en urgence ?<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2284\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-2284\"><p>Des selles noires ou du sang dans les selles, des vomissements r\u00e9p\u00e9t\u00e9s, une perte de poids rapide inexpliqu\u00e9e, un arr\u00eat total des selles et des gaz, ou des douleurs abdominales intenses et inhabituelles.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-0252515 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"0252515\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f98999d\" data-id=\"f98999d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7b8ed27 elementor-widget elementor-widget-text-editor\" data-id=\"7b8ed27\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les troubles digestifs de l&rsquo;amylose cardiaque \u2014 constipation, diarrh\u00e9e et gastropar\u00e9sie \u2014 r\u00e9sultent soit d&rsquo;une infiltration directe de la paroi digestive par les d\u00e9p\u00f4ts amylo\u00efdes, soit d&rsquo;une dysautonomie touchant les nerfs de la digestion. La majorit\u00e9 des patients n&rsquo;auront jamais de sympt\u00f4mes digestifs. Le gastro-ent\u00e9rologue intervient en seconde ligne, apr\u00e8s \u00e9chec des mesures de premi\u00e8re intention (r\u00e8gles hygi\u00e9no-di\u00e9t\u00e9tiques, laxatifs doux, fractionnement alimentaire) prises par le cardiologue ou le m\u00e9decin traitant. Une alternance diarrh\u00e9e\/constipation doit faire \u00e9voquer une constipation masqu\u00e9e. Au-del\u00e0 de la prise en charge symptomatique, le tube digestif est un site de biopsie diagnostique pour l&rsquo;amylose AL, une endoscopie prescrite pour explorer des sympt\u00f4mes pouvant \u00eatre l&rsquo;occasion d&rsquo;un pr\u00e9l\u00e8vement. Des signes d&rsquo;alerte (rectorragies, vomissements incoercibles, perte de poids rapide, arr\u00eat du transit, douleurs intenses) imposent une consultation rapide.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Pour le Gastro-ent\u00e9rologue L&rsquo;amylose cardiaque et ses troubles digestifs Beaucoup de patients amylo\u00efdes n&rsquo;auront jamais de sympt\u00f4mes digestifs. Quand ils apparaissent, trois troubles reviennent le plus souvent : la constipation, la diarrh\u00e9e et la gastropar\u00e9sie. Le gastro-ent\u00e9rologue intervient en 2\u00e8me ligne, apr\u00e8s \u00e9chec des mesures de premi\u00e8re intention prises par le cardiologue ou le m\u00e9decin [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-9058","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Amylose cardiaque \u2014 Ce que le gastro-ent\u00e9rologue doit savoir - R\u00e9seau Amylose<\/title>\n<meta name=\"description\" content=\"Constipation, gastropar\u00e9sie, diarrh\u00e9e : quand \u00e9voquer une amylose cardiaque devant des troubles digestifs, et quand adresser le patient.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/reseau-amylose.org\/jesuissoignant\/pour-le-gastro-enterologue\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Amylose cardiaque \u2014 Ce que le gastro-ent\u00e9rologue doit savoir - 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