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Introduction
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November 2017 - present
November 2008 - October 2017
Publications
Publications (189)
In many countries, one anastomosis gastric bypass (OAGB) is considered as one of the options in bariatric surgery. It involves creating a long, narrow gastric tube anastomosed inside the small intestine at 150–200 cm downstream of the Treitz angle. In the short, mid-, and long term, OAGB with biliopancreatic limb (BPL) length of 200 cm appears to b...
Background:
Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for managemen...
Background
Gastric sleeve stenosis (GSS) is described in 1-4% of patients.
Objective
To evaluate the role of endoscopy in the management of post Laparoscopic Sleeve Gastrectomy (LSG) stenosis, using a standardized approach according to the characteristic of stenosis.
Setting
Retrospective, observational, single center study on patients referred f...
Background
One anastomosis gastric bypass (OAGB) may expose the patient to certain specific complications. Here, we report the results of conversion of OAGB to Roux-en-Y gastric bypass (RYGB) in terms of outcomes and weight loss.
Methods
Between January 2009 and January 2019, all patients undergoing conversion of OAGB to RYGB because of complicati...
Background and AimsEndoscopy is effective in management of bariatric surgery (BS) adverse events (AEs) but a comprehensive evaluation of long-term results is lacking. Our aim is to assess the effectiveness of a standardized algorithm for the treatment of BS-AE.Patients and Methods
We retrospectively analyzed 1020 consecutive patients treated in our...
Early diagnosis of acute mesenteric ischemia (AMI) remains a clinical challenge, and no biomarker has been consistently validated. We aimed to assess the accuracy of three promising circulating biomarkers for diagnosing AMI—citrulline, intestinal fatty acid-binding protein (I-FABP), and d-lactate. A cross-sectional diagnostic study enrolled AMI pat...
Background
Bariatric surgery is among the therapeutic options for non-alcoholic fatty liver disease (NAFLD), affecting 90% of patients with obesity. The aim of this study was to evaluate the evolution of NAFLD lesions 1 year after surgery using noninvasive markers.Methods
From November 2011 to November 2012, 253 patients with obesity undergoing bar...
Background
Few studies on series comparing sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) after failure of gastric banding (GB) are available. The objective of this study was to compare the short- and medium-term outcomes of SG and RYGB after GB.
Materials and methods
Between January 2006 and December 2017, patients undergoing SG (n =...
This article was updated to correct the author listing, where first and last names were reversed.
Resumen
La cirugía gástrica clásica (antrectomía, gastrectomía 4/5, gastrectomía total) sólo se realiza en la actualidad en la cirugía del cáncer o en el marco de las complicaciones de la enfermedad ulcerosa. En cambio, la cirugía bariátrica está en plena expansión para el tratamiento quirúrgico de la obesidad tras el fracaso del tratamiento médico...
Background
Endoscopy plays a pivotal role in the management of adverse events (AE) following bariatric surgery. Leaks, fistulae and post-operative collection after sleeve gastrectomy (SG) may occur in up to 10% of cases.
Objective
to evaluate the efficacy and safety of Endoscopic Internal Drainage (EID) for the management of leak, fistula and coll...
Background
Gastric leak (GL) is the most highly feared early postoperative complication after sleeve gastrectomy (SG), with an incidence of 1 to 2%. This complication may require further surgery/endoscopy, with a risk of management failure that may require additional surgery, including total gastrectomy, leading to a risk of mortality of 0 to 9%....
Background
The objective of this study was to compare the results of transcatheter arterial embolization (TAE) with surgery in terms of efficacy in the context of bleeding duodenal ulcer (BDU) refractory to endoscopic treatment.Materials and methodsFrom January 2006 to December 2016, all patients treated for a BDU refractory to endoscopic treatment...
Background
Sleeve gastrectomy (SG) has become a frequent bariatric procedure. Single-port sleeve gastrectomy (SPSG) could reduce parietal aggression however its development has been restrained due to fear of a complex procedure leading to increased morbidity and suboptimal sleeve construction. The aim of this study was to compare the short-term out...
Resumen
Face à l’émergence de la pandémie à COVID 19, l’activité de chirurgie bariatrique/métabolique a été arrêtée. Le confinement et l’arrêt de cette chirurgie ont eu un impact sous-estimé sur la population obèse avec prise de poids, et aggravation des comorbidités. Un certain nombre de candidats à cette chirurgie sont exposés à un risque importa...
Bariatric/metabolic surgery was paused during the Covid-19 pandemic. The impact of social confinement and the interruption of this surgery on the population with obesity has been underestimated, with weight gain and worsened comorbidities. Some candidates for this surgery are exposed to a high risk of mortality linked to the pandemic. Obesity and d...
Background
Series comparing gastric banding (GB) removal and sleeve gastrectomy (SG) when procedures are performed as a one-step or a two-step approach are contradictory in their outcomes. No series comparing these approaches with mid-term weight loss are available.
Objectives
Compare the outcomes and weight loss of SG performed as one-step and tw...
Background
Roux-en-Y gastric bypass (RYGB) is considered the gold standard for surgical management of morbid obesity due to its good results on weight loss and correction of comorbidities related to obesity. However, RYGB could have some adverse effect in the mid and long term. Here, we describe simple technique for laparoscopic reversal of RYGB in...
The objective of this work was to review the entire literature on pancreatic surgery in order to best define the surgical indications and the specifics of their management. The bibliographic research was done on Pubmed over the period from January 1995 to June 2015, using French and English as the languages of publication. The two main indications...
Background:
The aim was to analyse the impact of cirrhosis on short-term outcomes after laparoscopic liver resection (LLR) in a multicentre national cohort study.
Methods:
This retrospective study included all patients undergoing LLR in 27 centres between 2000 and 2017. Cirrhosis was defined as F4 fibrosis on pathological examination. Short-term...
Background
Few series are available on the results of repeat sleeve gastrectomy (re-SG) and Roux-en-Y gastric bypass (RYGB) performed to manage the failure of primary sleeve gastrectomy (SG). The objective of this study was to compare the short- and medium-term outcomes of re-SG and RYGB after SG.
Material & Methods
Between January 2010 and Decemb...
Background
Recent studies have reported trocar site hernia (TSH) rates after bariatric surgery ranging from 0 to 45.2% based on imaging assessment. The objective of this study was to evaluate the TSH rate after sleeve gastrectomy (SG) comprising routine 12 mm epigastric trocar site closure (TSC).
Material
Prospective observational study with retro...
Background
Severe obesity is associated with a high prevalence of moderate-to-severe obstructive sleep apnea syndrome (OSA). Bariatric surgery has been shown to effectively reduce excess weight and comorbidities.
Methods
We evaluated the remission rate of moderate-to-severe OSA (apnea-hypopnea index (AHI) ≥ 15) following sleeve gastrectomy. We per...
Background:
The sleeve gastrectomy (SG) can be performed with or without antral preservation (distance from the pylorus < 50mm). The objective of this study was to evaluate the distance between the pylorus and the end of the left vagus nerve in order to determine whether it could be used as a constant anatomical landmark to start gastric transecti...
Introduction
Les éventrations sur orifice de trocarts (TSH) sont sous-estimées après chirurgie bariatrique. L’objectif était d’évaluer le taux de TSH après fermeture du trocart épigastrique (TE) après sleeve gastrectomie (SG).
Méthodes
Étude prospective, avant/après, non randomisée de patients avec fermeture du TE après SG. Le groupe « avant » cor...
Introduction
Peu de séries sont disponibles concernant les résultats de la re-sleeve gastrectomie (re-SG) et Gastrique Bypass en Y (GBP) réalisés lors d’échec de SG. L’objectif de cette étude était de comparer les résultats à court et à moyen terme de la re-SG et du GBP.
Méthodes
Étude rétrospective multicentrique de 144 patients ayant une révisio...
Introduction
Roux-en-Y gastric bypass (RYGB) is considered as the gold standard for surgical management of morbid obesity due to its good results on weight loss and correction of comorbidities related to obesity and its few complication rates. Here, we describe a present strategy for dealing with an unusual complication after RYGB, responsible for...
Background:
To determine whether the timing of removal of abdominal drainage (AD) after pancreatoduodenectomy (PD) influences the 30-day surgical site infection (30-day SSI) rate.
Methods:
A multicenter randomized, intention-to-treat trial with two parallel arms (superiority of early vs. standard AD removal on SSI) was performed between 2011 and...
Day-case surgery (DCS) in digestive surgery is a hot topic, and new indications for DCS in the field of gastrointestinal surgery have recently been described. Laparoscopic sleeve gastrectomy (LSG) has become a popular bariatric procedure in recent years. LSG is a reproducible, standardized procedure with a short operating time and possibly simple p...
Background:
Few series have demonstrated the feasibility of laparoscopic sleeve gastrectomy (SG) as day-case surgery (DCS).
Objective:
Compare the outcomes and healthcare costs of SG performed as DCS or as an inpatient procedure.
Setting:
University Hospital, France, public practice.
Methods:
This was a prospective, nonrandomized study of 25...
Background:
Day-case surgery (DCS) has become increasingly popular over recent years, as has laparoscopic liver resection (LLR) for the treatment of benign or malignant liver tumours. The purpose of this prospective study was to demonstrate the feasibility of minor LLR as DCS.
Methods:
Prospective, intention-to-treat, non-randomised study of pat...
Management of a perforated duodenal ulcer is most commonly performed by laparoscopy and consists of suture of the perforation after performing lavage of the peritoneal cavity. In most cases, a flap is created, and an omental flap is usually the preferred choice because of its simplicity and its proximity to the site of duodenal perforation. However...
Background
Glissonian approach has been described as a selective vascular clamping procedure during hepatectomy based on external anatomical landmarks. Anatomical variations of the right Glissonian pedicle have been identified with an increased risk of clamping failure during Glissonian approach. The objective of this study was to characterize the...
Introduction
L’objectif était de comparer les résultats de l’embolisation et de la chirurgie dans le cadre de l’ulcère duodénal hémorragique (UDH) résistant au traitement endoscopique.
Méthodes
De janvier 2006 à décembre 2016, les patients pris en charge dans le cadre d’un UDH résistant au traitement endoscopique ont été inclus. Le critère de juge...
Introduction
L’objectif de cette étude était de comparer les suites opératoires et les coûts chez les patients ayant une sleeve gastrectomie (SG) en chirurgie ambulatoire (CA) à ceux en hospitalisation conventionnelle (HC).
Matériel et méthode
Étude prospective non randomisée de 250 patients ayant une SG en CA. Chaque patient ayant une CA était ap...
Objectives:
Evaluate the effectiveness of the use of fibrin sealant (FS) for preventing the development of staple line complications (SLCs) after sleeve gastrectomy (SG).
Background:
There is no consensus on the best means of preventing SLCs after SG.
Methods:
This was a prospective, intention-to-treat, randomized, 2 center study of a group of...
Résumé
Introduction
L’objectif de cette étude était de déterminer si la durée de drainage après duodénopancrétectomie céphalique (DPC) influençait le taux d’infection de site opératoire (ISO) à 30 jours postopératoire.
Méthode
Nous avons réalisé une étude multicentrique, randomisée, en intention de traiter avec deux groupes parallèles en vue de m...
Résumé
La chirurgie bariatrique améliore le devenir des patients. La sleeve gastrectomie (SG) est une procédure simple, codifiée, avec une durée opératoire courte et un taux de complications majeures relativement faible (taux de fistule gastrique de 3 % et taux d’hémorragie sur la ligne d’agrafage gastrique de moins de 5 %) qui répond aux critères...
Purpose:
Day-case surgery (DCS) has boomed over recent years. However, day-case bariatric surgery remains controversial due to a lack of evaluation. The objective of this study was to compare the experiences and satisfaction with general anesthesia of patients undergoing sleeve gastrectomy (SG) as DCS compared to conventional hospitalization.
Met...
Résumé
La création d’une stomie digestive, qu’il s’agisse d’une stomie latérale ou d’une stomie terminale est un moment essentiel d’une intervention chirurgicale colorectale et est responsable de complications postopératoires chez 35 % des patients. Les situations à l’origine de complications sont connues des chirurgiens, bien qu’il existe peu de d...
The creation of a digestive stoma, whether it is a lateral stoma or a terminal stoma, is an essential gesture in colorectal surgery, but that may result in post-operative complications in 35% of patients. Surgeons are aware of the situations at the origin of complications, although there is little factual data in the literature to discriminate them...
Introduction:
Liver resection in cirrhotic patients is associated with increased morbidity and mortality. The objective of this study was to compare short-term results of laparoscopic resection (LR) and open surgery (OS) for minor liver resection in patients with hepatocellular carcinoma (HCC) hepatocellularcarcinoma on nontumor cirrhotic liver (H...
Background
Few series are available concerning repeat sleeve gastrectomy (re-SG) and have reported contradictory results concerning morbidity rates, with limited data concerning weight loss.
Objective
Evaluate the short-term and medium-term outcomes of re-SG.
Setting
University Hospital, France, public practice.
Material & methods
Between June 2...
Background
Good surgical practice guidelines in France state that patients eligible for bariatric surgery must always be discussed at a multidisciplinary team (MDT) meeting.
Objective
Describe MDT meetings and assess their possible impact on the post-operative course.
Setting
University Hospital, France, public practice.
Methods
From April 2009...
Introduction:
High cesarean section (CS) rates are observed in patients with inflammatory bowel disease (IBD), but limited data are available to support this decision. We conducted a comprehensive review to evaluate the most appropriate mode of delivery in women with IBD according to disease phenotype and activity, as well as surgical history.
Ma...
Introduction:
The implementation of enhanced recovery programmes after elective colorectal surgery has dramatically reduced the length of stay. The objective of this study was to assess the selection of good candidates for short post-operative stay (GCSS) in the context of stoma closure.
Methods:
Between January 2011 and December 2014, 222 patie...
Introduction: Adhesion-related small bowel obstruction (ASBO) management is difficult if there are no signs of strangulation or peritonitis when intestinal transit has not been restored. The aim of the present study was to determine the impact of combining a procalcitonin (PCT)-based algorithm with clinical signs on the management of uncomplicated...
Background:
Gastric leak (GL) is one of the main early-onset postoperative complications of sleeve gastrectomy (SG). Many institutions perform routine upper gastrointestinal (UGI) contrast studies within 24 hours of surgery, looking for GL or gastric stenosis and to determine the need for urgent re-exploration, but this examination delays oral fee...
Introduction
Gastric band slippage with formation of a gastric pouch is a frequent complication after gastric banding. There is no consensus on the treatment of this condition, which differs within and between centers. Here, we describe our treatment of a large gastric pouch after gastric band slippage. Despite removal of the band, the pouch caused...
Introduction:
During laparoscopic sleeve gastrectomy (LSG), adhesions between the stomach and the pancreas are sometimes found, forming a "gastropancreatic ligament" (GPL). However, the GPL has only been described once in the literature, in 1985. The objective of this study was to determine the incidence of the GPL during LSG, describe this struct...