Publications by authors named "B Dessomme"

Background And Aims: In unresectable biliary tract cancers, the management of biliary obstruction is often the first step before introduction of chemotherapy. Our aim was to study the predictive factors of chemotherapy initiation after biliary drainage in a series of patients presenting with advanced biliary tract cancer and obstructive jaundice.

Methods: Data of all patients treated for unresectable biliary tract cancer with initial biliary obstruction requiring a drainage in six institutions, from January 2009 to January 2019, were retrospectively collected.

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Article Synopsis
  • The study aimed to assess the effectiveness of adding upper endoscopy to colonoscopy for patients with a positive fecal immunochemical test, particularly in detecting upper digestive lesions.
  • Data was analyzed from 100 patients who had both procedures, revealing a 58% incidence of upper digestive lesions, including infections and precancerous conditions.
  • Findings from the upper endoscopy influenced patient management in 44% of cases, suggesting it may be beneficial for screening, but further research is needed to confirm efficacy and cost-effectiveness.
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Auto-experimentation is a relatively unknown practice, albeit central to the history of medical discoveries. Outside of the context of research, auto-experimentation with psychotropic medications by psychiatrists currently persists in an informal manner. However, this contemporary practice has never been studied so far.

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