Publications by authors named "Jean-Luc Michel"
Introduction: Childhood chronic diseases affect family functioning and well-being. The aim of this study was to measure the impact of caring for a child with PUV, and the factors that most impact the burden of care.
Patients And Method: We gave a questionnaire on the familial impact of having a child with posterior urethral valves to all parents of a child included in the CIRCUP trial from 2015 onwards.
Objective: Boys with posterior urethral valves (PUV) present an increased risk of febrile urinary tract infection (fUTI). Identifying specific risk factors could allow for tailoring UTI prevention. The aim of this study was to use the data from the CIRCUP randomized controlled trial data to identify patient characteristics associated with a higher risk of fUTI.
View Article and Find Full Text PDFObjective: Despite recent progress in caring for patients born with esophageal atresia (EA), undernutrition and stunting remain common. Our study objective was to assess nutritional status in the first year after birth with EA and to identify factors associated with growth failure.
Study Design: We conducted a population-based study of all infants born in France with EA between 2010 and 2016.
Introduction: Gastro-esophageal reflux disease (GERD) is the most frequent long-term morbidity of congenital diaphragmatic hernia (CDH) survivors. Performing a preventive fundoplication during CDH repair remains controversial. This study aimed to: (1) Analyze the variability in practices regarding preventive fundoplication; (2) Identify predictive factors for fundoplication.
View Article and Find Full Text PDFBackground And Objectives: Respiratory diseases are common in children with esophageal atresia (EA), leading to increased morbidity and mortality in the first year. The primary study objective was to identify the factors associated with readmissions for respiratory causes in the first year in EA children.
Methods: A population-based study.
Objective: To identify the risk factors for early mortality and morbidity in a population with distal esophageal atresia (EA)-tracheoesophageal fistula.
Study Design: Cohort study from a national register. Main outcomes and measures included early mortality, hospital length of stay (LoS), need for nutritional support at 1 year of age as a proxy measure of morbidity, and complications during the first year of life.
Article Synopsis
- This study aimed to evaluate if the side (right or left) of congenital diaphragmatic hernia (CDH) influences the survival chances of newborns in intensive care.
- Analyzed data from 506 cases showed a higher survival rate for left CDH (74%) compared to right CDH (49%), but the side alone wasn’t directly linked to increased mortality after accounting for other factors.
- Key findings indicated that liver herniation and lung-to-head ratio are significant predictors of mortality, while the laterality of CDH did not significantly affect survival rates after adjustments.
Article Synopsis
- The study aimed to identify factors influencing the need for antireflux surgery in infants with esophageal atresia during their first year of life.
- From a total of 835 infants in a French registry, 682 were evaluated; 53 (7.8%) underwent surgery, with various predictors identified, such as anastomotic tension and low birth weight.
- Key findings suggest that complications like gastroesophageal reflux, poor nutrition, and surgical difficulties significantly increase the likelihood of requiring antireflux surgery in these patients.
Article Synopsis
- Duplicated renal collecting systems are common congenital abnormalities, but cases involving ectopic obstructive megaureters in adults are rare, as shown by a case of a 72-year-old man presenting with fever and acute pyelonephritis.
- The patient was diagnosed with a left complete duplex system and underwent urine drainage via a percutaneous nephrostomy tube, leading to improvement without the need for extensive surgery due to his multiple health issues.
- The discussion emphasizes the importance of early identification and treatment of such conditions, suggesting urologists should be aware of this unique anomaly.
Purpose: To suggest a novel technique for omphalocele closure which uses the circular base of the umbilical cord, thus allowing for a more physiological healing process and natural-looking scar.
Methods: Among 16 neonates operated for omphalocele between 2011 and 2016, 12 were closed with a one-stage procedure using a Z omphaloplasty (ZORRO). Median gestational age was 36.
Introduction: Thoracotomy as surgical approach for esophageal atresia treatment entails the risk of deformation of the rib cage and consequently secondary thoracogenic scoliosis. The aim of our study was to assess these thoracic wall anomalies on a large national cohort and search for factors influencing this morbidity.
Materials And Methods: Pediatric surgery departments from our national network were asked to send recent thoracic X-ray and operative reports for patients born between 2008 and 2010 with esophageal atresia.
Objective: To evaluate clinical use of a tunica vaginalis flap as the dorsal component of a two-stage urethroplasty in boys with cripple hypospadias.
Patients And Methods: We performed the first stage of a Bracka two-stage urethroplasty, using a tunica vaginalis flap as the dorsal component in six boys with cripple hypospadias. We analysed their clinical characteristics and the results of this technique.
Background: The benefit of post-urinary tract infection (UTI) sonography to detect clinically significant renal abnormalities remains a subject open to debate. Decision curve analysis (DCA) is a novel method for evaluating the clinical usefulness of diagnostic tests. Our objective was to determine, using DCA, the benefit of post-UTI sonography and of post-UTI sonography with biological markers of inflammation to predict the risk of recurrence of febrile UTI in children aged 2 to 24 months without known uropathy.
View Article and Find Full Text PDFArticle Synopsis
- The study investigates the prevalence of Barrett esophagus (BE) in adolescents aged 15 to 19 who were treated for esophageal atresia (EA), as these patients are known to be at higher risk for BE.
- Among 120 patients, 37% showed signs of BE during endoscopy, and roughly 43% had it confirmed by histology, highlighting a noticeable risk for this condition linked to their history of gastroesophageal reflux disease (GERD).
- It concludes that persistent GERD and the development of BE are common in EA patients, suggesting the need for ongoing monitoring of their esophageal health through biopsies, even if they don't show symptoms.
Background: Accumulating evidence suggests that the benefits seen in adult bariatric surgery can be reproduced in adolescents. In contrast with North America, bariatric surgery in adolescents is still not well accepted in Europe and indications and protocols have still to be formulated.
Methods: This prospective study tested the gastric banding procedure in 49 patients operated in a single French institution since 2008.
Background: The aim of the present national prospective population-based study was to assess the early morbidity of esophageal atresia (EA).
Methods: All 38 multidisciplinary French centers that care for patients with EA returned a specific questionnaire about the 1-year outcome for each patient. This information was centralized, checked, and entered into a database.
Objectives: Radiation delivered during CT is a major concern, especially for individuals undergoing repeated screening. We aimed to compare a new ultra-low-dose algorithm called Veo with the gold standard filtered back projection (FBP) for detecting pulmonary asbestos-related conditions.
Setting: University Hospital CHU G.
Purpose: A prospective national register was established in 2008 to record all new cases of live-birth newborns with esophageal atresia (EA). This epidemiological survey was recommended as part of a national rare diseases plan.
Methods: All 38 national centers treating EA participated by completing for each patient at first discharge a questionnaire validated by a national committee of experts.
Retraction: Primary extraosseous Ewing sarcoma of the lung in children.
Ecancermedicalscience
July 2013
ecancer 7 312 (2013) The report in this article of the treatment the patient received is incorrect. Three of the authors (Jean Luc Michel, Clara Fernandez and Audrey Derouet) were unaware that their names had been added to the author list. The three remaining authors (Nidal Alsit, Linda Sakhri and Augustin Pirvu) were not involved with the treatment of the patient.
View Article and Find Full Text PDFObjective: To review our experience with full-term neonates with necrotizing enterocolitis (NEC) and to compare its characteristics to those published in the literature.
Design: Retrospective review of all neonates born after 35 weeks of gestation managed in Reunion Island for NEC from 2000 to 2012.
Results: Among the 217 diagnosed NEC, 27 patients (12.
We report a case of primary extraosseous Ewing sarcoma (EES) of the lung in a four-year-old child. In the literature, there are only a few case reports of EES located in the thorax.
View Article and Find Full Text PDFIntroduction: We participate in humanitarian missions in Madagascar during which we treat severe hypospadias. We report our experience and results with these patients, in these conditions, and discuss our choice of technique in this particular setting.
Materials And Methods: We retrospectively reviewed the data of 27 patients operated for severe hypospadias during our humanitarian missions in Madagascar between November 2006 and September 2009.
Article Synopsis
- A case study is reported where a 3-month-old girl with this condition successfully received a bronchial stent, with a follow-up period of 18 months.
- Although using stents in kids raises concerns about size as they grow, expandable stents could offer a promising alternative to more complicated surgical procedures for localized bronchial issues in infants.