Publications by authors named "Julien Kirchgesner"

Background & Aims: Breast cancer is the most common malignancy observed in patients with inflammatory bowel diseases (IBD). The aim of our study was to evaluate incident cancer rate (recurrence or new-onset cancer) in a cohort of patients with IBD with a history of breast cancer according to the subsequent IBD treatment provided.

Methods: A multicenter retrospective study included consecutive patients with IBD with prior breast cancer.

View Article and Find Full Text PDF
Article Synopsis
  • - The study investigates why recruitment rates in inflammatory bowel disease (IBD) trials are declining, focusing on screen failure (SF) proportions and their causes across phase 2 and 3 trials for ulcerative colitis (UC) and Crohn's disease (CD).
  • - An analysis of 17 clinical trials revealed that 43% of UC patients and 53% of CD patients experienced SF, with key reasons being inability to meet specific clinical and endoscopic criteria, along with infections like Clostridium difficile.
  • - The findings highlight that high SF rates, especially in CD trials, hinder patient recruitment, largely due to rigid and often unclear eligibility criteria.
View Article and Find Full Text PDF

Background: Early complicated Crohn's disease (CD) may require ileal resection as first-line treatment.

Aim: To evaluate the long-term outcomes of patients who underwent early ileal resection.

Methods: We conducted a retrospective study in two inflammatory bowel diseases (IBD) referral centres, including patients with ileocaecal resection and segmental ileal resection within 5 years of CD diagnosis.

View Article and Find Full Text PDF

Background & Aims: The aim of this study was to assess the long-term effectiveness and safety of risankizumab maintenance treatment in a large real-world cohort of patients with Crohn's Disease (CD).

Methods: From May 2021 to August 2023, all consecutive patients with CD treated with risankizumab in 25 GETAID centers have been retrospectively included. The primary endpoint was steroid-free clinical remission (Harvey Bradshaw Index [HBI] <5) at 52 weeks.

View Article and Find Full Text PDF
Article Synopsis
  • Colonoscopic surveillance is important for patients with colonic inflammatory bowel disease (IBD) due to their higher risk of colorectal cancer (CRC), and a new prediction model has been developed for assessing this risk.
  • The study analyzed data from 6 cohorts across North America and Europe, including 3731 patients, to create and validate this model using predictive variables and a statistical approach known as Cox proportional hazards modeling.
  • The model showed good accuracy in predicting advanced colorectal neoplasia (aCRN) over 5-10 years, but further research is needed to validate its effectiveness across different populations and to determine how it impacts surveillance strategies.
View Article and Find Full Text PDF

Objectives: The use of secondary databases has become popular for evaluating the effectiveness and safety of interventions in real-life settings. However, the absence of important confounders in these databases is challenging. To address this issue, the high-dimensional propensity score (hdPS) algorithm was developed in 2009.

View Article and Find Full Text PDF
Article Synopsis
  • This study looks at using old medicines in new ways to help people with Crohn's disease, especially those suffering from intestinal fibrosis, which is a serious problem.
  • Researchers used health records from older patients in Denmark to see which drugs might help or hurt the risk of needing surgery for intestinal issues caused by this disease.
  • They found 10 medicines that could increase the risk of surgery and 10 that might lower it, highlighting the importance of testing these drugs further to help patients avoid surgery.
View Article and Find Full Text PDF

Background And Aims: Pragmatic studies designed to test interventions in everyday clinical settings can successfully complement the evidence from registration and explanatory clinical trials. The European consensus project PRACTICE-IBD was developed to identify essential criteria and address key methodological issues needed to design valid, comparative, pragmatic studies in inflammatory bowel diseases [BDs].

Methods: Statements were issued by a panel of 11 European experts in IBD management and trial methodology, on four main topics: [I] study design; [II] eligibility, recruitment and organisation, flexibility; [III] outcomes; [IV] analysis.

View Article and Find Full Text PDF

Background And Aims: Small-bowel (SB) capsule endoscopy (CE) is a first-line procedure for exploring the SB. Endoscopic GI PlacemenT (EGIPT) of SB CE is sometimes necessary. Although experience with EGIPT is considerable in pediatric populations, we aimed to describe the safety, efficacy, and outcomes of EGIPT of SB CE in adult patients.

View Article and Find Full Text PDF

Aim: Patients with Crohn's disease (CD) are at higher risk of small bowel adenocarcinoma (SBA). We aimed to identify radiological predictors of SBA in CD.

Methods: We conducted a retrospective case-control study at two tertiary inflammatory bowel disease centers and identified CD patients diagnosed with SBA between 2003 and 2019.

View Article and Find Full Text PDF

Background: Although ulcerative proctitis [UP] can dramatically impair quality of life, treatment efficacy has been poorly investigated in UP as it was historically excluded from phase 2/3 randomised controlled trials in ulcerative colitis. Our aim was to assess the effectiveness and safety of tofacitinib for the treatment of UP.

Methods: We conducted a retrospective, multicentre study in 17 GETAID centres, including consecutive patients with UP treated with tofacitinib.

View Article and Find Full Text PDF

Acute severe ulcerative colitis (ASUC) occurs in up to 25% of patients with ulcerative colitis (UC). Therapeutic approaches have evolved during the past years with the increasing bio exposure of admitted patients and the extension of the number of approved drugs for UC. In this review, we aimed to summarize the latest evidence in short-term and long-term medical strategies for ASUC.

View Article and Find Full Text PDF

Background & Aims: Tumor necrosis factor inhibitors (anti-TNF) are effective therapies for several immune-mediated inflammatory diseases (IMIDs). However, case reports have identified the paradoxical occurrence of IMIDs in patients treated with anti-TNF. We studied the risk of rheumatoid arthritis, psoriasis, and hidradenitis suppurativa after the initiation of anti-TNF therapy for inflammatory bowel disease (IBD).

View Article and Find Full Text PDF

Background And Aims: While post-inflammatory polyps (PIPs) have historically been a risk factor for colorectal neoplasia (CRN), histologic activity may explain this association. We aimed to assess the impact of histologic activity on CRN occurrence in IBD patients with colonic PIPs.

Methods: Patients with PIPs on surveillance colonoscopy at Saint-Antoine hospital between 1 January 1996 and 31 December 2020 were included and subsequent colonoscopies were assessed.

View Article and Find Full Text PDF