65 results match your criteria: "La Cavale Blanche University Hospital[Affiliation]"
Surg Obes Relat Dis
June 2017
Department of Statistics, Caisse Nationale d'Assurance Maladie des Travailleurs Salariés, Paris, France. Electronic address:
Background: Gastroesophageal reflux disease (GERD) is a common obesity-related co-morbidity that routinely is treated by continuous proton pump inhibitor (PPI) therapy. A number of concerns have been raised regarding the risk of de novo GERD or exacerbation of preexisting GERD after sleeve gastrectomy (SG).
Objective: To assess PPI use at 4 years after bariatric surgery.
Obes Surg
August 2017
University of Bretagne Occidentale (UBO), EA 3878 (GETBO), 22 Avenue Camille Desmoulins, CS 93837-29238, Brest, France.
Purpose: Obese patients are known to be in an in vitro hypercoagulable state relative to normal-weight patients. Our study aimed to identify markers of enhanced coagulability (endogenous thrombin potential (ETP)) in morbidly obese patients using the thrombin generation (TG) test.
Materials And Methods: All patients scheduled for laparoscopic bariatric surgery (LBS) between September 1, 2014 and January 31, 2016 were eligible for our prospective study.
Joint Bone Spine
October 2017
Sorbonne Universités, UPMC Université Paris 06, Institut Pierre-Louis d'Épidémiologie et de Santé Publique, GRC-UPMC 08 (EEMOIS), 75013 Paris, France; Department of rheumatology, Pitié-Salpêtrière Hospital, AP-HP, 75013 Paris, France; Brest University, Rheumatology Department, La Cavale-Blanche University Hospital, 29000 Brest, France.
Objectives: Patient's and physician's perspective can differ in rheumatoid arthritis (RA). The aim was to define the concept of patient-reported flares.
Methods: Post-hoc analysis of a randomized controlled trial of a step-down strategy in RA patients treated with anti-TNF, in DAS28-remission for ≥6 months, randomized to either "spacing" or "maintaining" anti-TNF.
Surg Obes Relat Dis
February 2017
University of Bretagne Occidentale (UBO), EA 3878 (GETBO), Brest, France; Department of Internal Medicine, La Cavale Blanche University Hospital, Brest, France; INSERM, CIC1412 (FC, KL), La Cavale Blanche University Hospital, Brest, France.
Background: Obese patients are in a hypercoagulable state relative to normal-weight patients. Low-grade inflammation may be a key factor for this condition.
Objectives: Our study aimed to compare the coagulability state of morbidly obese patients before and 1 year after bariatric surgery (BS) using the Thrombin Generation (TG) test, a validated method to assess coagulation in vitro.
Int J Surg
September 2016
Department of General, Digestive and Metabolic Surgery, La Cavale Blanche University Hospital, Boulevard Tanguy Prigent, 29200 Brest, France; University of Bretagne Occidentale (UBO), EA 3878 (GETBO), France. Electronic address:
Purpose: Sleeve gastrectomy (LSG) and mini gastric bypass (LMGB) was considered as emerging procedures but are now considered for many authors as an alternative of the Roux-Y gastric bypass because of similar percentages of weight loss and better postoperative morbidity profiles. However, studies comparing LSG and LMGB are scarce.
Materials And Methods: From January 2010 to July 2014, 262 and 161 patients underwent LSG or LMGB in two centre of bariatric surgery, respectively.
RMD Open
June 2016
Université Pierre et Marie Curie (UPMC)-Paris 6, GRC 08, Pierre Louis Institute of Epidemiology and Public Health, Paris, France; Department of Rheumatology, Pitié Salpêtrière Hospital, Paris, France.
Introduction: Use of prediction matrices of risk or rapid radiographic progression (RRP) for early rheumatoid arthritis (RA) in clinical practice could help to better rationalise the first line of treatment. Before use, they must be validated in populations that have not participated in their construction. The main objective is to use the ESPOIR cohort to validate the performance of 3 matrices (ASPIRE, BEST and SONORA) to predict patients at high risk of RRP at 1 year of disease despite initial treatment with methotrexate (MTX).
View Article and Find Full Text PDFIntensive Care Med
August 2016
Medical Intensive Care Unit, Saint-André University Hospital, Bordeaux, France.
Purpose: Terminal extubation (TE) and terminal weaning (TW) are the methods available for withdrawing mechanical ventilation. Perceptions of TE and TW by intensive care unit (ICU) staff may influence bedside practices and the feasibility of studies comparing these methods.
Methods: From January to June 2013, 5 nurses and 5 physicians in each of 46 (out of 70, 65.
Obes Surg
April 2016
Centre for the Advancement of Minimally Invasive Surgery (CAMIS), Royal Alexandra Hospital, Edmonton, Alberta, Canada.
We aimed to systematically review the literature comparing the safety of one-step versus two-step revisional bariatric surgery from laparoscopic adjustable gastric banding (LAGB) to Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG). There is debate on the safety of removing the gastric band and performing revisional surgery immediately or in a delayed, two-step fashion due to potential higher complications in one-step revisions. A systematic and comprehensive search of the literature was conducted.
View Article and Find Full Text PDFSurg Laparosc Endosc Percutan Tech
February 2016
Department of General and Digestive Surgery, La Cavale Blanche University Hospital, Brest, France.
Introduction: To evaluate the feasibility, safety, and short-term outcomes of primary closure (PC) and biliary drainage (BD), after the laparoscopic treatment of common bile duct (CBD) stones by choledocotomy.
Patients And Methods: Between January 2009 and December 2014, 102 patients underwent laparoscopy for lithiasis of the CBD. Intraoperative cholangiography was systematically performed, followed by choledocoscopy, depending on the size of the CBD.
Rheumatology (Oxford)
May 2016
Department of Rheumatology, La Cavale Blanche University Hospital, Department of Rheumatology-ERI 29, Brittany University, Brest, France,
Objective: Ultrasonography (US) is a sensitive tool in the diagnosis of major salivary gland abnormalities in primary Sjögren's syndrome (pSS). The aim of this systematic review was to assess the metric properties of this technique.
Methods: PUBMED and EMBASE databases were searched.
Arthritis Rheumatol
November 2015
La Cavale Blanche University Hospital, Brest and EA2216 Brittany University (UBO), Brest, France.
Objective: To determine the type and frequency of musculoskeletal symptoms at onset and during followup of cryopyrin-associated periodic syndromes (CAPS).
Methods: We retrospectively recorded the articular and muscular symptoms of patients with CAPS followed up in French hospitals. Data were presented as frequencies or the median (range), and patient groups were compared using chi-square test, Fisher's exact test, and Mann-Whitney test.
Surg Obes Relat Dis
May 2016
Department of General, Digestive and Metabolic Surgery, La Cavale Blanche University Hospital, Brest, France; University of Bretagne Occidentale (UBO), Brest, France.
Obes Surg
May 2015
Department of General, Digestive and Metabolic Surgery, La Cavale Blanche University Hospital, Boulevard Tanguy-Prigent, 29200, Brest, France,
Purpose: Laparoscopic gastric bypass (LRYGB) is considered as the gold standard procedure for morbid obesity because of sustainable weight loss and coexisting conditions improvements (Sjostrom L et al. The New England journal of medicine 351(26):2683-93, 2004 [1]; Thereaux J et al. Surg Obesity Related Dis: Off J Am Soc Bariatric Surg, 2014 [2]).
View Article and Find Full Text PDFAnn Noninvasive Electrocardiol
September 2015
Department of Cardiology, "Clermont Tonnerre" Hospital of Military Training, Brest, France.
Background: The French military population is a young and athletic population with a high prevalence of early repolarization patterns (ERP) compared to the general population. Screening of military officers at risk of sudden death (SD) is a priority in military medical expertise. The aim of our study was to evaluate the prevalence of ERP and its evolution over a period of 5 years in a specific asymptomatic population, free of heart disease and cardiovascular risk factors.
View Article and Find Full Text PDFEur Respir J
May 2007
Dept of Medical Intensive Care and Medical Emergencies, Hôpital de la Cavale Blanche University Hospital, Université de Bretagne Occidentale, Brest cedex, France.
Weaning covers the entire process of liberating the patient from mechanical support and from the endotracheal tube. Many controversial questions remain concerning the best methods for conducting this process. An International Consensus Conference was held in April 2005 to provide recommendations regarding the management of this process.
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