1,643 results match your criteria: "Universite Paris VII[Affiliation]"

Background And Aims: Postoperative recurrence requiring medical treatment intensification or redo-surgery is common after ileocolic resection (ICR) for Crohn's disease (CD). This study aimed to identify a subgroup of CD patients for whom ICR could achieve durable remission.

Methods: This retrospective follow-up study analyzed 592 CD patients who underwent ICR (2013-2015) in a nationwide prospective cohort.

View Article and Find Full Text PDF

Comparison of surgical management and outcomes of acute right colic and sigmoid diverticulitis: a French national retrospective cohort study.

Tech Coloproctol

November 2024

Department of Digestive, Oncological, Endocrine, Hepato-Biliary and Pancreatic Surgery, and Liver Transplantation, Colorectal Surgery Unit, Trousseau Hospital, University Hospital of Tours, Avenue de la République, 37044, Tours, France.

Background: Acute right colic diverticulitis (ARD) is less frequent in Western countries than acute sigmoid diverticulitis (ASD). We aimed to compare the management of ARD and ASD operated on in emergency.

Methods: All consecutive patients who had emergency surgery for ASD and ARD (2010-2021) were included in a retrospective, multicenter, cohort study.

View Article and Find Full Text PDF
Article Synopsis
  • The study aims to assess how socioeconomic deprivation affects postoperative outcomes in patients who have undergone surgery for sigmoid diverticulitis (SD).
  • Conducted across 41 French hospitals from 2010 to 2021, researchers found that 20% of the 6,415 patients experienced severe complications within 90 days post-surgery.
  • Results indicated that higher levels of socioeconomic deprivation are linked to an increased risk of severe complications, even after adjusting for factors like age, sex, and surgery type.
View Article and Find Full Text PDF

Purpose: The use of inotuzumab ozogamicin (InO), a conjugated anti-CD22 monoclonal antibody, is becoming a promising frontline treatment for older patients with ALL.

Patients And Methods: EWALL-INO is an open-label prospective multicenter phase II trial (ClinicalTrials.gov identifier: NCT03249870).

View Article and Find Full Text PDF

Aim: The aim of this work was to investigate the association between early postoperative anastomotic leakage or pelvic abscess (AL/PA) and symptomatic anastomotic stenosis (SAS) in patients after surgery for left colonic diverticulitis.

Method: This is a retrospective study based on a national cohort of diverticulitis surgery patients carried out by the Association Française de Chirurgie. The assessment was performed using path analyses.

View Article and Find Full Text PDF

Risk factors for emergency surgery for diverticulitis: A retrospective multicentric French study at 41 hospitals.

Surgery

June 2024

Department of Digestive Surgery, University Hospital of Caen, France; Department of Research; CHU de Caen, ANTICIPE, Inserm Unity UMR 1086, France.

Background: The observed increase in the incidence of complicated diverticulitis may lead to the performance of more emergency surgeries. This study aimed to assess the rate and risk factors of emergency surgery for sigmoid diverticulitis.

Method: The primary outcomes were the rate of emergency surgery for sigmoid diverticulitis and its associated risk factors.

View Article and Find Full Text PDF

Background: In the decision to perform elective surgery, it is of great interest to have data about the outcomes of surgery to individualize patients who could safely undergo sigmoid resection. The aim of this study was to provide information on the outcomes of elective sigmoid resection for sigmoid diverticular disease (SDD) at a national level.

Methods: All consecutive patients who had elective surgery for SDD (2010-2021) were included in this retrospective, multicenter, cohort study.

View Article and Find Full Text PDF

Impact of the first wave of COVID-19 epidemy on the surgical management of sigmoid diverticular disease in France: National French retrospective study.

Int J Colorectal Dis

December 2023

Department of Digestive, Oncological, Endocrine, Hepatobiliary and Liver Transplant, Trousseau Hospital, University Hospital of Tours, Avenue de la République, F37044 Tours, France.

Objective: To analyze the surgical management of sigmoid diverticular disease (SDD) before, during, and after the first containment rules (CR) for the first wave of COVID-19.

Methods: From the French Surgical Association multicenter series, this study included all patients operated on between January 2018 and September 2021. Three groups were compared: A (before CR period: 01/01/18-03/16/20), B (CR period: 03/17/20-05/03/20), and C (post CR period: 05/04/20-09/30/21).

View Article and Find Full Text PDF

Aims: The prognostic value of 'high dose' loop diuretics in advanced heart failure outpatients is unclear. We aimed to assess the prognosis associated with loop diuretic dose in ambulatory patients awaiting heart transplantation (HT).

Methods And Results: All ambulatory patients (n = 700, median age 55 years and 70% men) registered on the French national HT waiting list between 1 January 2013 and 31 December 2019 were included.

View Article and Find Full Text PDF

Introduction: Ventilator-associated pneumonia (VAP) remains the leading cause of infections treated in the intensive care units (ICU). In a personalised care approach, we hypothesise that the duration of treatment of VAP can be reduced in function of the response to treatment.

Methods And Analysis: The Antimicrobial Stewardship for Ventilator-Associated Pneumonia in Intensive Care (ASPIC) trial is a pragmatic national multicentre, phase III, non-inferiority, comparative randomised (1:1) single-blinded clinical trial.

View Article and Find Full Text PDF

Prognosis value of Forrester's classification in advanced heart failure patients awaiting heart transplantation.

ESC Heart Fail

October 2022

Centre d'Investigations Cliniques Plurithématique 1433, INSERM DCAC, CHRU de Nancy, F-CRIN INI-CRCT, Université de Lorraine, 54500, Vandoeuvre-lès-Nancy, Nancy, France.

Article Synopsis
  • The study evaluates the effectiveness of Forrester's perfusion/congestion profiles in predicting outcomes for non-inotrope advanced heart failure patients on the heart transplant waitlist in France.
  • Among the 837 patients assessed, those in 'warm-dry', 'cold-dry', 'warm-wet', and 'cold-wet' categories showed varying rates of adverse outcomes, with 'wet' profiles having significantly worse prognoses.
  • The findings highlight that persistent congestion is a critical factor impacting survival and treatment urgency for advanced heart failure patients awaiting transplantation.
View Article and Find Full Text PDF

Introduction: We aimed to evaluate the efficacy and tolerance of A1 pulley release using the needle technique, under ultrasound guidance, in patients with symptomatic trigger finger.

Methods: All patients with symptomatic trigger finger underwent A1 pulley release using an intramuscular 21 gauge (G) needle. Quinnell grade (I-IV), Quick Disabilities of Arm, Shoulder & Hand (QuickDASH) score (0-100) and pain score on a visual analog scale (VAS: 0-10mm) were recorded at inclusion.

View Article and Find Full Text PDF

Objectives: Myelodysplastic syndromes (MDS) and chronic myelomonocytic leukaemia (CMML) are associated with systemic inflammatory and autoimmune diseases (SIADs) in 10-30% of cases. The aims of this study were (i) to evaluate the prevalence of venous thromboembolism VTE in patients presenting with both MDS/CMML and SIADs, (ii) to describe risk factors associated with thrombosis, and (iii) to analyse the impact of VTE on overall survival and transformation to acute myeloid leukaemia in comparison to patients with MDS/CMML-associated SIADs without VTE.

Methods: This retrospective multicentre case-control study was conducted among patients with MDS/CMML and dysimmune disorders and featured in the French retrospective database of the French Network of Dysimmune Disorders Associated with Hemopathies (MINHEMON), diagnosed with MDS/CMML and dysimmune disorders.

View Article and Find Full Text PDF

Low Accuracy of FIB-4 and NAFLD Fibrosis Scores for Screening for Liver Fibrosis in the Population.

Clin Gastroenterol Hepatol

November 2022

Center for Liver Research, Department of Gastroenterology and Hepatology, Odense University Hospital, and Department for Clinical Research, University of Southern Denmark, Odense, Denmark.

Background & Aims: Fibrosis-4 (FIB-4) and the nonalcoholic fatty liver disease fibrosis score (NFS) are the 2 most popular noninvasive blood-based serum tests proposed for widespread fibrosis screening. We therefore aimed to describe the accuracy of FIB-4 and NFS to detect elevated liver stiffness as an indicator of hepatic fibrosis in low-prevalence populations.

Methods: This study included a total of 5129 patients with concomitant measurement of FIB-4, NFS, and liver stiffness measurement (LSM) by Fibroscan (Echosens, France) from 5 independent population-based cohorts from Spain, Hong Kong, Denmark, England, and France; 3979 participants from the general population and 1150 from at-risk cohorts due to alcohol, diabetes, or obesity.

View Article and Find Full Text PDF
Article Synopsis
  • The study aims to analyze how the age at diagnosis affects the symptoms and characteristics of primary Sjögren's syndrome (pSS), specifically looking at sicca symptoms, diagnostic tests, immunological markers, and systemic disease.
  • Researchers evaluated data from over 12,000 patients across 25 countries, grouping them based on the age they were diagnosed, to determine patterns in disease expression.
  • Findings revealed an increase in the frequency of oral dryness with age at diagnosis, along with a decrease in levels of autoantibodies and immunological markers, indicating that older patients tend to exhibit more severe symptoms and altered disease characteristics.
View Article and Find Full Text PDF

[Association between age-related macular degeneration and periodontal disease].

J Fr Ophtalmol

October 2021

Centre ophtalmologique d'imagerie et de laser, université Paris Est Créteil, Paris, France. Electronic address:

Purpose: To evaluate the association between age-related macular degeneration (AMD) and periodontal disease, two frequent conditions in the elderly, with some risk factors in common.

Methods: Single center, pilot, case-control study performed in a center specialized in the diagnosis and management of AMD. Periodontal status was evaluated in 43 AMD patients and 19 controls.

View Article and Find Full Text PDF
Article Synopsis
  • Acute pancreatitis (AP) can be an early indicator of pancreatic ductal adenocarcinoma (PDAC), but its effects on surgery outcomes and patient survival are not well understood.
  • A study involving 1449 PDAC patients who underwent surgery found that while 8.5% had AP as their initial symptom, this did not lead to higher rates of postoperative complications or mortality.
  • Ultimately, having AP prior to curative surgery did not affect the patients' recovery or survival rates compared to those without AP.
View Article and Find Full Text PDF

Background: Redo anastomosis can be considered in selected patients with persistent leakage, stenosis, or local recurrence. It is technically challenging, and little is known about the functional outcomes after this seldomly performed type of surgery.

Objective: The aim of this study was to compare functional outcomes and the quality of life between redo anastomosis and primary successful anastomosis following total mesorectal excision for rectal cancer.

View Article and Find Full Text PDF

Supporting innovation in health care: A short experience in a dedicated unit of the French Ministry of Public Health.

J Visc Surg

June 2021

Service de Réanimation Médicale, Hôpital Européen Georges Pompidou, 75015 Paris, France.

Introduction: The Delegation for Innovation in Health Care (DIES) was created by the Ministry of Solidarity and Health to centralize and support innovative health care projects. Following its dissolution, only two and a half years after its creation, the members of this delegation aimed to present the projects, which were submitted and treated by the DIES.

Methods: All potential project leaders were free to explain the objectives of their project to our team.

View Article and Find Full Text PDF

Objectives: The goal of this study was to assess the relationship between liver surface nodularity (LSN), chemotherapy-associated liver injury (CALI), and clinically relevant post-hepatectomy liver failure (CR-PHLF) (i.e., ≥ grade B) in patients undergoing hepatectomy for colorectal liver metastases (CLM).

View Article and Find Full Text PDF
Article Synopsis
  • - The study evaluated the effects of preoperative enteral nutritional support (PENS) on surgical outcomes for patients with Crohn's disease (CD) complicated by malnutrition, finding that postoperative complications are common in this population.
  • - Out of 592 patients, 149 were assessed, showing no major difference in postoperative complications between those undergoing 'upfront surgery' and those receiving PENS, although certain factors increased the risk of PENS failure.
  • - After excluding patients who experienced PENS failure, those who received PENS had lower rates of intra-abdominal septic complications compared to those who had immediate surgery, suggesting potential benefits of nutritional support before surgery.
View Article and Find Full Text PDF

Objectives: To characterize the phenotypic presentation at diagnosis of childhood-onset primary SS.

Methods: The Big Data Sjögren Project Consortium is an international, multicentre registry using worldwide data-sharing cooperative merging of pre-existing clinical SS databases from the five continents. For this study, we selected those patients in whom the disease was diagnosed below the age of 19 years according to the fulfilment of the 2002/2016 classification criteria.

View Article and Find Full Text PDF
Article Synopsis
  • A hybridoma cell producing a murine monoclonal antibody targeting canine CD20 is being developed for B-cell lymphoma therapy.
  • Mass spectrometry identified light chain-7 as the main component in the antibody's structure, while gene synthesis generated a chimeric antibody that effectively binds to CD20.
  • Through hydrogen deuterium exchange mass spectrometry, CDR3 (VH) was determined to be the primary docking region for the CD20 antigen, indicating its potential for engineering canine-murine antibodies to treat canine lymphoma similarly to the human antibody Rituximab.
View Article and Find Full Text PDF