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Article ; Online: Endoscopic-assisted mini- or less-Open sublay technique (MILOS) for umbilical incisional hernia (with video).

Obeid, Joseph / Maillot, Betty / Moszkowicz, David

Journal of visceral surgery

2023 Volume 161, Issue 1, Page(s) 62–64

MeSH term(s)	Humans ; Incisional Hernia/surgery ; Laparoscopy ; Surgical Mesh ; Hernia, Ventral/surgery ; Herniorrhaphy/methods
Language	English
Publishing date	2023-12-15
Publishing country	France
Document type	Video-Audio Media ; Journal Article
ISSN	1878-7886
ISSN (online)	1878-7886
DOI	10.1016/j.jviscsurg.2023.12.001
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Article: What are the Specifics of Abdominal Wall Surgery in Cirrhotic Patients.

Moszkowicz, David / Allard, Marc-Antoine / Anastasiu, Marius

Chirurgia (Bucharest, Romania : 1990)

2020 Volume 115, Issue 2, Page(s) 140–147

Abstract: The risk of developing an abdominal wall hernia is high in the cirrhotic patient, due to the association of ascites, hypoalbuminemia and amyotrophy in connection with undernutrition frequently associated with cirrhosis. Thus, almost 20% of cirrhotic ... ...

Abstract	The risk of developing an abdominal wall hernia is high in the cirrhotic patient, due to the association of ascites, hypoalbuminemia and amyotrophy in connection with undernutrition frequently associated with cirrhosis. Thus, almost 20% of cirrhotic patients develop an umbilical hernia. Parietal surgery is more at risk in cirrhotic patients and its indications must be discussed on a case-by-case basis. The objective of this work was to review the entire literature on wall surgery in order to best define the surgical indications and the specifics of their management. The bibliographic research was done on Pubmed over the period from January 1995 to December 2019, using French and English as publication languages. The keywords retained were "hernia" [Mesh] and "liver cirrhosis" [Mesh]. In an elective situation, preoperative ascites control is recommended. A parietal prosthesis can be used, even in the case of uninfected ascites, preferably in the retromuscular position. Laparoscopy should be used with caution, due to the bleeding risk. No recommendation can be made on the use of prophylactic intra-abdominal drainage. The literature data do not allow the trans-jugular route portosystemic shunt recommendation, nor the use of a peritoneal-vesical pump to decrease the volume of ascites before parietal surgery in cirrhotic patients.
MeSH term(s)	Abdominal Wall/surgery ; Ascites/etiology ; Ascites/therapy ; Hernia, Umbilical/etiology ; Hernia, Umbilical/surgery ; Hernia, Ventral/etiology ; Hernia, Ventral/surgery ; Herniorrhaphy/methods ; Humans ; Liver Cirrhosis/complications
Language	English
Publishing date	2020-05-05
Publishing country	Romania
Document type	Journal Article ; Review
ZDB-ID	419244-8
ISSN	1842-368X ; 1221-9118 ; 0009-4730 ; 0377-5003
ISSN (online)	1842-368X
ISSN	1221-9118 ; 0009-4730 ; 0377-5003
DOI	10.21614/chirurgia.115.2.140
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Zs.B 1352: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Roux-en-Y gastric bypass as a salvage solution for severe and refractory gastroparesis in malnourished patients.

Moszkowicz, David / Mariano, Germano / Soliman, Heithem / Calabrese, Daniela / Coffin, Benoit / Duboc, Henri

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

2022 Volume 18, Issue 5, Page(s) 577–580

Abstract: Background: Gastroparesis (GP) is a rare condition for which several symptomatic treatments are available, but they may fail, leading to a discussion of gastrectomy. Few studies have described gastric-preserving surgery, particularly in malnourished ... ...

Abstract	Background: Gastroparesis (GP) is a rare condition for which several symptomatic treatments are available, but they may fail, leading to a discussion of gastrectomy. Few studies have described gastric-preserving surgery, particularly in malnourished patients. Objective: To describe the treatment of severe refractory GP with Roux-en-Y gastric bypass (RYGB). Setting: A university center. Methods: A retrospective review was conducted of adult patients who underwent laparoscopic RYGB. Severity and frequency of GP symptoms were compared before and 1 year after surgery using the Gastroparesis Cardinal Symptom Index (GCSI) score (0-5), the vomiting (VM) score (0-4), and the visual analog scale (VAS) for abdominal pain. Results: Of the 9 patients with refractory GP, 7 were malnourished and 2 had obesity. There were no postoperative deaths. One patient was operated on for internal hernia without bowel necrosis. The mean GCSI score decreased significantly from 3.6 (range: 1-5) preoperatively to 2.1 (range: .3-4.4) postoperatively (P = .0019). The mean VM score improved significantly after surgery, from .22 (range: 0-1 units) preoperatively to 2.55 (range: 1-4) postoperatively (P = .007). The mean VAS score also decreased significantly from 7.0 (range: 5-9) preoperatively to 2.44 (range: 0-7) postoperatively (P = .0015). A nonsignificant weight and albumin change was observed at 1 year postoperatively, with a tendency for weight regain in malnourished patients. Conclusion: In malnourished patients with severe and refractory GP, this study suggests the feasibility, safety, and efficacy of RYGB for the treatment of vomiting and abdominal pain.
MeSH term(s)	Abdominal Pain/etiology ; Abdominal Pain/surgery ; Adult ; Gastrectomy ; Gastric Bypass ; Gastroparesis/complications ; Gastroparesis/surgery ; Humans ; Laparoscopy ; Malnutrition/complications ; Malnutrition/surgery ; Obesity, Morbid/complications ; Obesity, Morbid/surgery ; Retrospective Studies ; Treatment Outcome ; Vomiting
Language	English
Publishing date	2022-02-01
Publishing country	United States
Document type	Journal Article
ZDB-ID	2274243-8
ISSN	1878-7533 ; 1550-7289
ISSN (online)	1878-7533
ISSN	1550-7289
DOI	10.1016/j.soard.2022.01.017
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Zs.A 6572: Show issues

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Article ; Online: Daily medical education for confined students during coronavirus disease 2019 pandemic: A simple videoconference solution.

Moszkowicz, David / Duboc, Henri / Dubertret, Caroline / Roux, Damien / Bretagnol, Frédéric

Clinical anatomy (New York, N.Y.)

2020 Volume 33, Issue 6, Page(s) 927–928

Abstract: The outbreak of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 infection has recently spread globally and is now a pandemic. As a result, university hospitals have had to take unprecedented measures of containment, ... ...

Abstract	The outbreak of coronavirus disease 2019 caused by severe acute respiratory syndrome coronavirus 2 infection has recently spread globally and is now a pandemic. As a result, university hospitals have had to take unprecedented measures of containment, including asking nonessential staff to stay at home. Medical students practicing in the surgical departments find themselves idle, as nonurgent surgical activity has been canceled, until further notice. Likewise, universities are closed and medical training for students is likely to suffer if teachers do not implement urgent measures to provide continuing education. Thus, we sought to set up a daily medical education procedure for surgical students confined to their homes. We report a simple and free teaching method intended to compensate for the disappearance of daily lessons performed in the surgery department using the Google Hangouts application. This video conference method can be applied to clinical as well as anatomy lessons.
MeSH term(s)	Anatomy/education ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/prevention & control ; Education, Distance/methods ; Education, Distance/organization & administration ; Education, Medical/methods ; General Surgery/education ; Humans ; Infection Control/methods ; Pandemics/prevention & control ; Pneumonia, Viral/prevention & control ; SARS-CoV-2 ; Surgery Department, Hospital ; Teaching/trends ; Videoconferencing/organization & administration
Keywords	covid19
Language	English
Publishing date	2020-04-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	1025505-9
ISSN	1098-2353 ; 0897-3806
ISSN (online)	1098-2353
ISSN	0897-3806
DOI	10.1002/ca.23601
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Zs.A 2592: Show issues

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Article ; Online: Ventral Hernia Repair and Obesity: Results from a Nationwide Register Study in France According to the Timeframes of Hernia Repair and Bariatric Surgery.

Moszkowicz, David / Jacota, Madalina / Nkam, Lionelle / Giovinazzo, Davide / Grimaldi, Lamiae / Lazzati, Andrea

Obesity surgery

2021 Volume 31, Issue 12, Page(s) 5251–5259

Abstract: Purpose: Several strategies are suggested for ventral hernia repair (VHR) in bariatric candidates, in terms of timing and technique. The aim was to describe practices in VHR in bariatric patients on a nationwide scale in France.: Materials and methods! ...

Abstract	Purpose: Several strategies are suggested for ventral hernia repair (VHR) in bariatric candidates, in terms of timing and technique. The aim was to describe practices in VHR in bariatric patients on a nationwide scale in France. Materials and methods: We used the prospective national hospital discharge summaries database system to conduct a retrospective cohort study. We included patients operated once for sleeve or bypass, between 2007 and 2018, and who had VHR concomitant with bariatric surgery (BS) or within 2 years before or after. Results: Among 11,680 eligible patients, 2039 underwent VHR in the 2 years before BS, 3388 had concomitant BS and VHR, and 6260 patients had VHR within 2 years after BS. Patients who underwent a concomitant surgery presented a higher suture repair rate (86.1% versus 37.1% and 44.0%, P < 0.001). Overall recurrence of VH at 10 years was 23.3% and was higher for patients who underwent VHR first (36.2%) than patients who underwent BS first (24.5%) and the concomitant group (18.6%), P < 0.001. Major complication rate was 11.1%, 7.8%, and 16.9% (P < 0.001) for VHR-first, concomitant, and BS-first groups, respectively. Mesh infection was found in 0.6% (13/2039) of patients in the VHR-first group, in 0.6% (20/3388) in the concomitant group, and in 1.1% (68/6260) in the BS-first group (P < 0.001). Conclusion: About one-quarter of bariatric patients undergoing VHR will be reoperated for an anterior hernia. VHR before BS entailed a higher risk of reoperation for recurrence and should be avoided. A concomitant repair entailed the lowest rate of recurrence.
MeSH term(s)	Bariatric Surgery/methods ; Hernia, Ventral/complications ; Hernia, Ventral/epidemiology ; Hernia, Ventral/surgery ; Herniorrhaphy/methods ; Humans ; Laparoscopy/methods ; Obesity/complications ; Obesity/epidemiology ; Obesity/surgery ; Obesity, Morbid/surgery ; Prospective Studies ; Retrospective Studies ; Surgical Mesh
Language	English
Publishing date	2021-10-04
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-021-05720-3
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Zs.A 3381: Show issues

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Article: Chirurgie du cancer colorectal chez la personne âgée.

Patroni, Alexia / Moszkowicz, David / Morle, Dominique / Peschaud, Frédérique

Soins. Gerontologie

2018 Volume 23, Issue 132, Page(s) 24–25

Abstract: Colorectal cancer risk factors increase with age, comorbidities, delayed diagnosis, obstruction, emergency and frailty. Surgery is the standard treatment as the survival rate for this pathology is the same as in young patients. It would appear that there ...

Title translation	Colorectal cancer surgery in the elderly.
Abstract	Colorectal cancer risk factors increase with age, comorbidities, delayed diagnosis, obstruction, emergency and frailty. Surgery is the standard treatment as the survival rate for this pathology is the same as in young patients. It would appear that there is an excess morbidity and mortality of colorectal cancer surgery in the elderly. Early rehabilitation is to be favoured during the postoperative period.
MeSH term(s)	Aged ; Colorectal Neoplasms/surgery ; Humans ; Postoperative Care ; Postoperative Complications/prevention & control
Language	French
Publishing date	2018-12-03
Publishing country	France
Document type	Journal Article
ZDB-ID	2246755-5
ISSN	1268-6034
ISSN	1268-6034
DOI	10.1016/j.sger.2018.05.007
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Article ; Online: Portal venous bubbles.

Moszkowicz, David / Corigliano, Nicola

Surgery

2015 Volume 157, Issue 3, Page(s) 599–600

MeSH term(s)	Embolism, Air/diagnostic imaging ; Female ; Humans ; Middle Aged ; Portal Vein ; Tomography, X-Ray Computed
Language	English
Publishing date	2015-03-09
Publishing country	United States
Document type	Case Reports ; Journal Article
ZDB-ID	202467-6
ISSN	1532-7361 ; 0039-6060
ISSN (online)	1532-7361
ISSN	0039-6060
DOI	10.1016/j.surg.2013.09.002
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Article ; Online: Surgical management of parastomal hernia following radical cystectomy and ileal conduit: A french multi-institutional experience.

Bel, Nicolas / Blanc, Pierre-Yves / Moszkowicz, David / Kim, Bradford / Deballon, Pablo Ortega / Berrada, Delia / Liu, David / Romain, Benoit / Ophélie, Delchet / Renard, Yohann / Passot, Guillaume

Langenbeck's archives of surgery

2023 Volume 408, Issue 1, Page(s) 344

Abstract: Background: Parastomal incisional hernia (PH) is a frequent complication following the creation of an ileal conduit (IC), and it can be a significant detriment to quality of life. The aim of this study was to evaluate outcomes of PH repair following IC ... ...

Abstract	Background: Parastomal incisional hernia (PH) is a frequent complication following the creation of an ileal conduit (IC), and it can be a significant detriment to quality of life. The aim of this study was to evaluate outcomes of PH repair following IC for urinary diversion. Method: A multicenter retrospective study was conducted of 6 academic hospitals in France. The study's population included patients who underwent surgical treatment for parastomal hernia following IC creation from 2013 to 2021. Results: Fifty-one patients were included in the study. Median follow up was 15.3 months. Eighteen patients presented with a recurrence (35%), with a median time to recurrence of 11.1 months. The vast majority of PH repair was performed through an open approach (88%). With regard to technique, Keyhole was the most reported technique (46%) followed by Sugarbaker (22%) and suture only (20%). The Keyhole technique was associated with a higher risk of recurrence compared to the Sugarbaker technique (52% vs 10%, p = 0.046). Overall, there was a 7.8% rate of major complications without a statistical difference between PH repair techniques for major complications. Conclusion: Surgical treatment of parastomal hernia following IC was associated with a high risk of recurrence. Novel surgical approaches to PH repair should be considered.
MeSH term(s)	Humans ; Cystectomy/adverse effects ; Incisional Hernia/etiology ; Incisional Hernia/surgery ; Quality of Life ; Retrospective Studies ; Urinary Diversion/adverse effects
Language	English
Publishing date	2023-08-29
Publishing country	Germany
Document type	Multicenter Study ; Journal Article
ZDB-ID	1423681-3
ISSN	1435-2451 ; 1435-2443
ISSN (online)	1435-2451
ISSN	1435-2443
DOI	10.1007/s00423-023-03062-5
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Article ; Online: Seventy years of bariatric surgery: A systematic mapping review of randomized controlled trials.

Rives-Lange, Claire / Rassy, Nathalie / Carette, Claire / Phan, Aurelie / Barsamian, Charles / Thereaux, Jeremie / Moszkowicz, David / Poghosyan, Tigran / Czernichow, Sebastien

Obesity reviews : an official journal of the International Association for the Study of Obesity

2022 Volume 23, Issue 5, Page(s) e13420

Abstract: While research publications on bariatric surgery (BS) have grown significantly over the past decade, there is no mapping of the existing body of evidence on this field of research. We performed a systematic review followed by a mapping of randomized ... ...

Abstract	While research publications on bariatric surgery (BS) have grown significantly over the past decade, there is no mapping of the existing body of evidence on this field of research. We performed a systematic review followed by a mapping of randomized controlled trials (RCTs) in BS for people with obesity. From January 2020 to December 2020, we performed a systematic review of RCTs evaluating BS, versus another surgical procedure, or versus a medical control group, through a search of Embase and PubMed. There was no restriction on outcomes for study selection. A total of 114 RCTs were included, most (73.7%) of which were based on a comparison with Roux-en-Y gastric bypass (RYGB) and conducted between 2010 and 2020. Only 15% of the trials were multicenter and few (3.5%) were international. The median number of patients enrolled was 61 (interquartile range [IQR]: 47.3-100). Follow-up time was 1 to 2 years in 36% and 22.8% of the trials, respectively. Weight loss was the most studied criterion (87% of RCTs), followed by obesity-related diseases, and medical and surgical complications (73%, 54%, and 47% of RCTs, respectively). Nutritional deficiency frequency, body composition, and mental health were little studied (20%, 18% and 5% of RCTs, respectively). Our literature review revealed that much research in BS is wasted because of replication of RCTs on subjects for which there is already body of evidence, with small populations and follow-up times mostly below 2 years. Yet several research questions remain unaddressed, and there are few long-term trials. Future studies should take into account the experience of the past 70 years of research in this field.
MeSH term(s)	Bariatric Surgery/methods ; Gastrectomy/methods ; Gastric Bypass/methods ; Humans ; Multicenter Studies as Topic ; Obesity/surgery ; Obesity, Morbid/surgery ; Randomized Controlled Trials as Topic ; Treatment Outcome
Language	English
Publishing date	2022-01-17
Publishing country	England
Document type	Journal Article ; Review ; Systematic Review ; Research Support, Non-U.S. Gov't
ZDB-ID	2147980-X
ISSN	1467-789X ; 1467-7881
ISSN (online)	1467-789X
ISSN	1467-7881
DOI	10.1111/obr.13420
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Zs.A 5908: Show issues

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Article ; Online: Endoscopic Follow-Up Between 3 and 7 Years After Sleeve Gastrectomy Reveals Antral Reactive Gastropathy but no Barrett's Esophagus.

Coupaye, Muriel / Gorbatchef, Caroline / Dior, Marie / Pacheco, Aude / Duboc, Henri / Calabrese, Daniela / Moszkowicz, David / Le Gall, Maude / Chen, Ruiqian / Soliman, Heithem / Ledoux, Séverine

Obesity surgery

2023 Volume 33, Issue 10, Page(s) 3112–3119

Abstract: Background: The main concerns following sleeve gastrectomy (SG) include the risk of gastroesophageal reflux disease (GERD) and its complications, such as Barrett's esophagus (BE). However, there is conflicting data on esophageal conditions, and studies ... ...

Abstract	Background: The main concerns following sleeve gastrectomy (SG) include the risk of gastroesophageal reflux disease (GERD) and its complications, such as Barrett's esophagus (BE). However, there is conflicting data on esophageal conditions, and studies on alterations of gastric mucosa after SG are lacking, despite reported cases of gastric cancer. Our aim was to assess esophageal and gastric lesions after SG. Methods: From November 2017, an upper gastrointestinal endoscopy (UGE) was proposed at least 3 years after SG to all patients operated on in our institution. Endoscopic results and gastric histological findings were analyzed. BE was defined as endoscopically suspected esophageal metaplasia with histological intestinal metaplasia. Results: Between September 2008 and August 2018, 375 patients underwent SG at our institution, of which 162 (43%) underwent at least one UGE 3 years or more after SG (91% women, mean preoperative age: 43.3±10.3 years). Despite a significant increase in the prevalence of symptomatic GERD, hiatal hernia, and esophagitis after SG (p<0.001 vs. preoperatively), no cases of BE were detected. Gastric dysplasia was not found and the prevalence of gastric atrophy tended to decrease after SG. However, 27% of patients with gastric biopsies developed antral reactive gastropathy. Conclusions: At a mean follow-up of 54 months after SG, no BE or gastric dysplasia was identified. However, reactive gastric lesions appeared, and their long-term consequences need to be further clarified. Thus, the timing of endoscopic follow-up, starting as early as 3 years after SG should be reevaluated to improve patient adherence with long-term endoscopies.
MeSH term(s)	Humans ; Female ; Adult ; Middle Aged ; Male ; Follow-Up Studies ; Obesity, Morbid/surgery ; Gastritis ; Barrett Esophagus/etiology ; Gastrectomy/adverse effects ; Stomach Neoplasms ; Gastroscopy ; Gastroesophageal Reflux/epidemiology ; Gastroesophageal Reflux/etiology ; Metaplasia
Language	English
Publishing date	2023-08-22
Publishing country	United States
Document type	Journal Article
ZDB-ID	1070827-3
ISSN	1708-0428 ; 0960-8923
ISSN (online)	1708-0428
ISSN	0960-8923
DOI	10.1007/s11695-023-06785-y
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