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  1. Article ; Online: An unexpected twist of the alimentary limb after total gastrectomy for gastric cancer.

    Grellet, Robin / Piessen, Guillaume / Veziant, Julie

    Journal of visceral surgery

    2024  

    Language English
    Publishing date 2024-03-12
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2024.02.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Optimal lymph node dissection for gastric cancer: a narrative review.

    Nico, Raphaël / Veziant, Julie / Chau, Amélie / Eveno, Clarisse / Piessen, Guillaume

    World journal of surgical oncology

    2024  Volume 22, Issue 1, Page(s) 108

    Abstract: The management of gastric cancer has long been debated, particularly the extent of lymph node (LN) dissection required during curative surgery. LN invasion stands out as the most critical prognostic factor in gastric cancer. Historically, Japanese ... ...

    Abstract The management of gastric cancer has long been debated, particularly the extent of lymph node (LN) dissection required during curative surgery. LN invasion stands out as the most critical prognostic factor in gastric cancer. Historically, Japanese academic societies were the pioneers in defining a classification system for regional gastric LN stations, numbering them from 1 to 16. This classification was later used to differentiate between different types of LN dissection, such as D1, D2 and D3. However, these definitions were often considered too complex to be universally adopted, resulting in wide variations in recommendations from one country to another and making it difficult to compare published studies. In addition, the optimal extent of LN dissection remains uncertain, with initially recommended dissections being extensive but associated with significant morbidity without a clear survival benefit. The aim of this review is to make a case for extending LN dissection based on the existing literature, which includes a comprehensive examination of the current definitions of lymphadenectomy and an analysis of the results of all randomised controlled trials evaluating morbidity, mortality and long-term survival associated with different types of LN dissection. Finally, we provide a summary of the various recommendations issued by organizations such as the Japanese Gastric Research Association, the National Comprehensive Cancer Network, the European Society for Medical Oncology, and the French National Thesaurus of Digestive Oncology.
    MeSH term(s) Humans ; Stomach Neoplasms/surgery ; Stomach Neoplasms/pathology ; Stomach Neoplasms/mortality ; Lymph Node Excision/methods ; Prognosis ; Gastrectomy/methods ; Lymph Nodes/pathology ; Lymph Nodes/surgery ; Lymphatic Metastasis
    Language English
    Publishing date 2024-04-23
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2118383-1
    ISSN 1477-7819 ; 1477-7819
    ISSN (online) 1477-7819
    ISSN 1477-7819
    DOI 10.1186/s12957-024-03388-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Obesity, sleeve gastrectomy and gastro-esophageal reflux disease.

    Veziant, J / Benhalima, S / Piessen, G / Slim, K

    Journal of visceral surgery

    2023  Volume 160, Issue 2S, Page(s) S47–S54

    Abstract: Sleeve gastrectomy (SG) is the most frequently performed operation for morbid obesity in the world. In spite of its demonstrated efficacy, the Achilles' Heel of this procedure seems to be either pre-existing or de novo gastro-esophageal reflux disease ( ... ...

    Abstract Sleeve gastrectomy (SG) is the most frequently performed operation for morbid obesity in the world. In spite of its demonstrated efficacy, the Achilles' Heel of this procedure seems to be either pre-existing or de novo gastro-esophageal reflux disease (GERD) with its potential complications such as peptic esophagitis, Barrett's esophagus and, in the long-term, esophageal adenocarcinoma. According to factual literature, it appears clear that Roux-en-Y gastric bypass is the preferred choice in case of pre-existing GERD or hiatal hernia discovered during preoperative workup for bariatric surgery. Nonetheless, certain authors propose performance of SG with an associated antireflux procedure such as Nissen fundoplication. Strict endoscopic surveillance is recommended after bariatric surgery. Revisional surgery (conversion of SG into Roux-en-Y gastric bypass (RYGB)) is the treatment of choice for patients who develop GERD after SG when conservative treatment (modified lifestyle and proton pump inhibitors) has failed. Lastly, with regard to the risk of esophageal adenocarcinoma after SG, large scale studies with adequate follow-up are necessary to come to factual conclusions. In all cases, the management of this conundrum remains a major technical challenge that has to be taken in consideration in future years, especially because of the current expansion of bariatric surgery.
    MeSH term(s) Humans ; Gastroesophageal Reflux/diagnosis ; Gastroesophageal Reflux/etiology ; Gastric Bypass/adverse effects ; Gastric Bypass/methods ; Obesity, Morbid/complications ; Gastrectomy/methods ; Adenocarcinoma/etiology ; Adenocarcinoma/surgery ; Retrospective Studies
    Language English
    Publishing date 2023-01-30
    Publishing country France
    Document type Journal Article ; Review
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2023.01.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: La chirurgie digestive urgente, victime collatérale de la crise de la COVID-19 ?

    Slim, K / Veziant, J

    Journal de chirurgie viscerale

    2020  Volume 157, Issue 3, Page(s) S4–S5

    Title translation Urgent digestive surgery, a collateral victim of the Covid-19 crisis?
    Keywords covid19
    Language French
    Publishing date 2020-04-06
    Publishing country France
    Document type Editorial ; Comment
    ZDB-ID 2541648-0
    ISSN 1878-786X ; 0021-7697
    ISSN 1878-786X ; 0021-7697
    DOI 10.1016/j.jchirv.2020.04.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Urgent digestive surgery, a collateral victim of the COVID-19 crisis?

    Slim, K / Veziant, J

    Journal of visceral surgery

    2020  Volume 157, Issue 3S1, Page(s) S5–S6

    MeSH term(s) COVID-19 ; Coronavirus Infections ; Digestive System Diseases/surgery ; Digestive System Surgical Procedures ; Emergency Treatment ; Humans ; Pandemics ; Pneumonia, Viral ; Quarantine
    Keywords covid19
    Language English
    Publishing date 2020-04-06
    Publishing country France
    Document type Editorial
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2020.04.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Bowel preparation for colorectal surgery: Questions to answer.

    Slim, Karem / Veziant, Julie / Joris, Jean

    Surgery

    2022  Volume 171, Issue 6, Page(s) 1700–1701

    MeSH term(s) Antibiotic Prophylaxis ; Cathartics/therapeutic use ; Colorectal Surgery ; Digestive System Surgical Procedures ; Elective Surgical Procedures ; Humans ; Preoperative Care ; Surgical Wound Infection/drug therapy
    Chemical Substances Cathartics
    Language English
    Publishing date 2022-02-23
    Publishing country United States
    Document type Editorial
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2022.01.032
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Open thoracic step during Lewis-Santy esophagectomy for cancer following initial laparoscopy.

    Veziant, J / Antomarchi, O / Slim, K

    Journal of visceral surgery

    2021  Volume 158, Issue 1, Page(s) 62–68

    MeSH term(s) Esophageal Neoplasms/surgery ; Esophagectomy ; Humans ; Laparoscopy
    Language English
    Publishing date 2021-01-13
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2020.10.014
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Conceptual innovation: 4P Medicine and 4P surgery.

    Slim, K / Selvy, M / Veziant, J

    Journal of visceral surgery

    2021  Volume 158, Issue 3S, Page(s) S12–S17

    Abstract: The aim of this article is to present the concept of "4P medicine" i.e., medicine that is Personalized, Preventive, Predictive, and Participatory. We will discuss the evolution from cure-focused traditional medicine toward personalized medicine based on ... ...

    Abstract The aim of this article is to present the concept of "4P medicine" i.e., medicine that is Personalized, Preventive, Predictive, and Participatory. We will discuss the evolution from cure-focused traditional medicine toward personalized medicine based on genome analysis. This new approach is illustrated by several clinical examples such as prevention of cardiovascular diseases (primary and secondary), prophylactic cancer surgery, targeted therapies, targeted peri-operative care and patient participation in their care. Finally, it will discuss the impact of this development on the health system of the future and the ethical questions raised by this new approach.
    MeSH term(s) Humans ; Patient Participation ; Precision Medicine
    Language English
    Publishing date 2021-03-11
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2021.01.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Evidence-based evaluation of abdominal drainage in pancreatic surgery.

    Veziant, J / Selvy, M / Buc, E / Slim, K

    Journal of visceral surgery

    2021  Volume 158, Issue 3, Page(s) 220–230

    Abstract: Pancreatic fistula is the most common and dreaded complication after pancreatic resection, responsible for high morbidity and mortality (2 to 30%). Prophylactic drainage of the operative site is usually put in place to decrease and/or detect ... ...

    Abstract Pancreatic fistula is the most common and dreaded complication after pancreatic resection, responsible for high morbidity and mortality (2 to 30%). Prophylactic drainage of the operative site is usually put in place to decrease and/or detect postoperative pancreatic fistula (POPF) early. However, this policy is currently debated and the data from the literature are unclear. The goal of this update is to analyze the most recent evidence-based data with regard to prophylactic abdominal drainage after pancreatic resection (pancreatoduodenectomy [PD] or distal pancreatectomy [PD]). This systematic review of the literature between 1990 and 2020 sought to answer the following questions: should drainage of the operative site after pancreatectomy be routine or adapted to the risk of POPF? If a drainage is used, how long should it remain in the abdomen, what criteria should be used to decide to remove it, and what type of drainage should be preferred? Has the introduction of laparoscopy changed our practice? The literature seems to indicate that it is not possible to recommend the omission of routine drainage after pancreatic resection. By contrast, an approach based on the risk of POPF using the fistula risk score seems beneficial. When a drain is placed, early removal (within 5 days) seems feasible based on clinical, laboratory (C-reactive protein, leukocyte count, neutrophile/lymphocyte ratio, dosage and dynamic of amylase in the drains on D1, D3±D5) and radiological findings. This is in line with the development of enhanced recovery programs after pancreatic surgery. Finally, this literature review did not find any specific data relative to mini-invasive pancreatic surgery.
    MeSH term(s) Abdomen ; Drainage ; Humans ; Pancreatectomy/adverse effects ; Pancreatic Fistula/etiology ; Pancreatic Fistula/prevention & control ; Pancreaticoduodenectomy/adverse effects ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Time Factors
    Language English
    Publishing date 2021-01-07
    Publishing country France
    Document type Journal Article ; Systematic Review
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2020.11.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: How to reduce failure to rescue after visceral surgery?

    Slim, K / Veziant, J / Amalberti, R

    Journal of visceral surgery

    2021  Volume 158, Issue 4, Page(s) 317–325

    Abstract: Mortality after visceral surgery has decreased owing to progress in surgical techniques, anesthesiology and intensive care. Mortality occurs in 5-10% of patients after major surgery and remains a topic of interest. However, the ratio of mortality after ... ...

    Abstract Mortality after visceral surgery has decreased owing to progress in surgical techniques, anesthesiology and intensive care. Mortality occurs in 5-10% of patients after major surgery and remains a topic of interest. However, the ratio of mortality after postoperative complications in relation to overall complications varies between hospitals because of failure to rescue at the time of the complication. There are multiple factors that lead to complication-related mortality: they are patient-related, disease-related, but are related, above all, to the timeliness of diagnosis of the complication, the organisational aspects of management in private or public hospitals, hospital volume that corresponds to the centralisation of initial management or to the concept of referral centre in case of complications, to the team spirit, to communication between the health care providers and to the management of the complication itself. Several organisational advances are to be considered, such as the development of shorter hospitalisations and notably ambulatory surgery, as well as enhanced recovery programs. Remote monitoring and the contribution of artificial intelligence must also be evaluated in this context. The reduction of mortality after visceral surgery rests on several tactics: prevention of potentially lethal complications, the all-important reduction of failure to rescue, and risk management before, during and after hospitalisations that are increasingly shorter.
    MeSH term(s) Artificial Intelligence ; Digestive System Surgical Procedures/adverse effects ; Failure to Rescue, Health Care ; Hospital Mortality ; Humans ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control
    Language English
    Publishing date 2021-03-15
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2021.03.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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