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  1. Article ; Online: Editorial: therapeutic drug monitoring for golimumab - ready for prime time?

    Roblin, Xavier / Le Roy, Bertrand / Paul, Stéphane

    Alimentary pharmacology & therapeutics

    2020  Volume 52, Issue 6, Page(s) 1078–1079

    MeSH term(s) Antibodies, Monoclonal ; Colitis, Ulcerative ; Drug Monitoring ; Humans ; Tumor Necrosis Factor-alpha
    Chemical Substances Antibodies, Monoclonal ; Tumor Necrosis Factor-alpha ; golimumab (91X1KLU43E)
    Language English
    Publishing date 2020-10-29
    Publishing country England
    Document type Editorial ; Comment
    ZDB-ID 639012-2
    ISSN 1365-2036 ; 0269-2813 ; 0953-0673
    ISSN (online) 1365-2036
    ISSN 0269-2813 ; 0953-0673
    DOI 10.1111/apt.15900
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Delayed superior epigastric artery pseudoaneurysm following percutaneous radiologic gastrostomy: Treatment by percutaneous embolization with N-butyl cyanoacrylate.

    Grange, Rémi / Chevalier-Meilland, Clément / Le Roy, Bertrand / Grange, Sylvain

    Radiology case reports

    2021  Volume 16, Issue 6, Page(s) 1459–1462

    Abstract: Percutaneous radiologic gastrostomy (PRG) is a widely used procedure with a low rate of serious complications and with comparable short-term outcomes with percutaneous endoscopy. Hemorrhagic complications are rare (1.4%), and occur usually immediately ... ...

    Abstract Percutaneous radiologic gastrostomy (PRG) is a widely used procedure with a low rate of serious complications and with comparable short-term outcomes with percutaneous endoscopy. Hemorrhagic complications are rare (1.4%), and occur usually immediately after the procedure due to direct arterial punctures. We report on the case of a 62-year-old male patient with a diagnosis of multi-systemic atrophy disease that was referred to our tertiary center for PRG. The procedure was performed without early complications. He presented a slight bleeding 3 weeks of the procedure. A CT angiogram revealed a pseudoaneurysm of the left superior epigastric artery, in contact with the gastrostomy tube. After a failed surgical treatment, the patient was successfully treated by percutaneous embolization using a mixture of Glubran 2 and Lipiodol, under ultrasound and fluoroscopic control. This case study suggested that a slight hemorrhage following PRG may suggest a pseudoaneurysm and a CT angiogram should be performed.
    Language English
    Publishing date 2021-04-12
    Publishing country Netherlands
    Document type Case Reports
    ZDB-ID 2406300-9
    ISSN 1930-0433
    ISSN 1930-0433
    DOI 10.1016/j.radcr.2021.03.050
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Laparoscopic Lavage for Perforated Diverticulitis.

    Slim, Karem / Le Roy, Bertrand

    Annals of surgery

    2017  Volume 267, Issue 4, Page(s) e73–e74

    MeSH term(s) Diverticulitis/surgery ; Humans ; Laparoscopy ; Therapeutic Irrigation
    Language English
    Publishing date 2017-01-25
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 340-2
    ISSN 1528-1140 ; 0003-4932
    ISSN (online) 1528-1140
    ISSN 0003-4932
    DOI 10.1097/SLA.0000000000002155
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Is prehabilitation limited to preoperative exercise?

    Le Roy, Bertrand / Slim, Karem

    Surgery

    2017  Volume 162, Issue 1, Page(s) 192

    Language English
    Publishing date 2017-07
    Publishing country United States
    Document type Letter
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2016.10.039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Metastatic Colorectal Cancer Treated with Combined Liver Resection, Cytoreductive Surgery, and Hyperthermic Intraperitoneal Chemotherapy (HIPEC): Predictive Factors for Early Recurrence.

    Grange, Rémi / Rousset, Pascal / Williet, Nicolas / Guesnon, Mathias / Milot, Laurent / Passot, Guillaume / Phelip, Jean-Marc / Le Roy, Bertrand / Glehen, Olivier / Kepenekian, Vahan

    Annals of surgical oncology

    2024  Volume 31, Issue 4, Page(s) 2378–2390

    Abstract: Background: Selection of colorectal cancer patients with concomitant peritoneal (PM) and liver metastases (LM) for radical treatment with cytoreductive surgery (CRS), including liver resection and hyperthermic intraperitoneal chemotherapy (HIPEC), needs ...

    Abstract Background: Selection of colorectal cancer patients with concomitant peritoneal (PM) and liver metastases (LM) for radical treatment with cytoreductive surgery (CRS), including liver resection and hyperthermic intraperitoneal chemotherapy (HIPEC), needs improvement. This retrospective, monocentric study was designed to evaluate the predictive factors for early recurrence, disease-free survival (DFS), and overall survival (OS) in such patients treated in a referral center.
    Methods: Consecutive colorectal cancer patients with concomitant LM and PM treated with curative intent with perioperative systemic chemotherapy, simultaneous complete CRS, liver resection, and HIPEC in 2011-2022 were included. Clinical, radiological (before and after preoperative chemotherapy), surgical, and pathological data were investigated, along with long-term oncologic outcomes. A multivariate analysis was performed to identify predictive factors associated with early recurrence (diagnosed <6 months after surgery), DFS, and OS.
    Results: Of more than 61 patients included, 31 (47.1%) had pT4 and 27 (40.9%) had pN2 primary tumors. Before preoperative chemotherapy, the median number of LM was 2 (1-4). The median surgical PCI (peritoneal carcinomatosis index) was 3 (5-8.5). The median DFS and OS were 8.15 (95% confidence interval [CI] 5.5-10.1) and 34.1 months (95% CI 28.1-53.5), respectively. In multivariate analysis, pT4 (odds ratio [OR] = 4.14 [1.2-16.78], p = 0.032]) and pN2 (OR = 3.7 [1.08-13.86], p = 0.042) status were independently associated with an early recurrence, whereas retroperitoneal lymph node metastasis (hazard ratio [HR] = 39 [8.67-175.44], p < 0.001) was independently associated with poor OS.
    Conclusions: In colorectal cancer patients with concomitant PM and LM, an advanced primary tumor (pT4 and/or pN2) was associated with a higher risk of early recurrence following a radical multimodal treatment, whereas RLN metastases was strongly detrimental for OS.
    MeSH term(s) Humans ; Hyperthermic Intraperitoneal Chemotherapy ; Colorectal Neoplasms/pathology ; Retrospective Studies ; Cytoreduction Surgical Procedures ; Percutaneous Coronary Intervention ; Hyperthermia, Induced ; Colonic Neoplasms/drug therapy ; Combined Modality Therapy ; Rectal Neoplasms/therapy ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Liver Neoplasms/secondary ; Survival Rate
    Language English
    Publishing date 2024-01-03
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-023-14840-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Early mobilization in abdominal and thoracic surgery.

    Slim, Karem / Le Roy, Bertrand

    Surgery

    2016  Volume 160, Issue 6, Page(s) 1711

    Language English
    Publishing date 2016-12
    Publishing country United States
    Document type Letter
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1016/j.surg.2016.03.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Safety and efficacy of emergency transarterial embolization for mesenteric bleeding.

    Extrat, Chloé / Grange, Sylvain / Chevalier, Clément / Williet, Nicolas / Phelip, Jean-Marc / Barral, Fabrice-Guy / Le Roy, Bertrand / Grange, Rémi

    CVIR endovascular

    2022  Volume 5, Issue 1, Page(s) 5

    Abstract: Background: Patients with spontaneous or traumatic active mesenteric bleeding cannot be treated endoscopically. Transarterial embolization can serve as a potential alternative to emergency surgery. Literature on transarterial embolization for mesenteric ...

    Abstract Background: Patients with spontaneous or traumatic active mesenteric bleeding cannot be treated endoscopically. Transarterial embolization can serve as a potential alternative to emergency surgery. Literature on transarterial embolization for mesenteric bleeding remains very scarce. The objective of this study was to evaluate the safety and efficacy of transarterial embolization for mesenteric bleeding. We reviewed all consecutive patients admitted for mesenteric bleeding to the interventional radiology department, in a tertiary center, between January 2010 and March 2021. Mesenteric bleeding was defined as mesenteric hematoma and contrast extravasation and/or pseudoaneurysm visible on pre-operative CT scan. We evaluated technical success, clinical success, and complications.
    Results: Among the 17 patients admitted to the interventional department for mesenteric bleeding, 15 presented with active mesenteric bleeding requiring transarterial embolization with five patients with hemodynamic instability. Mean age was 67 ± 14 years, including 12 (70.6%) males. Technical success was achieved in 14/15 (93.3%) patients. One patient with technical failure was treated by percutaneous embolization with NBCA-Lipiodol mixture. Three patients (20%) had early rebleeding: two were treated by successful repeat embolization and one by surgery. One patient (6.7%) had early death within 30 days and two patients (13.3%) had late death after 30 days. Mean length of hospitalization was 12.8 ± 7 days. There were no transarterial embolization-related ischemic complications.
    Conclusion: Transarterial embolization is a safe and effective technique for treating mesenteric bleeding even in patients with hemodynamic instability. Transarterial embolization doesn't close the door to surgery and could be proposed as first intention in case of mesenteric bleeding.
    Language English
    Publishing date 2022-01-08
    Publishing country Switzerland
    Document type Journal Article
    ISSN 2520-8934
    ISSN (online) 2520-8934
    DOI 10.1186/s42155-021-00281-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Transarterial Embolization for Active Gastrointestinal Bleeding: Predictors of Early Mortality and Early Rebleeding.

    Extrat, Chloé / Grange, Sylvain / Mayaud, Alexandre / Villeneuve, Loïc / Chevalier, Clément / Williet, Nicolas / Le Roy, Bertrand / Boutet, Claire / Grange, Rémi

    Journal of personalized medicine

    2022  Volume 12, Issue 11

    Abstract: Background: The aim of this study was to determine predictive factors of early mortality and early rebleeding (≤30 days) following transarterial embolization (TAE) for treatment of acute gastrointestinal bleeding. Methods: All consecutive patients ... ...

    Abstract Background: The aim of this study was to determine predictive factors of early mortality and early rebleeding (≤30 days) following transarterial embolization (TAE) for treatment of acute gastrointestinal bleeding. Methods: All consecutive patients admitted for acute gastrointestinal bleeding to the interventional radiology department in a tertiary center between January 2012 and January 2022 were included. Exclusion criteria were patients: (1) aged < 18-year-old, (2) referred to the operation room without TAE, (3) treated for hemobilia, (4) with mesenteric hematoma, (5) lost to follow-up within 30 days after the procedure. We evaluated pre and per-procedure clinical data, biological data, outcomes, and complications. Results: Sixty-eight patients were included: 55 (80.9%) experienced upper gastrointestinal bleeding and 13 (19.1%) lower gastrointestinal bleeding. Median age was 69 (61−74) years. There were 49 (72%) males. Median hemoglobin was 7.25 (6.1−8.3) g/dL. There were 30 (50%) ulcers. Coils were used in 46 (67.6%) procedures. Early mortality was 15 (22.1%) and early rebleeding was 17 (25%). In multivariate analysis, hyperlactatemia (≥2 mmol/L) were predictive of early mortality (≤30 days). A high number of red blood cells units was associated with early rebleeding. Conclusion: This study identified some predictive factors of 30-day mortality and early rebleeding following TAE. This will assist in patient selection and may help improve the management of gastrointestinal bleeding.
    Language English
    Publishing date 2022-11-07
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662248-8
    ISSN 2075-4426
    ISSN 2075-4426
    DOI 10.3390/jpm12111856
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  9. Article ; Online: Prognostic factors of pelvic MRI at the initial workflow in locally advanced rectal cancer: Focus on extra mural venous invasion and tumour deposits.

    Mayaud, Alexandre / Bousarsar, Amal / Soltani, Saïd / Sotton, Sandrine / Grange, Rémi / Le Roy, Bertrand / Phelip, Jean-Marc / Boutet, Claire / Magne, Nicolas

    Bulletin du cancer

    2022  Volume 109, Issue 12, Page(s) 1269–1276

    Abstract: Introduction: Tumour deposits (TD) and extramural venous invasion (EMVI) are key anatomopathology prognostic criteria in rectal cancer. According to the 2018 ESGAR recommendations, they should be included in every MRI report. The present study aimed at ... ...

    Abstract Introduction: Tumour deposits (TD) and extramural venous invasion (EMVI) are key anatomopathology prognostic criteria in rectal cancer. According to the 2018 ESGAR recommendations, they should be included in every MRI report. The present study aimed at identifying pelvic MRI survival prognostic factors in locally advanced rectal cancers before neo-adjuvant treatment, with a focus on EMVI and TD (mrEMVI and mrTD).
    Methods: Between 2010 and 2014, we conducted a retrospective study about 69 patients who underwent a pre-operative radiotherapy for a non-metastatic rectal cancer. All MR images were acquired on machines with a 1.5 or 3.0 Tesla field strength and were interpreted in compliance with the 2018 ESGAR recommendations.
    Results: Out of the 27 patients who were mrEMVI+ (39.1%), MRF was involved in 77.7% of the cases vs. 33.3% for the mrEMVI- tumours. Fifteen (55.5%) out of the 27 mrEMVI+ tumours were mrTD+. This represents 21.7% of our population. mrEMVI/mrTD+ tumours were more RCT resistant, their downstaging happened in 6.7% of cases. In case of tumour downstaging, DFS increased significantly (P=0.02) unlike OS (P=0.2).
    Discussion: The present study supports the fact that both mrEMVI and mrTD status are important pelvic MRI prognostic factors. Future studies could focus on relating mrTD tumours status to pathological results to define if post-RCT downstaging of TD has an impact on OS.
    MeSH term(s) Humans ; Retrospective Studies ; Prognosis ; Extranodal Extension ; Workflow ; Rectal Neoplasms/diagnostic imaging ; Rectal Neoplasms/therapy ; Magnetic Resonance Imaging/methods ; Neoplasms, Second Primary ; Neoplasm Invasiveness
    Language English
    Publishing date 2022-07-21
    Publishing country France
    Document type Journal Article
    ZDB-ID 213270-9
    ISSN 1769-6917 ; 0007-4551
    ISSN (online) 1769-6917
    ISSN 0007-4551
    DOI 10.1016/j.bulcan.2022.03.003
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  10. Article ; Online: Preoperative morphometric measurements of liver vasculature to predict postoperative liver failure: bicentric study.

    Saleh, Nour Bou / Golse, Nicolas / Abdallah, Mourad / Véziant, Julie / Pereira, Bruno / Le Roy, Bertrand / Magnin, Benoît / Adam, René / Buc, Emmanuel

    The British journal of surgery

    2022  Volume 109, Issue 6, Page(s) 554–555

    MeSH term(s) Hepatectomy/adverse effects ; Humans ; Liver/surgery ; Liver Failure ; Postoperative Complications/diagnosis ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Retrospective Studies
    Language English
    Publishing date 2022-03-15
    Publishing country England
    Document type Journal Article
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1093/bjs/znac026
    Database MEDical Literature Analysis and Retrieval System OnLINE

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