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  1. Article ; Online: Giant esophageal liposarcoma.

    Aoun, Rany / Piessen, Guillaume

    Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

    2024  Volume 28, Issue 2, Page(s) 186–187

    Language English
    Publishing date 2024-02-05
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2012365-6
    ISSN 1873-4626 ; 1934-3213 ; 1091-255X
    ISSN (online) 1873-4626 ; 1934-3213
    ISSN 1091-255X
    DOI 10.1016/j.gassur.2023.11.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. 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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  3. 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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  4. Article ; Online: The role for surgery when primary (radio)chemotherapy treatment of gastro-intestinal tumors results in clinical complete response.

    Piessen, G

    Journal of visceral surgery

    2014  Volume 151, Issue 6, Page(s) 423–424

    MeSH term(s) Chemoradiotherapy ; Gastrointestinal Neoplasms/drug therapy ; Gastrointestinal Neoplasms/radiotherapy ; Gastrointestinal Neoplasms/surgery ; Humans ; Salvage Therapy ; Treatment Outcome ; Watchful Waiting
    Language English
    Publishing date 2014-12
    Publishing country France
    Document type Editorial
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2014.09.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Don't abandon BRAF-mutated patients with peritoneal metastasis! Re: « Therapeutic implications of B-RAF mutations in colorectal cancer ».

    Noiret, B / Piessen, G / Eveno, C

    Journal of visceral surgery

    2021  Volume 159, Issue 1, Page(s) 85

    MeSH term(s) Colorectal Neoplasms/genetics ; Humans ; Mutation ; Peritoneal Neoplasms/drug therapy ; Peritoneal Neoplasms/genetics ; Peritoneum ; Proto-Oncogene Proteins B-raf/genetics ; Proto-Oncogene Proteins B-raf/therapeutic use
    Chemical Substances BRAF protein, human (EC 2.7.11.1) ; Proto-Oncogene Proteins B-raf (EC 2.7.11.1)
    Language English
    Publishing date 2021-11-18
    Publishing country France
    Document type Letter ; Comment
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2021.11.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Cytoreductive Surgery (CRS) and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Definitively Does not Deserve Its Bad Reputation.

    Noiret, B / Piessen, G / Eveno, C

    Annals of surgical oncology

    2021  Volume 28, Issue 9, Page(s) 5448–5449

    MeSH term(s) Cytoreduction Surgical Procedures ; Humans ; Hyperthermia, Induced ; Hyperthermic Intraperitoneal Chemotherapy ; Peritoneal Neoplasms/therapy
    Language English
    Publishing date 2021-02-20
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-021-09741-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: ASO Author Reflections: Neoadjuvant Radiotherapy in Locally Advanced Esophageal Adenocarcinoma; Low-Dose Radiation, Low-Dose Expectations?

    Mantziari, Styliani / Teixeira Farinha, Hugo / Piessen, Guillaume / Schäfer, Markus

    Annals of surgical oncology

    2024  Volume 31, Issue 4, Page(s) 2515–2516

    MeSH term(s) Humans ; Neoadjuvant Therapy ; Motivation ; Esophageal Neoplasms/radiotherapy ; Esophageal Neoplasms/pathology ; Adenocarcinoma/radiotherapy ; Esophagectomy
    Language English
    Publishing date 2024-01-11
    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/s10434-023-14885-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Should Cytoreductive Surgery Alone for Peritoneal Metastases of Colorectal Origin be Centralized? A National Study of 4159 Procedures.

    Noiret, Barbara / Lenne, Xavier / Bruandet, Amélie / Piessen, Guillaume / Eveno, Clarisse

    Annals of surgical oncology

    2024  

    Abstract: Background: Addition of oxaliplatin-based hyperthermic intraperitoneal chemotherapy (HIPEC) to cytoreductive surgery (CRS) in the treatment of peritoneal metastases of colorectal origin (CRPM) did not show any survival benefit in the PRODIGE 7 trial (P7) ...

    Abstract Background: Addition of oxaliplatin-based hyperthermic intraperitoneal chemotherapy (HIPEC) to cytoreductive surgery (CRS) in the treatment of peritoneal metastases of colorectal origin (CRPM) did not show any survival benefit in the PRODIGE 7 trial (P7). This study aimed to investigate whether perioperative outcomes after CRS alone for CRPM patients is mediated by hospital volume and to determine the effect of P7 on French practice for CRPM patients treated respectively with CRS alone and CRS/HIPEC.
    Methods: Data from CRPM patients treated with CRS alone between 2013 and 2020 in France were collected through a national medical database. The study used a cutoff value of the annual CRS-alone caseload affecting the 90-day postoperative mortality (POM) determined from our previous study to define low-volume (LV) HIPEC and high-volume (HV) HIPEC centers. Perioperative outcomes were compared between no-HIPEC, LV-HIPEC, and HV-HIPEC centers. The trend between years and HIPEC rates was analyzed using the Cochrane-Armitage test.
    Results: Data from 4159 procedures were analyzed. The patients treated in no-HIPEC and LV-HIPEC centers were older compared with HV-HIPEC centers (p < 0.0001) and had a higher Elixhauser comorbidity index (p < 0.0001) and less complex surgery (p < 0.0001). Whereas the major morbidity (MM) rate did not differ between groups (p = 0.79), the 90-day POM was lower in HV-HIPEC centers than in no-HIPEC and LV-HIPEC centers (5.4% vs 15% and 13.3%; p < 0.0001), with lower failure-to-rescue (FTR) (p < 0.0001). After P7, the CRS/HIPEC rate decreased drastically in Cancer centers (p < 0.001), whereas patients treated with CRS alone are still referred to expert centers.
    Conclusions: Centralization of CRS alone should improve patient selection as well as FTR and POM. After P7, CRS/HIPEC decreased mostly in Cancer centers, without any impact on the number of CRS-alone cases referred to expert centers.
    Language English
    Publishing date 2024-03-28
    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/s10434-024-15180-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. 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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  10. Article ; Online: Laparoscopic management of a large hiatal hernia after Lewis Santy oesophagectomy (with video).

    Hertault, H / Crombe, T / Piessen, G

    Journal of visceral surgery

    2020  Volume 157, Issue 2, Page(s) 155–156

    MeSH term(s) Adult ; Esophagectomy/methods ; Female ; Hernia, Hiatal/etiology ; Hernia, Hiatal/surgery ; Herniorrhaphy/methods ; Humans ; Laparoscopy/methods ; Postoperative Complications/surgery
    Language English
    Publishing date 2020-03-17
    Publishing country France
    Document type Case Reports ; Journal Article ; Video-Audio Media
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2019.10.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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