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  1. Article ; Online: Immediate postoperative pain does not predict pain at home after ambulatory single-port sleeve gastrectomy.

    Mascitti, Paola / Beaussier, Marc / Sciard, Didier / Boutron, Marie-Christine / Ghedira, Abdessalem / Pourcher, Guillaume

    Langenbeck's archives of surgery

    2022  Volume 407, Issue 7, Page(s) 2739–2746

    Abstract: Purpose: Single-port sleeve gastrectomy (SPSG) is increasingly performed in an ambulatory setting. Pain intensity when returning home remains a problem. The challenge is to be able to predict the evolution of postoperative pain (POP) at home by using ... ...

    Abstract Purpose: Single-port sleeve gastrectomy (SPSG) is increasingly performed in an ambulatory setting. Pain intensity when returning home remains a problem. The challenge is to be able to predict the evolution of postoperative pain (POP) at home by using parameters collected during the hospital stay. This study aimed to investigate whether immediate POP in the postanesthesia care unit (PACU) can predict pain intensity 24 h after surgery.
    Methods: Single-center retrospective study in patients with obesity who underwent ambulatory SPSG. POP and opiate requirements during PACU stay were registered. Patients were followed up at home during the first 4 postoperative days. The primary outcome was the correlation between opiate requirements in the PACU and Numerical Rating Scale (NRS) at home 24 h after surgery. Secondly, logistic regression was used to identify risk factors for moderate/intense pain 24 h after surgery.
    Results: Ninety-four patients were included during the study period. Twenty-two patients had NRS > 3/10 24 h after surgery. No correlation was found between the total dose of morphine in the PACU and pain intensity 24 h after surgery (r
    Conclusion: No correlation was found between opiate requirements in the PACU and pain at home 24 h after SPSG. Based on these results, it does not seem possible to predict intense pain at home from pain profile and morphine requirement during the immediate postoperative period.
    MeSH term(s) Humans ; Retrospective Studies ; Pain, Postoperative/diagnosis ; Pain, Postoperative/drug therapy ; Pain, Postoperative/etiology ; Gastrectomy/adverse effects ; Gastrectomy/methods ; Analgesics, Opioid/therapeutic use ; Opiate Alkaloids ; Morphine Derivatives
    Chemical Substances Analgesics, Opioid ; Opiate Alkaloids ; Morphine Derivatives
    Language English
    Publishing date 2022-06-16
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-022-02560-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Banded versus non-banded sleeve gastrectomy: A systematic review and meta-analysis.

    Chaouch, Mohamed Ali / Yang, Wah / Gouader, Amine / Krimi, Bassem / Carneiro da Costa, Adriano / Pourcher, Guillaume / Oweira, Hani

    Medicine

    2023  Volume 102, Issue 15, Page(s) e32982

    Abstract: Background: Laparoscopic banded sleeve gastrectomy (LBSG) has been compared to laparoscopic sleeve gastrectomy (LSG) in terms of anthropometric results and postoperative complications, which are controversial. This systematic review and meta-analysis ... ...

    Abstract Background: Laparoscopic banded sleeve gastrectomy (LBSG) has been compared to laparoscopic sleeve gastrectomy (LSG) in terms of anthropometric results and postoperative complications, which are controversial. This systematic review and meta-analysis aimed to compare the safety and efficacy of LBSG and LSG.
    Methods: We performed a systematic review with meta-analysis according to preferred reporting items for systematic review and meta-analysis 2020 and assessing the methodological quality of systematic review 2 guidelines. We included studies that systematically searched electronic databases and compared LBSG with LSG conducted until August 10, 2021.
    Results: The literature search yielded 8 comparative studies. Seven hundred forty-three patients were included: 352 in the LBSG group and 391 in the LSG group. LBSG group allowed greater anthropometric parameters (body mass index [BMI] after 1 year (mean difference [MD] = -3.18; 95% CI [-5.45, -0.92], P = .006), %EWL after 1 year (MD = 8.02; 95% CI [1.22, 14.81], P = .02), and %EWL after 3 years (MD = 10.60; 95% CI [5.60, 15.69], P < .001) and similar results with LSG group in terms of operative time (MD = 1.23; 95% CI [-4.71, 7.17], P = .69), food intolerance (OR = 1.72; 95% CI [0.84, 3.49], P = .14), postoperative vomiting (OR = 2.10; 95% CI [0.69, 6.35], P = .19), and De novo GERD (OR = 0.65; 95% CI [0.34, 1.26], P = .2). Nevertheless, major postoperative complications did not differ between the 2 groups.
    Conclusions: This systematic review and meta-analysis comparing LBSG and LSG concluded that banding sleeve gastrectomy (SG) may ensure a lower BMI and %EWL after 1 year of follow-up, and a significant reduction in %EWL after 3 years of follow-up. There is no evidence to support LBSG in vomiting, de novo GERD, food intolerance, or operative time.
    MeSH term(s) Humans ; Food Intolerance ; Gastroplasty/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Gastrectomy/adverse effects ; Gastrectomy/methods ; Postoperative Nausea and Vomiting ; Gastroesophageal Reflux/complications ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Obesity, Morbid/surgery ; Obesity, Morbid/complications ; Treatment Outcome ; Retrospective Studies
    Language English
    Publishing date 2023-04-14
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000032982
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Obesity in HIV-infected patients in France: prevalence and surgical treatment options.

    Pourcher, G / Costagliola, D / Martinez, V

    Journal of visceral surgery

    2015  Volume 152, Issue 1, Page(s) 33–37

    Abstract: Increasing rate of obesity was reported in HIV-infected patients in USA. In France, no data are available to date. Bariatric surgery is the best option for morbid obesity in general population but few data exist in HIV-infected patients. We describe the ... ...

    Abstract Increasing rate of obesity was reported in HIV-infected patients in USA. In France, no data are available to date. Bariatric surgery is the best option for morbid obesity in general population but few data exist in HIV-infected patients. We describe the prevalence of obesity in France in HIV-infected patients. The prevalence of obesity is 15.1% in women and 5.3% in men. Moreover, we described our experience and point of view in the management of HIV infected patients with morbid obesity. Prospective studies are needed for an optimal management of HIV-infected patients with morbid obesity.
    MeSH term(s) Bariatric Surgery ; Female ; France/epidemiology ; HIV Infections/complications ; Humans ; Male ; Obesity, Morbid/complications ; Obesity, Morbid/epidemiology ; Obesity, Morbid/surgery ; Prevalence
    Language English
    Publishing date 2015-02
    Publishing country France
    Document type Journal Article ; Review
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2014.12.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Opérer les grands obèses dès l'adolescence ?

    De Filippo, G / Pourcher, G / Bougnères, P

    Archives de pediatrie : organe officiel de la Societe francaise de pediatrie

    2015  Volume 22, Issue 7, Page(s) 682–684

    Title translation A surgical approach of severe obesity in adolescents.
    MeSH term(s) Adolescent ; Humans ; Obesity, Morbid/surgery
    Language French
    Publishing date 2015-07
    Publishing country France
    Document type Journal Article
    ZDB-ID 1181947-9
    ISSN 1769-664X ; 0929-693X
    ISSN (online) 1769-664X
    ISSN 0929-693X
    DOI 10.1016/j.arcped.2015.03.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Iatrogenic peritonitis following an incident during ablation of a pedicle screw.

    Cottin, P / Mebtouche, N / Pourcher, G / Devaquet, N / Bégué, T / Trouiller, P / Sztrymf, B

    Orthopaedics & traumatology, surgery & research : OTSR

    2018  Volume 104, Issue 3, Page(s) 421–423

    Abstract: Immediate complications can arise due to faulty implantation of material during fusion procedures, but none have been reported in connection with ablation of material in the spine. We report a case of intraperitoneal migration of a pedicle screw during ... ...

    Abstract Immediate complications can arise due to faulty implantation of material during fusion procedures, but none have been reported in connection with ablation of material in the spine. We report a case of intraperitoneal migration of a pedicle screw during attempted removal. It crossed the psoas muscle and perforated a small-intestine loop, triggering hemorrhagic shock and peritonitis by perforation. We analyze the causes and mechanisms underlying this exceptional case of migration, with a view to sharing preventive measures. Initial extra-pedicular screw positioning and the pressure exerted to remove it were responsible for this serious incident.
    MeSH term(s) Device Removal/adverse effects ; Female ; Humans ; Iatrogenic Disease ; Intestinal Perforation/etiology ; Intestine, Small ; Middle Aged ; Pedicle Screws/adverse effects ; Peritonitis/etiology ; Prosthesis Failure/adverse effects ; Spinal Fusion/adverse effects
    Language English
    Publishing date 2018-02-07
    Publishing country France
    Document type Case Reports ; Journal Article
    ISSN 1877-0568
    ISSN (online) 1877-0568
    DOI 10.1016/j.otsr.2017.12.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Anatomical Quality Criteria for Sleeve Gastrectomy.

    Frosio, Fabio / Suhool, Amal / Ferraz, Jean-Marc / Gayet, Brice / Boutron, Marie-Christine / Pourcher, Guillaume

    Obesity surgery

    2021  Volume 31, Issue 4, Page(s) 1541–1548

    Abstract: Background: Sleeve gastrectomy (SG) is the most common bariatric procedure performed worldwide. However, without a standardised surgical technique, heterogeneous outcomes and complications such as gastro-oesophageal reflux disease (GERD) have been ... ...

    Abstract Background: Sleeve gastrectomy (SG) is the most common bariatric procedure performed worldwide. However, without a standardised surgical technique, heterogeneous outcomes and complications such as gastro-oesophageal reflux disease (GERD) have been reported. The aim of this study was to identify reproducible anatomical criteria for SG to obtain safe and effective results.
    Methods: A prospective photographic study that captured every phase of each procedure was completed. The photographic documentation was carefully examined in order to identify anatomical criteria that would help make our technique reproducible. Postsurgical results were reported in terms of complications and mortality, while functional and morphological results were evaluated using 3-month upper gastrointestinal (UGI) series and 12-month computed tomography (CT) scan, respectively. BMI, percentage excess weight loss (%EWL), comorbidities, and GERD symptoms at 12 months were analysed.
    Results: One hundred thirty-four consecutive laparoscopic SG were photographed, and four reproducible anatomical criteria were identified: (1) to preserve the gastric antral posterior ligament (GAPL); (2) to dissect the gastro-pancreatic ligament (GPL); (3) to expose the right edge of the left diaphragmatic crus; and (4) to ensure staple-line linearity. No leaks occurred, and only one patient needed relaparoscopy for staple-line hematoma. Mortality and 30-day readmission rates were null. Gastric tube morphologies on the 12-month CT scans were homogeneous. At 12 months, median BMI was 30.8 kg/m
    Conclusion: The four anatomical criteria for SG that we propose are safe, effective, and reproducible and have acceptable postsurgical outcomes.
    MeSH term(s) Gastrectomy ; Gastroesophageal Reflux/surgery ; Humans ; Laparoscopy ; Obesity, Morbid/surgery ; Postoperative Complications ; Prospective Studies ; Retrospective Studies ; Treatment Outcome
    Language English
    Publishing date 2021-01-26
    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/s11695-020-05156-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Umbilical Single-Port Sleeve Gastrectomy as a Standardized Procedure: How to Do It? (Video).

    Fadhl, Housem / Suhool, Amal / Donatelli, Gianfranco / Fuks, David / Pourcher, Guillaume

    Obesity surgery

    2019  Volume 29, Issue 5, Page(s) 1697–1698

    Abstract: Background: Laparoscopic sleeve gastrectomy is the most common bariatric procedure worldwide, commonly performed using laparoscopic multiport. Feasibility and safety of single-port sleeve gastrectomy (SPSG) have been proved. We reported a standardized ... ...

    Abstract Background: Laparoscopic sleeve gastrectomy is the most common bariatric procedure worldwide, commonly performed using laparoscopic multiport. Feasibility and safety of single-port sleeve gastrectomy (SPSG) have been proved. We reported a standardized procedure describing the different steps as a reference for bariatric surgeons.
    Materials: Two news concepts are necessary: "surgical corridor," surgeon working in a small intraperitoneal area is less disturbed by excess abdominal fat and liver hypertrophy; "parietal space" is the area in the abdominal wall through the instruments are introduced, it's important to preserve this. The patient was placed in a seated position and we utilized 2.5-3 cm skin incision in the umbilicus. Single trocar was placed; a flexible camera and double curve grasper are needed to decrease grasper conflict. Dissection of the stomach was obtained by 47 cm Thunderbeat (Olympus-Japan), the sleeve of the stomach was created over a 36F calibrator. A 60-mm roticulating XL staplers were used and beginning 4 cm proximal to the pylorus next to the gastro-pancreatic ligament and heading toward the left side of the gastro-esophageal junction. We utilized a linear staple line using 4 to 7 staples; hemostasis is controlled by bipolar coagulation.
    Results: Specimen was removed easily through the single-site trocar. Parietal defect is easily repaired. Operating time is 41 min. The patient was discharged at day 1 without naso-gastric tube or drainage. No complication.
    Conclusion: Umbilical SPSG is nowadays a standardized procedure based on the surgical corridor and the parietal space. This is a safe and reproductive procedure applicable in most patients with massive obesity but necessitate learning curve.
    MeSH term(s) Gastrectomy/methods ; Humans ; Laparoscopy/methods ; Operative Time ; Surgical Stapling ; Umbilicus
    Language English
    Publishing date 2019-02-19
    Publishing country United States
    Document type Journal Article ; Video-Audio Media
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-019-03728-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Seal or Drain? Endoscopic Management of Leaks Following Sleeve Gastrectomy.

    Donatelli, Gianfranco / Fuks, David / Tabchouri, Nicolas / Pourcher, Guillaume

    Surgical innovation

    2017  Volume 25, Issue 1, Page(s) 5–6

    MeSH term(s) Anastomotic Leak/surgery ; Drainage ; Gastrectomy/adverse effects ; Humans ; Stents
    Language English
    Publishing date 2017-11-01
    Publishing country United States
    Document type Editorial
    ZDB-ID 2182571-3
    ISSN 1553-3514 ; 1553-3506
    ISSN (online) 1553-3514
    ISSN 1553-3506
    DOI 10.1177/1553350617739426
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Single site laparoscopic sleeve gastrectomy.

    Pourcher, G / Tranchart, H / Dagher, I

    Journal of visceral surgery

    2012  Volume 149, Issue 3, Page(s) e189–94

    MeSH term(s) Gastrectomy/methods ; Humans ; Laparoscopy/methods ; Patient Positioning ; Surgical Stapling
    Language English
    Publishing date 2012-06
    Publishing country France
    Document type Journal Article
    ISSN 1878-7886
    ISSN (online) 1878-7886
    DOI 10.1016/j.jviscsurg.2012.04.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Comparison of HIV-Infected and Noninfected Patients Undergoing Bariatric Surgery: The ObeVIH Study.

    Pourcher, V / Capeau, J / Dudoit, Y / Boccara, F / Soulié, C / Ndoadoumgue, A L / Charlotte, F / Fellahi, S / Bastard, J P / Béréziat, V / Lagathu, C / Marcelin, A G / Peytavin, G / Boutron-Ruault, M C / Tubbax, C / D'Avout D'Auerstaedt, A / Valantin, M A / Schneider, L / Costagliola, D /
    Katlama, C / Assoumou, L / Pourcher, G

    Journal of acquired immune deficiency syndromes (1999)

    2022  Volume 90, Issue 2, Page(s) 240–248

    Abstract: Objective: The aim of this study was to compare clinical characteristics and adipose/liver tissue histology analysis in HIV-infected and HIV-uninfected subjects undergoing bariatric surgery.: Design: This was a cross-sectional study of HIV-infected ... ...

    Abstract Objective: The aim of this study was to compare clinical characteristics and adipose/liver tissue histology analysis in HIV-infected and HIV-uninfected subjects undergoing bariatric surgery.
    Design: This was a cross-sectional study of HIV-infected subjects undergoing single-port sleeve gastrectomy with prospective enrolment and frequency age (±5 years), sex, and body mass index (BMI, ± 5 kg/m2) matched on HIV-uninfected subjects.
    Methods: This study was conducted at a single clinical site at Pitié-Salpêtrière hospital-Paris-France comprising 19 HIV-uninfected and 21 HIV-infected subjects with plasma VL < 20 copies/mL, all with a BMI > 40 kg/m2 or >35 kg/m2 with comorbidities. Histology of subcutaneous and visceral abdominal adipose tissue (SCAT/VAT) and liver biopsies was collected during single-port sleeve gastrectomy. Outcomes included anthropometric characteristics, comorbidities, cardiovascular parameters, adipose tissue, and liver histology.
    Results: The age of HIV-infected participants was (median, interquartile range IQR) 48 y (42-51), with 76.2% females, a BMI of 41.4 kg/m2 (37.3-44.4), an antiretroviral duration of 16 y (8-21), current integrase strand transfer inhibitor (INSTI)-based regimen in 15 participants and non-INSTI regimen in 6 participants, and a CD4 count of 864/mm3 (560-1066). The age of controls was 43 y (37-51), with 78.9% females and a BMI of 39.2 kg/m2 (36.3-42.6). Anthropometric characteristics, comorbidities, and cardiovascular parameters did not differ according to HIV status and INSTI treatment. The number of macrophage crown-like structures in SCAT was lower in INSTI-treated participants than in HIV-uninfected participants (P = 0.02) and non-INSTI-treated HIV-infected subjects (P = 0.07). Hepatic steatosis and liver disease severity global score were lower in INSTI-treated participants than in non-INSTI-treated HIV-infected participants (P = 0.05 and P = 0.04, respectively).
    Conclusions: HIV-infected and HIV-uninfected subjects undergoing bariatric surgery presented a similar profile regarding anthropometric measures, cardiovascular parameters, and comorbidities. However, INSTI-treated participants presented milder SCAT and liver alterations than non-INSTI-treated participants.
    MeSH term(s) Bariatric Surgery ; Cross-Sectional Studies ; Female ; HIV Infections/complications ; HIV Infections/drug therapy ; HIV Integrase Inhibitors/therapeutic use ; Humans ; Male ; Prospective Studies
    Chemical Substances HIV Integrase Inhibitors
    Language English
    Publishing date 2022-02-18
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 645053-2
    ISSN 1944-7884 ; 1077-9450 ; 0897-5965 ; 0894-9255 ; 1525-4135
    ISSN (online) 1944-7884 ; 1077-9450
    ISSN 0897-5965 ; 0894-9255 ; 1525-4135
    DOI 10.1097/QAI.0000000000002939
    Database MEDical Literature Analysis and Retrieval System OnLINE

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