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  1. Article ; Online: Cholangioscopy for biliary diseases.

    Becq, Aymeric / Soualy, Adil / Camus, Marine

    Current opinion in gastroenterology

    2023  Volume 39, Issue 2, Page(s) 67–74

    Abstract: Purpose of review: Cholangioscopy is a mini-invasive endoscopic procedure, which consists in a direct intraductal visualization of the biliary tract. The purpose of this review is to summarize the technique, the clinical applications, as well as future ... ...

    Abstract Purpose of review: Cholangioscopy is a mini-invasive endoscopic procedure, which consists in a direct intraductal visualization of the biliary tract. The purpose of this review is to summarize the technique, the clinical applications, as well as future perspectives of cholangioscopy.
    Recent findings: Numerous technologic advances during the last decades have allowed for an improved utility and functionality, leading to a broader use of this procedure, for diagnostic or therapeutic purposes, in the setting of biliary diseases. Novel tools and emerging indications have been developed and more are yet to come.
    Summary: Cholangioscopy can be performed by peroral, percutaneous transhepatic or intra-operative transcystic or transcholedochal access. Clinical applications of cholangioscopy are multiple, ranging from visual impression and optical guided biopsies of indeterminate biliary strictures to the management of difficult stones , guidance before biliary stenting and retrieval of migrated ductal stents. Multiple devices such as lithotripsy probes, biopsy forceps, snares and baskets have been developed to help achieve these procedures successfully.Cholangioscopy has improved the way biliary diseases can be visualized and treated. New technology, accessories, and applications are expected in the future.
    MeSH term(s) Humans ; Endoscopy, Digestive System/methods ; Biopsy ; Laparoscopy
    Language English
    Publishing date 2023-01-20
    Publishing country United States
    Document type Review ; Journal Article
    ZDB-ID 632571-3
    ISSN 1531-7056 ; 0267-1379
    ISSN (online) 1531-7056
    ISSN 0267-1379
    DOI 10.1097/MOG.0000000000000907
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Chimioprévention du cancer colorectal.

    Soualy, Adil / Benamouzig, Robert

    La Revue du praticien

    2019  Volume 69, Issue 2, Page(s) 123–127

    Title translation Colorectal cancer chemoprophylaxis.
    MeSH term(s) Chemoprevention ; Colorectal Neoplasms/drug therapy ; Colorectal Neoplasms/prevention & control ; Humans
    Language French
    Publishing date 2019-04-14
    Publishing country France
    Document type Journal Article ; Review
    ZDB-ID 205365-2
    ISSN 2101-017X ; 0035-2640
    ISSN (online) 2101-017X
    ISSN 0035-2640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Acute pericarditis: A rare complication of gastric variceal obturation with cyanoacrylate glue.

    Soualy, Adil / Walter, Aurélie / Sutter, Olivier / Nault, Jean-Charles

    Clinics and research in hepatology and gastroenterology

    2019  Volume 44, Issue 2, Page(s) e25–e28

    Abstract: Endoscopic obturation by cyanoacrylate glue is currently the treatment of reference of gastric varices bleeding in patients with portal hypertension with a good efficacy for bleeding control and secondary prophylaxis. However, several adverse events ... ...

    Abstract Endoscopic obturation by cyanoacrylate glue is currently the treatment of reference of gastric varices bleeding in patients with portal hypertension with a good efficacy for bleeding control and secondary prophylaxis. However, several adverse events related to this treatment have been described including immediate rebleeding and glue embolism. Here we present a case of gastric variceal obturation by cyanoacrylate inducing an acute pericarditis due to glue embolism in mediastinal, pericardial and phrenic veins that was managed conservatively. We also discussed pathophysiological explanations and surveillance modality.
    MeSH term(s) Acute Disease ; Cyanoacrylates/adverse effects ; Esophageal and Gastric Varices/complications ; Esophageal and Gastric Varices/therapy ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/therapy ; Humans ; Male ; Middle Aged ; Pericarditis/etiology
    Chemical Substances Cyanoacrylates
    Language English
    Publishing date 2019-08-07
    Publishing country France
    Document type Case Reports ; Journal Article
    ZDB-ID 2594333-9
    ISSN 2210-741X ; 2210-7401
    ISSN (online) 2210-741X
    ISSN 2210-7401
    DOI 10.1016/j.clinre.2019.06.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Effect of chemoprevention by low-dose aspirin of new or recurrent colorectal adenomas in patients with Lynch syndrome (AAS-Lynch): study protocol for a multicenter, double-blind, placebo-controlled randomized controlled trial.

    Soualy, Adil / Deutsch, David / Benallaoua, Mourad / Ait-Omar, Amal / Mary, Florence / Helfen, Sabine / Boubaya, Marouane / Levy, Vincent / Benamouzig, Robert

    Trials

    2020  Volume 21, Issue 1, Page(s) 764

    Abstract: Lynch syndrome (LS) is the most common cause of inherited colorectal cancer (CRC) and confers a high lifetime risk of CRC estimated to be up to 60%. Colonoscopy is recommended every 2 years in LS patients above the 20-25-year-old age bracket, and every ... ...

    Abstract Lynch syndrome (LS) is the most common cause of inherited colorectal cancer (CRC) and confers a high lifetime risk of CRC estimated to be up to 60%. Colonoscopy is recommended every 2 years in LS patients above the 20-25-year-old age bracket, and every year when colonic neoplasia has been detected. Efficient chemoprevention has the potential to represent a cost-effective intervention in these high-risk patients and could allow a delay in colonoscopy surveillance. Several epidemiological studies have shown that regular use of low dose aspirin is associated with a 20 to 30% reduction in the risk of sporadic colonic adenomas and colorectal cancer regardless of family risk. However, in recent large randomized trials in specific populations, aspirin use showed no protection for colorectal cancer. A prospective randomized CAPP-2 trial evaluated the effect of aspirin use in LS patients. The primary analysis of this trial showed no significant decrease in CRC in LS patients under daily aspirin. However, a preplanned secondary analysis after an extended follow-up showed a significant reduced risk of CRC in the aspirin group in the per-protocol analysis. The real effect and clinical benefit of aspirin are still to be consolidated in this population. The AAS-Lynch trial-a prospective, multicentric, double-blind, placebo-controlled, randomized clinical trial-was designed to investigate if daily aspirin therapy, at a dose of 100 or 300 mg, would decrease the occurrence or recurrence of colorectal adenomas in patients under 75 years of age, compared with placebo. TRIAL REGISTRATION: ClinicalTrials.gov NCT02813824 . Registered on 27 June 2016. The trial was prospectively registered.
    MeSH term(s) Adenoma/diagnosis ; Adenoma/prevention & control ; Adult ; Aspirin/adverse effects ; Chemoprevention ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/prevention & control ; Colorectal Neoplasms, Hereditary Nonpolyposis/diagnosis ; Colorectal Neoplasms, Hereditary Nonpolyposis/genetics ; Colorectal Neoplasms, Hereditary Nonpolyposis/prevention & control ; Double-Blind Method ; Humans ; Multicenter Studies as Topic ; Neoplasm Recurrence, Local ; Prospective Studies ; Randomized Controlled Trials as Topic ; Young Adult
    Chemical Substances Aspirin (R16CO5Y76E)
    Language English
    Publishing date 2020-09-04
    Publishing country England
    Document type Clinical Trial Protocol ; Journal Article
    ZDB-ID 2040523-6
    ISSN 1745-6215 ; 1468-6694 ; 1468-6708
    ISSN (online) 1745-6215 ; 1468-6694
    ISSN 1468-6708
    DOI 10.1186/s13063-020-04674-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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