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  1. 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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  2. Article: Chirurgie : ce qui a changé en 2022.

    Lázaro-Fontanet, Enrique / Deslarzes, Philip / Grass, Fabian / Mantziari, Styliani / Demartines, Nicolas / Teixeira Farinha, Hugo

    Revue medicale suisse

    2023  Volume 19, Issue 812, Page(s) 202–206

    Abstract: During 2022 a lot of efforts were developed to reduce health-costs by reducing complications and length of hospital stay. Same-day surgery is becoming the standard for all patients scheduled for elective surgery in CHUV. Outpatient colectomy also become ... ...

    Title translation Surgery: what's new in 2022.
    Abstract During 2022 a lot of efforts were developed to reduce health-costs by reducing complications and length of hospital stay. Same-day surgery is becoming the standard for all patients scheduled for elective surgery in CHUV. Outpatient colectomy also become a new standard. During 2022, endoscopic bariatric surgery became increasingly used. Not widely performed yet in Switzerland, these treatments deserve to be recognized and considered in various situations. Finally, 2022 saw a promising development of robotic surgery with the acquisition of Da Vinci and Dexter robots after allowing various high-precision surgical procedures.
    MeSH term(s) Humans ; Endoscopy ; Robotic Surgical Procedures/methods ; Colectomy/methods ; Health Care Costs ; Bariatric Surgery ; Laparoscopy
    Language French
    Publishing date 2023-02-01
    Publishing country Switzerland
    Document type English Abstract ; Journal Article
    ZDB-ID 2177010-4
    ISSN 1660-9379
    ISSN 1660-9379
    DOI 10.53738/REVMED.2023.19.812.202
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Functional results after hiatal repair and gastropexy without fundoplication in patients with paraoesophageal hernia.

    Bomio-Pacciorini, Laura / Gaspar-Figueiredo, Sérgio / Mantziari, Styliani / Godat, Sébastien / Schäfer, Markus / Teixeira Farinha, Hugo

    Langenbeck's archives of surgery

    2024  Volume 409, Issue 1, Page(s) 150

    Abstract: Purpose: Paraoesophageal hernias (PEH) are associated with a high complication rate and often occur in elderly and fragile patients. Surgical gastropexy without fundoplication is an accepted alternative procedure; however, outcomes and functional ... ...

    Abstract Purpose: Paraoesophageal hernias (PEH) are associated with a high complication rate and often occur in elderly and fragile patients. Surgical gastropexy without fundoplication is an accepted alternative procedure; however, outcomes and functional results are rarely described. Our study aims to evaluate short-term outcomes and the long-term quality of life after gastropexy as treatment for PEH.
    Methods: Single center cohort analysis of all consecutive patients who underwent gastropexy for PEH without fundoplication. Postoperative outcomes and functional results were retrospectively collected. Reflux symptoms developed postoperatively were reported using the validated quality of life questionnaire: GERD-Health Related Quality of Life Qestionnaire (GERD-HRQL).
    Results: Thirty patients (median age: 72 years (65-80)) were included, 40% classified as ASA III. Main PEH symptoms were reflux (63%), abdominal/thoracic pain (47%), pyrosis (33%), anorexia (30%), and food blockage (26%). Twenty-six laparoscopies were performed (86%). Major complications (III-IVb) occurred in 9 patients (30%). Seven patients (23%) had PEH recurrence, all re-operated, performing a new gastropexy. Median follow-up was 38 (17-50) months. Twenty-two patients (75%) reported symptoms resolution with median GERD-HRQL scale of 4 (1-6). 72% (n = 21) reported operation satisfaction. GERD-HRQL was comparable between patients who were re-operated for recurrence and others: 5 (2-19) versus 3 (0-6), p = 0.100.
    Conclusion: Gastropexy without fundoplication was performed by laparoscopy in most cases with acceptable complications rates. Two-thirds of patients reported symptoms resolution, and long-term quality-of-live associated to reflux symptoms is good. Although the rate of PEH recurrence requiring a new re-intervention remained increased (23%), it does not seem to affect long-term functional results.
    MeSH term(s) Humans ; Hernia, Hiatal/surgery ; Female ; Male ; Aged ; Quality of Life ; Aged, 80 and over ; Retrospective Studies ; Gastropexy/methods ; Treatment Outcome ; Herniorrhaphy/methods ; Herniorrhaphy/adverse effects ; Fundoplication/methods ; Fundoplication/adverse effects ; Postoperative Complications/etiology ; Gastroesophageal Reflux/surgery ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Cohort Studies ; Recurrence
    Language English
    Publishing date 2024-05-03
    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/s00423-024-03340-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The role of cytology in patients undergoing pressurized intraperitoneal aerosol chemotherapy (PIPAC) treatment for peritoneal carcinomatosis

    Deban Mélina / Châtelain Julien / Fasquelle François / Clerc Daniel / Toussaint Laura / Hübner Martin / Teixeira Farinha Hugo

    Pleura and Peritoneum, Vol 8, Iss 2, Pp 75-

    2023  Volume 81

    Abstract: Cytology of ascites or peritoneal washing is a routine part of staging of peritoneal metastases (PM). We aim to determine value of cytology in patients undergoing pressurized intraperitoneal aerosol chemotherapy (PIPAC). ...

    Abstract Cytology of ascites or peritoneal washing is a routine part of staging of peritoneal metastases (PM). We aim to determine value of cytology in patients undergoing pressurized intraperitoneal aerosol chemotherapy (PIPAC).
    Keywords cytology ; peritoneal cancer ; peritoneal surface malignancies ; pressurized intraperitoneal aerosol chemotherapy (pipac) ; Medicine ; R ; Specialties of internal medicine ; RC581-951
    Language English
    Publishing date 2023-05-01T00:00:00Z
    Publisher De Gruyter
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Histological regression of gastrointestinal peritoneal metastases after systemic chemotherapy

    Toussaint Laura / Teixeira Farinha Hugo / Barras Jean-Luc / Demartines Nicolas / Sempoux Christine / Hübner Martin

    Pleura and Peritoneum, Vol 6, Iss 3, Pp 113-

    2021  Volume 119

    Abstract: Peritoneal metastases (PM) are relatively resistant to systemic chemotherapy, and data on histological response to therapy is rare. The aim of this study was to quantify the treatment response of PM after systemic chemotherapy. ...

    Abstract Peritoneal metastases (PM) are relatively resistant to systemic chemotherapy, and data on histological response to therapy is rare. The aim of this study was to quantify the treatment response of PM after systemic chemotherapy.
    Keywords chemotherapy ; peritoneal metastasis ; peritoneal regression grading system (prgs) ; pipac ; Medicine ; R ; Specialties of internal medicine ; RC581-951
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher De Gruyter
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Early postoperative outcomes of staging laparoscopy for peritoneal metastases with or without pressurized intra-peritoneal aerosol chemotherapy (PIPAC).

    Teixeira Farinha, Hugo / Mattille, Daphné / Mantziari, Styliani / Demartines, Nicolas / Hübner, Martin

    BMC surgery

    2022  Volume 22, Issue 1, Page(s) 122

    Abstract: Background: Pressurized intraperitoneal aerosol chemotherapy (PIPAC) has been introduced for palliative treatment of peritoneal surface malignancies (PSM) and is currently tested also in the neoadjuvant and prophylactic setting. The aim was therefore to ...

    Abstract Background: Pressurized intraperitoneal aerosol chemotherapy (PIPAC) has been introduced for palliative treatment of peritoneal surface malignancies (PSM) and is currently tested also in the neoadjuvant and prophylactic setting. The aim was therefore to compare safety and tolerance of staging laparoscopy with or without PIPAC.
    Methods: This retrospective analysis compared consecutive patients undergoing staging laparoscopy alone for oesogastric cancer with patients having PIPAC for suspected PSM of various origins from January 2015 until January 2020. Safety was assessed by use of the Clavien classification for complications and CTCAE for capturing of adverse events. Pain and nausea were documented by use of a visual analogue scale (VAS: 0-10: maximal intensity).
    Results: Overall, 25 PIPAC procedures were compared to 24 staging laparoscopies. PIPAC procedures took a median of 35 min (IQR: 25-67) longer. Four patients experienced at least one complication in either group (p = 0.741). No differences were noted for postoperative nausea (p = 0.961) and pain levels (p = 0.156). Median hospital stay was 2 (IQR: 1-3) for PIPAC and 1 (IQR: 1-2) for the laparoscopy group (p = 0.104).
    Conclusions: The addition of PIPAC did not jeopardize safety and postoperative outcomes of staging laparoscopy alone. Further studies need to clarify its oncological benefits.
    MeSH term(s) Aerosols/therapeutic use ; Humans ; Laparoscopy ; Oxaliplatin/therapeutic use ; Peritoneal Neoplasms/drug therapy ; Retrospective Studies
    Chemical Substances Aerosols ; Oxaliplatin (04ZR38536J)
    Language English
    Publishing date 2022-03-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 2050442-1
    ISSN 1471-2482 ; 1471-2482
    ISSN (online) 1471-2482
    ISSN 1471-2482
    DOI 10.1186/s12893-022-01572-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Immunotherapy for Esophageal Cancer: State-of-the Art in 2021.

    Teixeira Farinha, Hugo / Digklia, Antonia / Schizas, Dimitrios / Demartines, Nicolas / Schäfer, Markus / Mantziari, Styliani

    Cancers

    2022  Volume 14, Issue 3

    Abstract: The management of esophageal cancer (EC) has experienced manifold changes during the last decades. Centralization of EC treatment has been introduced in many countries, subsequently allowing the development of specialized high-volume centers. Minimal ... ...

    Abstract The management of esophageal cancer (EC) has experienced manifold changes during the last decades. Centralization of EC treatment has been introduced in many countries, subsequently allowing the development of specialized high-volume centers. Minimal invasive surgery has replaced open surgery in many centers, whereas more potent systemic treatments have been introduced in clinical practice. Newer chemotherapy regimens increase long-term survival. Nevertheless, the overall survival of EC patients remains dismal for advanced tumor stages. In this direction, a wide range of targeted biologic agents (immunotherapy) is currently under assessment. Anti- Human Epidermal Growth Factor Receptor-2 (HER-2) monoclonal antibodies are used in HER2 (+) tumors, predominantly well-differentiated adenocarcinomas, and are currently assessed in the neoadjuvant setting (TRAP, INNOVATION trials). Immune checkpoint inhibitors Nivolumab (ATTRACTION-03) and pembrolizumab (KEYNOTE-181), have demonstrated a survival benefit compared with conventional chemotherapy in heavily pre-treated progressive disease. More recently, CheckMate-577 showed very promising results for nivolumab in a curative adjuvant setting, improving disease-free survival mainly for esophageal squamous cell carcinoma. Several ongoing trials are investigating novel targeted agents in the preoperative setting of locally advanced EC. In addition, other immunomodulatory approaches such as peptide vaccines and tumor infiltrating lymphocytes (TILs) are currently under development and should be increasingly integrated into clinical practice.
    Language English
    Publishing date 2022-01-22
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers14030554
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Gastro-Intestinal Disorders and Micronutrient Deficiencies following Oncologic Esophagectomy and Gastrectomy.

    Teixeira Farinha, Hugo / Bouriez, Damien / Grimaud, Thomas / Rotariu, Ana-Maria / Collet, Denis / Mantziari, Styliani / Gronnier, Caroline

    Cancers

    2023  Volume 15, Issue 14

    Abstract: Primary surgical indications for the esophagus and stomach mainly involve cancer surgeries. In recent years, significant progress has been made in the field of esogastric surgery, driven by advancements in surgical techniques and improvements in ... ...

    Abstract Primary surgical indications for the esophagus and stomach mainly involve cancer surgeries. In recent years, significant progress has been made in the field of esogastric surgery, driven by advancements in surgical techniques and improvements in perioperative care. The rate of resectability has increased, and surgical strategies have evolved to encompass a broader patient population. However, despite a reduction in postoperative mortality and morbidity, malnutrition remains a significant challenge after surgery, leading to weight loss, muscle mass reduction, and deficiencies in essential nutrients due to digestive complications. Malnutrition worsens quality of life and increases the risk of tumor recurrence, significantly affecting prognosis. Nevertheless, the nutritional consequences following surgery are frequently overlooked, mainly due to a lack of awareness regarding their long-term effects on patients who have undergone digestive surgery, extending beyond six months. Micronutrient deficiencies are frequently observed following both partial and total gastrectomy, as anticipated. Surprisingly, these deficiencies appear to be similarly prevalent in patients who have undergone esophagectomy with iron, vitamins A, B1, B12, D, and E deficiencies commonly observed in up to 78.3% of the patients. Recognizing the distinct consequences associated with each type of intervention underscores the importance of implementing preventive measures, early detection, and prompt management.
    Language English
    Publishing date 2023-07-09
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15143554
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The role of cytology in patients undergoing pressurized intraperitoneal aerosol chemotherapy (PIPAC) treatment for peritoneal carcinomatosis.

    Deban, Mélina / Châtelain, Julien / Fasquelle, François / Clerc, Daniel / Toussaint, Laura / Hübner, Martin / Teixeira Farinha, Hugo

    Pleura and peritoneum

    2023  Volume 8, Issue 2, Page(s) 75–81

    Abstract: Objectives: Cytology of ascites or peritoneal washing is a routine part of staging of peritoneal metastases (PM). We aim to determine value of cytology in patients undergoing pressurized intraperitoneal aerosol chemotherapy (PIPAC).: Methods: Single- ... ...

    Abstract Objectives: Cytology of ascites or peritoneal washing is a routine part of staging of peritoneal metastases (PM). We aim to determine value of cytology in patients undergoing pressurized intraperitoneal aerosol chemotherapy (PIPAC).
    Methods: Single-center retrospective cohort study included consecutive patients having PIPAC for PM of different primary between January 2015 and January 2020.
    Results: A total of 75 patients (median 63 years (IQR 51-70), 67 % female) underwent a total of 144 PIPAC. At PIPAC 1 59 % patients had positive and 41 % patients had negative cytology. Patients with negative and positive cytology only differed in terms of symptoms of ascites (16% vs. 39 % respectively, p=0.04), median ascites volume (100 vs. 0 mL, p=0.01) and median PCI (9 vs. 19, p<0.01). Among 20 patients who completed 3 PIPACs (per protocol), cytology changed in one from positive to negative, and in two from negative to positive. Median overall survival was 30.9 months in the per protocol group and 12.9 months in patients having <3 PIPACs (=0.519).
    Conclusions: Positive cytology under PIPAC treatment is more frequently encountered in patients with higher PCI and symptomatic ascites. Cytoversion was rarely observed and cytology status had no impact on treatment decisions in this cohort.
    Language English
    Publishing date 2023-05-08
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2861909-2
    ISSN 2364-768X ; 2364-7671
    ISSN (online) 2364-768X
    ISSN 2364-7671
    DOI 10.1515/pp-2022-0197
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Histological regression of gastrointestinal peritoneal metastases after systemic chemotherapy.

    Toussaint, Laura / Teixeira Farinha, Hugo / Barras, Jean-Luc / Demartines, Nicolas / Sempoux, Christine / Hübner, Martin

    Pleura and peritoneum

    2021  Volume 6, Issue 3, Page(s) 113–119

    Abstract: Objectives: Peritoneal metastases (PM) are relatively resistant to systemic chemotherapy, and data on histological response to therapy is rare. The aim of this study was to quantify the treatment response of PM after systemic chemotherapy.: Methods: ... ...

    Abstract Objectives: Peritoneal metastases (PM) are relatively resistant to systemic chemotherapy, and data on histological response to therapy is rare. The aim of this study was to quantify the treatment response of PM after systemic chemotherapy.
    Methods: Retrospective monocentric cohort study of 47 consecutive patients with PM from gastrointestinal origin undergoing surgery (cytoreduction: CRS + Hyperthermic IntraPEritoneal Chemotherapy [HIPEC] or Pressurized IntraPeritoneal Aerosol Chemotherapy [PIPAC]) after prior systemic chemotherapy from 1.2015 to 3.2019. Tumor response was assessed using the 4-scale Peritoneal Regression Grading System (PRGS) (4: vital tumor to 1: complete response).
    Results: Patients had a median of 2 (range: 1-7) lines and 10 (3-39) cycles of prior systemic chemotherapy. A median of four biopsies (range: 3-8) was taken with a total of 196 analyzed specimens. Twenty-four biopsies (12%) showed no histological regression (PRGS4), while PRGS 3, two and one were diagnosed in 37 (19%), 39 (20%), and 69 (49%) specimens, respectively. A significant heterogeneity was found between peritoneal biopsies in 51% patients. PRGS correlated strongly with peritoneal spread (PCI, p<0.0001), and was improved in patients with more than nine cycles of systemic chemotherapy (p=0.04). Median survival was higher in patients with PRGS < 1.8 (Quartiles one and 2) than higher (Q3 and Q4), but the difference did not reach significance in this small cohort.
    Conclusions: PRGS is an objective too to describe histological response of PM of GI origin after systemic chemotherapy. This response differs significantly between patients, allowing to distinguish between chemosensitive and chemoresistant tumors.
    Language English
    Publishing date 2021-07-15
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2861909-2
    ISSN 2364-768X ; 2364-7671
    ISSN (online) 2364-768X
    ISSN 2364-7671
    DOI 10.1515/pp-2021-0118
    Database MEDical Literature Analysis and Retrieval System OnLINE

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