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2. Endoscopy management of sleeve gastrectomy stenosis: what we learned from 202 consecutive patients

Author

D’Alessandro, Alessandra, Dumont, Jean-Loup, Dagher, Ibrahim, Zito, Francesco, Galasso, Giovanni, Tranchart, Hadrien, Cereatti, Fabrizio, Catheline, Jean-Marc, Pourcher, Guillaume, Rebibo, Lionel, Calabrese, Daniela, Msika, Simon, Rotkopf, Hugo, Tuszynski, Thierry, Pacini, Filippo, Arienzo, Roberto, D’Alessandro, Antonio, Torcivia, Adriana, Genser, Laurent, Arapis, Konstantinos, Chiche, Renaud, De Palma, Giovanni Domenico, Musella, Mario, Chevallier, Jean-Marc, and Donatelli, Gianfranco

Published
2023
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4. Endoscopic internal drainage for the management of leak, fistula, and collection after sleeve gastrectomy: our experience in 617 consecutive patients

Author

Donatelli, Gianfranco, Spota, Andrea, Cereatti, Fabrizio, Granieri, Stefano, Dagher, Ibrahim, Chiche, Renaud, Catheline, Jean-Marc, Pourcher, Guillaume, Rebibo, Lionel, Calabrese, Daniela, Msika, Simon, Dammaro, Carmelisa, Tranchart, Hadrien, Lainas, Panagiotis, Tuszynski, Thierry, Pacini, Filippo, Arienzo, Roberto, Chevallier, Jean-Marc, Trelles, Nelson, Lazzati, Andrea, Paolino, Luca, Papini, Federica, Torcivia, Adriana, Genser, Laurent, Arapis, Kostas, Soprani, Antoine, Randone, Bruto, Chosidow, Denis, Bouillot, Jean-Luc, Marmuse, Jean-Pierre, and Dumont, Jean-Loup

Published
2021
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5. Endoscopic Management of Bariatric Surgery Complications According to a Standardized Algorithm

Author

Spota, Andrea, Cereatti, Fabrizio, Granieri, Stefano, Antonelli, Giulio, Dumont, Jean-Loup, Dagher, Ibrahim, Chiche, Renaud, Catheline, Jean-Marc, Pourcher, Guillaume, Rebibo, Lionel, Calabrese, Daniela, Msika, Simon, Tranchart, Hadrien, Lainas, Panagiotis, Danan, David, Tuszynski, Thierry, Pacini, Filippo, Arienzo, Roberto, Trelles, Nelson, Soprani, Antoine, Lazzati, Andrea, Torcivia, Adriana, Genser, Laurent, Derhy, Serge, Fazi, Maurizio, Bouillot, Jean-Luc, Marmuse, Jean-Pierre, Chevallier, Jean-Marc, and Donatelli, Gianfranco

Published
2021
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8. Collaborateurs

Author

Abderrhamani, Amar, primary, Achamrah, Najate, additional, Allès, Benjamin, additional, Alligier, Maud, additional, Amouyal, Chloé, additional, André, Sébastien, additional, Andreelli, Fabrizio, additional, Antuna-Puente, Barbara, additional, Apfeldorfer, Gérard, additional, Arienzo, Roberto, additional, Arnulf, Isabelle, additional, Aron-Wisnewski, Judith, additional, Aubry, Estelle, additional, Avignon, Antoine, additional, Bachelot, Anne, additional, Barat, Pascal, additional, Barouki, Robert, additional, Bastard, Jean-Philippe, additional, Bastin, Marie, additional, Batisse, Thibaut, additional, Bauduceau, Bernard, additional, Bauters, Catherine, additional, Lassen, Pierre Bel, additional, Bellicha, Alice, additional, Bergouignan, Audrey, additional, Bienvenot, Rebecca, additional, Böhme, Philip, additional, Bonnefond, Amélie, additional, Bordier, Lyse, additional, Boirie, Yves, additional, Borel, Anne-Laure, additional, Bouchard, Philippe, additional, Bouillot, Jean-Luc, additional, Boutron-Ruault, Marie-Christine, additional, Brot-Laroche, Édith, additional, Caiazzo, Robert, additional, Carette, Claire, additional, Carriere, Caroline, additional, Carriere-Pazat, Audrey, additional, Casteilla, Louis, additional, Cassuto, Dominique-Adèle, additional, Charles, Marie-Aline, additional, Chapelot, Didier, additional, Charreire, Hélène, additional, Chevalier, Nicolas, additional, Chevallier, Jean-Marc, additional, Ciangura, Cécile, additional, Clément, Karine, additional, Coëffier, Moïse, additional, Cornet, Philippe, additional, Cortet, Christine, additional, Coupaye, Muriel, additional, Czernichow, Sébastien, additional, Dargent, Jérôme, additional, Delzenne, Nathalie, additional, Deruelle, Philippe, additional, Desport, Jean-Claude, additional, Desseigne, Magalie, additional, Detournay, Bruno, additional, Dharancy, Sébastien, additional, Disse, Emmanuel, additional, Donadille, Bruno, additional, Douillard, Claire, additional, Dubern, Béatrice, additional, Dubreuil, Sophie, additional, Duclos, Martine, additional, Duez, Hélène, additional, Dunoyer, Sophie, additional, Dupont, Charlotte, additional, Durlach, Vincent, additional, Durrer-Schutz, Dominique, additional, Duverne, Sophie, additional, Eburdery, Harold, additional, Espiard, Stéphanie, additional, Esser, Nathalie, additional, Everard, Amandine, additional, Faucher, Pauline, additional, Fayemendy, Philippe, additional, Fellahi, Soraya, additional, Fève, Bruno, additional, Fillon, Alicia, additional, Folope, Vanessa, additional, Fontanille, Isabelle, additional, Frelut, Marie-Laure, additional, Froguel, Philippe, additional, Gaborit, Bénédicte, additional, Gatta-Cherifi, Blandine, additional, Guillet, Christelle, additional, Grange, Laurent, additional, Grangeard, Catherine, additional, Gueorguieva, Iva, additional, Halimi, Serge, additional, Hanaire, Hélène, additional, Heide, Solveig, additional, Heude, Barbara, additional, Iceta, Sylvain, additional, Janmaat, Sonja, additional, Jéru, Isabelle, additional, Jésus, Pierre, additional, Joly, Anne-Sophie, additional, Jouret, Béatrice, additional, Julia, Chantal, additional, Julien-Sweerts, Sabrina, additional, Kim, Min Ji, additional, Ladsous, Miriam, additional, Lalau, Jean-Daniel, additional, Langin, Dominique, additional, Lascols, Olivier, additional, Lassailly, Guillaume, additional, de La Serre, Claire, additional, Laville, Martine, additional, Laye, Sophie, additional, Lecerf, Jean-Michel, additional, Leturque, Armelle, additional, Lévy, Rachel, additional, Lienard, Yasmine, additional, Losserand, Guillaume, additional, Maghroudi, Aïcha, additional, Magnan, Christophe, additional, Marcelin, Geneviève, additional, Marciniak, Camille, additional, Marre, Philippe, additional, Marty, Lucile, additional, Mathurin, Philippe, additional, Matta, Joane, additional, Mencia-Huerta, Matthieu, additional, Michaud, Andréanne, additional, Miramont, Vincent, additional, Mocquot, Caroline, additional, Monnery-Patris, Sandrine, additional, Montastier, Émilie, additional, Morigny, Pauline, additional, Mosbah, Héléna, additional, Negro, Nathalie, additional, Neyrinck, Audrey, additional, Oppert, Jean-Michel, additional, Daoud, Naïma Oukhouya, additional, Pacini, Filippo, additional, Paccou, Julien, additional, Paquot, Nicolas, additional, Pattou, François, additional, Péron-Le Lay, Soazig, additional, Peuteuil, Pierre, additional, Poghosyan, Tigran, additional, Poitou, Christine, additional, Poulain, Jean-Pierre, additional, Pourcher, Guillaume, additional, Quilliot, Didier, additional, Raison, Jocelyne, additional, Raucoules-Aimé, Marc, additional, Ribes, Gérard, additional, Rigal, Nathalie, additional, Ritz, Patrick, additional, Rives-Lange, Claire, additional, Riviere, Pauline, additional, Robert, Maud, additional, Rodriguez, Julie, additional, Romon, Monique, additional, Rose, Cindy, additional, Rozier, Romain, additional, de Saint Pol, Thibault, additional, Sanguignol, Frédéric, additional, Scheen, André, additional, Schlienger, Jean-Louis, additional, Sermondade, Nathalie, additional, Sebti, Yasmine, additional, Simon, Chantal, additional, Tappy, Luc, additional, Tauber, Maïté, additional, Thibault, Hélène, additional, Thivel, David, additional, Valet, Philippe, additional, Vantyghem, Marie-Christine, additional, Vatier, Camille, additional, Verges, Bruno, additional, Verkindt, Hélène, additional, Vialettes, Bernard, additional, Vigouroux, Corinne, additional, Walrand, Stéphane, additional, Waysfeld, Bernard, additional, Zammouri, Jamila, additional, Zermati, Jean-Philippe, additional, Ziegler, Olivier, additional, and Zucker, Jean-Daniel, additional

Published
2021
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9. Endoscopy management of sleeve gastrectomy stenosis: what we learned from 202 consecutive patients

Author

D’Alessandro, Alessandra, primary, Dumont, Jean-Loup, additional, Dagher, Ibrahim, additional, Zito, Francesco, additional, Galasso, Giovanni, additional, Tranchart, Hadrien, additional, Cereatti, Fabrizio, additional, Catheline, Jean-Marc, additional, Pourcher, Guillaume, additional, Rebibo, Lionel, additional, Calabrese, Daniela, additional, Msika, Simon, additional, Rotkopf, Hugo, additional, Tuszynski, Thierry, additional, Pacini, Filippo, additional, Arienzo, Roberto, additional, D’Alessandro, Antonio, additional, Torcivia, Adriana, additional, Genser, Laurent, additional, Arapis, Konstantinos, additional, Chiche, Renaud, additional, De Palma, Giovanni Domenico, additional, Musella, Mario, additional, Chevallier, Jean-Marc, additional, and Donatelli, Gianfranco, additional

Published
2022
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10. Endoscopy management of sleeve gastrectomy stenosis: what we learned from 202 consecutive patients.

Author

D'Alessandro, Alessandra, Dumont, Jean-Loup, Dagher, Ibrahim, Zito, Francesco, Galasso, Giovanni, Tranchart, Hadrien, Cereatti, Fabrizio, Catheline, Jean-Marc, Pourcher, Guillaume, Rebibo, Lionel, Calabrese, Daniela, Msika, Simon, Rotkopf, Hugo, Tuszynski, Thierry, Pacini, Filippo, Arienzo, Roberto, D'Alessandro, Antonio, Torcivia, Adriana, Genser, Laurent, and Arapis, Konstantinos

Abstract

Gastric sleeve stenosis (GSS) is described in 1%–4% of patients. To evaluate the role of endoscopy in the management of stenosis after laparoscopic sleeve gastrectomy using a standardized approach according to the characteristic of stenosis. Retrospective, observational, single-center study on patients referred from several bariatric surgery departments to an endoscopic referral center. We enrolled 202 patients. All patients underwent endoscopy in a fluoroscopy setting, and a systematic classification of the type, site, and length of the GSS was performed. According to the characteristics of the stenosis, patients underwent pneumatic dilatation or placement of a self-expandable metal stent or a lumen-apposed metal stent. Failure of endoscopic treatment was considered an indication for redo surgery, whereas patients with partial or complete response were followed up for 2 years. In the event of a recurrence, a different endoscopic approach was used. We found inflammatory strictures in 4.5% of patients, pure narrowing in 11%, and functional stenosis in 84.5%. Stenosis was in the upper tract of the stomach in 53 patients, whereas medium and distal stenosis was detected in 138 and 11 patients, respectively, and short stenosis in 194 patients. A total of 126 patients underwent pneumatic dilatation, 8 self-expandable metal stent placement, 64 lumen-apposed metal stent positioning, and 36 combined therapy. The overall rate of endoscopy success was 69%. GSS should be considered to be a chronic disease, and the endoscopic approach seems to be the most successful treatment, with a prolonged positive outcome of 69%. Characteristics of the stenosis should guide the most suitable endoscopic approach. [ABSTRACT FROM AUTHOR]

Published
2023
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12. Comparative analysis of the duodenojejunal microbiome with the oral and fecal microbiomes reveals its stronger association with obesity and nutrition

Author

Steinbach, Emilie, Belda, Eugeni, Alili, Rohia, Adriouch, Solia, Dauriat, Charlène J. G., Donatelli, Gianfranco, Dumont, Jean-Loup, Pacini, Filippo, Tuszynski, Thierry, Pelloux, Véronique, Jacques, Flavien, Creusot, Laura, Coles, Emavieve, Taillandier, Paul, Vazquez Gomez, Marta, Masi, Davide, Mateo, Véronique, André, Sébastien, Kordahi, Melissa, Rouault, Christine, Zucker, Jean-Daniel, Sokol, Harry, Genser, Laurent, Chassaing, Benoit, Le Roy, Tiphaine, and Clément, Karine

Abstract

ABSTRACTThe intestinal microbiota is increasingly recognized as a crucial player in the development and maintenance of various chronic conditions, including obesity and associated metabolic diseases. While most research focuses on the fecal microbiota due to its easier accessibility, the small intestine, as a major site for nutrient sensing and absorption, warrants further investigation to determine its microbiota composition and functions. Here, we conducted a clinical research project in 30 age- and sex-matched participants with (n = 15) and without (n = 15) obesity. Duodenojejunal fluid was obtained by aspiration during endoscopy. Phenotyping included clinical variables related to metabolic status, lifestyle, and psychosocial factors using validated questionnaires. We performed metagenomic analyses of the oral, duodenojejunal, and fecal microbiome, alongside metabolomic data from duodenojejunal fluid and feces, integrating these data with clinical and lifestyle information. Our results highlight significant associations between duodenojejunal microbiota composition and usual dietary intake, as well as clinical phenotypes, with larger effect sizes than the associations between these variables and fecal microbiota. Notably, we found that the duodenojejunal microbiota of patients with obesity exhibited higher diversity and showed distinct differences in the abundance of several duodenojejunal microbiota species compared with individuals without obesity. Our findings support the relevance of studying the role of the small intestinal microbiota in the pathogenesis of nutrition-related diseases.

Published
2024
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13. Role of Endoscopic Internal Drainage in Treating Gastro-Bronchial and Gastro-Colic Fistula After Sleeve Gastrectomy.

Author

D'Alessandro, Alessandra, Galasso, Giovanni, Zito, Francesco Paolo, Giardiello, Cristiano, Cereatti, Fabrizio, Arienzo, Roberto, Pacini, Filippo, Chevallier, Jean-Marc, and Donatelli, Gianfranco

Subjects
SLEEVE gastrectomy, FISTULA, SURGICAL drainage, SURGICAL emergencies, ENDOSCOPIC surgery, PROGNOSIS
Abstract

Background : Gastro-bronchial and gastro-colic fistulas (GB-GC) represent a rare, but serious complication after laparoscopic sleeve gastrectomy (LSG). The aim of this study is to evaluate the efficacy of endoscopic first-line approach with endoscopic internal drainage (EID) by inserting double pigtail stents (DPS) Methods: We retrospectively analyzed data from 40 consecutive patients referred at two tertiary centers for gastro-bronchial (N=30) and gastrocolic (N=10) fistulas following LSG. Nineteen patients previously experienced emergency surgical drainage. The mean interval between the index surgery and endoscopic fistula treatment was 265.6±521 days. Results: Healing of the fistulous tract was achieved in 19 patients (47.5%), with complete resolution at an average follow-up of 16 months. Mean time of treatment duration was 157.8±141 days with 5.0±2.9 endoscopic sessions. No major adverse events were registered. Conclusions: Despite complete fistula healing was achieved in less than 50% of our population, EID for GB/GC fistula after LSG still represents the most conservative approach with low complications rate. Previous surgical drainage seems to be a positive prognostic factor for endoscopic healing. While the longer the interval between the index surgery and endoscopic treatment, the lower was the rate of treatment success. [ABSTRACT FROM AUTHOR]

Published
2022
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18. Di alcuni pregiudizi in medicina legale

Author

Pacini, Filippo and Pacini, Filippo

Abstract

https://patrimoniodigital.ucm.es/r/thumbnail/445085, https://books.google.com/books/ucm?vid=UCM5321295945&printsec=frontcover&img=1

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