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Gastroenterologie

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https://www.readbyqxmd.com/read/27825187/-exposure-to-limited-resources-in-the-gastroenterology-results-of-a-survey-of-hospital-physicians
#1
L Kerkemeyer, A Reifferscheid, N Pomorin, J Wasem
Background and research question: The hospital sector is currently characterized by a high economic pressure. As well the DRG system as the investment financing by the federal states imply financial limitations. Hospitals react to this situation by trying to reduce costs and to increase case volume. It is questionable whether and to what extent patient care and the working conditions of the physicians are affected by these circumstances. Especially, gastroenterological patients were considered to be insufficiently covered by the DRG system in the past...
November 2016: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/25932477/-joint-opinion-of-the-german-society-of-gastroenterology-digestive-and-metabolic-diseases-dgvs-and-the-german-society-for-internal-medicine-dgim-to-vedolizumab-benefit-assessment-according-to-%C3%A2-35a-sgb-v-the-g-ba
#2
https://www.readbyqxmd.com/read/25822863/hepatogastroenterologists-knowledge-of-inactive-carriers-and-immunotolerant-hepatitis-b-virus-patients-in-france-results-of-a-practice-survey
#3
Xavier Causse, Jean-François Cadranel, Pascal Potier, Bertrand Hanslik, Jacques Denis, Christophe Renou, Patrick Delasalle
BACKGROUND: Before the 2012 revision of the EASL guidelines for the management of hepatitis B virus infection, we conducted a survey to determine how French nonacademic hepatogastroenterologists defined inactive hepatitis B virus carriers and immunotolerant patients. METHODS: We asked 680 hepatogastroenterologists to complete a simple survey consisting of 11 multiple-choice questions. RESULTS: The participation rate was 32%. HBeAg positivity was not identified as a key criterion for the diagnosis of immunotolerance by 61...
May 2015: European Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/24938917/-let-s-stop-proton-pump-inhibitor-prescriptions-for-suspected-gerd-in-non-validated-indications
#4
EDITORIAL
O Mouterde, J-P Chouraqui, F Ruemmele, E Mas, M Bellaïche, C Faure, F Gottrand, P Tounian
No abstract text is available yet for this article.
July 2014: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/24824910/-biliary-diseases-in-the-elderly
#5
REVIEW
E Heger, F Lammert
Gallstone disease is more common in the elderly. In this short review, we summarize guideline-based recommendations for the diagnosis and treatment of biliary diseases in elderly patients. Warning episodes of biliary colic represent a general indication for cholecystectomy to avoid stone-related complications. Elderly patients with mild and moderate acute cholecystitis should undergo urgent cholecystectomy. After endoscopic retrograde cholangiography and stone extraction as well as mild acute biliary pancreatitis, cholecystectomy should be performed during the same hospital admission...
May 2014: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/24809234/management-of-inflammatory-bowel-disease-in-france-a-nationwide-survey-among-private-gastroenterologists
#6
Charlène Duchesne, Patrick Faure, François Kohler, Marie-Pierre Pingannaud, Guillaume Bonnaud, Franck Devulder, Laurent Abramowitz, Christian Boustière, Laurent Peyrin-Biroulet
BACKGROUND: Data on the current management of inflammatory bowel disease are scarce. METHODS: This was a nationwide survey among 65 private gastroenterologists treating patients with inflammatory bowel disease in France in 2012. RESULTS: A total of 375 inflammatory bowel disease patients were analysed: 48% had ulcerative colitis. One third of inflammatory bowel disease patients had a history of hospitalisation, and 40% of Crohn's disease patients had prior surgery...
August 2014: Digestive and Liver Disease
https://www.readbyqxmd.com/read/24512805/-new-european-recommendations-for-the-diagnosis-of-celiac-disease-in-children-a-real-simplification
#7
EDITORIAL
J-P Olives, T Lamireau, F Ruemmele
No abstract text is available yet for this article.
March 2014: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/23216822/one-year-outcome-of-haemorrhoidectomy-a-prospective-multicentre-french-study
#8
MULTICENTER STUDY
D Bouchard, L Abramowitz, A Castinel, J M Suduca, G Staumont, D Soudan, F Devulder, F Pigot, M Varastet, R Ganansia
AIM: An evaluation was performed of the 1-year outcome of open haemorrhoidectomy (Milligan and Morgan alone or with posterior mucosal anoplasty [the Leopold Bellan procedure]). METHOD: A prospective, multicentre, observational study included all patients having a planned haemorrhoidectomy from January 2007 to June 2008. Data were collected before surgery, and at 3 months and 1 year after surgery. Patients assessed their anal symptoms and quality of life (SF-36)...
June 2013: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/23142603/normal-values-of-pharyngeal-and-esophageal-24-hour-ph-impedance-in-individuals-on-and-off-therapy-and-interobserver-reproducibility
#9
MULTICENTER STUDY
Frank Zerbib, Sabine Roman, Stanislas Bruley Des Varannes, Guillaume Gourcerol, Benoît Coffin, Alain Ropert, Patricia Lepicard, François Mion
BACKGROUND & AIMS: Combined pH and impedance monitoring can detect all types of reflux episodes within the esophageal lumen and the pharynx. We performed a multicenter study to establish normal values of pharyngeal and esophageal pH-impedance monitoring in individuals on and off therapy and to determine the interobserver reproducibility of this technique. METHODS: We collected ambulatory 24-hour pH-impedance recordings from 46 healthy subjects by using a bifurcated probe that allowed for detection of reflux events in the distal and proximal esophagus and pharynx...
April 2013: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/23063316/ciclosporin-versus-infliximab-in-patients-with-severe-ulcerative-colitis-refractory-to-intravenous-steroids-a-parallel-open-label-randomised-controlled-trial
#10
RANDOMIZED CONTROLLED TRIAL
David Laharie, Arnaud Bourreille, Julien Branche, Matthieu Allez, Yoram Bouhnik, Jerome Filippi, Frank Zerbib, Guillaume Savoye, Maria Nachury, Jacques Moreau, Jean-Charles Delchier, Jacques Cosnes, Elena Ricart, Olivier Dewit, Antonio Lopez-Sanroman, Jean-Louis Dupas, Franck Carbonnel, Gilles Bommelaer, Benoit Coffin, Xavier Roblin, Gert Van Assche, Maria Esteve, Martti Färkkilä, Javier P Gisbert, Philippe Marteau, Stephane Nahon, Martine de Vos, Denis Franchimont, Jean-Yves Mary, Jean-Frederic Colombel, Marc Lémann
BACKGROUND: Ciclosporin and infliximab are potential rescue treatments to avoid colectomy in patients with acute severe ulcerative colitis refractory to intravenous corticosteroids. We compared the efficacy and safety of these drugs for this indication. METHODS: In this parallel, open-label, randomised controlled trial, patients were aged at least 18 years, had an acute severe flare of ulcerative colitis defined by a Lichtiger score greater than 10 points, and had been given an unsuccessful course of high-dose intravenous steroids...
December 1, 2012: Lancet
https://www.readbyqxmd.com/read/22999780/5-aminosalicylates-and-renal-function-monitoring-in-inflammatory-bowel-disease-a-nationwide-survey
#11
Camille Zallot, Vincent Billioud, Luc Frimat, Patrick Faure, Laurent Peyrin-Biroulet
BACKGROUND AND AIM: 5-Aminosalicylates (ASA) are widely used in inflammatory bowel disease (IBD). Nephrotoxicity has been described in some IBD patients treated with 5-ASA. Whether physicians managing these patients are monitoring renal function in daily practice is unknown. The aims of this paper were to investigate how private gastroenterologists monitor renal function and manage renal failure in IBD patients treated with oral 5-ASA therapy. METHODS: This was a web-based cross sectional national survey which was conducted among private gastroenterologists...
August 2013: Journal of Crohn's & Colitis
https://www.readbyqxmd.com/read/22995048/-current-indications-of-ileocolonoscopy-in-children-in-2012
#12
A Dabadie, M Bellaiche, J Cardey, A Lachaux, L Michaud, A Morali
Indications for ileocolonoscopy were defined in 2002 by the Groupe Francophone d'Hépatologie Gastroentérologie et Nutrition. These recommendations were updated with new data and technical innovations appearing over the last decade. Ileocolonoscopy is primarily indicated for digestive bleeding or anemia and for suspected inflammatory bowel disease. It is now indicated in inflammatory bowel disease for control of mucosal healing after medical treatment and relapse after surgical resection. Iterative ileocolonoscopy is primarily indicated for genetic polyposis and well defined for familial adenomatous polyposis...
November 2012: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/22776322/sphincter-sparing-anal-fissure-surgery-a-1-year-prospective-observational-multicentre-study-of-fissurectomy-with-anoplasty
#13
L Abramowitz, D Bouchard, M Souffran, F Devulder, R Ganansia, A Castinel, J-M Suduca, D Soudan, M Varastet, G Staumont
AIM: Internal sphincterotomy is the standard surgical treatment for chronic anal fissure, but is frequently complicated by anal incontinence. Fissurectomy is proposed as an alternative technique to avoid sphincter injury. We describe 1-year outcomes of fissurectomy. METHOD: This was a prospective, multicentre, observational study. All patients with planned surgery for chronic anal fissure were included and had fissurectomy. Data were collected before surgery, at healing, and 1 year after fissurectomy...
March 2013: Colorectal Disease: the Official Journal of the Association of Coloproctology of Great Britain and Ireland
https://www.readbyqxmd.com/read/22070476/early-liver-transplantation-for-severe-alcoholic-hepatitis
#14
MULTICENTER STUDY
Philippe Mathurin, Christophe Moreno, Didier Samuel, Jérôme Dumortier, Julia Salleron, François Durand, Hélène Castel, Alain Duhamel, Georges-Philippe Pageaux, Vincent Leroy, Sébastien Dharancy, Alexandre Louvet, Emmanuel Boleslawski, Valerio Lucidi, Thierry Gustot, Claire Francoz, Christian Letoublon, Denis Castaing, Jacques Belghiti, Vincent Donckier, François-René Pruvot, Jean-Charles Duclos-Vallée
BACKGROUND: A 6-month abstinence from alcohol is usually required before patients with severe alcoholic hepatitis are considered for liver transplantation. Patients whose hepatitis is not responding to medical therapy have a 6-month survival rate of approximately 30%. Since most alcoholic hepatitis deaths occur within 2 months, early liver transplantation is attractive but controversial. METHODS: We selected patients from seven centers for early liver transplantation...
November 10, 2011: New England Journal of Medicine
https://www.readbyqxmd.com/read/19728254/-short-version-of-the-s3-level-3-guideline-helicobacter-pylori-and-gastroduodenal-ulcer-disease-from-the-german-society-for-digestive-and-metabolic-diseases
#15
W Fischbach, , , et al.
This guideline updates a prior concensus recommendation of the German Society for Digestive and Metabolic Diseases (DGVS) from 1996. It was developed by an interdisciplinary cooperation with representatives of the German Society for Microbiology, the Society for Pediatric Gastro-enterology and Nutrition (GPGE) and the German Society for Rheumatology. The guideline is methodologically based on recommendations of the Association of the Scientific Medical Societies in Germany (AWMF) for providing a systematic evidence-based consensus guideline of S3 level and has also implemented grading criteria according to GRADE (Grading of Recommendations Assessment, Development and Evaluation)...
September 2009: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/19717255/-gastroent%C3%A3-rologie-clinique-et-biologique-a-century-s-history-of-digestive-system-diseases
#16
P Hecketsweiler, J Frexinos
The journal Gastroentérologie clinique et biologique succeded to Archives des maladies de l'appareil digestif published since 1907 and is one of the world's oldest journals in gastroenterology. Gastroentérologie Clinique et Biologique was created as the discipline was emerging, benefiting from new techniques such as nasogastric intubation, coprologic examinations, the first images from gastrointestinal radiology, as well as the enormous progress made in gastrointestinal surgery. The journal was founded by Albert Mathieu, a remarkable chef d'école at Paris's Saint-Antoine Hospital...
August 2009: Gastroentérologie Clinique et Biologique
https://www.readbyqxmd.com/read/19472730/when-will-we-change-treatment-in-the-care-of-patients-with-chronic-hepatitis-b
#17
Rania Hefaiedh, Hela Elloumi, Asma Ouakaa-Kchaou, Najet Belhadj, Dalila Gargouri, Asma Kochlef, Afef Kilani, Malika Romani, Jamel Kharrat, Abdejabbar Ghorbel
BACKGROUND: The treatment by the standard interferon is at present the only treatment recommended in Tunisia in the care of the chronic infection B. PURPOSE: Estimate the biochemical and virological answer of the patients reached by a chronic hepatitis B, treated by standard interferon. METHODS: All the patients, having a chronic hepatitis B confirmed histological, hospitalised in the service of hepatho-gastroenterologie of the hospital Habib Thameur between 1990-2005, were respectively included...
July 2008: La Tunisie Médicale
https://www.readbyqxmd.com/read/19059766/-ingestion-of-foreign-bodies-in-children-recommendations-of-the-french-speaking-group-of-pediatric-hepatology-gastroenterology-and-nutrition
#18
REVIEW
L Michaud, M Bellaïche, J-P Olives et al.
Ingestion of foreign bodies is a common pediatric problem. The majority of ingested foreign bodies pass spontaneously. Management of foreign body ingestions varies based upon the object ingested, its location, and the patient's age and past history. Esophageal foreign bodies should be urgently removed because of their potential to cause complications. Ingested batteries that lodge in the esophagus, sharp or pointed foreign bodies in the esophageal or gastric tract, and ingestion of multiple magnets all require urgent endoscopic removal...
January 2009: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/19023899/efficacy-of-infliximab-in-pediatric-crohn-s-disease-a-randomized-multicenter-open-label-trial-comparing-scheduled-to-on-demand-maintenance-therapy
#19
RANDOMIZED CONTROLLED TRIAL
Frank M Ruemmele, Alain Lachaux, Jean-Pierre Cézard, Alain Morali, Chantal Maurage, Jean-Louis Giniès, Sheila Viola, Olivier Goulet, Thierry Lamireau, Michèle Scaillon, Anne Breton, Jacques Sarles et al.
BACKGROUND: Infliximab (IFX) is efficacious in inducing remission in severe forms of pediatric Crohn's disease (CD). Adult studies indicate that IFX is also safe and well tolerated as maintenance therapy. The present study aimed to evaluate in a prospective manner the efficacy and safety of IFX as maintenance therapy of severe pediatric CD comparing scheduled and "on demand" treatment strategies. METHODS: Forty children with CD (nonpenetrating, nonstricturing as well as penetrating forms, mean age: 13...
March 2009: Inflammatory Bowel Diseases
https://www.readbyqxmd.com/read/17961815/-rotavirus-vaccination-in-france-recommendations-of-the-french-speaking-group-of-pediatric-gastroenterology-hepatology-and-nutrition
#20
J-P Olives, P Tounian, T Lamireau et al.
The rotavirus is the major cause of infantile gastroenteritis worldwide. In Europe and in industrialized countries, rotavirus infections bring out considerable economic expenses. In France, the burden of health expenses is particularly marked during winter period, the peak of rotavirus infections coinciding with that of the respiratory syncitial virus bronchiolitis, this specificity results in an increase of nosocomial infections during this period and a saturation of beds in paediatric hospitals. Vaccination likely represents the only efficacious adapted response to rotavirus infections...
October 2007: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
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