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| 1 | Frey procedure for the treatment of chronic pancreatitis associated with common bile duct stricture显示文摘BACKGROUND:The Frey procedure(FP)is the treatment of choice for symptomatic chronic pancreatitis(CP).In cases of biliary stricture,biliary derivation can be performed by choledochoduodenostomy,Roux-en-Y choledochojejunostomy or,more recently,reinsertion of the common bile duct(CBD)into the resection cavity.The objective of the present study was to evaluate the outcomes associated with each of these three types of biliary derivation.METHODS:We retrospectively analyzed demographic,CPrelated,surgical and follow-up data for patients having undergone FP for CP with biliary derivation between 2004and 2012 in our university medical center.The primary efficacy endpoint was the rate of CBD stricture recurrence.The secondary endpoints were surgical parameters,postoperative complications,postoperative follow-up and the presence of risk factors for secondary CBD stricture.RESULTS:Eighty patients underwent surgery for CP during the study period.Of these,15 patients received biliary derivation with the FP.Eight of the FPs(53.3%)were combined with choledochoduodenostomy,4(26.7%)with choledochojejunostomy and 3(20.0%)with reinsertion of the CBD into the resection cavity.The mean operating time was 390minutes.Eleven complications(73.3%)were recorded,including one major complication(6.7%)that necessitated radiologicallyguided drainage of an abdominal collection.The mean(range)length of stay was 17 days(8-28)and the median(range)follow-up time was 35.2 months(7.2-95.4).Two patients presented stricture after CBD reinsertion into the resection cavity;one was treated with radiologically-guided dilatation and the other underwent revisional Roux-en-Y choledochojejunostomy.Three patients presented alkaline reflux gastritis(37.5%),one(12.5%)cholangitis and one CBD stricture after FP with choledochoduodenostomy.No risk factors for secondary CBD stricture were identified.CONCLUSIONS:As part of a biliary derivation,the FP gave good results.We did not observe any complications specifically related to surgical treatment of the biliary tract.However,CBD reinsertion into the resection cavity appeared to be associated with a higher stricture recurrence rate.In our experience,choledochojejunostomy remains the'gold standard'for the surgical treatment for CBD strictures. | Lionel Rebibo Thierry Yzet Cyril Cosse Richard Delcenserie Eric Bartoli Jean-Marc Regimbeau | 2013 | Hepatobiliary & Pancreatic Diseases International2013，12，6： | 5 |
| 2 | Management of digestive bleeding related to portal hypertension in cirrhotic patients:A French multicenter cross-sectional practice survey显示文摘AIM: To investigate the conformity of management practices of gastrointestinal hemorrhage in cirrhotic patients with relevant guidelines. METHODS: A questionnaire on the management of digestive bleeding was completed for all consecutive cirrhotic patients admitted to 31 French hospitals. RESULTS: One hundred and twenty-six bleeding events were recorded. It was the first bleeding episode in 79 patients (63%), of whom 40 (51%) had a prior diagnosis of cirrhosis and 25 (32%) had previously undergone an endoscopy. The bleeding episode was a recurrence in 46 patients (37%). The median time between onset and admission was 4 h, but exceeded 12 h in 42% of cases. There was an agreement between centers forearly vasoactive drug administration (87% of cases), association with ligation (42%) more often than sclerosis (21%) at initial endoscopy, and antibiotic prophylaxis (64%). By contrast, prescription of beta-blockade alone or in combination (0 to 100%, P = 0.003) for secondary prophylaxis and lactulose (26% to 86%, P = 0.04), differed among centers. CONCLUSION: In French hospitals, management of bleeding related to portal hypertension in cirrhotic patients is generally in keeping with the consensus. Broad variability still remains concerning beta-blockade use for secondary prophylaxis. Screening for esophageal varices, the use of antibiotic prophylaxis and patients information need to be improved. | Pierre Ingrand Jérme Gournay Pierre Bernard Frédéric Oberti Brigitte Bernard-Chabert Arnault Pauwels Philippe Renard Eric Bartoli Jean-Franois Cadranel Jean-Claude Barbare Isabelle Ingrand Michel Beauchant | 2006 | World Journal of Gastroenterology2006，12，48： | 4 |
| 3 | A comparative study of surgery and endoscopy for the treatment of bile duct stricture in patients with chronic pancreatitis显示文摘 | Jean-Marc Regimbeau David Fuks Eric Bartoli Mathurin Fumery Adina Hanes Thierry Yzet Richard Delcenserie | 2012 | Surgical Endoscopy2012，，10： | 1 |
| 4 | Is Stenting as “a Bridge to Surgery” an Oncologically Safe Strategy for the Management of Acute, Left-Sided, Malignant, Colonic Obstruction? A Comparative Study With a Propensity Score Analysis显示文摘 | Charles Sabbagh Fran?ois Browet Momar Diouf Cyril Cosse Olivier Brehant Eric Bartoli Fran?ois Mauvais Bruno Chauffert Jean-Louis Dupas Eric Nguyen-Khac Jean-Marc Regimbeau | 2013 | Annals of Surgery2013，，1： | 1 |
| 5 | Endoscopic treatment of chronic pancreatitis显示文摘 | Eric Bartoli Richard Delcenserie Thierry Yzet Franck Brazier Guillaume Geslin Jean-Marc Regimbeau Jean-Louis Dupas | 2005 | Gastroenterologie Clinique et Biologique2005，，5： | 1 |
| 6 | A comparative study of surgery and endoscopy for the treatment of bile duct stricture in patients with chronic pancreatitis显示文摘 | Jean-Marc Regimbeau David Fuks Eric Bartoli Mathurin Fumery Adina Hanes Thierry Yzet Richard Delcenserie | 2012 | Surgical Endoscopy2012，，10： | 1 |
| 7 | Is Stenting as “a Bridge to Surgery” an Oncologically Safe Strategy for the Management of Acute, Left-Sided, Malignant, Colonic Obstruction? A Comparative Study With a Propensity Score Analysis显示文摘 | Charles Sabbagh Fran?ois Browet Momar Diouf Cyril Cosse Olivier Brehant Eric Bartoli Fran?ois Mauvais Bruno Chauffert Jean-Louis Dupas Eric Nguyen-Khac Jean-Marc Regimbeau | 2013 | Annals of Surgery2013，，1： | 1 |
| 8 | Biliary drainage, photodynamic therapy and chemotherapy for unresanectable cholangiocarcinoma with jaundice 显示文摘 | DAVID FUKS ERIC BARTOLI RICHARD DELCENSERIE | 2009 | J Gastroenterol Hepatol2009，24，11： | 1 |
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