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您的检索式：作者名="Jacques Ewald"
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| 1 | Pancreaticoduodenectomy: Secondary stenting of the celiac trunk after inefficient median arcuate ligament release and reoperation as an alternative to simultaneous hepatic artery reconstruction显示文摘In patients undergoing pancreaticoduodenectomy(PD),unrecognized hemodynamically significant celiac axis(CA) stenosis impairs hepatic arterial flow by suppressing the collateral pathways supplying arterial flow from the superior mesenteric artery and leads to serious hepatobiliary complications due to liver and biliary ischemia, with a high rate of mortality. CA stenosis is usually due to an extrinsic compression by a previously asymptomatic median arcuate ligament(MAL). MAL is diagnosed by computerized tomography in about 10% of the candidates for PD, but only half are found to be hemodynamically significant during the gastroduodenal artery clamping test with Doppler assessment, which is mandatory before any resection. MAL release is usually efficient to restore an adequate liver blood inflow and prevent ischemic complications. In cases of failure in MAL release, postponed PD with secondary stenting of the CA and reoperation for PD should be considered as an alternative to immediate hepatic artery re-construction, which involves the risk of postoperative thrombosis of the arterial reconstruction. We recently used this two-stage strategy in a patient undergoing surgery for pancreatic adenocarcinoma. | Théophile Guilbaud Jacques Ewald Olivier Turrini Jean Robert Delpero | 2017 | World Journal of Gastroenterology2017，23，5： | 3 |
| 2 | Should the Portal Vein Be Routinely Resected During Pancreaticoduodenectomy For Adenocarcinoma?显示文摘 | Olivier Turrini Jacques Ewald Louise Barbier Djamel Mokart Jean Louis Blache Jean Robert Delpero | 2013 | Annals of Surgery2013，，： | 1 |
| 3 | Risk Factors for Aspiration Pneumonia in Frail Older People: A Systematic Literature Review显示文摘 | Claar D. van der Maarel-Wierink Jacques N.O. Vanobbergen Ewald M. Bronkhorst Jos M.G.A. Schols Cees de Baat | 2011 | Journal of the American Medical Directors Association2011，，5： | 1 |
| 4 | Organ sparing to cure stage IV rectal cancer: A case report and review of literature显示文摘BACKGROUND Rectal sparing is an option for some rectal cancers with complete or good response after chemoradiotherapy(CRT);however,it has never been evaluated in patients with metastases.We assessed long-term outcomes of a rectal-sparing approach in a liver-first strategy for patients with rectal cancer with resectable liver metastases.CASE SUMMARY We examined patients who underwent an organ-sparing approach for rectal cancer with synchronous liver metastases using a liver-first strategy during 2010-2015(n=8).Patients received primary chemotherapy and pelvic CRT.Liver surgery was performed during the interval between CRT completion and rectal tumor re-evaluation.Clinical and oncological characteristics and long-term outcomes were assessed.CASE SUMMARY All patients underwent liver metastatic resection with curative intent.The R0 rate was 100%.Six and two patients underwent local excision and a watch-and-wait(WW)approach,respectively.All patients had T3N1 tumors at diagnosis and had good clinical response after CRT.The median survival time was 60(range,14-127)mo.Three patients were disease free for 5,8,and 10 years after the procedure.Five patients developed metastatic recurrence in the liver(n=5)and/or lungs(n=2).Only one patient developed local recurrence concurrent with metastatic recurrence 24 mo after the WW approach.Two patients died during follow-up.CONCLUSION The results suggest good local control in patients undergoing organ-sparing strategies for rectal cancer with synchronous liver metastasis.Prospective trials are required to validate these data and identify good candidates for these strategies. | Hélène Meillat Jonathan Garnier Anais Palen Jacques Ewald Cécile de Chaisemartin Marguerite Tyran Emmanuel Mitry Bernard Lelong | 2023 | World Journal of Gastrointestinal Surgery2023，15，11： | 0 |
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