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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 | The French Haemovigilance System: organization and results for 2003显示文摘 | Rebibo D Hauser L Slimani A | 2004 | Transfus Apher Sci2004,31,2: | 1 |
| 3 | The French Haemovigilance System: organization and results for 2003显示文摘 | Rebibo D Hauser L Slimani A | 2004 | Transfus Apher Sci2004,31,2: | 1 |
| 4 | The French Haemovigilance System:organization and results for 2003显示文摘 | Rebibo D Hauser L Slimani A | 2004 | Transfus Apher Sci2004,31,2: | 1 |
| 5 | The French Haemovigilance System:organization and results for 2003显示文摘 | Rebibo D Hauser L Slimani A Hervé P Andreu G | | 0,,02: | 1 |
| 6 | Simultaneous gastric band removal and sleeve gastrectomy:a comparison with front- line sleeve gastrectomy显示文摘 | Rebibo L Mensah E Verhaeghe P | 2012 | Obes Surg2012,22,: | 1 |
| 7 | The French haemovigilance system:organization and results for 2003显示文摘 | Rebibo D Hauser L Slimani A | | 0,,02: | 1 |
| 8 | The French HaemovigilanceSystem: organization and results for 2003 显示文摘 | Danielle Rebibo Lisette Hauser Ahmed Slimani Patrick Herv6 and Georges Andreu | 2004 | Transfusion and Apheresis Science2004,31,2: | 1 |
| 9 | Early gastric fistula af- ter laparoseopic sleeve gastreetomy: surgical management 显示文摘 | Rebibo L Dhahri A Verhaeghe P | 2012 | J Vise Surg2012,149,5: | 1 |
| 10 | The French Haemovigilance System: organization and results for 2003 显示文摘 | Rebibo D Hauser L Slimani A | 2004 | Transfusion and Apheresis Science2004,31,: | 1 |
| 11 | The French Hemovigilance System: organization and results for 2003 显示文摘 | Rebibo D Hauser L Slimani A | 2004 | Transfus Apher Sci2004,31,2: | 1 |
| 12 | Combined radiologic and endoscopic treatment(using the “rendezvous technique”) of a biliary fistula following left hepatectomy显示文摘Despite the ongoing decrease in the frequency of complications after hepatectomy, biliary fistulas still occur and are associated with high morbidity and mortality rates. Here, we report on an unusual technique for managing biliary fistula following left hepatectomy in a patient in whom the right posterior segmental duct joined the left hepatic duct. The biliary fistula was treated with a combined radiologic and endoscopic procedure based on the 'rendezvous technique'. The clinical outcome was good, and reoperation was not required. | Aurélien Gracient Lionel Rebibo Richard Delcenserie Thierry Yzet Jean-Marc Regimbeau | 2016 | World Journal of Gastroenterology2016,22,30: | 1 |
| 13 | Conservative surgical man- agement of persistent leak after sleeve gastrectomy by Ruux-en-Y gastro-jejunostomy to the fistulous orifice 显示文摘 | Blot C Mouly C Rebibo L | 2015 | J Vise Surg2015,152,1: | 1 |
| 14 | Gastrointestinal bleeding complication of gastric fistula after sleeve gastrectomy:consider pseudoaneurysms显示文摘 | Rebibo L Fuks D Blot C | 2013 | Surg Endosc2013,27,: | 1 |
| 15 | Should we use full analgesic dose of opioids for organ procurement in brainstem dead?显示文摘Families facing the growing demand for organ removal from their loved ones are questioning the possible suffering of the brainstem dead patient.A frequent question they ask to coordinating doctors is:Are you sure he will not feel anything?Currently due to the risk of exacerbation of spinal reflexes and abnormal movements following surgical stimuli,it is recommended to use a curarization and an analgesic agent(most often morphine).The doses of opioids are less important than during usual anaesthesia,whereas the person is considered brainstem dead and there is no longer any cerebral integration of the pain.But what assures us that absolutely no more sensibility exists at this precise moment?Should the use of full analgesic dose of opioids not be continued anyway?Could this make the levies more'ethical'? | Philippe Charlier John-David Rebibo Nadia Benmoussa | 2021 | World Journal of Meta-Analysis2021,9,1: | 0 |