- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Gastrointestinal Tumor Research and Treatment
- Esophageal Cancer Research and Treatment
- Metastasis and carcinoma case studies
- Pancreatic and Hepatic Oncology Research
- Gastrointestinal disorders and treatments
- Colorectal Cancer Screening and Detection
- Helicobacter pylori-related gastroenterology studies
- Colorectal Cancer Surgical Treatments
- Neuroendocrine Tumor Research Advances
- Dysphagia Assessment and Management
- Colorectal and Anal Carcinomas
- Genetic factors in colorectal cancer
- Diverticular Disease and Complications
- Liver Disease and Transplantation
- Pancreatitis Pathology and Treatment
- Hepatocellular Carcinoma Treatment and Prognosis
- Lung Cancer Research Studies
- Liver Disease Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
- Clinical practice guidelines implementation
- Renal cell carcinoma treatment
- Ultrasound and Hyperthermia Applications
- Diagnosis and treatment of tuberculosis
Hôpital Privé Jean Mermo
2016-2025
Générale de Santé
2014-2025
Société Française d'Endoscopie Digestive
2019-2022
Hôpital Pontchaillou
2022
Hôpital Edouard Herriot
2008-2020
Hospices Civils de Lyon
2009-2020
Communauté urbaine de Lyon
2006-2007
Endoscopic resection of adenomas prevents colorectal cancer, but the optimal technique for larger lesions is controversial. Piecemeal endoscopic mucosal (EMR) has a low adverse event (AE) rate variable recurrence necessitating early follow-up. submucosal dissection (ESD) can reduce may increase AEs.
<b>Background and study aims:</b> The differential diagnosis of solitary pancreatic cystic lesions is frequently difficult. Needle-based confocal laser endomicroscopy (nCLE) performed during endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) a new technology enabling real-time imaging the internal structure such cysts. aim this pilot was to identify validate diagnostic criteria on nCLE for lesions. <b>Patients methods:</b> A total 31 patients with lesion unknown were prospectively...
Background and study aims: Endoscopic submucosal dissection (ESD) is a technique for "en bloc" resection of superficial tumors the gastrointestinal tract. In France, experience with this still limited. We wanted to assess development ESD in special attention short term outcomes.
Data on endoscopic resection of sporadic duodenal adenoma (SDA) are sparse; we present our results concerning safety and efficacy in a retrospective analysis saline-assisted SDA.The cases all patients who underwent for SDA between May 1998 2006 were analyzed. Endoscopic was carried out using standard injection cut methods. In some hemoclips argon plasma coagulation used, either prophylaxis or the treatment procedure-related bleeding.Thirty-six with total 37 lesions (mean size 19 mm, range 4...
Abstract Background Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are the first-line treatments for superficial esophageal squamous cell carcinoma (SCC). This study aimed to compare long-term clinical outcome oncological clearance between EMR ESD treatment of SCC. Methods We conducted a retrospective multicenter in five French tertiary care hospitals. Patients treated by or histologically proven SCC were included consecutively. Results Resection was performed...
<b>Background and study aims:</b> Endoscopic submucosal dissection (ESD) provides a high en bloc resection rate for superficial colorectal tumors. The aims of this were to assess the feasibility ESD in France evaluate complete at 1 year. <b>Patients methods:</b> Patients with rectal tumors ≥ 10 mm size prospectively included nine French expert centers between February 2010 June 2012. was stopped temporarily because complication rate. Study recruitment resumed following remedial action....
<b>Background and study aim: </b>As duodenal neuroendocrine tumors (NETs) are rare, their optimal management has not been clearly established. The aim of this was to evaluate the feasibility outcome endoscopic treatment NETs. <b>Patients methods: </b>We reviewed files all patients who underwent resection a sporadic or ampullary NET between 1996 2014 at two centers. <b>Results:</b> A total 29 with 32 uT1N0M0 NETs < 20 mm were included. Treatment consisted mucosal in 19 cases, cap aspiration...
Background and aims This study aimed to evaluate the performance of Macroscopic On-site Evaluation (MOSE) using a novel endoscopic ultrasound (EUS) fine needle biopsy (FNB) (22-G Franseen-tip needle, Acquire, Boston Scientific Incorporated, Boston, Massachusetts, United States), without Rapid On-Site (ROSE). Method Between May 2016 August 2016, all consecutive patients referred our center for EUS tissue acquisition (TA) solid lesions underwent EUS-FNB with 22-G unless contra-indicated. The...
Endoscopic submucosal dissection (ESD) is recommended for en bloc R0 resection of superficial esophageal neoplasms larger than 20 mm, but high risk and time-consuming. In the tunnel technique, incisions at lower upper lesion edges are joined by a then lateral made. The mucosa thereby easily separated from muscular layer. We report our experience ESD.We retrospectively reviewed all consecutive ESDs performed unit between January 1 2010 11 2013. Lesions were neoplasms, UT1N0 EUS. patients...
Early reports of endoscopic submucosal dissection (ESD) in Europe suggested high complication rates and disappointing outcomes compared to publications from Japan. Since 2008, we have been conducting a nationwide survey monitor the complications ESD over time.All consecutive cases 14 centers France were prospectively included database. Demographic, procedural, outcome follow-up data recorded. The results obtained three years previously published covering 2008-2010 period.Between November...
The adoption of colorectal endoscopic submucosal dissection (ESD) is still limited in the West. A recent randomized trial showed that ESD more effective and only slightly riskier than piecemeal mucosal resection; reproducibility outside expert centers was questioned. We evaluated results according to annual case volume a multicentric prospective cohort.
Abstract Introduction and study aims Accurate real-time endoscopic characterization of colorectal polyps is key to choosing the most appropriate treatment. Mastering currently available classifications challenging. We used validated criteria for these create a single table, named CONECCT, evaluated impact teaching program based on this tool. Methods A prospective multicenter involving GI fellows attending physicians was conducted. During first session, each trainee completed pretest...
Abstract Background Gastric hyperplastic polyps (GHPs) have a risk of neoplastic transformation reaching 5 %. Current endoscopic resection techniques appear suboptimal with high local recurrence. This study assessed the outcomes for GHPs and identified factors recurrence transformation. Methods retrospective, multicenter, European included adult patients at least one GHP ≥ 10 mm who underwent follow-up endoscopy. Patients recurrent or hereditary gastric polyposis were excluded. All data...
Background and study aims The aim of this was to validate the COlorectal NEoplasia Classification Choose Treatment (CONECCT) classification that groups all published criteria (including covert signs carcinoma) in a single table. Patients methods For multicenter comparative an expert endoscopist created image library (n = 206 lesions; from hyperplastic deep invasive cancers) with at least white light Imaging chromoendoscopy images (virtual ± dye based). Lesions were resected/biopsied assess...
When initial resection of rectal neuroendocrine tumors (r-NETs) is not R0, persistence local residue could lead to disease recurrence. This study aimed evaluate the interest systematic non-R0 r-NET scars.