Abstract：
BACKGROUND:Metabolic surgery is now considered as a therapeutic option in type 2 diabetes (T2D). However, few data are available regarding perioperative management of T2D. OBJECTIVES:To assess current practice among bariatric teams regarding perioperative management of T2D in order to propose guidelines. METHODS:A two-round Delphi method using online surveys was employed among bariatric teams experts (surgeons, diabetologists, anesthetists, nutritionists): first round, 63 questions covering 6 topics (characteristics of experts/teams, characteristics of patients, operative technique, pre/postoperative management, diabetes remission); second round, 44 items needing clarification. They were discussed within national congress of corresponding learned societies. Consensus was defined as ≥66% agreement. RESULTS:A total of 170 experts participated. Experts favored gastric bypass to achieve remission (76.7%). Screening for retinopathy, cardiac ultrasound, and reaching an HbA1c<8% are required in the pre-operative period for 67%, 75.3% and 56.7% of experts, respectively. After surgery, insulin pump should not be stopped, basal insulin should be halved, and bolus insulin should be stopped except if severe hyperglycemia. DPP-IV inhibitors and metformin are preferred after surgery. Patients should be seen by a diabetologist within one month if on oral antidiabetic agents (71.8% of experts), 2 weeks if on injectable treatments (77.1% of experts), and immediately after surgery if on insulin pump (93.5% of experts). Long-term monitoring of HbA1c is necessary even if diabetes remission (100%). CONCLUSION:Rapid postoperative modifications of blood glucose require a close monitoring and a prompt adjustment of diabetes medications.
journal_name
J Visc Surgjournal_title
Journal of visceral surgeryauthors
Galtier F,Pattou F,Czernichow S,Disse E,Ritz P,Chevallier JM,Cosson E,Valensi P,Andreelli F,Robert M,DIAMS study group.doi
10.1016/j.jviscsurg.2019.07.012subject
Has Abstractpub_date
2020-02-01 00:00:00pages
13-21issue
1issn
1878-7886pii
S1878-7886(19)30124-9journal_volume
157pub_type
杂志文章abstract：:Complications in bariatric surgery are varied; they are severe at times but infrequent. They may be surgical or non-surgical, and may occur early or late. The goal of this systematic review is to inform and help the attending physician, the emergency physician and the non-bariatric surgeon who may be called upon to ma...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2017.10.012
更新日期：2018-02-01 00:00:00
abstract：PURPOSE OF THE STUDY:To determine the statistical indicators aimed at identifying patients for whom ambulatory colectomy could be proposed without additional risk. PATIENTS AND METHODS:The medical charts of patients who benefited from scheduled colonic or rectal resection during conventional hospitalization stays betw...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2020.11.012
更新日期：2020-12-18 00:00:00
abstract：:Mortality associated with pelvic and perineal trauma (PPT) has fallen from 25% to 10% in the last decade thanks to progress accomplished in medical, surgical and interventional radiology domains (Dyer and Vrahas, 2006) [1]. The management strategy depends on the hemodynamic status of the patient (stable, unstable or e...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.06.004
更新日期：2012-08-01 00:00:00
abstract：:For the last 20 years, nonoperative management (NOM) of blunt hepatic trauma (BHT) has been the initial policy whenever this is possible (80% of cases), i.e., in all cases where the hemodynamic status does not demand emergency laparotomy. NOM relies upon the coexistence of three highly effective treatment modalities: ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2016.07.005
更新日期：2016-08-01 00:00:00
abstract：INTRODUCTION:Diaphragmatic rupture following blunt trauma occurs rarely. Classically described after high-velocity accidents, ruptures are often associated with multiple organ injuries. The diagnosis is sometimes difficult. The goal of this study was to analyze and to discuss the modalities of early radiologic diagnosi...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究
doi：10.1016/j.jviscsurg.2018.10.005
更新日期：2019-02-01 00:00:00
abstract：OBJECTIVE:To define the cost of pancreatectomies and to identify factors associated with increased hospital costs after pancreatic resection. METHODS:All patients undergoing pancreatic surgery in our department between January 2008 and December 2014 were included. All complications occurring during hospitalization or ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2018.04.003
更新日期：2018-12-01 00:00:00
abstract：:Gallbladder volvulus is a rare condition caused by torsion of the cholecystic pedicle and is favored by a long or nonexistent cholecystic mesentery. Gallbladder torsion presents clinically as gangrenous cholecystitis. Emergency cholecystectomy is the standard treatment. Lack of awareness of this condition can result i...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2011.12.002
更新日期：2012-04-01 00:00:00
abstract：BACKGROUND:To determine whether the timing of removal of abdominal drainage (AD) after pancreatoduodenectomy (PD) influences the 30-day surgical site infection (30-day SSI) rate. METHODS:A multicenter randomized, intention-to-treat trial with two parallel arms (superiority of early vs. standard AD removal on SSI) was ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jviscsurg.2018.06.006
更新日期：2019-04-01 00:00:00
abstract：:Two principal branches from the aorta provide the colonic blood supply: the superior and inferior mesenteric arteries. There are numerous anatomical variations, which the surgeon must fully understand before embarking on any colonic surgery. A good knowledge of these variations is particularly important when the patie...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2016.02.002
更新日期：2016-04-01 00:00:00
abstract：:Erythromycin (ER) is an antibiotic with prokinetic activity. This property has led to its clinical use to improve gastric emptying in patients with gastroparesis. Several papers have reported the effectiveness of ER in such patients; however few of these studies have been well-conducted methodologically with evaluatio...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2010.06.001
更新日期：2010-04-01 00:00:00
abstract：:Rectal linitis is a rare tumor with a poor prognosis that may be seen as a primary tumor or in association with gastric linitis plastica. In this article we describe the morphological appearance on CT and magnetic resonance imaging, which is typical. We also discuss the oncologic management, which is not well defined,...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2014.09.005
更新日期：2015-02-01 00:00:00
abstract：OBJECTIVE OF THE STUDY:Skin-sparing mastectomies (SSM) have gained acceptance among teams performing immediate breast reconstruction because this technique provides the best cosmetic outcome. Nevertheless, in France, concerns have been raised that limited skin excision during mastectomy could result in an increased ris...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2013.09.011
更新日期：2013-11-01 00:00:00
abstract：:Mesenteric tumors are rare and consist of a heterogeneous group of lesions. Masses may arise from any of the mesenteric components: peritoneum, lymphatic tissue, fat, and connective tissue. Cellular proliferation can also arise from infectious or inflammatory processes. They can be classified as solid or cystic, benig...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.05.005
更新日期：2012-08-01 00:00:00
abstract：:Re-admission is a new concept in France, born with the advent of day-case surgery, and defined as any re-admission occurring within 30 days after surgery. The re-admission rate has increasingly come to be considered a criterion of the quality of medical care, by both the medical profession and by insurance companies. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2015.09.013
更新日期：2015-12-01 00:00:00
abstract：:Replacement of the esophagus by colon interposition often has late complications, frequently due to technical defects. We report the case of a patient who presented 12 years after surgery with complex dysfunctions of a colonic interposition, including cervical and retrosternal strictures associated with a redundant po...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2010.08.006
更新日期：2010-12-01 00:00:00
abstract：INTRODUCTION:Adhesion-related small bowel obstruction (ASBO) management is difficult if there are no signs of strangulation or peritonitis when intestinal transit has not been restored. The aim of the present study was to determine the impact of combining a procalcitonin (PCT)-based algorithm with clinical signs on the...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.01.004
更新日期：2017-09-01 00:00:00
abstract：:The decision to perform a bariatric surgical procedure, the conclusion of a clinical pathway in which management is individually adapted to each patient, is taken after multidisciplinary consultation. Paradoxically, the patients who would most benefit from surgery are also those who have the highest operative risk. In...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2018.01.004
更新日期：2018-06-01 00:00:00
abstract：PURPOSE:To assess the impact of a simple flap closing procedure by Karydakis flap (KF) after pilonidal sinus excision on the costs and healing time as compared to routine lay-open technique. METHOD:Out of 44 consecutive patients operated on for pilonidal excision (November 2013-March 2015), 17 had a Karydakis flap and...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2017.02.004
更新日期：2017-12-01 00:00:00
abstract：:Anastomotic leakage represents a major complication of gastrointestinal surgery, leading to increased postoperative morbidity; it the foremost cause of mortality after intestinal resection. Identification of risk factors is essential for the prevention of AL. AL can present with various clinical pictures, ranging from...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2014.10.004
更新日期：2014-12-01 00:00:00
abstract：:Intestinal transplantation (IT) can involve small bowel transplantation alone, or be associated with liver or multivisceral transplantation. Although IT is the radical treatment for intestinal failure, home parenteral nutrition (PN) remains the treatment of choice for this disease. Indications for IT are still debated...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2012.10.008
更新日期：2012-12-01 00:00:00
abstract：OBJECTIVES:To analyze the diagnostic and therapeutic aspects of isolated gastric outlet obstruction secondary to corrosive ingestion. PATIENTS AND METHODS:Retrospective chart review of eight patients who developed gastric stricture following corrosive ingestion and were treated in the Digestive and General Surgery Ser...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2010.12.002
更新日期：2011-02-01 00:00:00
abstract：:Health care professionals are usually at a loss when it comes to medical "complaints", essentially because they lack knowledge with regard to existing litigation procedures. After a short reminder of the different rights of appeal in France, we describe how medical appeals function in other European countries. Next, w...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2019.04.001
更新日期：2019-09-01 00:00:00
abstract：:Pneumatosis cystoides intestinalis is generally benign in course and sometimes, if cysts ruptured, behave as the not uncommon cause of free air in acute abdomen. In our case, we illustrate ruptured isolated cysts of pneumatosis cystoides intestinalis are responsible for pneumoperitoneum in a 94-year-old male patient. ...
journal_title：Journal of visceral surgery
pub_type：
doi：10.1016/j.jviscsurg.2018.09.006
更新日期：2019-04-01 00:00:00
abstract：:A Zenker's or pharyngoesophageal diverticulum may represent a rare cause of upper digestive obstruction, or more often, cervical dysphagia, regurgitations and cough. It develops most often on the posterior left side of cervical oesophagus in elderly patients, and depending on the severity of clinical symptoms may warr...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2018.02.002
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en Y gastric bypass (LRYGB) are commonly performed, but few studies have shown superiority of one strategy over the other. OBJECTIVE:Simultaneously compare LSG and LRYGB in terms of weight loss and morbimortality over a 36-month follow-up period. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jviscsurg.2019.04.013
更新日期：2019-12-01 00:00:00
abstract：:The circumportal pancreas (CPP) is a normal though rare anatomical variant of the pancreas resulting from fusion of ventral and dorsal pancreatic buds during embryogenesis. Preoperative imaging in a 69-year-old man displayed the presence of a CPP completely encasing the portal vein. For pancreatic resection, missing a...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2019.02.001
更新日期：2019-10-01 00:00:00
abstract：:Whereas surgical resection is the only curative treatment for liver tumors, effective treatment for isolated unresectable lesions when there is tumor progression in spite of several lines of chemotherapy remains to be found. We report herein two cases of patients treated by a 1-hour Hyperthermic Isolated Liver Perfusi...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2012.10.018
更新日期：2013-02-01 00:00:00
abstract：AIM OF THE STUDY:Delayed hemorrhage, though rare, remains a significant source of morbidity and mortality after pancreaticoduodenectomy (PD). An important cause of this delayed hemorrhage is erosion or pseudoaneurysm formation of the gastroduodenal artery (GDA) by pancreatic enzymes and adjacent intra-abdominal sepsis....
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2015.10.007
更新日期：2016-02-01 00:00:00
abstract：:The Covid-19 pandemic has markedly changed our practices. This article analyses the risks of contamination among healthcare professionals (HCPs) during laparoscopic surgery on patients with Covid-19. Harmful effects of aerosols from a pneumoperitoneum, with the virus present, have not yet been quantified. Measures for...
journal_title：Journal of visceral surgery
pub_type： 杂志文章,评审
doi：10.1016/j.jviscsurg.2020.04.010
更新日期：2020-06-01 00:00:00
abstract：:This case report concerns a man with appendicitis following right colectomy. ...
journal_title：Journal of visceral surgery
pub_type： 杂志文章
doi：10.1016/j.jviscsurg.2014.10.002
更新日期：2014-12-01 00:00:00
