Neurofibromatose de type 1.
cou G PMID: 29933919 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 19, 2018 Category: General Medicine Authors: Ventéjou S, Leducq S, Maruani A, Samimi M, Georgescou G Tags: Presse Med Source Type: research

Cardiac pacing for complete atrioventricular block complicating heart lymphoma: A challenging issue.
PMID: 29933920 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 19, 2018 Category: General Medicine Authors: Goujeau C, Garcia R, Dufour M, Christiaens LP Tags: Presse Med Source Type: research

[Manic episode and macroprolactinoma: Etiological and physiopathological implications].
PMID: 29914700 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 15, 2018 Category: General Medicine Authors: Ouazzani Housni Touhami Y, Tabril T, Jaafari M, Aarab C, Rammouz I, Aalouane R Tags: Presse Med Source Type: research

Gonococcal anovaginal fistula: A new clinical entity for an old disease?
des V PMID: 29909937 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 14, 2018 Category: General Medicine Authors: Barré A, Crochet E, Lourtet J, le Monnier A, de Parades V Tags: Presse Med Source Type: research

[Sacral neuromodulation in real life: A proper follow-up is required!]
PMID: 29909938 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 14, 2018 Category: General Medicine Authors: Oumrani S, Loriau J, de Parades V, Moult HP Tags: Presse Med Source Type: research

[Oral squamous cell carcinoma of the mandibular region mimicking cervico-facial actinomycosis].
PMID: 29909159 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 13, 2018 Category: General Medicine Authors: Mokni S, Zeriaa S, Belajouza C, Denguezli M, Nouira R Tags: Presse Med Source Type: research

[Doctors during the Vel'd'Hiv Roundup on July 16 and 17, 1942].
Abstract Seventy-five years ago, the Vel' d'Hiv Roundup (commonly called in French the "Rafle du Vel' d'Hiv"), was a Nazi decreed raid and mass arrest of Jewish in Paris by the French police on 16 and 17 July 1942. During the action, 13,152 Jews including 4115 children were captured and placed in hellish conditions in the Paris Velodrome to be delivered to the Nazi killing machine. A team of doctors and nurses of the Red Cross, assisted by Jewish doctors, ensured the medical care of the internees of the Vél'd'Hiv with unusual dedication. They were able to save children by posing a false diagnosis ...
Source: Presse Medicale - June 13, 2018 Category: General Medicine Authors: Halioua B Tags: Presse Med Source Type: research

[Host-microbiota crosstalk and cardiovascular diseases].
Abstract When analyzing the microbiota-host crosstalk, we have to consider three participants in this dialogue: the gut microbiota, the intestinal barrier and bacterial translocation. Experimental data demonstrate that host microbiota crosstalk plays a causal on the regulation of blood pressure, glucose metabolism and the development of atherosclerosis. Host microbiota crosstalk is associated in humans with main cardiovascular risk factors notably hypertension and type 2 diabetes. Host microbiota crosstalk is associated in humans with the onset of cardiovascular diseases. The Mediterranean diet has proven as ...
Source: Presse Medicale - June 13, 2018 Category: General Medicine Authors: Amar J Tags: Presse Med Source Type: research

Gyriform calcifications after ischemic stroke in a patient with primary hyperparathyroidism.
PMID: 29909162 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 13, 2018 Category: General Medicine Authors: Landais A, Mallet G, Bourgeois-Beauvais Q, Parisi J, Mecharles S, Lannuzel A Tags: Presse Med Source Type: research

Update on multiple endocrine neoplasia Type 1 and 2.
Abstract Multiple endocrine neoplasia type 1 is a rare genetic syndrome, characterized by the co-occurrence, in the same individual or in related individuals of the same family, of hyperparathyroidism, duodenopancraetic neuroendocrine tumors, pituitary adenomas, adrenocortical tumors, and neuroendocrine tumors (carcinoids) in the thymus, the bronchi, or the stomach. Multiple endocrine neoplastic type 2 is a rare genetic syndrome, characterized by the familial occurrence of medullary thyroid carcinoma either isolated or associated with pheochromocytoma, primary hyperparathyroidism, or typical features (Marfanoid ha...
Source: Presse Medicale - June 13, 2018 Category: General Medicine Authors: Al-Salameh A, Baudry C, Cohen R Tags: Presse Med Source Type: research

[Is it possible to practice sports with an implantable cardioverter-defibrillator?]
Abstract Why? The potential risks of sport for an ICD recipient include appropriate and inappropriate shocks, device damage and worsening of the underlying cardiopathy. These risks should be compared to the physical and psychological benefits of exercise. Where? Due to different medico-legal contexts and considering the results of recent studies, the new US guidelines are more permissive than the European guidelines regarding sport practice in ICD recipients. Who? The underlying context (structural or electrical cardiopathy, psychological impact) should be assessed before any decision is taken. What sport? The int...
Source: Presse Medicale - June 13, 2018 Category: General Medicine Authors: Guenancia C, Garcia R Tags: Presse Med Source Type: research

[Hepatic and extra-hepatic manifestations of hepatitis E virus infection].
on JM Abstract All patients with elevated transaminases in France should be tested for HEV infection. HEV can cause severe hepatitis, in particular in patients with chronic liver disease, pregnant women and the elderly. Extra-hepatic manifestations including a number of neurologic syndromes, thrombopenia and renal injury have been described. HEV can cause chronic infection in immunosuppressed patients, in particular in organ-transplant recipients, patients with hematological malignancies and individuals with HIV. In patients with hematological malignancies, viral clearance can occur at the time of remission, with ...
Source: Presse Medicale - June 13, 2018 Category: General Medicine Authors: Blasco-Perrin H, Péron JM Tags: Presse Med Source Type: research

Esophagitis dissecans superficialis due to severe nonsteroidal anti-inflammatory drugs toxicity.
PMID: 29907463 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 12, 2018 Category: General Medicine Authors: Lamine H, Bochra B, Mouna M, Heykel E, Monia T, Mohamed Masaddak A Tags: Presse Med Source Type: research

[Anal metastasis of sigmoid adenocarcinoma, you had to think about it!]
des V PMID: 29907464 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 12, 2018 Category: General Medicine Authors: Fathallah N, Somsouk C, Morcelet MC, Prévot S, de Parades V Tags: Presse Med Source Type: research

[May CT scan replace endoscopy to diagnose upper GI bleeding?]
PMID: 29907465 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 12, 2018 Category: General Medicine Authors: Houist G, Guillaumot MA, Soyer P, Coriat R Tags: Presse Med Source Type: research

[A pernicious cause of infant hypotonia].
ras P PMID: 29903406 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 11, 2018 Category: General Medicine Authors: Savall A, Rukingama Ntungane AF, Gramont B, Durousset C, Gay C, Cathébras P Tags: Presse Med Source Type: research

Recalcitrant acquired palmoplantar keratoderma: Think about Mycosis fungoides.
PMID: 29903407 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - June 11, 2018 Category: General Medicine Authors: Erraji H, Hali F, Baline K, Marnissi F, Chiheb S Tags: Presse Med Source Type: research

[Biopsychosocial approach to caregiving burden: Why should we care about caregivers' health?]
Abstract There are 11 million family caregivers in France and some estimates indicate that there will be 17 million in 2020. Caregiving is a source of chronic stress that requires adaptation and coping strategies. Caregiving may benefit the health of a caregiver with a positive coping style and altruistic goals. However, the caregiver's burden is frequently associated with negative effects in terms of biopsychosocial imbalance and medical conditions, with frequent anxiety and depression. The management of the caregiving burden starts with the recognition of health professionals - caregivers may benefit from consul...
Source: Presse Medicale - June 11, 2018 Category: General Medicine Authors: Leurs A, Trojak B, Ponavoy E, Bonin B, Chauvet-Gelinier JC Tags: Presse Med Source Type: research

[Epidemiology of alcohol dependence].
Abstract Excessive alcohol consumption is the second leading preventable cause of death in France (49,000/year), after tobacco consumption. Several recent studies found that the alcohol-related negative health consequences may occurs with small amounts of alcohol, in particular cancers. Therefore, the risk thresholds for alcohol consumption have been recently recommended not to be higher than 100g/week. Early age of onset of alcohol use is a strong predictor of alcohol use disorders and alcohol-related negative health outcomes. Subjects with alcohol use disorders are underdiagnosed and undertreated, with less than...
Source: Presse Medicale - May 16, 2018 Category: General Medicine Authors: Laqueille X, Lacombe M, Dervaux A Tags: Presse Med Source Type: research

[Modern treatment of mesenteric ischemia].
Abstract Acute mesenteric ischemia is a highly morbid affliction which requires urgent care. Acute mesenteric ischemia consists in an ischemia injury of the small bowel, secondary to vascular insufficiency, either occlusive (thrombosis, embolism, arterial, venous) or non-occlusive (low flow or vasospasm). Given that the superior mesenteric artery supplies the small bowel as well as the right part of the colon, any ischemic process involving the right colon should be considered an acute mesenteric ischemia until proven otherwise. Acute mesenteric ischemia should always be suspected in the setting of a sudden, unusu...
Source: Presse Medicale - May 15, 2018 Category: General Medicine Authors: Nuzzo A, Huguet A, Corcos O Tags: Presse Med Source Type: research

Place of the Quantiferon test in the etiological diagnosis of exsudative ascites.
PMID: 29776791 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 15, 2018 Category: General Medicine Authors: Tamzaourte M, Adioui T, Nejjari F, Rouibaa F, Aourarh A Tags: Presse Med Source Type: research

Brocq-Pautrier's angiolupoid.
PMID: 29776792 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 15, 2018 Category: General Medicine Authors: Elqatni M, Qacif H, Zyani M, Ghafir D, Amezyane T Tags: Presse Med Source Type: research

[Painful anorexia in chronic intestinal ischemia].
PMID: 29776793 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 15, 2018 Category: General Medicine Authors: Brun C, Peiffer S, Tan A, Teixeira A Tags: Presse Med Source Type: research

[Obstructive sleep apnea syndrome in woman: Knowing its specificities for a better management].
Abstract Cardiovascular diseases are the first cause of death in women. Their frequency is underestimated because of their atypical feminine clinical presentation. The pathway "heart, arteries and women", initiated at Lille's hospital center in 2013, was designed to improve pluridisciplinar approaches for women. Thus, obstructive sleep apnea (OSA), known as a metabolic risk factor, was studied in several works. In post-menopausal women with cardiovascular risk, frequency of OSA seems underestimated. Clinical presentation of OSA in feminine patients can be misleading, and its screening seems essential, in...
Source: Presse Medicale - May 15, 2018 Category: General Medicine Authors: Sediri S, Madika AL, Baguet JP, Mallart A, Charley-Monaca C, Mounier Vehier C Tags: Presse Med Source Type: research

An unusual and devastating presentation of neurologic Wilson's disease with extensive brain MRI lesions.
PMID: 29776795 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 15, 2018 Category: General Medicine Authors: Belkhribchia MR, Belabbes S, Loukili M, El Hasni I, El Makkaoui M Tags: Presse Med Source Type: research

[Stalking: From "romantic pursuit" to sexual predation].
[Stalking: From "romantic pursuit" to sexual predation]. Presse Med. 2018 May 15;: Authors: Cailleau V, Harika-Germaneau G, Delbreil A, Jaafari N Abstract Deriving from the English verb "to stalk", stalking denotes an unwelcome, repetitive, and intrusive harassing and/or threatening behavior directed toward a specific individual, and can result in physical and/or sexual offending - even leading to homicide. French harassment legislation has evolved over the years, and the last law closest to the international anti-stalking laws had been promulgated in 2014. According to a...
Source: Presse Medicale - May 15, 2018 Category: General Medicine Authors: Cailleau V, Harika-Germaneau G, Delbreil A, Jaafari N Tags: Presse Med Source Type: research

[Psychiatric comorbidities of Alcohol dependence].
Abstract Psychiatric disorders are common among patients with alcohol dependence. Symptoms of alcohol intoxication or withdrawal need to be disentangled from symptoms of psychiatric disorders. Alcohol dependence could induce psychiatric disorders, in particular depressive disorders and anxiety disorders. Patients with psychiatric disorders may self-medicate with alcohol use. There may be common factors promoting both alcohol dependence and psychiatric disorders: about 40% of patients with alcohol dependence present personality disorders. Alcohol dependence and psychiatric disorders worsen each other. Integrated ap...
Source: Presse Medicale - May 14, 2018 Category: General Medicine Authors: Dervaux A, Laqueille X Tags: Presse Med Source Type: research

[Cognitive impairment].
ret F Abstract Alcohol use disorder is a brain disease that can be modeled by an imbalance between three cerebral and cognitive systems. The reflective system, underpinned by the frontal cortex and corresponding to the executive functions, would be involved in the control of alcohol consumption. The impulsive system, underpinned by the amygdala-striatal complex, would favor automatic and impulsive drinking behaviors. A regulatory system, driven by insula and involved in the integration of proprioceptive perceptions in situations of deprivation or stress, would aggravate the imbalance between the two first systems....
Source: Presse Medicale - May 7, 2018 Category: General Medicine Authors: Cabé N, Laniepce A, Boudehent C, Pitel AL, Vabret F Tags: Presse Med Source Type: research

[How can we explain the crimes of nazis doctors in Auschwitz?]
Abstract The Nazi doctors committed crimes in the camp of Auschwitz which constitute the darkest page in the history of medicine of the twentieth century. They were largely directly involved in the murder of the 1.1 million Jewish majority and about 21,000 gypsies who were transported from all over Europe. How can we explain the intellectual journey of those men who had embraced the medical career to relieve their neighbors? How could these cultivated and refined men, from the most prestigious faculties of medicine, have been able to achieve activities ethically unacceptable? Eight factors help to e...
Source: Presse Medicale - May 3, 2018 Category: General Medicine Authors: Halioua B Tags: Presse Med Source Type: research

[Bariatric surgical procedures].
Abstract Obesity physioptahology is complex and involves several factors (genetic, behavioral, psychological…). In this still undefined context, bariatric surgery modifies gastrointestinal tract anatomy, reduces the caloric intake and modifies gastrointestinal hormonal secretions for some of them. Aim of this work was to describe bariatric surgical procedures (sleeve, gastric band, short-gastric gastric, biliopancreatic diversion), specifying their historical context and considering possible evolutions. PMID: 29731403 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - May 3, 2018 Category: General Medicine Authors: Brunaud L, Nomine-Criqui C, Fouquet T, Sirveaux MA, Reibel N, Quilliot D Tags: Presse Med Source Type: research

[French and worldwide epidemiology of obesity].
Abstract Obesity is a disease characterized by an excessive fat deposition. It is associated to the development of several comorbidities. The worldwide prevalence of obesity has been rising in the past 30 years. Recent results published in 2015 show a global prevalence of 12% in adults, which amounts to 604 million obese adults in the world. The prevalence of obesity has also increased in children since the 1980s to reach 5% globally. Social categories are differently affected by obesity with the most impoverished ones having the highest rate of obesity and obesity increase. In the French ESTEBAN study of 2015, th...
Source: Presse Medicale - April 24, 2018 Category: General Medicine Authors: Matta J, Carette C, Rives Lange C, Czernichow S Tags: Presse Med Source Type: research

[Complications after bariatric surgery].
Abstract Bariatric surgery became consensual after the NIH consensus of 1991 and the appearance of laparoscopic approach. This type of operation has a functional role (improvement of quality of life, locomotion and digestive symptoms as gastro-esophageal reflux disease), a prevention role (increase in life expectancy, reduction of risk of cancer and cardiovascular disease) and a curative role (remission of diabetes mellitus, obstructive sleep apnea syndrome and arterial hypertension). The laparoscopic approach for bariatric surgery led to a major reduction of postoperative morbi-mortality. Types and rates of compl...
Source: Presse Medicale - April 24, 2018 Category: General Medicine Authors: Souche R, de Jong A, Nomine-Criqui C, Nedelcu M, Brunaud L, Nocca D Tags: Presse Med Source Type: research

[Probiotics: Don't through baby with the bath water].
PMID: 29703572 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - April 24, 2018 Category: General Medicine Authors: Marteau P Tags: Presse Med Source Type: research

Postoperative delirium.
Abstract Delirium in the perioperative period is a wide-reaching problem that directly affects important clinical outcomes. It is essential that anesthesiologists understand how to define and diagnose delirium, identify patients at high risk for developing delirium, recognize precipitating factors to appropriately adjust care plans, and manage patients who develop delirium in the acute postoperative period. Importantly, delirium remains underdiagnosed in the perioperative setting, but many screening and assessment tools are readily available to aid non-psychiatric trained personnel in identifying delirium. Finally...
Source: Presse Medicale - April 18, 2018 Category: General Medicine Authors: Rengel KF, Pandharipande PP, Hughes CG Tags: Presse Med Source Type: research

[Seclusion and mechanical restraints in psychiatric care: Prescriptions procedures, pharmacological management, and monitoring].
n B Abstract We will briefly summarize the French recommendations concerning the use of seclusion and mechanical restraint. Acute agitation and aggression or self-injurious activity during psychotic and manic episodes are the main indication of prescription of the coercive measures. Their prescriptions respect specific modalities that will be explained. Although they proved to be efficient, seclusion and restrain need to stay a last resort option, considering the risk of physical complications and psychological consequences. Specific pharmacological prescription will necessarily be associated with coercive measure...
Source: Presse Medicale - April 18, 2018 Category: General Medicine Authors: Tezenas du Montcel C, Kowal C, Leherle A, Kabbaj S, Frajerman A, Le Guen E, Hamdani N, Schürhoff F, Leboyer M, Pelissolo A, Pignon B Tags: Presse Med Source Type: research

Anesthesia and the risk of dementia in the elderly.
Abstract Cognitive complications are common after surgery in the elderly, and with an increased number of elderly patients undergoing surgery, a potential impact of anaesthesia and surgery on long term cognition, and especially dementia would be concerning. The question whether anaesthesia and surgery in itself induce structural changes in the brain and thereby cognitive deterioration, or reveal a preexisting cognitive impairment remains unresolved. Several studies show an increased risk of reversible cognitive impairment after surgery in the elderly, but the risk of inducing dementia remains speculative. Further ...
Source: Presse Medicale - April 13, 2018 Category: General Medicine Authors: Steinmetz J, Rasmussen LS Tags: Presse Med Source Type: research

[The law of March 5, 2007 and the care of persons placed under guardianship].
art C Abstract The care of persons placed under guardianship has changed considerably since the law of March 5, 2007, as greater autonomy is granted to them. By advocating greater autonomy of protected adults, the French Civil Code is in opposition with the French Public Health Code since the latter states that the systematic consent of the guardian is required in addition to that of the protected adult for so-called general care. In cases of serious injury to bodily integrity, the guardianship judge's opinion must be sought by the guardian. For some specific medical procedures (medically assisted procreation, abo...
Source: Presse Medicale - April 12, 2018 Category: General Medicine Authors: Modot M, Rougé-Maillart C Tags: Presse Med Source Type: research

Impact on the brain of the inflammatory response to surgery.
Abstract The brain is both the orchestrator as well as the target of the innate immune system's response to the aseptic trauma of surgery. When trauma-induced inflammation is not appropriately regulated persistent neuro-inflammation interferes with the synaptic plasticity that underlies the learning and memory aspects of cognition. The complications that ensue, include postoperative delirium (POD) and postoperative cognitive dysfunction (POCD) at two poles of a constellation that is now termed perioperative neurocognitive disorders. While the relationship of acute POD to the more indolent POCD is not completely un...
Source: Presse Medicale - April 12, 2018 Category: General Medicine Authors: Saxena S, Maze M Tags: Presse Med Source Type: research

Post-operative cognitive disorders: A new model for perioperative medicine.
PMID: 29656803 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - April 12, 2018 Category: General Medicine Authors: Jacquens A, Sigaut S, Degos V Tags: Presse Med Source Type: research

Tools to screen and measure cognitive impairment after surgery and anesthesia.
;s PL Abstract Cognition is essential to all aspects of our everyday life. Although we take our cognitive function for granted, the perioperative period is prone to several aggressions that might impair it. Postoperative cognitive dysfunction, has been the aim of many studies recently, and was shown to be very common with an incidence that can reach 40%, yielding not only impairment in cognition, but also longer hospital stays, higher costs and greater mortality. While several studies have revealed some of the mechanisms contributing to postoperative cognitive dysfunction, the search for the perfect instrument to ...
Source: Presse Medicale - April 12, 2018 Category: General Medicine Authors: Vide S, Gambús PL Tags: Presse Med Source Type: research

Dying in hospital: Qualitative study among caregivers of terminally ill patients who are transferred to the emergency department.
DISCUSSION: Difficulty in imagining death at home is underpinned by its unpredictable nature, and by the accumulation of suffering and anguish in the caregiver. Hospital admission and medicalisation of death help to channel the caregiver's anguish. In order to improve end-of-life accompaniment, it is mandatory to make home management more reassuring for the patient and their family. PMID: 29622389 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - April 2, 2018 Category: General Medicine Authors: Pillet M, Chassagne A, Aubry R Tags: Presse Med Source Type: research

[Therapeutic advances in the management of biliary tract carcinoma].
iat R Abstract Cancers of the bile ducts or cholangiocarcinomas are a rare entity whose incidence is increasing in France. Surgical resection of cholangiocarcinoma remains the only curative therapy. Adjuvant therapy with capecitabine at a fixed dose of 1250mg/m2 twice daily from day 1 to day 14 (21-day cycle) for a 6 months period is now the standard of care after curative surgery. At a metastatic stage, the reference treatment consists of the combination of a platinum salt in addition to gemcitabine. No biomarker has been identified to predict the response to chemotherapy. DNA sequencing of the tumor can identify...
Source: Presse Medicale - April 2, 2018 Category: General Medicine Authors: Ribiere SC, Léandri C, Guillaumot MA, Brezault C, Coriat R Tags: Presse Med Source Type: research

[Acute severe colitis].
Abstract Acute severe colitis is a potentially life-threatening medical and surgical emergency requiring hospitalization and intensive monitoring. The diagnosis of severe acute colitis is based on clinical and biological criteria. Colectomy should be discussed at each stage of management and is indicated immediately in case of complications. Thromboembolic prevention with low molecular weight heparin is essential in any patient with severe acute colitis. The first-line medical treatment is intravenous corticosteroid at a dose of 0.8mg/kg/day of prednisone equivalent. In case of failure, a second line of medical tr...
Source: Presse Medicale - April 1, 2018 Category: General Medicine Authors: Ribiere S, Leconte M, Chaussade S, Abitbol V Tags: Presse Med Source Type: research

[Long term outcomes after bariatric and metabolic surgery].
Abstract At long (≥5 years) and very long term (≥10 years) bariatric and metabolic surgery (BMS) is the only treatment that allows a significant and durable weight loss concomitant with a control of the different obesity related diseases. Regardless of the surgical technique, BMS significantly decrease long-term mortality (-30% at 15 years). The maximum weight loss is reached at postoperative year 2. Beyond, a weight regain and is usually observed in all procedures. The variability of long-term outcomes underlines the importance of multidisciplinary care throughout follow-up. In 2017, Roux-en-Y-gastric bypas...
Source: Presse Medicale - April 1, 2018 Category: General Medicine Authors: Genser L, Barrat C Tags: Presse Med Source Type: research

[Why is the morbidly obese patient at high risk of anesthetic complications?]
Abstract Obesity is often associated with obstructive sleep apnea (OSA), which increases the risk of intraoperative and postoperative complications. The role of preoperative screening of OSA is crucial, with adequate management based on continuous positive pressure before, during and after surgery. The obese patient is at risk of postoperative complications: difficult airway management, acute respiratory failure following extubation due to atelectasis and airway obstruction, added to morphine overdosing. Optimal management of difficult mask ventilation and intubation, protective ventilation, combined to the reduct...
Source: Presse Medicale - March 30, 2018 Category: General Medicine Authors: De Jong A, Verzilli D, Geniez M, Chanques G, Nocca D, Jaber S Tags: Presse Med Source Type: research

[Bariatric surgery: The clinical pathway of the patient with a severe obesity surgery].
Abstract Bariatric surgery is developing parallel to the increasing prevalence of severe obesity. Patient' care is guided by professional recommendations highlighting the key-role of multidisciplinary team in perioperative management. The clinical pathway, particularly adapted for bariatric surgery, allows the optimization of resources allocation and healthcare planning while improving the quality and efficiency (performance) of healthcare. The assessment (and adjustments) of clinical pathways allows measuring the impact of quality of care, patients' outcome and the effectiveness of healthcare. Additionally, the d...
Source: Presse Medicale - March 24, 2018 Category: General Medicine Authors: Verkindt H, Verhelst C, Skorupinski J Tags: Presse Med Source Type: research

Gastrointestinal stromal tumor (GIST) inpatient with Von Recklinghausen's disease.
PMID: 29588106 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - March 24, 2018 Category: General Medicine Authors: Hammami A, Hasnaoui B, Guerfala M, Mabrouk MB, Farhat W, Ksiaa M, Jaziri H, Elleuch N, Brahem A, Ajmi S, Ali AB, Sriha B, Slama AB, Jmaa A Tags: Presse Med Source Type: research

[Management of epilepsia in older].
Abstract Epilepsy increases in frequency with age, above 60, with consequences in terms of independence. Stroke and dementia are the most frequent etiologies. Clinical diagnostic of epileptic seizure is challenging at this age, and a clinical algorithm is proposed. Sleep EEG during one hour seems to be the most useful exam. Interictal and critical discharges can be seen during sleep in dementia ; relation between hyperexcitability and evolution of cognition has to be precised in this pathology. In a therapeutical point of view, it is necessary to bear in mind the pharmacological consequences of aging, polythe...
Source: Presse Medicale - March 23, 2018 Category: General Medicine Authors: Alberti A, Thomas B, Marchal C Tags: Presse Med Source Type: research

Post-traumatic psychiatric disorders: PTSD is not the only diagnosis.
eacute;ry Y Abstract Traumatic events and their consequences are often hidden or minimised by patients for reasons linked to the post-traumatic stress disorder itself (inexpressibility, shame, depressive thoughts, fear of stigmatisation, etc.). Although post-traumatic stress disorder (PTSD) remains the most widely known disorder, chronic post-traumatic psychiatric disorders are many and varied. After a trauma, the practitioner has to check for the different clinical forms of post-traumatic psychological consequences: PTSD is not the only diagnosis. Based on our own clinical experience compared to the international...
Source: Presse Medicale - March 23, 2018 Category: General Medicine Authors: Auxéméry Y Tags: Presse Med Source Type: research

[Subcutaneous emphysema complicating post-traumatic pneumoperitoneum: A rare and misleading complication].
PMID: 29580907 [PubMed - as supplied by publisher] (Source: Presse Medicale)
Source: Presse Medicale - March 23, 2018 Category: General Medicine Authors: Elie T, Clavier T, Huet E, Bejar S, Veber B Tags: Presse Med Source Type: research