📇 Rhumatologue · ST HERBLAIN · (44) · Libéral
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129.9 rhumatos / 100 000 hab. — département bien doté
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Indicateurs publics agrégés sur 250 M+ d'œuvres scientifiques (OpenAlex, PubMed). Traduits ici en langage patient.
Influence scientifique
Données ANS publiques (Licence Ouverte 2.0) · Enrichissements MonRhumato 100 % opt-in · Toute personne référencée peut demander la suppression ou la rectification.
4
4 articles ont été cités au moins 4fois par d'autres chercheurs — preuve que ses travaux sont repris par la communauté médicale.
h-index
Total citations reçues
105
Nombre de fois où d'autres équipes ont mentionné ses publications dans leurs propres travaux.
Publications totales
8
Articles, revues et chapitres référencés dans les bases académiques internationales.
Articles influents
4
Publications ayant marqué leur domaine — chacune citée au moins 10 fois par d'autres chercheurs.
i10-index
Thématiques principales
Affiliations FR : Centre Hospitalier Universitaire de Nantes · PhysioPathologie des Adaptations Nutritionnelles · Nantes Université
Source : OpenAlex (CC0, OurResearch). Indicateurs académiques agrégés sur 250 M+ d'œuvres.
Articles déposés en accès libre sur l'archive ouverte des universités françaises (HAL) — gage d'activité de recherche en France.
Prevalence, Characteristics and Endoscopic Management of Gastric Premalignant Lesions in France
2020ArticleDigestive Diseases
Evaluation of a Phone Call Reminder Strategy in the Surveillance of Patients with Gastric Precancerous Lesions Lost to Follow-Up
2020ArticleGastrointestinal Tumors
Impact of prior antibiotics on infected pancreatic necrosis microbiology in ICU patients: a retrospective cohort study
2020ArticleAnnals of Intensive Care
Long-Term Follow-up of Gastric Precancerous Lesions in a Low GC Incidence Area
2020ArticleClinical and translational gastroenterology
Source : HAL — archive ouverte CCSD/CNRS (couvre articles, chapitres EMC, communications congrès, thèses).
SANTE ATLANTIQUE
AV CLAUDE BERNARD BP 40419, 44800 ST HERBLAIN
CABINET DU DR MATTHIEU PERON
5 RUE DE SAINT NAZAIRE, 44800 ST HERBLAIN
Secteur de conventionnement non disponible (médecin hospitalier ou non présent dans l'Annuaire santé CNAM des libéraux conventionnés).
Lien Doctolib = recherche Google site:doctolib.fr (le 1er résultat est presque toujours le profil correct s'il existe).
United European gastroenterology journal · 2018
ObjectiveThe primary objective of this article is to identify risk factors for infected pancreatic necrosis (IPN) in patients admitted to the intensive care unit (ICU) for severe acute pancreatitis. We also described outcomes of IPN.BackgroundAcute pancreatitis is common and associated with multiple, potentially life‐threatening complications. Over the last decade, minimally invasive procedures have been developed to treat IPN.MethodsWe retrospectively studied consecutive patients admitted for severe acute pancreatitis to the ICUs of the Nantes University Hospital in France, between 2012 and 2015. Logistic regression was used to evaluate potential associations linking IPN to baseline patient characteristics and outcomes.ResultsOf the 148 included patients, 26 (17.6%) died. IPN developed in 62 (43%) patients and consistently required radiological, endoscopic, and/or surgical intervention. By multivariate analysis, factors associated with IPN were number of organ failure (OF) (for ≥ 3: OR, 28.67 (6.23–131.96), p < 0.001) and portosplenomesenteric venous thrombosis (OR, 8.16 (3.06–21.76)).ConclusionIPN occurred in nearly half our ICU patients with acute pancreatitis and consistently required interventional therapy. Number of OFs and portosplenomesenteric venous thrombosis were significantly associated with IPN. Early management of OF may reduce IPN incidence, and management of portosplenomesenteric venous thrombosis should be investigated.
Clinical and translational gastroenterology · 2020
INTRODUCTION: Data on the evolution of gastric precancerous lesions (GPL), especially in countries of a Low gastric cancer incidence area are limited. Our objective was to study a long-term evolution of GPL in France. METHODS: All the patients diagnosed with GPL (atrophic gastritis, intestinal metaplasia [IM], and dysplasia) between 2000 and 2015 and fulfilling criteria for evolution assessment (at least 2 endoscopies, minimal follow-up of 6 months, and at least 2 biopsies obtained from the antrum and corpus) were included. Clinical and endoscopic data were analyzed, and histological samples were reviewed by an expert pathologist with evaluation of the Operative Link on Gastric Intestinal Metaplasia Assessment stage and type of IM. RESULTS: From the 507 patients with GPL, 79 fulfilled the strict criteria. During a mean follow-up of 66 months, during which the patients had a mean number of 4 endoscopies (min–max: 2–21) with 9 biopsies/endoscopy, a stability was observed in 70% of patients. Progression occurred in 14% of patients, within a mean delay of 62.1 months (min–max: 17–99). Progression of the lesions was significantly higher in patients with incomplete type of IM (relative risk of progression for incomplete IM: 11.5; 95% confidence interval 2.5–53.1). Regression of IM occurred in 16% of the patients, after a mean delay of 90 months. DISCUSSION: This study shows that the patients with antrum-limited IM, especially of incomplete type, are at the highest risk of developing gastric cancer. In most patients, however, the lesions remain stable, which highlights the need for additional markers to better target the patients at risk of progression.
Digestive diseases (Basel, Switzerland) · 2020
<b><i>Introduction:</i></b> Surveillance of gastric precancerous lesions (GPL) is recommended, but the data on their clinical and endoscopic management in a “real-life” practice are limited. Our aim was to study the modalities of endoscopic management of patients with GPL in France. <b><i>Design:</i></b> All the patients diagnosed with GPL in our center between 2000 and 2015 were grouped and analyzed according to the most severe GPL found, in the following order: atrophic gastritis only (AG), intestinal metaplasia (IM), low grade dysplasia (LGD), high grade dysplasia (HGD). <b><i>Results:</i></b> Out of 16,764 patients having undergone upper endoscopy with gastric biopsies, 507 were identified with GPL (detection rate 3.2%). Overall, <i>Helicobacter pylori</i> infection was found in 41% of patients. IM was by far the most frequently found lesion (79%), followed by LGD (17%), HGD (2%), and AG only (2%). <i>H. pylori</i> infection rate was decreasing, while the age of the patients was increasing, together with the increasing severity of GPL (<i>p</i> = 0.005). Only 28% of the patients had at least one follow-up endoscopy. No correlation was found between the endoscopist’s appreciation of the mucosa and histological results. <b><i>Conclusion:</i></b> In France, GPL can be expected in about 3% of patients undergoing upper endoscopy with gastric biopsies for any reason. The correlation between the endoscopic evaluation and histology is poor. Spreading of published guidelines should improve the management of patients with GPL in the future.
Source PubMed · Recherche par auteur (homonymes possibles, vérifier l'affiliation).
Clinical and translational gastroenterology · 2020 · Journal Article
Chapelle N, Péron M, Quénéhervé L, Bourget A, et al.
Annals of intensive care · 2020 · Journal Article
Garret C, Canet E, Corvec S, Boutoille D, et al.
Digestive diseases (Basel, Switzerland) · 2020 · Journal Article
Chapelle N, Péron M, Mosnier JF, Quénéhervé L, et al.
United European gastroenterology journal · 2018 · Journal Article
Garret C, Péron M, Reignier J, Le Thuaut A, et al.