Piet Pattyn's research while affiliated with Universitair Ziekenhuis Ghent and other places

Publications (27)

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Aim:: I. To describe the number of false positive cases (FP), their characteristics and reason of occurrence in sacral neuromodulation therapy (SNM). Methods:: A multidisciplinary prospective single-centre study was conducted between March 2018 and December 2021 with a follow-up of 12 months. Patients with therapy-resistant pelvic organ dysfunction...
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Introduction: Failure to rescue (FTR) is an important outcome measure after esophagectomy and reflects mortality after postoperative complications. Differences in FTR have been associated with hospital resection volume. However, insight into how centers manage complications and achieve their outcomes is lacking. Anastomotic leak (AL) is a main con...
Article
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Anastomotic leak (AL) is a common but severe complication after esophagectomy, and over 10% of patients with AL suffer mortality. Different prognostic factors in patients with AL are known, but a tool to predict mortality after AL is lacking. This study aimed to develop a prediction model for postoperative mortality in patients with AL after esopha...
Article
Purpose Rectal cancer survivors are often confronted with long-term bowel function impairment, called low anterior resection syndrome. This has a large impact on patients’ lives. The aim was to explore the experiences of patients with major low anterior resection syndrome with a specific focus on hope and loneliness. Methods A grounded theory appr...
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Objective The enrichment of circulating tumor cells (CTCs) from blood provides a minimally invasive method for biomarker discovery in cancer. Longitudinal interrogation allows monitoring or prediction of therapy response, detection of minimal residual disease or progression, and determination of prognosis. Despite inherent phenotypic heterogeneity...
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Background The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery is poorly understood. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods This international, multicentre, cohort study at 235 hospitals in 24 countries includ...
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Background: An important parameter for survival in patients with esophageal carcinoma is lymph node status. The distribution of lymph node metastases depends on tumor characteristics such as tumor location, histology, invasion depth, and on neoadjuvant treatment. The exact distribution is unknown. Neoadjuvant treatment and surgical strategy depend...
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Background: The management of paraesophageal hernia (PEH) has changed significantly since the introduction of laparoscopic surgery in the 1990's. This study aims to explore the need of a Nissen fundoplication or a posterior gastropexy and the use of mesh reinforcement in the surgical repair of PEH. Patients and methods: Seventy-three patients wi...
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Background: Esophagectomy has a high incidence of postoperative morbidity. Complications lead to a decreased short-term survival, however the influence of those complications on long-term survival is still unclear. Most of the performed studies are small, single center cohort series with inconclusive or conflicting results. Minimally invasive esop...
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Cancer patients treated with radiotherapy (RT) could develop severe late side effects that affect their quality of life. Long-term bowel complications after RT are mainly characterized by a transmural fibrosis that could lead to intestinal obstruction. Today, surgical resection is the only effective treatment. However, preoperative RT increases the...
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Objective: To define "best possible" outcomes in total minimally invasive transthoracic esophagectomy (ttMIE). Background: TtMIE, performed by experts in patients with low comorbidity, may serve as a benchmark procedure for esophagectomy. Patients and methods: From a cohort of 1057 ttMIE, performed over a 5-year period in 13 high-volume center...
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Background: The aim of this study was to assess the accuracy, particularly the predictive value, of locoregional clinical rectal cancer staging (cTN) and its variability in a national improvement project. Methods: cTN stages and the distance between tumour and mesorectal fascia (MRF) were compared with histopathological findings in 1168 patients...
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Purpose: Laparoscopic Roux-en-Y gastric bypass can treat obesity related comorbidities and can prolong life expectancy. It remains unclear whether this type of surgery is also indicated in obese patients with advanced age. Materials and methods: In this retrospective monocentric study, we investigated the morbidity and outcomes of weight and met...
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A peri-anal skin lesion, often eczema-like and with symptoms of pruritus, that does not resolve after classical local therapy should be biopsied. We present a case of peri-anal extramammary Paget’s disease (EMDP) and associated anal adenocarcinoma. Reviewing the literature, more than 30% of patients with EMDP present a second primary tumour in thei...
Article
A single melanocytic lesion of the esophagus should be differentiated from a primary malignant melanoma of the esophagus (PMME) or an esophageal metastatic melanoma (MME). This paper reviews the current knowledge about these entities and how to differentiate between them. Melanocytosis as a precursor of PMME is discussed as well.
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Background This Phase 3, international, randomized, single-blind, controlled trial (FINISH-3) compared the efficacy and safety of Fibrocaps, a ready-to-use, dry-powder fibrin sealant containing human plasma-derived thrombin and fibrinogen, vs. gelatin sponge alone for use as a hemostat for surgical bleeding in 4 indications (spinal, hepatic, vascul...
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With current diagnostic methods, the majority of patients with symptomatic colorectal anastomotic leakage (CAL) is identified approximately 1 week after operation. The aim of this study is to determine whether real-time polymerase chain reaction (RT-PCR) for detection of Escherichia coli and Enterococcus faecalis on drain fluid can serve as a scree...
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Background There are few reports on the oncological quality of resection and outcome after laparoscopic versus open total mesorectal excision (TME) for rectal cancer in everyday surgical practice. Methods Between January 2006 and October 2011, data for patients with mid or low rectal adenocarcinoma who underwent elective TME were recorded in the PR...
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Purpose Data concerning long-term outcomes and quality of life (QOL) in critically ill cancer patients are scarce. The aims of this study were to assess long-term outcomes and QOL in critically ill patients with hematological (HM) or solid malignancies (SM) 3 months and 1 year after intensive care unit (ICU) discharge, to compare these with QOL be...
Article
A case of acute renal failure because of chronic watery diarrhoea is presented. The cause is a secretory villous adenoma. The triad chronic diarrhoea, electrolyte disturbance and prerenal renal failure due to a villous adenoma, known as the McKittrick-Wheelock syndrome is a rare entity. The patient can evolve to acute renal failure, shock and death...
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The stress protein heat shock protein 60 (Hsp60) induces secretion of proinflammatory mediators from murine adipocytes. This study aimed to study Hsp60 as a mediator of adipose tissue inflammation and skeletal muscle cell (SkMC) insulin sensitivity and to quantify plasma Hsp60 concentrations in lean and obese individuals. Regulation of Hsp60 releas...

Citations

... Previously, data from the first phase of the OptiLUTS part C trial were published. 11 This manuscript is the report of the final data analysis of longitudinal objective and subjective outcome measures up to 12 months follow-up, stratified by medical department. Approval was obtained from the ethics committee of the University Hospital of Ghent (EC/2018/0244). ...
... Variations in the definition of FTR have been widely acknowledged, 5,10 with studies using 30-day mortality, 90-day mortality, survival to discharge or a combination of these within their definition of FTR. 2,3,5,11,12 The NSQIP data used was somewhat limited by the recording of only 30-day mortality; as such assessment of mortality beyond 30 days was not possible. This aside, multiple population based international studies report FTR rates following oesophagectomy in excess of 15% 3,13 and so 6.3% does seem acceptable, particularly considering the lower volume of oesophagectomy performed within Australian centres. 1 There was marked variation in caseload both between hospitals and for individual hospitals year-on-year. ...
... Failure of the anastomosis is caused by a variety of risk factors. Among these multiple risk factors, some of the most important are the preoperative nutritional status and presence of pre-existing metabolic diseases, as well as the pre-and perioperative management strategies, such as preoperative rehabilitation [16]. Another important patient-specific factor is the presence of a small stomach, which makes it difficult to create a long enough gastric tube [17]. ...
... The COVID-19 pandemic caused severe disruptions in surgical activity worldwide, with an estimated 28.4 million cancelled elective operations. [23] By rationing and prioritizing surgical procedures, global policies and recommendations aimed primarily to rationalize health care resources -both in terms of preserving bed, intensive care, and operating room capacities, and of protecting healthcare workers from SARS-CoV-2 infection. [24,25] A further concern was the high rate of mortality and respiratory complications observed in patients infected with SARS-CoV-2 undergoing surgery. ...
... After rectal cancer patients received anal-saving surgery or reversal of temporary stoma, they experienced varied symptoms of altered bowl function [20][21][22]. They were often preoccupied with these uncontrolled excrement symptoms, which easily disturb their physical function, compel them to experience emotional distress, and interfere with their social activities [7,[20][21][22][23][24]. Additionally, a multicenter correctional study revealed patients with the major low anterior resection syndrome had significantly worse quality of life than the those with minor and moderate syndrome [25]. ...
... CTCs shed and relocate at a new site, in a process often referred to as tumor metastasis [5]. In recent decades, the CTCs in peripheral blood have been demonstrated to be a diagnostic biomarker and prognostic factor and offer new strategies for treating cancer, especially lung cancer [6]. For ESCC patients, CTCs were explored as a biomarker for diagnosing, staging and evaluating treatment efficacy [7][8][9][10]. ...
... Symptomatic hiatal hernia recurrence risk was not statistically different in those with and without a fundoplication from the analysis of two RCTs [52,54] (RR = 0.55, 95%CI 0.20, 1.51; I 2 = 0%) and four observational studies [23,50,53,56] (RR = 0.99, 95%CI 0.32, 3.13; I 2 = 51%) (Fig. 6a). Radiographic recurrence risk was found to be not statistically different in one RCT [54] (RR = 0.50, 95%CI 0.14, 1.76). ...
... 6 To overcome this problem, Schuring et al. 6 proposed one uniform TIGER-study classification system with defined anatomic landmarks based on the 11th edition of the 'Japanese Classification of Esophageal Cancer' (JES) and the 8th edition of the 'American Joint Committee on Cancer/Union for International Cancer Control' (AJCC/UICC) classification. 7 Even when consensus has been reached on which LNSs to dissect (the extent of LND), it is expected that discrepancies remain in the definition of anatomic boundaries of each LNS. This became apparent during the development of the procedure-specific competency assessment tool (MIE-CAT) by Ketel et al. 8 to assess the surgical performance of minimally invasive esophagectomy (MIE) and to determine where most discrepancies were present in assessing the LND phases during MIE. ...
... The impact of esophageal cancer surgery complications on survival remains an acute issue discussed in a few publications. Some studies have shown a significant effect of postoperative complications on a decrease in survival [3][4][5][6], while others have not proven this pattern [7,8]. ...
... Group A (Op): laparotomy with colonic anastomosis only. Group B (Op + AdMSCs): laparotomy with colonic anastomosis and local injection of 5 × 10 6 AdMSCs in 70 µL power buffer saline (PBS) [34,43,44]. Group C (Op + DSS + Sal): DSS 5%, laparotomy with colonic anastomosis, and local injection of 70 µL power buffer saline (PBS). ...