Moussa Ouattara - Academia.edu (original) (raw)
Papers by Moussa Ouattara
It is well known the Albert’s conjecture which says that all commutative and power-associative fi... more It is well known the Albert’s conjecture which says that all commutative and power-associative finite dimensional nilalgebras over an arbitrary field are nilpotent. There is a counterexample given by Suttles in which he built a commutative power-associative nilalgebra of nilindex 4 and dimension 5 which is solvable but not nilpotent. The Bernstein-Suttles algebras are algebras of dimension 6 which are train and non-genetic in which the kernel of the weight function is commutative and power-associative. In [Commun. Algebra 30, No. 11, 5547–5561 (2002; Zbl 1016.17001)], L. Elgusta and A. Suazo proved that all non-nilpotent commutative power-associative nilalgebras of dimension 5 and nilindex 4 are isomorphic with a Suttles’s algebra. Using known techniques, the paper under review is devoted to find such commutative power-associative nilalgebras of dimension 5 and nilindex 4 which are not nilpotent.
JP Journal of Algebra, Number Theory and Applications
Let K be a field of characteristic different from 2 and S be the commutative algebra over K of di... more Let K be a field of characteristic different from 2 and S be the commutative algebra over K of dimension 2 with multiplication table relative to the basis {e,f} given by e 2 =0, f 2 =0, ef=fe=1 2(e+f). Then, S is called the sex differentiation algebra (e male and f female). This algebra was introduced by P. Holgate [Proc. Edinb. Math. Soc. (2) 17, 113–120 (1970; Zbl 0259.92005)] in researches on the sex-linked inheritance. Let A be a commutative algebra over K. Then, a diweighted function of A is a surjective morphism of K-algebras γ:A→S. The pairs (A,γ) form a category whose morphisms α:(A,γ)→(A ' ,γ ' ) are morphisms of K-algebras α:A→A ' satisfying γ ' ∘α=γ. This category has a final objet (S,σ) which is isomorphic to the objet (S,id S ). The duplicated algebra related to sex is an example of a diweighted algebra. Given a diweighted algebra (A,γ), the canonical composed morphism γ | A 2 :A 2 →S 2 →K is a weighted function of the K-algebra A 2 . In the paper under ...
Linear Algebra and its Applications, 1997
The structure of dimensionally nilpotent Lie algebras was studied by G. F. Leger and P. L. Manley... more The structure of dimensionally nilpotent Lie algebras was studied by G. F. Leger and P. L. Manley for characteristic zero and by J. M. Osbom for characteristic p > 5. Moreover, J. M. Osbom studied dimensionally nilpotent commutative and noncommutative Jordan algebras. In this paper we give some results concerning Bernstein and genetic algebras which are dimensionally nilpotent in connection with Osbom's results about Jordan algebras. 0 1997 Elsevier Science Inc. * Supported by Programme Campus. LINEAR ALGEBRA AND ITS APPLICATIONS 266:271-290 (1997) 0 1997 Elsevier Science Inc. All rights reserved. 0024.3795/97/$17.00 655 Avenue of the Americas, New York, NY 10010 PI1 SOO243795(97)00009-8 COROLLAIRE 1.2. Soient K un COTS payfLit de caracttkistique diff&rente de 2 et 3 et A une K-alg;bre &Jordan de dimension finie non nilpotente. Si A est une algibre dimensionnellement nilpotente, alors A est une algsbre de Jordan g&&ique. ARTIBANO MICALI AND MOUSSA OUA'ITARA de dimension finie. Cela nous montre que la condition A = A2 est essentielle dans la propostion 6.2.
Journal of Thoracic Disease, 2016
Colon interposition has been used since the beginning of the 20(th) century as a substitute for e... more Colon interposition has been used since the beginning of the 20(th) century as a substitute for esophageal replacement. Colon interposition is mainly chosen as a second line treatment when the stomach cannot be used, when the stomach has to be resected for oncological or technical reasons, or when the stomach is deliberately kept intact for benign diseases in young patients with long-life expectancy. During the surgery the vascularization of the colon must be carefully assessed, as well as the type of the graft (right or left colon), the length of the graft, the surgical approach and the route of the reconstruction. Early complications such as graft necrosis or anastomotic leaks, and late complications such as redundancy depend on the quality of the initial surgery. Despite a complex and time-consuming procedure requiring at least three or four digestive anastomoses, reported long term functional outcomes of colon interposition are good, with an acceptable operative risk. Thus, in very selected indications, colon interposition could be seen as a valuable alternative for esophageal replacement when stomach cannot be considered. This review aims at briefly defining "when" and "how" to perform a coloplasty through demonstrative videos.
Tumeurs de l'apex pariéto-pulmonaire : une expérience chirurgicale monocentrique de 63 cas RESUME... more Tumeurs de l'apex pariéto-pulmonaire : une expérience chirurgicale monocentrique de 63 cas RESUME Objectif : Évaluer les résultats contemporains de la chirurgie des tumeurs de l'apex pariéto-pulmonaire et identifi er les facteurs infl uençant la survie à long terme. Méthodes : De janvier 1986 à décembre 2006, cette étude rétrospective monocentrique a permis de colliger 63 patients consécutifs, 56 hommes et 7 femmes d'un âge moyen de 56 ans, ayant eu une intervention à visée curative pour une tumeur de l'apex pariétopulmonaire. Résultats : 46 malades (73%) avaient eu une radio-chimiothérapie pré-(n=22) ou postopératoire (n=24), 20 (32.5%) avaient eu à la fois un traitement d'induction et un traitement adjuvant, et seuls 2 malades (3,2%) n'avaient eu aucune forme de traitement périopératoire. Tous eurent une exérèse pariéto-pulmonaire en-bloc. La voie d'abord était postérieure dans 55 cas (85.3%), antérieure dans 5 (7.9%), et combinée dans 3 (4.8%). L'exérèse parenchymateuse avait consisté en une lobectomie (n=56 ; 88.9%) ou une résection atypique (n=7 ; 11.1%). Une extension vasculaire (n=4) ou rachidienne (n=2) avait été nécessaire dans 6 cas. Le taux de résection complète était de 84.1%. La mortalité intra-hospitalière était de 4.8%, et la survie globale à 5 ans de 40% . Les facteurs identifi és par l'analyse univariée comme signifi cativement corrélés à une meilleure survie furent la résection complète R0, les statuts pT3 et pN0. Seuls les 2 derniers facteurs furent retenus comme indépendants par l'étude multifactorielle. Conclusion : L'adoption de nouveaux concepts chirurgicaux et la mise en oeuvre de stratégies thérapeutiques multimodales nous ont permis d'obtenir des résultats conformes aux standards internationaux. Notre étude suggère l'importance primordiale de la sélection des patients, et d'une approche individualisée, pour atteindre l'objectif essentiel qu'est la résection complète.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery, 2015
Epiphrenic diverticula are defined as the herniation of the mucosa and submucosa through the musc... more Epiphrenic diverticula are defined as the herniation of the mucosa and submucosa through the muscular layers of the oesophageal wall in its lower third. An increased intraluminal pressure associated with an oesophageal motility disorder is usually present in the pathophysiology of the disease. Surgical treatment is indicated mostly in symptomatic patients. The current surgical treatment consists in: (i) removing the diverticulum; (ii) relieving the functional distal obstruction with an oesophageal myotomy including the lower oesophageal sphincter; and (iii) preventing an associated reflux by the addition of a non-obstructive partial fundoplication. Minimally invasive techniques have been reported, but traditional open procedures remain the treatment of choice of the disease.
Acta gastroenterologica Latinoamericana, 2011
The goal of the study is to report the short- and long-term outcome of a left approach in the man... more The goal of the study is to report the short- and long-term outcome of a left approach in the management of type III and IV hiatal hernia. We have retrospectively reviewed all the records of patients treated for type III and IV hiatal hernia with a left transthoracic approach. All the patients were evaluated before and after the surgery on clinical presentation, symptoms and functional assessment. We have specifically focused the evaluation on surgical results, mortality, morbidity and long term functional assessment. Sixty-five patients were included in this study. Type III hiatal hernia (86%) were majority compared to type IV(14%). Surgical techniques included Nissen fundoplication (37%), Collis Nissen elongation gastroplasty (20%) and Belsey-Mark IV (15%). Morbidity was low and there was no hospital mortality. Mean follow-up was 42 months. Long-term reassessment demonstrated a significant improvement of symptoms. Erosive esophagitis persisted in one patient (P < 0.001). Pressu...
sfctcv.net
Moussa Ouattara, Xavier D'Journo, Jean Philippe Avaro, Delphine Trousse, Anderson Loundou, C... more Moussa Ouattara, Xavier D'Journo, Jean Philippe Avaro, Delphine Trousse, Anderson Loundou, Christophe Doddoli, Roger Giudicelli, Pierre Fuentes, Pascal Thomas ... Au début des années 60, Shaw et Paulson rapportèrent l'intérêt d'une radiothérapie préopératoire de 30-35 Gy ...
European Journal of Cardio-Thoracic Surgery, 2012
Malnutrition is common after oesophageal cancer surgery. This study aims to investigate body mass... more Malnutrition is common after oesophageal cancer surgery. This study aims to investigate body mass index (BMI) kinetics and the risk factors of malnutrition among 1-year disease-free survivors after radical transthoracic oesophagectomy for cancer. From a prospective single-institution database, 118 1-year disease-free survivors having undergone a R0 transthoracic oesophagectomy with gastric tubulization between 2000 and 2008 were identified retrospectively. BMI values were collected at the onset of the disease (pre-treatment BMI), at the time of surgery (preoperative BMI), at postoperative 6 months and 1 year after oesophagectomy (1-year BMI). Logistic regression was performed with adjustment for confounders to estimate odds ratios of the factors associated with a 1-year weight loss (WL) of at least 15% of the pre-treatment body weight (BW). At the onset of the disease, 5 patients (4%) were underweighted (BMI &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 8.5 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;), 65 (55%) were normal (BMI = 18.5-24.9 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;), 36 (31%) were overweighted (BMI &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 25 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;) and 12 (10%) were obese (BMI &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 30 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;). Mean pre-treatment, preoperative, postoperative 6-month and 1-year BMI values were 24.64 ± 4 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;, 23.55 ± 3.8 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;, 21.7 ± 3 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2; and 21.97 ± 4 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;, respectively. One-year WL ≥ 15% of the pre-treatment BW was present in 29 patients (25%): 18 among the 48 patients (37%) with a pre-treatment BMI ≥ 25 and 11 among the 70 patients (15%) with pre-treatment BMI &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 25 (P = 0.006). On logistic regression, initial overweighting was the sole independent prognosticator of 1-year postoperative WL of at least 15% of the pre-treatment BW (P = 0.039; OR: 2.96, [1.06-8.32]). Postoperative malnutrition remains a severe problem after oesophageal cancer resection, even in long-term disease-free survivors. Overweight and obese patients are the segment population most exposed to this postoperative malnutrition, suggesting that such surgery could have substantial bariatric effect. A special vigilance programme on the nutritional status of this sub-group of patients should be the rule.
European Journal of Cardio-Thoracic Surgery, 2008
Objective: To review the long-term results of redo gastro-esophageal reflux disease (GERD) surger... more Objective: To review the long-term results of redo gastro-esophageal reflux disease (GERD) surgery with special emphasis on residual acidsuppressing medications, pH monitoring results, and quality of life. Methods: Retrospective analysis of 52 patients (24 males) who underwent redo GERD surgery between 1986 and 2006 through a transthoracic (n = 14), or a transabdominal (n = 38) approach. Indications were recurrent GERD in 41 patients, and complication of the initial surgery in 11. Quality of life was evaluated by telephone enquiry using a validated French questionnaire (reflux quality score, RQS). Results: Postoperative complications occurred in 18 patients (35%), resulting in one death (2%). Reoperation was required in seven patients. At 1 year, 26 patients (51%) had 24 h pH monitoring, among whom 2 (8%) were proved to have recurrence of GERD. RQS values were calculated in 38 patients with a mean follow-up of 113 months. Fifty percent of this subgroup had a RQS value beyond 26/32, indicating an excellent quality of life. Among these 38 patients, 20 (53%) had acid-suppressing medications whatever their RQS values. Patients who underwent transthoracic GERD surgery had the highest RQS values ( p = 0.02), a lower rate of complications ( p = 0.06) and a lower rate of reoperation ( p = 0.04). Conclusion: Our experience confirms that selection of candidates for redo GERD surgery is a challenging issue. A transthoracic approach seems to produce better results and lower rates of complications. #
Commun Algebra, 2000
We know that, in general, an algebra satisfying an Engel&amp;#39;s condition is a nilalge... more We know that, in general, an algebra satisfying an Engel&amp;#39;s condition is a nilalgebra. But an Engel&amp;#39;s condition don&amp;#39;t implies necessarily the nilpotency of the algebra. In this paper we show that every Bernstein algebra satisfying the second or the third Engel&amp;#39;s condition is genetic, that is, the kernel of his weight fonction is nilpotent. This is also the case
Http Dx Doi Org 10 1080 00927870008841077, Nov 3, 2008
Linear Algebra Appl, 1997
Italian Journal of Pure and Applied Mathematics, 2003
Linear Algebra Appl, 1995
It is well known the Albert’s conjecture which says that all commutative and power-associative fi... more It is well known the Albert’s conjecture which says that all commutative and power-associative finite dimensional nilalgebras over an arbitrary field are nilpotent. There is a counterexample given by Suttles in which he built a commutative power-associative nilalgebra of nilindex 4 and dimension 5 which is solvable but not nilpotent. The Bernstein-Suttles algebras are algebras of dimension 6 which are train and non-genetic in which the kernel of the weight function is commutative and power-associative. In [Commun. Algebra 30, No. 11, 5547–5561 (2002; Zbl 1016.17001)], L. Elgusta and A. Suazo proved that all non-nilpotent commutative power-associative nilalgebras of dimension 5 and nilindex 4 are isomorphic with a Suttles’s algebra. Using known techniques, the paper under review is devoted to find such commutative power-associative nilalgebras of dimension 5 and nilindex 4 which are not nilpotent.
JP Journal of Algebra, Number Theory and Applications
Let K be a field of characteristic different from 2 and S be the commutative algebra over K of di... more Let K be a field of characteristic different from 2 and S be the commutative algebra over K of dimension 2 with multiplication table relative to the basis {e,f} given by e 2 =0, f 2 =0, ef=fe=1 2(e+f). Then, S is called the sex differentiation algebra (e male and f female). This algebra was introduced by P. Holgate [Proc. Edinb. Math. Soc. (2) 17, 113–120 (1970; Zbl 0259.92005)] in researches on the sex-linked inheritance. Let A be a commutative algebra over K. Then, a diweighted function of A is a surjective morphism of K-algebras γ:A→S. The pairs (A,γ) form a category whose morphisms α:(A,γ)→(A ' ,γ ' ) are morphisms of K-algebras α:A→A ' satisfying γ ' ∘α=γ. This category has a final objet (S,σ) which is isomorphic to the objet (S,id S ). The duplicated algebra related to sex is an example of a diweighted algebra. Given a diweighted algebra (A,γ), the canonical composed morphism γ | A 2 :A 2 →S 2 →K is a weighted function of the K-algebra A 2 . In the paper under ...
Linear Algebra and its Applications, 1997
The structure of dimensionally nilpotent Lie algebras was studied by G. F. Leger and P. L. Manley... more The structure of dimensionally nilpotent Lie algebras was studied by G. F. Leger and P. L. Manley for characteristic zero and by J. M. Osbom for characteristic p > 5. Moreover, J. M. Osbom studied dimensionally nilpotent commutative and noncommutative Jordan algebras. In this paper we give some results concerning Bernstein and genetic algebras which are dimensionally nilpotent in connection with Osbom's results about Jordan algebras. 0 1997 Elsevier Science Inc. * Supported by Programme Campus. LINEAR ALGEBRA AND ITS APPLICATIONS 266:271-290 (1997) 0 1997 Elsevier Science Inc. All rights reserved. 0024.3795/97/$17.00 655 Avenue of the Americas, New York, NY 10010 PI1 SOO243795(97)00009-8 COROLLAIRE 1.2. Soient K un COTS payfLit de caracttkistique diff&rente de 2 et 3 et A une K-alg;bre &Jordan de dimension finie non nilpotente. Si A est une algibre dimensionnellement nilpotente, alors A est une algsbre de Jordan g&&ique. ARTIBANO MICALI AND MOUSSA OUA'ITARA de dimension finie. Cela nous montre que la condition A = A2 est essentielle dans la propostion 6.2.
Journal of Thoracic Disease, 2016
Colon interposition has been used since the beginning of the 20(th) century as a substitute for e... more Colon interposition has been used since the beginning of the 20(th) century as a substitute for esophageal replacement. Colon interposition is mainly chosen as a second line treatment when the stomach cannot be used, when the stomach has to be resected for oncological or technical reasons, or when the stomach is deliberately kept intact for benign diseases in young patients with long-life expectancy. During the surgery the vascularization of the colon must be carefully assessed, as well as the type of the graft (right or left colon), the length of the graft, the surgical approach and the route of the reconstruction. Early complications such as graft necrosis or anastomotic leaks, and late complications such as redundancy depend on the quality of the initial surgery. Despite a complex and time-consuming procedure requiring at least three or four digestive anastomoses, reported long term functional outcomes of colon interposition are good, with an acceptable operative risk. Thus, in very selected indications, colon interposition could be seen as a valuable alternative for esophageal replacement when stomach cannot be considered. This review aims at briefly defining &amp;amp;amp;quot;when&amp;amp;amp;quot; and &amp;amp;amp;quot;how&amp;amp;amp;quot; to perform a coloplasty through demonstrative videos.
Tumeurs de l'apex pariéto-pulmonaire : une expérience chirurgicale monocentrique de 63 cas RESUME... more Tumeurs de l'apex pariéto-pulmonaire : une expérience chirurgicale monocentrique de 63 cas RESUME Objectif : Évaluer les résultats contemporains de la chirurgie des tumeurs de l'apex pariéto-pulmonaire et identifi er les facteurs infl uençant la survie à long terme. Méthodes : De janvier 1986 à décembre 2006, cette étude rétrospective monocentrique a permis de colliger 63 patients consécutifs, 56 hommes et 7 femmes d'un âge moyen de 56 ans, ayant eu une intervention à visée curative pour une tumeur de l'apex pariétopulmonaire. Résultats : 46 malades (73%) avaient eu une radio-chimiothérapie pré-(n=22) ou postopératoire (n=24), 20 (32.5%) avaient eu à la fois un traitement d'induction et un traitement adjuvant, et seuls 2 malades (3,2%) n'avaient eu aucune forme de traitement périopératoire. Tous eurent une exérèse pariéto-pulmonaire en-bloc. La voie d'abord était postérieure dans 55 cas (85.3%), antérieure dans 5 (7.9%), et combinée dans 3 (4.8%). L'exérèse parenchymateuse avait consisté en une lobectomie (n=56 ; 88.9%) ou une résection atypique (n=7 ; 11.1%). Une extension vasculaire (n=4) ou rachidienne (n=2) avait été nécessaire dans 6 cas. Le taux de résection complète était de 84.1%. La mortalité intra-hospitalière était de 4.8%, et la survie globale à 5 ans de 40% . Les facteurs identifi és par l'analyse univariée comme signifi cativement corrélés à une meilleure survie furent la résection complète R0, les statuts pT3 et pN0. Seuls les 2 derniers facteurs furent retenus comme indépendants par l'étude multifactorielle. Conclusion : L'adoption de nouveaux concepts chirurgicaux et la mise en oeuvre de stratégies thérapeutiques multimodales nous ont permis d'obtenir des résultats conformes aux standards internationaux. Notre étude suggère l'importance primordiale de la sélection des patients, et d'une approche individualisée, pour atteindre l'objectif essentiel qu'est la résection complète.
Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery, 2015
Epiphrenic diverticula are defined as the herniation of the mucosa and submucosa through the musc... more Epiphrenic diverticula are defined as the herniation of the mucosa and submucosa through the muscular layers of the oesophageal wall in its lower third. An increased intraluminal pressure associated with an oesophageal motility disorder is usually present in the pathophysiology of the disease. Surgical treatment is indicated mostly in symptomatic patients. The current surgical treatment consists in: (i) removing the diverticulum; (ii) relieving the functional distal obstruction with an oesophageal myotomy including the lower oesophageal sphincter; and (iii) preventing an associated reflux by the addition of a non-obstructive partial fundoplication. Minimally invasive techniques have been reported, but traditional open procedures remain the treatment of choice of the disease.
Acta gastroenterologica Latinoamericana, 2011
The goal of the study is to report the short- and long-term outcome of a left approach in the man... more The goal of the study is to report the short- and long-term outcome of a left approach in the management of type III and IV hiatal hernia. We have retrospectively reviewed all the records of patients treated for type III and IV hiatal hernia with a left transthoracic approach. All the patients were evaluated before and after the surgery on clinical presentation, symptoms and functional assessment. We have specifically focused the evaluation on surgical results, mortality, morbidity and long term functional assessment. Sixty-five patients were included in this study. Type III hiatal hernia (86%) were majority compared to type IV(14%). Surgical techniques included Nissen fundoplication (37%), Collis Nissen elongation gastroplasty (20%) and Belsey-Mark IV (15%). Morbidity was low and there was no hospital mortality. Mean follow-up was 42 months. Long-term reassessment demonstrated a significant improvement of symptoms. Erosive esophagitis persisted in one patient (P < 0.001). Pressu...
sfctcv.net
Moussa Ouattara, Xavier D'Journo, Jean Philippe Avaro, Delphine Trousse, Anderson Loundou, C... more Moussa Ouattara, Xavier D'Journo, Jean Philippe Avaro, Delphine Trousse, Anderson Loundou, Christophe Doddoli, Roger Giudicelli, Pierre Fuentes, Pascal Thomas ... Au début des années 60, Shaw et Paulson rapportèrent l'intérêt d'une radiothérapie préopératoire de 30-35 Gy ...
European Journal of Cardio-Thoracic Surgery, 2012
Malnutrition is common after oesophageal cancer surgery. This study aims to investigate body mass... more Malnutrition is common after oesophageal cancer surgery. This study aims to investigate body mass index (BMI) kinetics and the risk factors of malnutrition among 1-year disease-free survivors after radical transthoracic oesophagectomy for cancer. From a prospective single-institution database, 118 1-year disease-free survivors having undergone a R0 transthoracic oesophagectomy with gastric tubulization between 2000 and 2008 were identified retrospectively. BMI values were collected at the onset of the disease (pre-treatment BMI), at the time of surgery (preoperative BMI), at postoperative 6 months and 1 year after oesophagectomy (1-year BMI). Logistic regression was performed with adjustment for confounders to estimate odds ratios of the factors associated with a 1-year weight loss (WL) of at least 15% of the pre-treatment body weight (BW). At the onset of the disease, 5 patients (4%) were underweighted (BMI &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 8.5 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;), 65 (55%) were normal (BMI = 18.5-24.9 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;), 36 (31%) were overweighted (BMI &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 25 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;) and 12 (10%) were obese (BMI &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;gt; 30 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;). Mean pre-treatment, preoperative, postoperative 6-month and 1-year BMI values were 24.64 ± 4 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;, 23.55 ± 3.8 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;, 21.7 ± 3 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2; and 21.97 ± 4 kg/m&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;sup2;, respectively. One-year WL ≥ 15% of the pre-treatment BW was present in 29 patients (25%): 18 among the 48 patients (37%) with a pre-treatment BMI ≥ 25 and 11 among the 70 patients (15%) with pre-treatment BMI &amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt; 25 (P = 0.006). On logistic regression, initial overweighting was the sole independent prognosticator of 1-year postoperative WL of at least 15% of the pre-treatment BW (P = 0.039; OR: 2.96, [1.06-8.32]). Postoperative malnutrition remains a severe problem after oesophageal cancer resection, even in long-term disease-free survivors. Overweight and obese patients are the segment population most exposed to this postoperative malnutrition, suggesting that such surgery could have substantial bariatric effect. A special vigilance programme on the nutritional status of this sub-group of patients should be the rule.
European Journal of Cardio-Thoracic Surgery, 2008
Objective: To review the long-term results of redo gastro-esophageal reflux disease (GERD) surger... more Objective: To review the long-term results of redo gastro-esophageal reflux disease (GERD) surgery with special emphasis on residual acidsuppressing medications, pH monitoring results, and quality of life. Methods: Retrospective analysis of 52 patients (24 males) who underwent redo GERD surgery between 1986 and 2006 through a transthoracic (n = 14), or a transabdominal (n = 38) approach. Indications were recurrent GERD in 41 patients, and complication of the initial surgery in 11. Quality of life was evaluated by telephone enquiry using a validated French questionnaire (reflux quality score, RQS). Results: Postoperative complications occurred in 18 patients (35%), resulting in one death (2%). Reoperation was required in seven patients. At 1 year, 26 patients (51%) had 24 h pH monitoring, among whom 2 (8%) were proved to have recurrence of GERD. RQS values were calculated in 38 patients with a mean follow-up of 113 months. Fifty percent of this subgroup had a RQS value beyond 26/32, indicating an excellent quality of life. Among these 38 patients, 20 (53%) had acid-suppressing medications whatever their RQS values. Patients who underwent transthoracic GERD surgery had the highest RQS values ( p = 0.02), a lower rate of complications ( p = 0.06) and a lower rate of reoperation ( p = 0.04). Conclusion: Our experience confirms that selection of candidates for redo GERD surgery is a challenging issue. A transthoracic approach seems to produce better results and lower rates of complications. #
Commun Algebra, 2000
We know that, in general, an algebra satisfying an Engel&amp;#39;s condition is a nilalge... more We know that, in general, an algebra satisfying an Engel&amp;#39;s condition is a nilalgebra. But an Engel&amp;#39;s condition don&amp;#39;t implies necessarily the nilpotency of the algebra. In this paper we show that every Bernstein algebra satisfying the second or the third Engel&amp;#39;s condition is genetic, that is, the kernel of his weight fonction is nilpotent. This is also the case
Http Dx Doi Org 10 1080 00927870008841077, Nov 3, 2008
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