Pub Date : 2026-03-18DOI: 10.53738/REVMED.2026.22.954.48447
Zoltan Pataky, Lucie Favre
{"title":"Soigner l’obésité, c’est aussi traiter la partie invisible de l’iceberg.","authors":"Zoltan Pataky, Lucie Favre","doi":"10.53738/REVMED.2026.22.954.48447","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.954.48447","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 954","pages":"511-512"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-18DOI: 10.53738/REVMED.2026.22.954.48391
Francesco Abboretti, Filippo Bistagnino, Hugo Teixeira Farinha, Styliani Mantziari
Although sleeve gastrectomy is a commonly performed bariatric procedure, it is well recognized as being associated with an increased risk of gastroesophageal reflux disease. This multifactorial phenomenon involves anatomical, functional, and hormonal alterations that can compromise the antireflux barrier. A thorough preoperative assessment is crucial for identifying at-risk patients and minimizing postoperative complications. Initial management relies on lifestyle and dietary modifications combined with medical therapy. However, refractory cases often require surgical revision. Conversion to Roux-en-Y gastric bypass, performed in Switzerland exclusively in specialized reference centers, remains the most effective strategy to control symptoms while maintaining the metabolic benefits of bariatric surgery.
{"title":"[Gastroesophageal reflux after sleeve gastrectomy : a clinical challenge].","authors":"Francesco Abboretti, Filippo Bistagnino, Hugo Teixeira Farinha, Styliani Mantziari","doi":"10.53738/REVMED.2026.22.954.48391","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.954.48391","url":null,"abstract":"<p><p>Although sleeve gastrectomy is a commonly performed bariatric procedure, it is well recognized as being associated with an increased risk of gastroesophageal reflux disease. This multifactorial phenomenon involves anatomical, functional, and hormonal alterations that can compromise the antireflux barrier. A thorough preoperative assessment is crucial for identifying at-risk patients and minimizing postoperative complications. Initial management relies on lifestyle and dietary modifications combined with medical therapy. However, refractory cases often require surgical revision. Conversion to Roux-en-Y gastric bypass, performed in Switzerland exclusively in specialized reference centers, remains the most effective strategy to control symptoms while maintaining the metabolic benefits of bariatric surgery.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 954","pages":"525-527"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prévention du VRS chez le nouveau-né : vaccination maternelle ou nirsévimab ?","authors":"Frédérique Jacquerioz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 954","pages":"550"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-18DOI: 10.53738/REVMED.2026.22.954.48216
Jean Gabriel Jeannot
{"title":"Santé numérique. Utilisation du courriel entre médecins et patients : enjeux et recommandations.","authors":"Jean Gabriel Jeannot","doi":"10.53738/REVMED.2026.22.954.48216","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.954.48216","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 954","pages":"547-549"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-18DOI: 10.53738/REVMED.2026.22.954.48424
Jorge C Correia, Marta Robino, Axel Gaspoz, Aline Mendes, Zoltan Pataky
Obesity in older adults is a growing public health concern. Age-related changes in body composition, including loss of muscle mass, fat redistribution, and reduced basal metabolism, promote sarcopenia and sarcopenic obesity, thereby limiting the relevance of body mass index as a sole risk indicator. While weight loss can improve certain cardiometabolic and functional outcomes, it poses specific risks in older adults, particularly worsening sarcopenia, malnutrition, frailty, and loss of independence. Obesity management should therefore be individualized and focused on preserving physical function and quality of life, with adapted nutritional strategies, physical activity, and behavioral interventions as the cornerstone of care.
{"title":"[Management of obesity in older adults : challenges, specificities, and therapeutic strategies].","authors":"Jorge C Correia, Marta Robino, Axel Gaspoz, Aline Mendes, Zoltan Pataky","doi":"10.53738/REVMED.2026.22.954.48424","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.954.48424","url":null,"abstract":"<p><p>Obesity in older adults is a growing public health concern. Age-related changes in body composition, including loss of muscle mass, fat redistribution, and reduced basal metabolism, promote sarcopenia and sarcopenic obesity, thereby limiting the relevance of body mass index as a sole risk indicator. While weight loss can improve certain cardiometabolic and functional outcomes, it poses specific risks in older adults, particularly worsening sarcopenia, malnutrition, frailty, and loss of independence. Obesity management should therefore be individualized and focused on preserving physical function and quality of life, with adapted nutritional strategies, physical activity, and behavioral interventions as the cornerstone of care.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 954","pages":"514-519"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L’exposition prénatale au cannabis associée à une diminution du poids de naissance.","authors":"Darius A Rastegar","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 954","pages":"551"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-18DOI: 10.53738/REVMED.2026.22.954.e47836
Hedi Klila, Fabienne Giuliani
In autism spectrum disorder, aphantasia-the absence of mental imagery-and synesthesia-the automatic interaction of sensory systems in response to an external stimulus-mark the extremes of a perceptual spectrum, like a Möbius strip. Synesthesia can link letters and colors, sounds and shapes, words and tastes, spatial mapping and proprioception. More common in this population, it has prompted research into its genetic, neurobiological, cognitive, perceptual and cerebral bases, revealing hyperconnectivity and convergences with sensory overloads of autism spectrum disorder (ASD). Stimuli can activate auditory, visual, olfactory, proprioceptive, nociceptive, or vestibular responses. A phenomenon at the heart of reality, it embodies the unique diversity of ways which people diagnosed with ASD translate and represent the sensory world.
{"title":"[Synesthesia and autism spectrum disorder : journey on a sensory möbius strip].","authors":"Hedi Klila, Fabienne Giuliani","doi":"10.53738/REVMED.2026.22.954.e47836","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.954.e47836","url":null,"abstract":"<p><p>In autism spectrum disorder, aphantasia-the absence of mental imagery-and synesthesia-the automatic interaction of sensory systems in response to an external stimulus-mark the extremes of a perceptual spectrum, like a Möbius strip. Synesthesia can link letters and colors, sounds and shapes, words and tastes, spatial mapping and proprioception. More common in this population, it has prompted research into its genetic, neurobiological, cognitive, perceptual and cerebral bases, revealing hyperconnectivity and convergences with sensory overloads of autism spectrum disorder (ASD). Stimuli can activate auditory, visual, olfactory, proprioceptive, nociceptive, or vestibular responses. A phenomenon at the heart of reality, it embodies the unique diversity of ways which people diagnosed with ASD translate and represent the sensory world.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 954","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-18DOI: 10.53738/REVMED.2026.22.954.e47384
Antoine Folly, Farah Ahmanna Chakir, Jean Dudler
This article draws attention to some specific situations and risks associated with new biological and targeted antirheumatic treatments, beyond the classic infectious and oncological risks. Although these therapies raise cholesterol levels, their cardiovascular effect is overall protective, and we must avoid introducing systematically lipid-lowering treatment without a concerted assessment. Similarly, while caution is advised with JAK inhibitors in patients at risk of thromboembolism, inflammatory disease remains the major risk factor. Finally, persistent anemia on anti-IL-6 is probably not of inflammatory origin and merits further investigation, whereas increased creatine kinases and serum creatinine on JAK inhibitors are trivial and generally of no clinical relevance.
{"title":"[Biological treatments for rheumatology : specific situations and risks].","authors":"Antoine Folly, Farah Ahmanna Chakir, Jean Dudler","doi":"10.53738/REVMED.2026.22.954.e47384","DOIUrl":"https://doi.org/10.53738/REVMED.2026.22.954.e47384","url":null,"abstract":"<p><p>This article draws attention to some specific situations and risks associated with new biological and targeted antirheumatic treatments, beyond the classic infectious and oncological risks. Although these therapies raise cholesterol levels, their cardiovascular effect is overall protective, and we must avoid introducing systematically lipid-lowering treatment without a concerted assessment. Similarly, while caution is advised with JAK inhibitors in patients at risk of thromboembolism, inflammatory disease remains the major risk factor. Finally, persistent anemia on anti-IL-6 is probably not of inflammatory origin and merits further investigation, whereas increased creatine kinases and serum creatinine on JAK inhibitors are trivial and generally of no clinical relevance.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"22 954","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2026-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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