0000000000094028
AUTHOR
Alfonso Maiorana
Studio dell’equilibrio mente-corpo su donne affette da endometriosi: verso una riconsiderazione della cura
Descrizione di un caso di acalasia in soggetto sottoposto a laringectomia totale
L’acalasia è una disfunzione della motilità esofagea contrassegnata dall’assenza della peristalsi e da assente o incompleto rilasciamento dello sfintere esofageo inferiore. Viene descritto il caso di un paziente divenuto acalasico dopo intervento di laringectomia totale allo scopo di comprendere i meccanismi fisiopatologici che possono aver determinato l’insorgenza di tale complicanza.
Carcinosarcoma: inusuale presentazione clinica.
GASTRIC METASTASES ORIGINATING FROM OCCULT BREAST LOBULAR CARCINOMA: DIAGNOSTIC AND THERAPEUTIC PROBLEMS
Abstract Background Breast cancer is the most frequent malignant tumour to metastasize into the gastrointestinal tract in female and is second only to malignant melanoma. Nevertheless gastrointestinal metastases arising from breast cancer are quite rare. The upper gastrointestinal tract is more frequently involved and lobular infiltrating carcinoma has a greater predilection compared to the ductal type. Case presentation The authors describe the case of a 70 years old woman with a preoperative diagnosis of gastric undifferentiated medullary – type carcinoma, which was the first manifestation of an occult breast carcinoma. The primary site of carcinoma was identified with the use of a panel …
CHIRURGIA IN REGIME DI DAY SURGERY: NOSTRA ESPERIENZA
Con il termine day-surgery s’intende la possibilità clinica, organizzativa ed amministrativa di effettuare interventi chir u rgici o procedure diagnostiche e/o terapeutiche invasive e semiinvasive in regime di ricovero limitato alle sole ore del giorno, in anestesia locale, loco-regionale o generale (1) . Scopo del nostro lavoro è di valutare l’attività di daysurgery integrata nel nostro reparto di chirurgia generale
Malignant colorectal obstruction. Palliative endoscopic treatment with self-expanding metallic stents
The Authors report their experience in the palliative management of malignant colorectal obstruction. Between June 2000 and April 2003 sixteen patients (11 men and 5 women, age range 63-82) were found suffering from malignant colorectal obstruction. In these patients it was not possible to perform definitive surgical treatment because of the old age, advanced neoplastic disease and poor health condition, colostomy was the only therapeutic option. Endoscopic self-expanding stents placement was performed as a definitive palliative method to treat colorectal obstructions caused by advanced and unresectable tumours. This procedure was performed under endoscopic and fluoroscopic control and neit…
Achalasia and carcinoma of the esophagus
Different figures regarding the relationship between achalasia and carcinoma of the esophagus can be found in the literature. Often achalasia is considered as a risk factor. The author analyzing the data collected from the Shanghai Chest Hospital (S.C.H.) and the Pathophysiology Department of the University of Palermo, both referring centers for esophageal diseases conclude that carcinoma of the esophagus in achalasic patients is just a coincidence and no relationship can be found between the two diseases.
ABRIKOSSOFF'S TUMOR:REPORT A RARE CASE IN ANAL AND PERIANAL REGION
MALIGNAT COLORECTAL OBSTRUCTION: PALLIATIVE ENDOSCOPIC TREATMENT WITH SELF-EXSPANDING METALLIC STENTS
Un raro caso di Occlusione Intestinale:Fitobezoar
Gli Autori riportano il caso di una paziente di 62 anni affetta da fitobezoar gastrico, sottoposto a frammentazione e asportazione per via endoscopica. A distanza di 36 ore circa dall'esecuzione di tale metodica, la paziente ha manifestato l'insorgenza di una sindrome occlusiva. L'esame TC addome evidenziava il digiuno e le prime anse ileali sovradistese dopo somministrazione di mdc per os. Nel lume di un'ansa ileale, a valle, si evidenziava la presenza di una formazione disomogenea, del diametro 2,5x4 cm nel cui contesto si rilevano piccole bolle di gas, da riferire in 1° ipotesi a bezoar. La paziente veniva quindi sottoposta a intervento chirurgico di enterotomia e asportazione del materi…
La Qualità della Vita delle donne affette da endometriosi: un'analisi qualitativa attraverso l'EHP-30
La cineradiografia digitale nella diagnosi e nel trattamento chirurgico dei disordini motori della giunzione faringo-esofagea
The aim of the study was to report our experience with the use of radiology in functional disorders of the cricopharyngeal muscle and their surgical therapy using digital cineradiology. Five-hundred and seventy dysphagic patients underwent dynamic study of the oral and pharyngeal phases of swallowing (Videofluoroscopic Swallowing Study, VFSS). A motor disorder of the cricopharyngeal muscle was diagnosed by videofluorography in 19 patients: the disorder was mild in 8, moderate in 7 and severe in 4. Two of these underwent cricopharyngeal myotomy, with an improvement in their dysphagia and swallowing mechanisms. VFSS provides a morphological and functional view of the aero-digestive tracts: th…
SU DI UN CASO DI ACALASIA IN UN PAZIENTE LARINGECTOMIZZATO
Digital ulcer, Raynaud phenomenon and osteomyelitis of the fifth finger in patient with systemic sclerosis: personal experience
Myotomy of cricopharungeal muscle in the therapy of dyskinesia of upper esophageal sphincter: personal experience
Dyskinesia of the esophagus includes the entire esophagus from the upper esophageal sphincter to the lower esophageal sphinc - ter together with a wide spectrum of physi - opathological and clinical variations. Related to functional diseases such as Dyskinesia of UES (Upper Esophageal Sphincter), myo- tomy is an excellent procedure for patients with cervical dysphagia. In our experience, the surgical treatment is the only procedure to treat UES dyskinesia. For a successful in - tervention is mandatory: a pharyngeal pump efficiency, hypertension of UES and conservation of esophageal peristalsis in the absence of GERD (Gatroesophageal Reflux Disease). From January 2006 to December 2011, the A…
A RARE CAUSE OF SIGMOID DIVERTICULUM PERFORATION
Clinical and imaging findings of rare symptomatic giant killian-jamieson diverticulum (KJD)
Describe the clinical and imaging findings of rare symptomatic giant Killian-Jamieson diverticulum (KJD) detected in a 97 year old female patient and discuss diagnostic and therapeutic protocols to be implemented. Methods. The clinical history began implementing anamnesis and physical examination, followed by laryngoscopy, esophagogastroduodenoscopy, sonographic examination and subsequently a double-contrast pharyngoesophagram evaluations, to our symptomatic old patient with results of typically KJD, with maximal dimension of 5 cm. The KJD was successfully treated with a surgical approach, esophagomyotomy in addition to a diverticulopexy; these techniques were used for adequate visualizatio…
la colangiografia i.o.in corso di colecistectomia VLP nella nostra esperinza
Single-Stage Laparoscopic Treatment of the common bile duct lithiasis
DILATION TREATMENT OF BENIGN STRICTURED OF COLOCOLONIC ANASTOMOSES
SCOPO DI QUESTO ARTICOLO E' DI METTERE IN LUCE LA COMPLIANCE, I BENEFICI ED IL MIGLIORAMENTO DELLA QUALITA' DELLA VITA, NEI SOGGETTI AFFETTI DA STENOSI BENIGNA POST-ANASTOMOTICA COLO-COLICA E COLO-RETTALE E TRATTATI CON DILATAZIONE ENDOSCOPICA DEL TRATTO STENOTICO. LA DILATAZION PER VIA ENDOSCOPICA RISULTA ESSERE SICURA E DI SEMPLICE ESECUZIONE E PERMETTE DI OTTENERE RISULTATI SODDISFACENTI ANCHE PER PERIODI PROLUNGATI. I CRITERI STANDARD PER UNA EFFICACE DILATAZIONE VARIANO TRA 1 10 E 13 MM.
La colangiografia intraoperatoria in corso di colecistectomia videolaparoscopica: quale ruolo?
The routine use of intraoperative cholangiography during laparoscopic cholecystectomy remains controversial. Mirizzi was the first to recommend the use of intraoperative cholangiography in 1931 based on the high incidence of unsuspected common bile duct stones. The use of intraoperative cholangiography before common bile duct exploration reduced the incidence of unnecessary common bile duct explorations from 66% to less than 5%. With the introduction of laparoscopic cholecystectomy, an increase of incidence of bile duct injury two to four times that seen in open cholecystectomy was witnessed. The vast majority of the injuries were a direct result of the surgeon misidentifying the anatomy. T…
CARCINOSARCOMA: INUSUALE PRESENTAZIONE
TRATTAMENTO CHIRURGICO DEL VARICOCELE: CASISTICA ED ANALISI DELLA LETTERATURA
RHEUMATIC PATHOLOGIES IN SUBJECTS WITH INFLAMMATORY BOWEL DISEASE
Inflammatory Bowel Disease (IBD) are commonly associated with rheumatic diseases of the joints. Sixty-five patients are selected during a 5-year study period. All Patients were analyzed with clinical, laboratory and radiographic exams. 38 patients had ulcerative colitis (mean age 42.1 years range:19-75) and 27 patients had Crohn's disease (CD) (mean age 37.2 years, range: 17-64 years). Arthritis occurred in 11 patients (17%): 7 with UC (18.4%) and 4 CD (14.8%). The mean age of patients with arthritis was 35 and mean disease duration of pain and limitation symptoms was 28 months. In 9 patients, arthritis appeared after the onset of bowel symptoms with mean duration of 20 months in UC and 24 …