0000000000758612

AUTHOR

Tomasello Giovanni

INFLAMMATORY BOWEL DISEASE AND EXTRAINTESTINAL MANIFESTATIONS

Inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, are chronic and recurrent inflammatory diseases. Although the typical symptoms are localized in the gastrointestinal tract, there are also extraintestinal manifestations (EIMs) associated with IBD, probably caused by immune reactions secondary to the pathology of origin. Anybody can be affected by EIMs, which can be dermatological, pulmonary, ocular, musculoskeletal, hepatobiliary and neurological, et al. This represents a therapeutic challenge for clinicians, who must first establish a diagnostic and then a multidisciplinary therapeutic path, in order to guarantee an optimal quality of life for the patient.

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A BRIEF ANATOMO-SURGICAL DISSECTION GUIDE TO HUMAN LOWER LIMB: RESULTS OF THE COLLABORATION BETWEEN THE UNIVERSITY OF PALERMO AND THE UNIVERSITY OF MALTA

The aim of this Article is to show methods for dissection of the lower limb. In the summer 2017 a group of students at the University of Palermo that have already passed the exam of Human Anatomy took a 4 weeks dissection course at the University of Malta - School of Medicine. The students were provided with a dissection kit, video recording equipment and cameras for taking pictures. This paper presents the results of the dissection course and a small and simple guide to young students and medical doctors who want to learn the bases of lower limb dissection.

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INTESTINAL DYSBIOSIS AND HORMONAL NEUROENDOCRINE SECRETION IN THE FIBROMYALGIC PATIENT: RELATIONSHIP AND CORRELATIONS

Fibromyalgia is a rheumatic syndrome and its pathogenesis is controversial. The recent literature has placed considerable attention on the link between alteration of the intestinal microbiota and fibromyalgia, emphasizing the close connection between the neuroenteric system and the CNS. This study aims to evaluate the probable relationship between intestinal dysbiosis and altered secretion of hormones and vitamins such as cortisol, serotonin, Vitamin D and thyroid hormones in a patient with fibromyalgia.

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ANTINFLAMMATORY EFFECT OF LEVORAG (THD) EMULGEL ON RADIATION PROCTOCOLITIS AROUND A COLO-ANAL ANASTOMOSIS: AN INNOVATIVE CASE REPORT

Post-radiation proctitis (PRP) is one of most common complications after abdominal and pelvic radiotherapy for different malignancies. Chronic radiation proctitis (CRP) usually develops 90 days or more after radiation. The present study aimed to show the employment of Levorag Emulgel® (THD S.p.A Correggio, Reggio-Emilia, Italy) as off-label topical treatment, by instillation, to resolve the acute phase of PRP around a coloanal anastomosis, in a patient undergone surgery for an adenocarcinoma of the low rectum, then treated with the Gatekeeper® methodic to resolve fecal incontinence as consequence of the first surgical rectal resection. In conclusion, we can affirm that our methodic could re…

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