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6 results on '"F. Persico"'

2. Il trattamento chirurgico dei sarcomi retroperitoneali

Author

F. Persico, R. Compagna, F. Villa, I. Simeoli, V. Salvati, M. Liguori, A. Merolla, AMATO, BRUNO, F., Persico, R., Compagna, F., Villa, I., Simeoli, V., Salvati, M., Liguori, A., Merolla, and Amato, Bruno

Published
2002

4. Ultrasonography-guided endoscopic stent placement for malignant biliary obstruction: a preliminary report of four cases

Author

G.D. De Palma, Alessandro Puzziello, Luigi Mastantuono, Francesco Persico, M. Rega, Francesco Patrone, Giovanni Persico, DE PALMA, GIOVANNI DOMENICO, A., Puzziello, M., Rega, L., Mastantuono, F., Persico, F., Patrone, and G., Persico

Subjects
Male, medicine.medical_specialty, medicine.medical_treatment, Endoscopic Retrograde, Cholestasis, Common Bile Duct, Drainage, Female, Humans, Male, Middle Aged, Postoperative Complications, Safety, Stents, Treatment Outcome, Ultrasonography, Postoperative Complications, Preliminary report, Pancreatic cancer, medicine, Humans, Ultrasonography, Interventional, Endoscopic stent, Aged, Cholangiopancreatography, Endoscopic Retrograde, Common Bile Duct, Cholestasis, medicine.diagnostic_test, Common bile duct, Interventional, business.industry, Gastroenterology, Stent, Aged, Biliary Tract Neoplasms, Cholangiopancreatography, Middle Aged, medicine.disease, Endoscopy, Surgery, Biliary Tract Neoplasms, Treatment Outcome, medicine.anatomical_structure, Biliary tract, Drainage, Female, Stents, Radiology, Safety, Ultrasonography, business
Abstract

We present a new combination of transabdominal ultrasound (US) and biliary endoscopy, with endoscopic stent placement carried out under US guidance. Four patients (two men, two women; average age 66.2 years) underwent US-guided stent placement for palliation of ampullary carcinoma (n = 3) or pancreatic cancer (n = 1). A guide wire and a guiding catheter were endoscopically introduced and identified, by US in the common bile duct across the stricture. Hydromer-coated polyurethane angled stents (10 Fr) were finally inserted over the guide wire/guiding catheter by a pusher tube system. Successful drainage, with substantial reduction in bilirubin level, was achieved in all patients (14.2 +/- 9.5 vs. 4.2 +/- 2.9 mg/dl at 1 week). The present case series shows that endoscopic stent placement performed under US guidance is safe and effective. Further studies of larger series, including more proximal strictures, are warranted.

Published
2004

5. [Ultrasound-guided endoscopic drainage, without radiological examination, in patients with neoplastic biliary obstruction. Preliminary results].

Author

De Palma GD, Puzziello A, Aprea G, Persico F, Rega M, Ciamarra P, Patrone F, Masone S, Di Marino M, Persico M, Mastantuono L, Noceroni L, and Persico G

Subjects
Aged, Cholestasis, Extrahepatic etiology, Common Bile Duct Neoplasms diagnostic imaging, Female, Humans, Male, Middle Aged, Palliative Care, Polyurethanes, Safety, Treatment Outcome, Ultrasonography, Ampulla of Vater, Cholestasis, Extrahepatic diagnostic imaging, Cholestasis, Extrahepatic therapy, Common Bile Duct Neoplasms complications, Drainage, Endoscopy, Pancreatic Neoplasms complications, Stents
Abstract

Aim: Endoscopic stent insertion has become the preferred method for palliation of malignant biliary obstruction. Currently, endoscopic stent placement involves the use of contrast media and radiological equipment to achieve direct opacification of the biliary duct systems, and to determine the location and the extension of biliary obstruction. This report proposes a new combination of ultrasonography and biliary endoscopy, with endoscopic stent placement entirely performed under US-guidance., Methods: US-guided stent placement was carried out in 8 patients. A guide-wire and a guiding-catheter were endoscopically introduced and identified, by US, the common bile duct across the stricture. Hydromer-coated polyurethane angled stents (10F) were finally inserted over the guide-wire/guiding-catheter by a pusher tube system., Results: Successful stent insertion was achieved in all patients. There were no complications. Successful drainage, with substantial reduction in bilirubin level, was achieved in all patients (14.2+/-9.5 vs 4.2+/-2.9 mg/dl at 1 week)., Conclusion: Endoscopic stent placement performed under US-guidance, is safe and effective. Further studies in a larger series, including more proximal strictures are suggested.

Published
2004

6. [Endoscopic palliative treatment of the common bile duct at the hepatic hilum. Results in 583 patients treated in a single center over a 10-year period].

Author

De Palma GD, Persico F, Masone S, Labianca O, Mastantuono L, Di Marino M, and Persico G

Subjects
Aged, Aged, 80 and over, Cholangiocarcinoma surgery, Cholestasis, Extrahepatic etiology, Cholestasis, Extrahepatic pathology, Common Bile Duct pathology, Constriction, Pathologic, Drainage, Female, Gallbladder Neoplasms surgery, Humans, Liver Neoplasms surgery, Lymphatic Metastasis, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Cholangiopancreatography, Endoscopic Retrograde, Cholestasis, Extrahepatic surgery, Common Bile Duct surgery, Palliative Care statistics & numerical data, Stents statistics & numerical data
Abstract

Background: The outcomes of endoscopic biliary drainage for malignant stenoses at the hepatic hilum were retrospectively evaluated., Methods: From January 1990 to June 2001, 583 patients, 368 males, average age 69+/-18.5 years, were recruited. Endoscopic procedure consisted of insertion of 1 ore multiple stents, plastic or metallic, across the stricture, under mild sedation., Results: Successful stent insertion was achieved in 518/583 (88.8%) patients and successful drainage in 474 (81.3%) patients. Early complications were observed in 101 (17.3%) patients with related-mortality of 17 (2.9%) patients. Late complications occurred in 39.9% of patients. Survival was of 189 days, on average., Conclusions: Endoscopic palliation should be the initial management of choice for malignant biliary stenoses at the hepatic hilum.

Published
2003

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