6 results on '"Ligresti, D."'
Search Results
2. Mini-invasive treatment of sump syndrome: OverStitch choledochoduodenostomy revision.
- Author
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Granata A, Amata M, Martino A, Ligresti D, Li Petri S, Ricotta C, and Traina M
- Subjects
- Aged, Cholangiopancreatography, Magnetic Resonance, Choledocholithiasis diagnosis, Choledocholithiasis surgery, Common Bile Duct diagnostic imaging, Female, Humans, Minimally Invasive Surgical Procedures methods, Postcholecystectomy Syndrome diagnosis, Reoperation, Cholangiopancreatography, Endoscopic Retrograde methods, Choledochostomy methods, Common Bile Duct surgery, Postcholecystectomy Syndrome surgery, Surgery, Computer-Assisted methods
- Abstract
Competing Interests: None
- Published
- 2019
- Full Text
- View/download PDF
3. Endo-therapies for biliary duct-to-duct anastomotic stricture after liver transplantation: Outcomes of a nationwide survey.
- Author
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Cantù P, Tarantino I, Baldan A, Mutignani M, Tringali A, Lombardi G, Cerofolini A, Di Sario A, Catalano G, Bertani H, Ghinolfi D, Boarino V, Masci E, Bulajic M, Pisani A, Fantin A, Ligresti D, Barresi L, Traina M, Ravelli P, Forti E, Barbaro F, Costamagna G, Rodella L, Maroni L, Salizzoni M, Conigliaro R, Filipponi F, Merighi A, Staiano T, Monteleone M, Mazzaferro V, Zucchi E, Zilli M, Nadal E, Rosa R, Santi G, Parzanese I, De Carlis L, Donato MF, Lampertico P, Maggi U, Caccamo L, Rossi G, Vecchi M, and Penagini R
- Subjects
- Adult, Aged, Biliary Tract Diseases etiology, Biliary Tract Diseases surgery, Cholestasis etiology, Constriction, Pathologic etiology, Female, Humans, Italy, Liver Transplantation mortality, Male, Middle Aged, Plastics, Retrospective Studies, Surveys and Questionnaires, Survival Analysis, Treatment Outcome, Young Adult, Cholangiopancreatography, Endoscopic Retrograde instrumentation, Constriction, Pathologic surgery, Liver Transplantation adverse effects, Self Expandable Metallic Stents, Stents classification
- Abstract
Background: The most appropriate endo-therapeutic approach to biliary anastomotic strictures is yet to be defined., Aim: To retrospectively report on the endo-therapy of duct-to-duct anastomotic strictures during 2013 in Italy., Methods: Data were collected from 16 Endoscopy Units at the Italian Liver Transplantation Centers (BASALT study group)., Results: Complete endo-therapy and follow-up data are available for 181 patients: 101 treated with plastic multistenting, 26 with fully covered self-expandable metal stenting and 54 with single stenting. Radiological success was achieved for 145 patients (80%), that is, 88% of plastic multistenting, 88% of self-expandable metal stenting and 61% of single stenting (P < 0.001 vs plastic multistenting; P < 0.05 vs self-expandable metal stenting). After first-line endo-therapy failure, the patients underwent a second-line endo-therapy with plastic multistenting for 25%, fully covered self-expandable metal stenting for 53% and single stenting for 22% of cases, and radiological success was achieved for 84%, that is, 100%, 85% and 63% with plastic multistenting, self-expandable metal stenting and single stenting (P < 0.05 vs plastic multistenting or self-expandable metal stenting) respectively. Procedure-related complications occurred in 7.8% of endoscopic retrograde cholangiopancreatographies. Overall, clinical success was achieved in 87% of patients after a median follow-up of 25 months., Conclusion: Plastic multistenting is confirmed as the preferred first-line treatment, while fully covered self-expandable metal stenting as rescue option for biliary anastomotic strictures. Single stenting has sub-optimal results and should be abandoned., (© 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
- Published
- 2019
- Full Text
- View/download PDF
4. Definitive outcomes of self-expandable metal stents in patients with refractory post-transplant biliary anastomotic stenosis.
- Author
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Tarantino I, Barresi L, Curcio G, Granata A, Ligresti D, Tuzzolino F, Volpes R, Amata M, and Traina M
- Subjects
- Adult, Aged, Anastomotic Leak therapy, Cholestasis etiology, Constriction, Pathologic etiology, Constriction, Pathologic therapy, Female, Humans, Logistic Models, Male, Middle Aged, Prospective Studies, Recurrence, Treatment Outcome, Cholangiopancreatography, Endoscopic Retrograde, Cholestasis therapy, Liver Transplantation, Postoperative Complications therapy, Self Expandable Metallic Stents
- Abstract
Background: Endoscopic retrograde cholangio-pancreatography is the gold standard of treatment in patients with biliary complications after liver transplantation. The benefits of fully covered self-expandable metal stents (FCSEMS) lie in their relative simplicity and the need for only two procedures, one for insertion, and the other for removal. Several case series have been published on such stents with generally good outcomes. Objective is to analyze definitive long-term outcomes of this treatment., Methods: Prospective, observational study in a single, tertiary-care referral centre. All consecutive patients with post-transplant biliary stenosis/leak were treated with FCSEMS after failure of conventional treatment. Recurrence was evaluated after four years., Results: From February 2008 to April 2012, 70 patients were included. In all patients, the metal stent was successfully placed. After a mean of 86.7 ± 38.4 days, the stent was removed. Forty-six patients (65.7%) showed resolution. After a mean of 4 ± 1.2 years, 61% of patients maintained the results, but 39% showed recurrence. On the tested variables the diagnosis of stenosis, the number of previous procedures and plastic stents placed correlate with better long-term results., Conclusions: This series suggests a lack of long-term advantages of FCSEMS over plastic stents in the management of biliary stenosis after liver transplantation., (Copyright © 2015 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2015
- Full Text
- View/download PDF
5. Endoscopic transpapillary sampling methods for bile duct cancer: may intraductal aspiration improve diagnosis?
- Author
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Curcio G, Ligresti D, and Traina M
- Subjects
- Female, Humans, Male, Bile cytology, Bile Duct Neoplasms diagnosis, Bile Ducts, Intrahepatic, Biopsy methods, Cholangiocarcinoma diagnosis, Cholangiopancreatography, Endoscopic Retrograde methods, Drainage methods
- Published
- 2015
- Full Text
- View/download PDF
6. Endo-therapies for biliary duct-to-duct anastomotic stricture after liver transplantation: Outcomes of a nationwide survey
- Author
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Paolo Ravelli, A. Cerofolini, Helga Bertani, Milutin Bulajic, Vincenzo Mazzaferro, Mario Traina, Paolo Cantù, Alberto Fantin, Ilaria Tarantino, Massimiliano Mutignani, Davide Ghinolfi, Luca Barresi, Rita Conigliaro, T. Staiano, Pietro Lampertico, R. Rosa, Luca Rodella, Antonio Pisani, Roberto Penagini, Giovanni Lombardi, Giorgia Catalano, M. Monteleone, Alberto Merighi, Luca Maroni, Umberto Maggi, Luciano De Carlis, Guido Costamagna, Enzo Masci, Dario Ligresti, A. Baldan, Lucio Caccamo, E. Zucchi, E. Nadal, Maurizio Zilli, Edoardo Forti, I. Parzanese, Maurizio Vecchi, Franco Filipponi, Andrea Tringali, Mauro Salizzoni, Maria Francesca Donato, V. Boarino, Giulio Santi, Giorgio Rossi, Federico Barbaro, Antonio Di Sario, Cantu, P, Tarantino, I, Baldan, A, Mutignani, M, Tringali, A, Lombardi, G, Cerofolini, A, Di Sario, A, Catalano, G, Bertani, H, Ghinolfi, D, Boarino, V, Masci, E, Bulajic, M, Pisani, A, Fantin, A, Ligresti, D, Barresi, L, Traina, M, Ravelli, P, Forti, E, Barbaro, F, Costamagna, G, Rodella, L, Maroni, L, Salizzoni, M, Conigliaro, R, Filipponi, F, Merighi, A, Staiano, T, Monteleone, M, Mazzaferro, V, Zucchi, E, Zilli, M, Nadal, E, Rosa, R, Santi, G, Parzanese, I, De Carlis, L, Donato, M, Lampertico, P, Maggi, U, Caccamo, L, Rossi, G, Vecchi, M, and Penagini, R
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,Biliary Tract Diseases ,Self Expandable Metallic Stents ,Constriction, Pathologic ,Anastomosis ,Liver transplantation ,Nationwide survey ,Clinical success ,Young Adult ,ERCP ,Surveys and Questionnaires ,Medicine ,Humans ,biliary anastomotic stricture ,Aged ,Retrospective Studies ,Cholangiopancreatography, Endoscopic Retrograde ,Cholestasis ,Hepatology ,medicine.diagnostic_test ,liver transplantation ,business.industry ,Middle Aged ,equipment and supplies ,Survival Analysis ,Surgery ,Endoscopy ,fully covered metal stenting ,medicine.anatomical_structure ,Treatment Outcome ,Italy ,Radiological weapon ,Female ,Stents ,business ,Duct (anatomy) ,Plastics ,plastic multistenting - Abstract
Background: The most appropriate endo-therapeutic approach to biliary anastomotic strictures is yet to be defined. Aim: To retrospectively report on the endo-therapy of duct-to-duct anastomotic strictures during 2013 in Italy. Methods: Data were collected from 16 Endoscopy Units at the Italian Liver Transplantation Centers (BASALT study group). Results: Complete endo-therapy and follow-up data are available for 181 patients: 101 treated with plastic multistenting, 26 with fully covered self-expandable metal stenting and 54 with single stenting. Radiological success was achieved for 145 patients (80%), that is, 88% of plastic multistenting, 88% of self-expandable metal stenting and 61% of single stenting (P
- Published
- 2019
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