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Introduction Surgical treatment of radio-induced carotid stenosis (RICS) is challenging and burdened by an elevated risk of local complications. Carotid artery stenting (CAS) may be a suitable alternative. The best approach is yet to be defined. We reviewed the results of both techniques following selection based on better-suitability characteristics (anatomic and clinical). Methods We retrospectively reviewed 38 patients treated for 43 RICS from a group of 1230 patients who had carotid interventions between 2008 and 2015 (5 bilateral). Primary endpoints were morbidity and mortality at 30 days (transient ischemic attack, stroke, myocardial infarction, or death). Secondary endpoints were technical success, wound complications, cranial nerve injury (CNI), restenosis (≥50%) and recurrent symptoms. Results RICS was symptomatic in 6 patients in the OR group and 3 in the CAS group. Lesions in the OR group were longer (P=0.02) and more calcified (P=0.08). Technical success rate was 100%. Cranial nerve injury rate was 14.2% (3/21). All injuries were completely resolved within several weeks. In the CAS group, technical success rate was 95% (21/22) with the one failure due to a residual stenosis exceeding 30%. Periprocedural stroke rates were 0% and 4.5% in the OR and CAS groups respectively (0/21 vs 1/22, P=0.32). There were no early deaths. Mean follow-up was 19.1 months (3-75). The restenosis rate was 9.5% (2/21) in the OR group and 9% (2/22) in the CAS group. Conclusion Our results do not support a preferred treatment strategy. The choice of treatment should be considered on an individual basis.

A brief up-to-date overview on the isolation, and chemical and biological characterization of new and known alkaloids from different Amaryllidaceae species, including Brunsvigia, Crinum, Cyrtanthus, Narcissus, and Nerine genera, was reported. Furthermore, the isolation and chemical characterization of alkaloids extracted from bulbs of Narcissus tazetta subsp. tazetta L. collected from Muğla, Turkey were described. © The Author(s) 2019., The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by the academic grant from the Department of Chemical Sciences of University of Naples Federico II.

RESUMEN El divertículo de Meckel se describe desde principios de 1800. Se origina por cierre incompleto del conducto onfalomesenterico durante la etapa fetal. Por lo general se ubica a 100 cm de la válvula ileocecal. Los bezoares son cuerpos extraños originados de material no digerible que se acumulan en el tubo digestivo. La variedad más común es el fitobezoar originado de vegetales. Presentamos el caso de una paciente de 68 años que acudió a urgencias por síntomas compatibles de un abdomen agudo oclusivo, siendo laparotomizada hallándose un fitobezoar impactado en la base de un divertículo de Meckel a 80 cm de la válvula ileocecal. Se realizó resección y anastomosis intestinal con buena evolución post operatoria sin complicaciones. SUMMARY Meckel's diverticulum is described since the early 1800s. It originates from incomplete closure of the omphalomesenteric duct during the fetal stage. It is usually located 100 cm from the ileocecal valve. Bezoars are foreign bodies that originate from non-digestible material that accumulate in the digestive tract. The most common variety is phytobezoar originated from vegetables. We present the case of a 68-year-old patient who came to the emergency room due to compatible symptoms of an acute occlusive abdomen. She was laparotomized and found an impacted phytobezoar at the base of a Meckel diverticulum 80 cm from the ileocecal valve. Intestinal resection and anastomosis were performed with good postoperative evolution without complications.