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563 results on '"DI MARTINO, N."'

201. NON-CARDIAC CHEST PAIN: ROLE OF 24 h PH-MONITORING

Author

Del Genio A., Di Martino N., Izzo G., Nuzzo A., Angilletta G., FEI, Landino, Bovero E, Poletti M, Torre F, Cheli R, Del Genio, A., Di Martino, N., Izzo, G., Fei, Landino, Nuzzo, A., and Angilletta, G.

Published
1993

202. IL REFLUSSO GASTRO-ESOFAGEO (RGE

Author

Del Genio A., Izzo G., Landolfi V., Di Martino N., Angilletta G., Martella A., Albino V., MAFFETTONE, Vincenzo, Pozzi Ed., Del Genio, A., Izzo, G., Landolfi, V., Maffettone, Vincenzo, Di Martino, N., Angilletta, G., Martella, A., and Albino, V.

Published
1993

203. OUR EXPERIENCE IN SURGERY OF ESOPHAGEAL ACHALASIA

Author

MAFFETTONE, Vincenzo, IZZO, Giuseppe, Di Martino N., Zampiello P., ALLARIA, Alfredo, Angilletta G., Del Genio A., Maffettone, Vincenzo, Izzo, Giuseppe, Di Martino, N., Zampiello, P., Allaria, Alfredo, Angilletta, G., and Del Genio, A.

Published
1993

205. INSULINOMI PANCREATICI: TATTICA CHIRURGICA

Author

IZZO, Giuseppe, Maffettone V., Di Martino N., FEI, Landino, COSENZA, Angelo, Zampiello P., Dei Genio A., Pozzi Ed., Izzo, Giuseppe, Maffettone, V., Di Martino, N., Fei, Landino, Cosenza, Angelo, Zampiello, P., and Dei Genio, A.

Published
1993

206. GASTRO-ESOPHAGEAL REFLUX (GER): INDICATIONS FOR SURGERY

Author

IZZO, Giuseppe, MAFFETTONE, Vincenzo, Di Martino N., FEI, Landino, COSENZA, Angelo, NAPOLITANO, Vincenzo, Del Genio A., Izzo, Giuseppe, Maffettone, Vincenzo, Di Martino, N., Fei, Landino, Cosenza, Angelo, Napolitano, Vincenzo, and Del Genio, A.

Published
1993

207. TRATTAMENTO CHIRURGICO DEGLI INSULINOMI PANCREATICI

Author

Del Genio A., IZZO, Giuseppe, MAFFETTONE, Vincenzo, Di Martino N., COSENZA, Angelo, Zampiello P., G. De Nicola Ed., Napoli, Del Genio, A., Izzo, Giuseppe, Maffettone, Vincenzo, Di Martino, N., Cosenza, Angelo, and Zampiello, P.

Published
1993

212. Effect of Preoperative Chemoradiotherapy on Outcome of Patients with Locally Advanced Esophagogastric Junction Adenocarcinoma—A Pilot Study

Author

Orditura, M., primary, Galizia, G., additional, Di Martino, N., additional, Ancona, E., additional, Castoro, C., additional, Pacelli, R., additional, Morgillo, F., additional, Rossetti, S., additional, Gambardella, V., additional, Farella, A., additional, Laterza, M.M., additional, Ruol, A., additional, Fabozzi, A., additional, Napolitano, V., additional, Iovino, F., additional, Lieto, E., additional, Fei, L., additional, Conzo, G., additional, Ciardiello, F., additional, and De Vita, F., additional

Published
2014
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214. FUNDOPLICATIO SEC. NISSEN PER VIA LAPAROSCOPICA

Author

DEL GENIO A, LANDOLFI V, AMBROSIO A, DI MARTINO N, IZZO, Giuseppe, COSENZA, Angelo, DEL GENIO, A, Landolfi, V, Ambrosio, A, DI MARTINO, N, Izzo, Giuseppe, and Cosenza, Angelo

Published
1992

216. IL REFLUSSO GASTRO-ESOFAGEO

Author

DEL GENIO A, DI MARTINO N, IZZO G, ANGILLETTA G., COSENZA, Angelo, DEL GENIO, A, DI MARTINO, N, Izzo, G, Cosenza, Angelo, and Angilletta, G.

Published
1992

219. REOPERATION FOR ESOPHAGEAL FUNCTIONAL DISORDERS

Author

IZZO, Giuseppe, MAFFETTONE, Vincenzo, Di Martino N., Nuzzo A., COSENZA, Angelo, Del Genio A., Izzo, Giuseppe, Maffettone, Vincenzo, Di Martino, N., Nuzzo, A., Cosenza, Angelo, and Del Genio, A.

Published
1991

220. MODALITA' RICOSTRUTTIVE NEL CARCINOMA ESOFAGEO

Author

Del Genio A., Di Martino N., Fei L., Zampiello P., Izzo G., MAFFETTONE, Vincenzo, Moggi L, Giustozzi GM, Cavarelli P, Boselli C, Cagini L, Mattioli Ed., Del Genio, A., Di Martino, N., Fei, L., Zampiello, P., Izzo, G., and Maffettone, Vincenzo

Published
1991

222. VALUTAZIONE FUNZIONALE ESOFAGEA DEL PAZIENTE OPERATO

Author

Di Martino N, Izzo G, MAFFETTONE, Vincenzo, FEI, Landino, Nuzzo A, Zampiello P., Di Martino, N, Izzo, G, Maffettone, Vincenzo, Fei, Landino, Nuzzo, A, and Zampiello, P.

Abstract

The authors report on their experience acquired in the surgical treatment of functional esophageal disease (achalasia, diffuse esophageal spasm, diverticula and gastroesophageal reflux). The authors affirm that a correct and meticulous functional study of the esophagus is fundamental for the adoption of precise surgical plotting, in order to circumvent all of the complications and failures described in Literature. Such an objective can be achieved intraoperatively thanks to myotomy and fundoplication with the aid of intraoperative manometry (IEM) that, when performed in the course of myotomy, circumvents the execution of incomplete procedures (incomplete myotomies). The same holds true in the case of anti-reflux plasty (Nissen's in particular) where IEM enables a plication that is neither too wide nor too narrow, too long, too short, but "calibrated". Then, instrumental probes are even more capable of assessing the effects of functional surgery, by enabling the documentation of perfect postoperative results. More precisely they make it possible to study patients presenting with motor disorders pre-operatively, as in the case of achalasia or diverticula, and to sanction their resolution postoperatively. In addition they enable documentation of the effectiveness of Nissen's fundoplication, performed either to prevent gastroesophageal reflux after myectomy or to treat primary reflux. This is made possible by studying not only the tone at a distance, but especially relaxation in the course of deglutition. Finally, pH-metry permits the documentation of the complete clearing of gastroesophageal reflux, even when physiologic and post-prandial (hypercompetent Nissen).

Published
1991

223. TERAPIA CHIRURGICA DEL DOLORE TORACICO

Author

Del Genio A., Di Martino N., Izzo G., Angilletta G., MAFFETTONE, Vincenzo, Monduzzi Ed., Del Genio, A., Di Martino, N., Maffettone, Vincenzo, Izzo, G., and Angilletta, G.

Published
1991

228. MYOTOMY AND DIVERTICULECTOMY FOR ESOPHAGEAL DIVERTICULA

Author

Del Genio A., IZZO, Giuseppe, Napolitano V., Nuzzo A., Visone L., Di Martino N., MAFFETTONE, Vincenzo, Del Genio, A., Maffettone, Vincenzo, Izzo, Giuseppe, Napolitano, V., Nuzzo, A., Visone, L., and Di Martino, N.

Published
1990

234. FISIOLOGIA DELL'ESOFAGO

Author

MAFFETTONE, Vincenzo, Di Martino N., Fei L., Zampiello P., Del Genio A., Amato G. (eds.), Ed. Copyright, Napoli, Maffettone, Vincenzo, Di Martino, N., Fei, L., and Zampiello, P.

Published
1990

236. BY PASS INTRACOLONICO

Author

Del Genio A., Landolfi V., Amato G., Di Martino N., IZZO, Giuseppe, Ambrosio A., ALLARIA, Alfredo, MAFFETTONE, Vincenzo, Del Genio, A., Landolfi, V., Amato, G., Di Martino, N., Maffettone, Vincenzo, Izzo, Giuseppe, Ambrosio, A., and Allaria, Alfredo

Published
1990

237. STUDIO MANOMETRICO DELL'ESOFAGO

Author

Di Martino N., Izzo G., Fantini C., MAFFETTONE, Vincenzo, Del Genio A., Amato G. (eds.), Ed. Copyright, Napoli, Di Martino, N., Maffettone, Vincenzo, Izzo, G., and Fantini, C.

Published
1990

238. LO SPASMO ESOFAGEO DIFFUSO

Author

Del Genio A., Izzo G., Di Martino N., Nuzzo A., Zampiello P., Angilletta G., FEI, Landino, Peracchia A, Roncoroní L, Violi V, Del Genio, A., Izzo, G., Di Martino, N., Fei, Landino, Nuzzo, A., Zampiello, P., and Angilletta, G.

Published
1990

239. MOTILITA' ESOFAGEA E CHIRURGIA

Author

Del Genio A., Di Martino N., Izzo G., Nuzzo A., MAFFETTONE, Vincenzo, Del Genio, A., Di Martino, N., Izzo, G., Maffettone, Vincenzo, and Nuzzo, A.

Published
1990

240. L'ELETTROMANOMETRIA ESOFAGEA INTRAOPERATORIA

Author

Del Genio A., Izzo G., Di Martino N., Ambrosio A., Nuzzo A., MAFFETTONE, Vincenzo, Pozzi Ed, Del Genio, A., Izzo, G., Di Martino, N., Maffettone, Vincenzo, Ambrosio, A., and Nuzzo, A.

Published
1990

243. ACALASIA ESOFAGEA: TERAPIA CHIRURGICA

Author

Del Genio A., IZZO, Giuseppe, Maffettone V., Di Martino N., FEI, Landino, Nuzzo A., COSENZA, Angelo, Del Genio, A., Izzo, Giuseppe, Maffettone, V., Di Martino, N., Fei, Landino, Nuzzo, A., and Cosenza, Angelo

Published
1990

249. 24-hour esophageal ambulatory manometry in patients with achalasia of the esophagus

Author

Maffettone, Del Genio A, Monaco L, Di Martino N, Giuseppe Izzo, Bortolotti M, DI MARTINO, Natale, Bortolotti, M, Izzo, Giuseppe, Maffettone, V, Monaco, L, and DEL GENIO, A.

Subjects
Adult, Male, medicine.medical_specialty, Supine position, Manometry, Posture, Achalasia, Internal medicine, medicine, Ambulatory Care, Transducers, Pressure, Humans, In patient, Circadian rhythm, Esophagus, Peristalsis, Aged, Monitoring, Physiologic, business.industry, Gastroenterology, General Medicine, Middle Aged, medicine.disease, Postprandial Period, Circadian Rhythm, Esophageal Achalasia, medicine.anatomical_structure, Ambulatory, Cardiology, Female, Esophagogastric Junction, business, Ambulatory system
Abstract

Absence of the peristaltic contractions in the esophageal body and the failure of the lower esophageal sphincter (LES) post-deglutitive relaxation are the major motor disturbances in patients with achalasia. These alterations are usually evidenced by means of stationary esophageal manometry, which is able to record changes over a brief period. The aim of this work has been to study the circadian esophageal motor activity of the esophageal body in patients with achalasia, using a non-perfused ambulatory manometry system. Ten patients with untreated esophageal achalasia (dilatationor = 5 cm) had a 24-hour ambulatory esophageal manometry. The portable recording system consisted of a computerized data logger and a probe with four microtransducers 5 cm apart, the distal one being positioned 5 cm above the LES. A microtransducer, positioned 1 cm below the upper esophageal sphincter, recorded the swallow activity. Contractions frequency (n/min), mean amplitude (mmHg), mean duration of contraction (sec), percentage of contraction7 sec, percentage of multipeaked, repetitive and isolated contractions, and percentage of peristaltic and simultaneous sequences were evaluated and analysed during the following periods: meal-time (MT); upright (UP); supine night-time (NT). On the basis of the relationship with swallows the contraction events were classified as post-deglutitive or spontaneous. The data out of a group of 65 normal subjects were used as control. Student's t-test and Wilcoxon's rank-sum test were used for statistical analysis. Peristaltic sequences were detected in all patients, 27.8 +/- 12.6% of the total, and the 19.5 +/- 11.06% of these were complete. Moreover primary peristaltic sequences were present in 33.1 +/- 23.4% of all peristaltic sequences. In contrast to current trends, our results show surprisingly the presence of peristaltic activity in patients with achalasia (27.9% MT; 26.9% UP; 28.1% NT). We believe these results are related both to the use of an ambulatory system, which allows 24-hour monitoring and to the use of microtransducers, which are able to detect motor events with great accuracy. These motor events are usually not detectable by stationary perfused systems.

Published
1997

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