32 results on '"Mello Teggia, P."'
Search Results
2. Surgical management of acute pancreatitis in Italy: lessons from a prospective multicentre study
- Author
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De Rai, Paolo, Zerbi, Alessandro, Castoldi, Laura, Bassi, Claudio, Frulloni, Luca, Uomo, Generoso, Gabbrielli, Armando, Pezzilli, Raffaele, Cavallini, Giorgio, Di Carlo, Valerio, Agugiaro, S., Turri, L., Bartoli, A., Barberini, F., Cavazzoni, G., Bartolo, F., Della Papa, D., Bassi, N., Massani, M., Benedetti, A., Macarri, G., Piergallini, L., Briani, G., Bartolasi, L., Bugnano, L., Buonanno, G. M., Esposito, C., Cordovana, A., Cavina, E., Seccia, M., Lippolis, P., Musco, B., Barletta, M., Chilovi, E., De Guelfi, A., Chirletti, P., Caronna, R., Scozzafava, S., Cardi, M., Cirino, E., Buffone, A., Colangelo, E., Caracino, V., Cortese, F., Casentini, A., Costamagna, G., Trincali, A., Curzio, M., Clivio, S., Segato, S., D'Alessandro, A., Ambrosiani, V., D'Ambrosio, B., Chiodo, C., Dicillo, M., Reale, L., Grandolfo, A., Fabbrucci, P., Bruscino, A., Mugnaini, P., Ferrarese, S., Ugenti, I., Forte, G. B., Rocco, P., Franzè, A., Bertelè, A., Sereni, G., Friedman, Daniele, Mariani, L., Morelli, F., Gai, V., Antro, C., Garcea, D., Gardini, A., Lucci, E., Giulianotti, P. C., Sbrana, F., Balestracci, T., Giulini, S. M., Pellizzari, A., Ronconi, M., Cimaschi, S., Grassini, M., Lacignola, S., Calandro, L., Mazzitelli, L., Costarella, S. M., Egidio, A., Mello Teggia, P., Stefano, E., Cassini, P., Modica, G., Lupo, F., Giraci, G., Mosca, F., Del Chiaro, M., Mosella, G., Benassai, G., Nanni, M., D'Aristotile, A., Negro, P., Pirazzoli, A., Rabitti, P. G., Romano, C., Gerardi, G., Troianello, B., Russello, D., Di Stefano, A., Avelli, S., Salval, N., Bellini, N., Scalon, P., Staudacher, C., Parolini, D., Strazzabosco, M., Signorelli, S., Tedeschi, U., Testoni, P. A., Masci, E., Mariani, A., Torelli, E., Garcea, M. R., Lombardi, V., Lecconi, L., Valeri, L., Presenti, L., Alessio, F., Ventrucci, M., Virzi, S., Cipolla, A., De Rai, P, Zerbi, A, Castoldi, L, Bassi, C, Frulloni, L, Uomo, G, Gabbrielli, A, Pezzilli, R, Cavallini, G, Di Carlo, V, Proinf, Aisp, and Testoni, PIER ALBERTO
- Subjects
Male ,Time Factors ,Pancreatitis, Alcoholic ,medicine.medical_treatment ,Acute pancreatitis ,Surgery ,Aged ,Biliary Tract Diseases ,Chi-Square Distribution ,Cholangiopancreatography, Endoscopic Retrograde ,Cholecystectomy, Laparoscopic ,Female ,Guideline Adherence ,Humans ,Italy ,Pancreatitis ,Pancreatitis, Acute Necrotizing ,Practice Guidelines as Topic ,Prospective Studies ,Risk Assessment ,Risk Factors ,Severity of Illness Index ,Treatment Outcome ,Cholecystectomy ,Jejunostomy ,Pancreatectomy ,Practice Patterns, Physicians' ,Hepatology ,Gastroenterology ,Physician's Practice Patterns ,Practice Patterns ,surgery ,Endoscopic Retrograde ,Medicine ,Cholangiopancreatography ,Laparoscopic ,Acute Necrotizing ,Alcoholic ,Prospective cohort study ,health care economics and organizations ,acute pancreatitis ,Corrigendum ,Risk assessment ,medicine.medical_specialty ,education ,Severity of illness ,Intensive care medicine ,Physicians' ,business.industry ,General surgery ,Original Articles ,medicine.disease ,business - Abstract
OBJECTIVE: This study aimed to evaluate the surgical treatment of acute pancreatitis in Italy and to assess compliance with international guidelines. METHODS: A series of 1173 patients in 56 hospitals were prospectively enrolled and their data analysed. RESULTS: Twenty-nine patients with severe pancreatitis underwent surgical intervention. Necrosectomy was performed in 26 patients, associated with postoperative lavage in 70% of cases. A feeding jejunostomy was added in 37% of cases. Mortality was 21%. Of the patients with mild pancreatitis, 714 patients with a biliary aetiology were evaluated. Prophylactic treatment of relapses was carried out in 212 patients (36%) by cholecystectomy and in 161 using a laparoscopic approach. Preoperative endoscopic retrograde cholangiopancreatography was associated with cholecystectomy in 83 patients (39%). Forty-seven patients (22%) were treated at a second admission, with a median delay of 31 days from the onset of pancreatitis. Eighteen patients with severe pancreatitis underwent cholecystectomy 37.9 days after the first admission. There were no deaths. DISCUSSION: The results indicate poor compliance with published guidelines. In severe pancreatitis, early surgical intervention is frequently performed and enteral feeding is seldom used. Only a small number of patients with mild biliary pancreatitis undergo definitive treatment (i.e. cholecystectomy) within 4 weeks of the onset of pancreatitis.
- Published
- 2010
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3. Long term outcome of acute pancreatitis in Italy: Results of a multicentre study
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Castoldi, L, De Rai, P, Zerbi, A, Frulloni, L, Uomo, G, Gabbrielli, A, Bassi, C, Pezzilli, R, Agugiaro, S, Turri, L, Bartoli, A, Barberini, F, Cavazzoni, G, Bartolo, F, Papa, D, Bassi, N, Massani, M, Benedetti, A, Macarri, G, Piergallini, L, Briani, G, Bartolasi, L, Bugnano, L, Buonanno, G, Esposito, C, Cordovana, A, Cavina, E, Seccia, M, Musco, B, Barletta, M, Chilovi, E, De Guelfi, A, Chirletti, P, Caronna, R, Scozzafava, S, Cardi, M, Cirino, E, Buffone, A, Colangelo, E, Caracino, V, Cortese, F, Casentini, A, Costamagna, G, Trincali, A, Curzio, M, Clivio, S, Segato, S, D'Alessandro, A, Ambrosiani, V, D'Ambrosio, B, Chiodo, C, Dicillo, M, Reale, L, Grandolfo, A, Fabbrucci, P, Bruscino, A, Mugnaini, P, Ferrarese, S, Ugenti, I, Forte, G, Rocco, P, Franzè, A, Bertelè, A, Sereni, G, Friedman, D, Mariani, L, Morelli, F, Gai, V, Antro, C, Garcea, D, Gardini, A, Lucci, E, Giulianotti, P, Sbrana, F, Balestracci, T, Giulini, S, Pellizzari, A, Ronconi, M, Cimaschi, S, Grassini, M, Lacignola, S, Martina, C, Mazzitelli, L, Costarella, S, Reggio, E, Mello Teggia P., N, Stefano, E, Cassini, P, Modica, G, Lupo, F, Giraci, G, Mosca, F, Del Chiaro, M, Mosella, G, Benassai, G, Nanni, M, D'Aristotile, A, Negro, P, Pirazzoli, A, Rabitti, P, Romano, C, Gerardi, G, Troianello, B, Ruscello, D, Di Stefano, A, Avelli, S, Salval, N, Bellini, N, Scalon, P, Staudacher, C, Parolini, D, Strazzabosco, M, Signorelli, S, Tedeschi, U, Testoni, P, Masci, E, Mariani, A, Torelli, E, Garcea, M, Lombardi, V, Lecconi, L, Valeri, L, Presenti, L, Alessio, F, Ventrucci, M, Virzi, S, Cipolla, A, FERRARESE, SAMUELE, Mello Teggia P. , n, Cipolla, A., STRAZZABOSCO, MARIO, Castoldi, L, De Rai, P, Zerbi, A, Frulloni, L, Uomo, G, Gabbrielli, A, Bassi, C, Pezzilli, R, Agugiaro, S, Turri, L, Bartoli, A, Barberini, F, Cavazzoni, G, Bartolo, F, Papa, D, Bassi, N, Massani, M, Benedetti, A, Macarri, G, Piergallini, L, Briani, G, Bartolasi, L, Bugnano, L, Buonanno, G, Esposito, C, Cordovana, A, Cavina, E, Seccia, M, Musco, B, Barletta, M, Chilovi, E, De Guelfi, A, Chirletti, P, Caronna, R, Scozzafava, S, Cardi, M, Cirino, E, Buffone, A, Colangelo, E, Caracino, V, Cortese, F, Casentini, A, Costamagna, G, Trincali, A, Curzio, M, Clivio, S, Segato, S, D'Alessandro, A, Ambrosiani, V, D'Ambrosio, B, Chiodo, C, Dicillo, M, Reale, L, Grandolfo, A, Fabbrucci, P, Bruscino, A, Mugnaini, P, Ferrarese, S, Ugenti, I, Forte, G, Rocco, P, Franzè, A, Bertelè, A, Sereni, G, Friedman, D, Mariani, L, Morelli, F, Gai, V, Antro, C, Garcea, D, Gardini, A, Lucci, E, Giulianotti, P, Sbrana, F, Balestracci, T, Giulini, S, Pellizzari, A, Ronconi, M, Cimaschi, S, Grassini, M, Lacignola, S, Martina, C, Mazzitelli, L, Costarella, S, Reggio, E, Mello Teggia P., N, Stefano, E, Cassini, P, Modica, G, Lupo, F, Giraci, G, Mosca, F, Del Chiaro, M, Mosella, G, Benassai, G, Nanni, M, D'Aristotile, A, Negro, P, Pirazzoli, A, Rabitti, P, Romano, C, Gerardi, G, Troianello, B, Ruscello, D, Di Stefano, A, Avelli, S, Salval, N, Bellini, N, Scalon, P, Staudacher, C, Parolini, D, Strazzabosco, M, Signorelli, S, Tedeschi, U, Testoni, P, Masci, E, Mariani, A, Torelli, E, Garcea, M, Lombardi, V, Lecconi, L, Valeri, L, Presenti, L, Alessio, F, Ventrucci, M, Virzi, S, Cipolla, A, FERRARESE, SAMUELE, Mello Teggia P. , n, Cipolla, A., and STRAZZABOSCO, MARIO
- Abstract
Background: In Italy, no long-term studies regarding the natural history of acute pancreatitis have been carried out. Aim: To report the results of a follow-up on a large series of patients hospitalised for pancreatitis. Methods: Data of 631 patients admitted to 35 Italian hospitals were retrospectively evaluated 51.7 ± 8.4 months after discharge. Results: The average recovery time after mild or severe pancreatitis was 28.2 and 53.4 days respectively. Fourteen sequelae were not resolved and 9 cases required late surgical intervention. Eighty patients (12.7%) had a second hospital admission. Of the patients with mild biliary pancreatitis, 67.9% underwent a cholecystectomy. The overall incidence of relapse was 12.7%. Mortality was 9.8% and no death was related to pancreatitis. Three patients died from carcinoma of the pancreas. Conclusion: Reported recovery time after an attack of pancreatitis was longer than expected in the mild forms. The treatment of sequelae was delayed beyond one year after discharge. The incidence of relapse of biliary pancreatitis in patients not undergoing a cholecystectomy was low, due to endoscopic treatment. Mortality from pancreatic-related causes is low, but there is an association with malignant pancreatic or ampullary tumours not diagnosed during the acute phase of the illness. © 2013 Editrice Gastroenterologica Italiana S.r.l
- Published
- 2013
4. Morbidity and mortality in the Italian Gastric Cancer Study Group randomized clinical trial of D1 versus D2 resection for gastric cancer
- Author
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Degiuli, Maurizio, Sasako, M., Vendrame, A., Tomatis, M., Andreone, D., Garino, M., Rebecchi, Fabrizio, Scaglione, D., Viganò, L., Capussotti, L., Fronda, G. R., Locatelli, L., Mello Teggia, P., Morino, Mario, Calvo, F., and Ponti, A.
- Subjects
Adult ,Male ,medicine.medical_specialty ,medicine.medical_treatment ,law.invention ,Postoperative Complications ,Randomized controlled trial ,law ,Gastrectomy ,Stomach Neoplasms ,medicine ,Humans ,Hospital Mortality ,Stomach cancer ,Aged ,Aged, 80 and over ,Intention-to-treat analysis ,business.industry ,Mortality rate ,Cancer ,Length of Stay ,Middle Aged ,medicine.disease ,Confidence interval ,Surgery ,Clinical trial ,Italy ,Female ,business - Abstract
Background A randomized clinical trial was performed to compare D1 and D2 gastrectomy in specialized Western centres. This paper reports short-term results. Method A total of 267 patients with gastric cancer were randomly assigned to either a D1 or a D2 procedure in five specialized centres. Based on the findings of the phase II trial and published phase III trials, a prespecified non-inferiority boundary at 12 per cent difference between groups was set regarding total morbidity. Results In the intention-to-treat analysis, the overall morbidity rate after D2 and D1 dissections was 17·9 and 12·0 per cent respectively (P = 0·178), with a 95 per cent confidence interval of the difference of 0 to 13·0 per cent, slightly exceeding the prespecified non-inferiority limit. There was a single duodenal stump leak in the D2 arm (0·7 per cent). The postoperative 30-day mortality rate was 3·0 per cent after D1 and 2·2 per cent after D2 gastrectomy (P = 0·722). Conclusion In specialized centres the rate of complications following D2 dissection is much lower than in published randomized Western trials. D2 dissection, in an appropriate setting, can therefore be considered a safe option for the radical management of gastric cancer in Western patients. Registration number: ISRCTN11154654 (http://www.controlled-trials.com).
- Published
- 2010
5. Diagnostic assessment and outcome of acute pancreatitis in Italy: results of a prospective multicentre study. ProInf-AISP: Progetto informatizzato pancreatite acuta, Associazione Italiana Studio Pancreas, phase II
- Author
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Uomo, G, Pezzilli, R., Gabbrielli, A., Castoldi, L., Zerbi, A., Frulloni, L., De Rai, P., Cavallini, G., Di Carlo, V., Agugiaro, S., Turri, L., Bartoli, A., Barberini, F., Cavazoni, G., Bartolo, F., Della Papa, D., Bassi, C., Bassi, N., Massani, M., Benedetti, A., Macarri, G., Piergallini, L., Briani, G., Bartolasi, L., Brugnano, L., Buonanno, G. M., Esposito, C., Cardovana, A., Cavina, E., Seccia, M., Lipollis, P., Musco, B., Barletta, M., Chilovi, E., De Guelmi, A., Chirletti, P., Caronna, R., Scozzafava, S., Cardi, M., Cirrino, E., Buffone, A., Colangelo, E., Caracino, V., Cortese, F., Cosentini, A., Costamagna, G., Tringali, A., Curzio, M., Clivio, S., Segato, S., D'Alessandro, A., Ambrosini, V., D'Amborsio, B., Chiodo, C., Dicillo, M., Reale, L., Grandolfo, A., Fabbrucci, P., Bruscino, A., Mugnaini, P., Ferrarese, S., Ugenti, I., Forte, G. B., Rocco, P., Franzè, A., Bertelè, A., Sereni, G., Friedman, Daniele, Mariani, L. M., Murelli, Federica, Gai, V., Antro, C., Garcea, D., Gardini, A., Lucci, E., Giulianotti, P. C., Sbrana, F., Balestracci, T., Giulini, S. M., Pellizzari, A., Ronconi, M., Cimaschi, S., Grassini, M., Lacitignola, S., Caliandro, L., Mazzitelli, R., Costarella, S. M., Egidio, A., Mello Teggia, P., Stefano, E., Cassini, P., Modica, G., Lupo, F., Giraci, G., Mosca, F., Del Chiaro, M., Mosella, G., Benassai, G., Nanni, M., D'Aristotile, A., Negro, P., Pirazzoli, A., Rabitti, P. G., Romano, C., Gerardi, G., Troianello, B., Russello, D., Di Stefano, A., Avelli, S., Salvai, M., Bellini, N., Scalon, P., Staudacher, C., Parolini, D., Strazzabosco, M., Signorelli, S., Tedeschi, U., Testoni, P. A., Masci, E., Mariani, A., Torelli, E., Garcea, M. R., Lombardi, V., Cecconi, L., Valeri, A., Presenti, L., Alessio, F., Ventrucci, M., Virzì, S., and Cipolla, A.
- Subjects
Adult ,Male ,Pancreatic necrosis ,Severity of Illness Index ,Body Mass Index ,Acute Pancreatitis ,Clinical outcome ,Computed tomography ,Diagnosis ,Pancreatitis ,Prognosis ,Ultrasonography ,Aged ,Aged, 80 and over ,Cholangiopancreatography, Endoscopic Retrograde ,Creatinine ,Female ,Humans ,Italy ,Middle Aged ,Prospective Studies ,Treatment Outcome ,Hepatology ,Gastroenterology ,Endoscopic Retrograde ,80 and over ,treatment ,Medicine (all) ,Cholangiopancreatography ,acute pancreatitis ,diagnosis - Abstract
Up till now, only one study providing practically complete information on acute pancreatitis in Italy has been published. The aim of this prospective study was to evaluate the clinical characteristics, in terms of diagnostic assessment and outcome, of a large series of patients affected by acute pancreatitis in Italy.The study involved 56 Italian centres, homogeneously distributed throughout the entire national territory. Each participating centre was furnished with an ad hoc software including 530 items along with subsequent collection, tabulation and quality control of the data.One thousand five hundred and forty case report forms of patients affected by acute pancreatitis were collected but 367 of them (24%) were subsequently eliminated from the final analysis. Therefore, 1173 patients (581 females and 592 males) were recruited. Mean age of patients was 62.0+/-18.2 years (95% confidence interval, 60.9-63.0). On the basis of Atlanta classification, 1006 patients (85.8%) were defined as mild and 167 (14.2%) as severe pancreatitis. Biliary forms represented the most frequent aetiological category (813 cases, 69.3%) while alcoholic forms only 6.6% (77 cases); the remaining aetiologies accounted for 7.1% (83 cases) while 200 cases (17.1%) remained without a definite aetiological factor. Complete recovery was achieved in 1016 patients (86.6%) whereas morphological sequelae were found in 121 patients (10.3%) and mortality in 36 patients (3.1%; 0.4% in mild and 19.2% in severe acute pancreatitis). Ultrasonography was largely utilised as a first line diagnostic tool in all patients, with valuable visualisation of the pancreas in 85% of patients. Computer tomography scan was also widely used, with 66.7% of exams in mild and 33.3% in severe pancreatitis. Patients affected by biliary pancreatitis presented more severe (p=0.004) and necrotizing forms (p=0.021). Mortality was significantly related (p0.001) with the extension of pancreatic necrosis and with an age of over 70 years. Body mass index presented significantly greater values in severe than in mild forms (p0.001).Association of creatinine serum level over 2mg/dl with an abnormal chest X-ray showed a high significant correlation with a more severe outcome in terms of morphological sequelae and mortality (p=0.0001). Acute pancreatitis in Italy more commonly presents biliary aetiology and favourable outcome with low rate of complications and mortality. From a cost-effectiveness standpoint, diagnostic approach to this disease needs to be better standardised.
- Published
- 2007
6. A prospective multicentre survey on the treatment of acute pancreatitis in Italy
- Author
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Pezzilli, R, Uomo, G., Gabbrielli, A., Zerbi, A., Frulloni, L., De Rai, P., Castoldi, L., Cavallini, G., Di Carlo, V., Agugiaro, S., Turri, L., Bartoli, A., Barberini, F., Cavazoni, G., Bartolo, F., Della Papa, D., Bassi, C., Bassi, N., Massani, M., Benedetti, A., Macarri, G., Piergallini, L., Briani, G., Bartolasi, L., Brugnano, L., Buonanno, G. M., Esposito, C., Cardovana, A., Cavina, E., Seccia, M., Lipollis, P., Musco, B., Barletta, M., Chilovi, E., De Guelmi, A., Chirletti, Piero, Caronna, Roberto, Scozzafava, S., Cardi, Maurizio, Cirino, E., Buffone, A., Colangelo, E., Caracino, V., Cortese, F., Cosentini, A., Costamagna, G., Tringali, A., Curzio, M., Clivio, S., Segato, S., D'Alessandro, A., Ambrosini, V., D'Amborsio, B., Chiodo, C., Dicillo, M., Reale, L., Grandolfo, A., Fabbrucci, P., Bruscino, A., Mugnaini, P., Ferrarese, S., Ugenti, I., Forte, G. B., Rocco, P., Franzè, A., Bertelè, A., Sereni, G., Friedman, D., Mariani, L. M., Murelli, F., Gai, V., Antro, C., Garcea, D., Gardini, A., Lucci, E., Giulianotti, P. C., Sbrana, F., Balestracci, T., Giulini, S. M., Pellizzari, A., Ronconi, M., Cimaschi, S., Grassini, M., Lacitignola, S., Caliandro, L., Mazzitelli, R., Costarella, S. M., Egidio, A., Mello Teggia, P., Stefano, E., Cassini, P., Modica, G., Lupo, F., Giraci, G., Mosca, F., Del Chiaro, M., Mosella, G., Benassai, G., Nanni, M., D'Aristotile, A., Negro, P., Pirazzoli, A., Rabitti, P. G., Romano, C., Gerardi, G., Troianello, B., Russello, D., Di Stefano, A., Avelli, S., Salvai, M., Bellini, N., Scalon, P., Staudacher, C., Parolini, D., Strazzabosco, M., Signorelli, S., Tedeschi, U., Testoni, P. A., Masci, E., Mariani, A., Torelli, E., Garcea, M. R., Lombardi, V., Cecconi, L., Valeri, A., Presenti, L., Alessio, F., Ventrucci, M., Virzi, S., and Cipolla, A.
- Subjects
Adult ,Male ,medicine.medical_specialty ,ERCP ,Pancreatitis ,Pancreatitis acute necrotising ,Aged ,Aged, 80 and over ,Analgesics ,Anti-Bacterial Agents ,Digestive System Surgical Procedures ,Female ,Histamine Antagonists ,Humans ,Italy ,Middle Aged ,Prospective Studies ,Severity of Illness Index ,Treatment Outcome ,Medicine (all) ,Hepatology ,Gastroenterology ,Therapeutic approach ,Internal medicine ,Severity of illness ,80 and over ,Medicine ,Prospective cohort study ,business.industry ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Acute pancreatitis ,Tramadol ,business ,Pancreas ,medicine.drug - Abstract
The Italian Association for the Study of the Pancreas released a diagnostic and therapeutic algorithm for acute pancreatitis in 1999.This study focused on the analysis of the therapeutic approach for the treatment of acute pancreatitis in Italy.One thousand, one hundred and seventy-three patients were recruited: 1006 patients (85.8%) had mild acute pancreatitis (MAP) and 167 (14.2%) had the severe acute pancreatitis (SAP); 161 patients showed pancreatic necrosis at computed tomography; 121 patients (10.3%) had sequelae and 36 (3.1%) died.Non-steroidal anti-inflammatory drugs and tramadol were used more frequently in patients with the MAP whereas opioids and the association schedules were used more frequently in patients with the SAP (P0.001). Gabexate mesilate was utilised in 831 out of 1173 patients (70.8%); in particular, gabexate mesilate was used in 70.6% patients with MAP and in 73.1% of those with SAP (P=0.521). The duration of the drug administration was significantly shorter in those having MAP than in those having the SAP (P0.001). The antibiotics most frequently used for the prophylaxis against infection from pancreatic necrosis (43.1%) were carbapenems. Only a small number of patients received enteral nutrition (4.7%). Endoscopic retrograde cholangiopancreatography was carried out in 344 of the 1173 patients (29.3%). Surgery was performed in 48 with SAP (19 had elective biliary surgery and 29 had pancreatic surgery).The results of this survey indicate a lack of compliance with the guidelines which regard the indications mainly for interventional endoscopy and surgery.
- Published
- 2007
7. [Postoperative intra-abdominal adhesions: prevention and treatment].
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Enrico S, Pecchio A, Mineccia M, and Mello Teggia P
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- Adult, Cellulose, Oxidized administration & dosage, Fallopian Tube Diseases etiology, Fallopian Tube Diseases prevention & control, Female, Humans, Infertility, Female etiology, Infertility, Female prevention & control, Male, Polytetrafluoroethylene administration & dosage, Abdomen surgery, Peritoneal Diseases prevention & control, Peritoneal Diseases therapy, Postoperative Complications, Tissue Adhesions prevention & control, Tissue Adhesions therapy
- Abstract
The formation of adhesions after abdominal surgery is a very frequent event, often burdened by complications. Different techniques and materials have been tested in order to reduce peritoneal damage and the onset of adhesions. While the introduction of improved surgical techniques has been decisive, the use of drugs and irritating solutions has not produced significant results. Promising results have been obtained by the use of barrier systems that allow the peritoneal surfaces to be mechanically separated during healing and re-epithelialization: Interceed (TC7)--Absorbable Adhesion Barrier--appears to be the most appropriate material for this purpose at present, given that it has been demonstrated to be of use in reducing both the incidence and extent of adhesions. The use of this material in general surgery over the past to years or so appears to the authors to be indicated in the event of secondary abdominal surgery with detachment and extensive peritoneal damage, and in more restricted surgery performed on the true pelvis in women of child-bearing age.
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- 1996
8. [Malignant fibrous histiocytoma with pulmonary localization. Clinical case].
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Cardesi E, Mello Teggia P, Checchini P, and Ritossa C
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- Adolescent, Female, Histiocytoma, Benign Fibrous surgery, Humans, Lung Neoplasms surgery, Histiocytoma, Benign Fibrous pathology, Lung Neoplasms pathology
- Published
- 1983
9. [Convalescence time in frequently performed operations].
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Dei Poli G, Mello Teggia P, Weisz R, and Bo Destefanis M
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- Appendicitis surgery, Cholelithiasis surgery, Costs and Cost Analysis, Herniorrhaphy, Humans, Insurance, Health, Length of Stay, Physical Therapy Modalities, Postoperative Care, Postoperative Complications, Time Factors, Convalescence, Surgical Procedures, Operative
- Published
- 1974
10. [Effect of postoperative empyema on survival after pulmonary resection for bronchial carcinoma. Study of 18 cases].
- Author
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Mello Teggia P, Ritossa C, and Smrekar E
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- Adenocarcinoma surgery, Adult, Aged, Carcinoma, Small Cell surgery, Carcinoma, Squamous Cell surgery, Empyema surgery, Female, Humans, Male, Middle Aged, Postoperative Complications, Prognosis, Carcinoma, Bronchogenic surgery, Empyema etiology, Lung Neoplasms surgery, Pneumonectomy
- Published
- 1983
11. [A new colorimetric test in oncologic diagnosis: experiences and evaluation criteria].
- Author
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Daglio C, Castelli L, and Mello-Teggia P
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- Blood Proteins metabolism, Female, Humans, Male, Methods, Mucoproteins metabolism, Neoplasms metabolism, Polysaccharides metabolism, Colorimetry methods, Neoplasms diagnosis
- Abstract
The authors have examined a new colorimetric test, set up by Nixon in 1973 and appropriately modified by them. They have found out 80,14% positive reactions in 146 cases of neoplasms and 82,54% negative reactions in 126 patients suffering from tubeycular and different diseases; lastly 95% negative reactions in apparently healthy individuals. According to the authors' opinion, this test seems to be useful in the diagnosis of neoplasms, when joined, of course, with other diagnostic means now in use.
- Published
- 1976
12. [Immediate treatment of pleuropulmonary complications of inflammations of the pancreas].
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Andolfi F, Mello Teggia P, and Guzzardi G
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- Acute Disease, Adult, Chronic Disease, Humans, Lung Diseases etiology, Lung Diseases pathology, Male, Middle Aged, Pancreatitis pathology, Pleural Diseases etiology, Pleural Diseases pathology, Prognosis, Time Factors, Lung Diseases surgery, Pancreatitis complications, Pleural Diseases surgery
- Abstract
Seven cases of pancreatic pleuropneumopathy are presented and the relevant literature is examined. Treatment of this unusual complications is an offshoot of the modern management of the underlying disease. Attention is drawn to the possibility of serious and sudden acute chest pictures with a clinical picture reminiscent of pancreatic storm. Resuscitation, pneumological and surgical management is required. The histological data for the series shows that a pleural response to the action of matter excreted by the pancreas was responsible. Early local treatment and physiotherapy may be followed by a surprising degree of functional recovery.
- Published
- 1975
13. [Pseudotumor of the supraclavicular fossa].
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Mello-Teggia P, Morreale V, Ritossa C, and Gentilli S
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- Adult, Clavicle, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Obesity, Radiography, Thoracic, Adipose Tissue, Mediastinum
- Abstract
The authors focus on a physiopathologic manifestation, most often misdiagnosed, which present as a "lipomatous-like mass in the supraclavicular fossa". This is generally at the origin of sophisticated radiologic tests and, not infrequently of useless biopsies. The paper analyzes the different reasons leading, alone or in combination, to the phenomenon by which the mediastinal fat is pushed toward regions where no limits anatomic structures exist, such as the supraclavicular fossa. Knowledge of the above causes, together with a careful physical examination plus a standard postero-anterior-X-ray can easily lead to a correct diagnosis of "pseudotumor of the supraclavicular fossa", avoiding costly and needless diagnostic and therapeutic interventions.
- Published
- 1989
14. [Surgical technics indicated for spontaneous pneumothorax. Personal experience in 266 operations].
- Author
-
Dei Poli G, Martignoni R, Mello Teggia P, and Mastroianni V
- Subjects
- Adolescent, Adult, Aged, Humans, Methods, Middle Aged, Pneumothorax surgery
- Abstract
The surgical techniques best suited for timely management of spontaneous pneumothorax are described. Results in 266 cases are discussed and compared with the recent literature. Reference is also made to a little known technique: photothermostimulation, and the results it offers are illustrated. Encouraging results have been obtained from rapid frottage of the parietal pleura and this is described. Emphasis is placed on the advisability of early operation to forestall possible surgical and anatomofunctional complications, to ensure good recovery of respiratory capacity, and to prevent mechanical sequelae involving the cardiorespiratory system.
- Published
- 1977
15. Spontaneous idiopathic pneumothorax in 115 young subjects.
- Author
-
Dei Poli G, Andolfi F, and Mello Teggia P
- Subjects
- Adolescent, Adult, Endoscopy, Humans, Lung surgery, Physical Therapy Modalities, Pleura surgery, Radionuclide Imaging, Pneumothorax complications, Pneumothorax diagnosis, Pneumothorax therapy
- Published
- 1975
16. [Comparison between automatic substraction devices and computer subtraction in radioisotope pancreatography].
- Author
-
Martignoni R, De Matteis S, Rascente G, and Mello Teggia P
- Subjects
- Computers, Humans, Pancreatic Cyst diagnostic imaging, Pancreatic Neoplasms diagnostic imaging, Pancreatitis diagnostic imaging, Pancreatic Diseases diagnostic imaging, Radionuclide Imaging instrumentation, Subtraction Technique
- Abstract
Reference is made to several indicative cases in a personal series. Their comparative examination with a scanner and a gamma camera computer showed that: a) noticeably different findings were given by the two methods with regard to cystic, neoplastic, and inflammatory lesions of the pancreas, whereas; b) computerised subtraction was much more sensitive in lesions due to cysts and pancreatitis, even though there was no significant difference between the two methods in the case of neoplasia.
- Published
- 1979
17. [Early diagnosis of pulmonary embolism by means of scintigraphy].
- Author
-
Dei Poli G, Martignoni R, Mello Teggia P, and Bassi G
- Subjects
- Angiography methods, Humans, Pulmonary Embolism etiology, Radionuclide Imaging, Thromboembolism complications, Time Factors, Pulmonary Embolism diagnostic imaging
- Abstract
The occasions on which lung embolism is likely to occur and proceed with or without initial clinical symptoms are described. Lung scintiscanning technique, complemented by special expedients and personal experience, is explained. It is felt that the method helps in the early detection of suspect or clinically silent forms, as well as in the corroboration or ruling out of a clinical diagnosis as soon as this is possible. Scintiscanning is also of assistance in showing the anatomopathological features and extent of the process. The technique is simple and readily tolerated, even by patients with slight respiratory or circulatory disturbances. On the other hand, it is not competitive with conventional and well-tried angiopneumography.
- Published
- 1977
18. The instrumental symptomatology of pancreatic diseases: personal experience.
- Author
-
Dei Poli G, Martignoni R, Mello Teggia P, de Matteis S, Rascente G, and Cappuccilli E
- Subjects
- Humans, Pancreatic Diseases diagnosis, Radionuclide Imaging, Pancreatic Diseases diagnostic imaging
- Published
- 1978
19. [Radiopaque hemithorax, with special reference to scintigraphic methods].
- Author
-
Martignoni R, Mello Teggia P, Perino A, Baglione G, and De Matteis S
- Subjects
- Cobalt Radioisotopes, Gallium Radioisotopes, Humans, Pleural Effusion diagnostic imaging, Radiography, Radionuclide Imaging, Lung Diseases diagnostic imaging, Lung Neoplasms diagnostic imaging, Pleural Diseases diagnostic imaging, Pleural Neoplasms diagnostic imaging
- Abstract
Radioopaque hemithorax is frequently observed. The various situations in which it may occur are examined aetiopathologically, along with the general and specifically radiological methods used for its investigation. Particular attention is given to the employment of radio-isotopes for this purpose and the methods involved. Results obtained with perfusion are noteworthy, and even more so those achieved with positive tracers such as 67Ga citrate and 57Co Blm, especially in the differential diagnosis of pleural effusion and mesothelioma through what is described as the "paradox effect".
- Published
- 1978
20. Semeiological detection of bronchiogenic cancer: the limitations of exploratory thoracotomy.
- Author
-
Dei Poli G, Martignoni R, Mello Teggia P, and Mariani E
- Subjects
- Adult, Aged, Bronchoscopy, Humans, Male, Middle Aged, Thoracic Surgery, Thorax surgery, Carcinoma, Bronchogenic diagnosis, Lung Neoplasms diagnosis
- Published
- 1977
21. Bleeding granulomas sheltering bronchial sutures.
- Author
-
Dei Poli G, Mello Teggia P, and Smrekar E
- Subjects
- Adult, Granuloma complications, Humans, Bronchi surgery, Granuloma etiology, Hemorrhage etiology, Sutures adverse effects
- Published
- 1979
22. [Scintigraphic diagnosis of pancreatic diseases: random analysis of 100 patients].
- Author
-
Martignoni R, De Matteis S, Rascente G, Cappuccilli E, Pavone P, and Mello-Teggia P
- Subjects
- Humans, Liver diagnostic imaging, Pancreas diagnostic imaging, Pancreatic Cyst diagnostic imaging, Pancreatitis diagnostic imaging, Radionuclide Imaging, Pancreatic Diseases diagnostic imaging, Pancreatic Neoplasms diagnostic imaging
- Abstract
After a brief statement on the procedure of selection of the patients, the article describes how the cases were studied, since some difficulties arose through the lack of homogeneity of the subjects. The cases are then commented and an effort is made to evidence the outstanding data which can be deduced, and in particular a study is made of the percentage of overall unreliability of scintillographic examination, the "false positives" and the "false negatives", which are rather low. The Authors conclude with the consideration that scintiscanning of the pancreas now constitutes a valid method of investigation of pancreatic pathology.
- Published
- 1977
23. [Problems of immunological monitoring and lung excision for carcinoma].
- Author
-
Mello Teggia P, Morreale V, and Di Chio R
- Subjects
- Antibodies, Neoplasm, Antibody Formation, B-Lymphocytes immunology, Humans, Lymphocyte Activation, T-Lymphocytes immunology, Bronchial Neoplasms surgery, Lung Neoplasms surgery, Pneumonectomy
- Abstract
Following a number of remarks on the desirability of introducing into the practice of bronchopulmonary cancer surgery certain immunological ideas, a monitoring programme to be adopted in candidates for lung exeresis and for their subsequent monitoring is presented. The data to emerge thus far may be correlated fairly precisely with the prognosis and from this point of view their use in the selection of patients to be operated might be hypothesised.
- Published
- 1981
24. [Bleeding granulomas behind bronchial sutures].
- Author
-
Dei Poli G, Mello Teggia P, and Smrekar E
- Subjects
- Adult, Aged, Bronchial Neoplasms surgery, Humans, Lung Neoplasms surgery, Male, Postoperative Complications, Granuloma etiology, Pneumonectomy, Sutures adverse effects
- Published
- 1979
25. [Surgical indications in aspecific pneumopathies].
- Author
-
Dei Poli G, Mello Teggia P, Smrekar E, and Mastroianni V
- Subjects
- Arteriovenous Malformations surgery, Bronchiectasis surgery, Cysts surgery, Echinococcosis, Pulmonary surgery, Humans, Lung blood supply, Lung Abscess surgery, Lung Neoplasms surgery, Suppuration, Lung Diseases surgery
- Abstract
A degree course lecture based on a review of the relevant literature and experience gained at a 1000-bed lung hospital (S. Luigi Hospital, Orbassano) is presented in a shortened form. Attention is drawn to the revival of discarded techniques due to anaesthesiological and medical advances. This has considerably extended the surgical indications.
- Published
- 1978
26. [Initial observations on the use of levamisole in the immunostimulation treatment of patients operated on for lung cancer].
- Author
-
Mello Teggia P, Smrekar E, Cimarelli A, and Prencipe E
- Subjects
- Dinitrochlorobenzene immunology, Humans, Prognosis, Skin Tests, Immunity, Cellular drug effects, Levamisole therapeutic use, Lung Neoplasms surgery
- Abstract
The results obtained with levamisole in the immunostimulating of 59 resected and non-resected lung carcinoma patients are presented. The effectiveness of the treatment was assessed in terms of survival, length of the free interval, etc. Cutireaction to the drug was repeatedly monitored. It is felt that the overall results were insufficient evidence of the true effectiveness of this manner of treatment, even though some data indicative of the therapeutic action of the drug were obtained.
- Published
- 1981
27. [Instrumental symptomatology of pancreatic diseases. Our experience].
- Author
-
Dei Poli G, Martignoni R, Mello Teggia P, De Matteis S, Rascente G, and Cappuccilli E
- Subjects
- Humans, Pancreatic Diseases diagnostic imaging, Radionuclide Imaging, Tomography, X-Ray Computed, Pancreatic Diseases diagnosis
- Published
- 1978
28. [False surgical abdomen: observations and personal experience].
- Author
-
Mello Teggia P, Checchini P, De Stefano I, Ferri M, and Ritossa C
- Subjects
- Abdomen, Acute surgery, Adolescent, Adult, Body Weight, Diagnosis, Differential, Diagnostic Errors, Female, Humans, Male, Middle Aged, Posture, Abdomen, Acute diagnosis
- Published
- 1987
29. [Current role of pancreatic scintiscanning in the study of pancreatic symptomatology].
- Author
-
Martignoni R, De Matteis S, Rascente G, and Mello Teggia P
- Subjects
- Endoscopy, Humans, Laparoscopy, Radionuclide Imaging, Ultrasonography, Pancreatic Diseases diagnostic imaging
- Abstract
A brief reference is made to the part once assigned to scintiscanning as a method of approach to diseases of the pancreas. It is felt that the lack of confidence now displayed in this technique is based preconceptions. A new diagnostic approach is therefore proposed and briefly described. The advantages and disadvantages of the diagnostic techniques included in the proposed scheme are examined. The view is expressed that a fresh assessment should be made of nuclear pancreatography, since it is still a fundamental diagnostic tool.
- Published
- 1978
30. [Surgical treatment of echinococcal cysts with double hepatic and pulmonary localizations].
- Author
-
Mello Teggia P, Greco Lucchina P, and Martignoni R
- Subjects
- Adult, Female, Humans, Male, Methods, Middle Aged, Echinococcosis, Hepatic surgery, Echinococcosis, Pulmonary surgery
- Abstract
On the basis of some personal cases and with reference to world literature on the subject, the surgical treatment of liver and lung localized echinococcus cyst is discussed. Special attention is paid to 1) thoracotomy which may in some cases become a thoraco-phreno-laparatomy, the only approach which leads to really effective control of the field; 2) problems of suction drainage, particularly as regards diaphragm mobility in cases of thoraco-phreno-laparatomy.
- Published
- 1978
31. [Isolated sarcoidosis of the vermiform appendix. A clinical case].
- Author
-
Mello Teggia P, Cimarelli A, and De Stefano I
- Subjects
- Adult, Crohn Disease diagnosis, Diagnosis, Differential, Humans, Male, Sarcoidosis pathology, Tuberculosis, Gastrointestinal diagnosis, Appendix, Sarcoidosis diagnosis
- Published
- 1982
32. [Spontaneous idiopathic pneumothorax in young persons].
- Author
-
Poli GD, Mello Teggia P, and Mariani C
- Subjects
- Adolescent, Adult, Biopsy, Bronchopulmonary Sequestration complications, Endoscopes, Humans, Male, Pneumoconiosis complications, Pneumothorax diagnosis, Pneumothorax pathology, Pneumothorax surgery, Pulmonary Emphysema complications, Radionuclide Imaging, Tuberculosis, Pulmonary complications, Pneumothorax etiology
- Published
- 1973
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