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4. Derivative Surgical Treatment

Author

Pederzoli, P., Falconi, M., Bassi, C., Vesentini, S., Briani, G. F., Bonora, A., Salvia, R., Sartori, N., De Santis, L., Caldiron, E., Talamini, G., Cavallini, G., Pederzoli, Paolo, editor, Cavallini, Giorgio, editor, Bassi, Claudio, editor, and Falconi, Massimo, editor

Published
1994
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14. Abstracts from the sixth meeting of the international association of pancreatology, November 2–4, 1994, Chicago, IL

Author

Burdick, Michael, Hollingsworth, Tony, Gansauge, S., Gansauge, F., Link, K. H., Schoenberg, M. H., Poch, B., Beger, H. G., Wagner, A. C. C., Steffen, H., Göke, B., Gaisano, H. Y., Sheu, L., Foskett, J. K., Trimble, W. S., Lee, Y. L., Kwon, H. Y., Park, H. S., Lee, S. M., Park, H. J., aguchi, S., Green, G. M., Mitamura, K., Komatsu, Y., Arai, I., Yamaura, H., Wang, OJ, Adrian, TE, Teyssen, S., Niebel, W., Niebergall, E., Singer, M. V., Umehara, K, Ohara, T, Kataoka, K, Okamura, H, Kato, M, Sakagami, J, Ohta, A, Murase, M, Hosoda, M, Yamane, Y, Kashima, K, Ibata, Y, Balthazar, Emil J., Banks, P. A., Garzof, S. G., Langevin, R. E., Silverman, S. G., Sica, G. T., Bassi, C., Benini, A., Muner, A., Falconi, M., Abbas, H., Pederzoli, P., Salvia, R., Minelli, E. Bertazzoni, Shaskar, S. Shanmuga, Shearer, M. G., Imrie, C. W., Brodmerkel, G. J., Reed, P. A., Carr-Locke, DL, Musa, A, Lichtenstein, DR, Dam, J Van, Banks, PA, Eisele, S., Schoenberg, M. H., Böchjer, M., Beger, H. G., Foitzik, Th., Fern’andez-del Castillo, C., Rattner, D. W., Ferraro, M. J., Warshaw, A. L., Foitzik, Th., Schmidt, J., Hotz, H., Warshaw, A. L., Buhr, H. J., Klar, E., Heinisch, A., Kadow, R., Bioss, U., Schölmerich, J., Zimgibl, H., Leser, H. -G., Manes, G., Rabitti, P. G., Laccetti, M., Cavallera, A., Paceili, L., Gagiione, G., Uomo, G., Marinqhini, A., Zinsmeister, A. R., Melton, L. J., DiMagno, E. P., Marotta, F., Chui, D. H., Barbi, G., Zhong, G. G., Marotta, F., Chui, D. H., Tajiri, H., Bellini, O., Zhong, G. G., Barbi, G., McKay, C, Baxter, J. N., Imrie, C. W., Mithöfer, K., Fern’andez-delCastillo, C., Frick, T. W., Lewandrowski, K., Rattner, D. W., Warshaw, A. L., Pezzilli, R., Billi, P., Miniero, R., Gullo, L., Barakat, B., Migliuli, M., Rau, B., Schad, M., Schoenberg, M., Beger, H. G., Richter, F., Matthias, R., Sakagami, J, Kataoka, K, Ohta, A, Umehara, K, Imoto, M, Murase, M, Hosoda, M, Yamane, Y, Kato, M, Kashima, K, Ashihara, T, Schofield, D, Sharer, NM, Heywood, KM, Waters, HM, Braganza, JM, Scott, P, Sharer, NM, Bilton, D, Deardon, D, Lee, S, Taylor, PM, McCloy, RF, Braganza, JM, Shen, J., Shao, H., Wu, Z. P., Jin, J. J., Shiel, N, Cassidy, O, Sharma, H, Braganza, J. M., Soöckmann, F., Ahrens, J., Leonhardt, U., Otto, J., Ritzel, U., Ramadori, G., Tian, Fuzhou, Hu, JZ, Huang, DR, Wang, XH, Lian, HW, Zhang, BY, Miao, JG, Li, Xu, Zhou, HT, Uomo, G., Rabitti, P. G., Laccetti, M., Manes, G., Esposico, P., Perrocti, F., Visconci, M., Vaccaro, M. I., Dagrosa, M. A., Mora, M. I., Sordelli, D. O., Vogt, W., MeOmann, H., Heinisch, A., Linseis, A., Holstege, A., Schölmerich, J., Leser, H. -G., Weiser, M. R., Gibbs, S. A. L., Hechcman, H. B., Moore, F. D., Worthington, H. V., Runt, L. P., HcCloy, R. F., KacLennan, I. A., Braqanza, J. M., Heath, D, Alexander, D, Wilson, C, Larvin, M, Imrie, CW, McMahon, MJ, Larvin, M, Ward, J, Robinson, PJ, Chalmers, AG, McMahon, MJ, Apte, M, Wilson, J, McCaughan, G, Korsten, M, Norton, I, Piroia, R, Bimmler, D., Frick, T. W., Scheele, G. A., Bockman, Dale E., Büchler, Markus, Beger, Hans G., Cavallini, G., Brunori, M. P., Rigo, L., Bovo, P., Filippini, M., Vaona, B., Di Francesco, V., Frulloni, L., Marcori, M., Farri, P. C., Laardini, M. T., Pederzoli, P., Chowdhury, Riaz, Ochi, Koji, Mizushima, Takaaki, Tsurumi, Tetsuya, Harada, Hideo, Laver, P., Hoist, J. J., Ohe, M. v. d., Goebell, H., Mi Zumoto, A., Sarr, M. G., DiMagno, E. P., Moore, R., Frey, C. F., Debas, H. T., Mulvihill, S. J., Onizuka, S., Kuroda, H., Kuroda, Y., Hongo, H., Matsuzaki, S., Ito, M., Sekine, L., Tsunoda, T., Pap, ’A., Hrisztov, V., Pap, ’A., Marosi, E., Simon, K., Tak’acs, T., Pederzoli, P., Falconi, M., Bassi, C., Bonora, A., Talamini, G., Saivia, R., Benini, L., Caldiron, E., Vesentini, S., Cavallini, G., Raijman, Isaac, Kortan, Paul, Haber, Gregory B., Ramesh, H, Varghese, CJ, Schofield, D, Kay, PM, Bottiglieri, T, Uden, S, Bilton, D, Braganza, JM, Gut, A, Segal, I, Snehalatha, C, Mohan, V, Braganza, JM, Silva, E., Ceneviva, R., Velludo, M. A. L., Silvan, E., Ruebner, B., Ceneviva, R., Velludo, M. A. L., Roselino, J. E. S., Foss, M. C., Talaraini, G., Falcaoi, M., Frmlltai, L, K Fraacesca, V., Maxwi, M., Vaosa, B., Baro, P., Baxu, C., Pedercoli, P., Cavalliai, G., Taiamini, G., Iacano, C., Faicsai, M., Frulloni, L., Rige, L., Castagnisi, A., Marcori, M., Angelini, G., Bassi, C., Bom, P., Vaoss, B., Vantini, I., Sen, G., Pederzali, P., Cavallini, G., Štimee, B, Bulajič, M, Milosavljevi’c, T, Krsti’c, R, Markovi’c, M, Korneti, V, Ugljcš’c, M, Abruzzesse, IL, Evans, DB, Larry, L, King, T, Raijman, I, Roubein, L, Frazier, M, lacono, C., Faca, E., Falezza, G., Bonora, E., Aurola PP, Serio, G., lacono, C., Nicoli, N., Mansueto, G. C., Zicari, M., Marchiori, L., Mangiante, G., Seno, G., Imarnura, M., Yamauchi, H., Inoue, M., Onda, M., UchlDa, E., Almqtq, T., Yamanaka, Y., Kqbayashi, T., Yokqyama, T., Aida, K., Sasajima, K., Tajiri, T., Egami, K., Yamashita, K., Naitq, Z., Asano, G., Lewandrowski, K. B., Kirby, R. E., Southern, J. F., Compton, C. C., Warshaw, A. L., Lip, J, Strömmer, L, Permert, J, Larsson, J, Adrian, TE, Loftus, E. V., Adkins, M. C., Olivares-Pakzad, B., Batts, K. P., Stephens, D. H., Farnell, M. B., Sarr, H. G., Thompson, G. B., van Heerden, J. A., Kelly, D. G., Miller, L. J., Pearson, R. K., Clain, J. E., Petersen, B. T., DiMagno, E. P., Matsumoto, Cancer S., Chowdhury, R., Mizushima, T., Ochi, K., Harada, H., Miki, H., Ozkan, Hnsan, Saisho, Hiromitsu, Yarnaguchi, Taketo, Ishihara, Takeshi, Kikuchi, Yasuharu, Tsuyuguchi, Toshio, Ohto, Masao, Pasqual, C., Sperti, C., Liesai, G., Guido, M., Pedrazzoli, S., Sperti, C., Pasquali, C., Khajeturian, E., Guolo, P., Pedrazzoli, S., Tadokoro, H., Watanabe, S., Moriyoshi, Y., Yoshida, K., Shiratori, K., Takeuchi, T., Uchida, E., Onda, M., Tajiri, T., Egami, K., Yamashita, K., Aida, K., Yamanaka, Y., Kobayashi, T., Aimoto, T., Yokoyama, T., Inoue, M., Naito, Z., Asano, G., Valentich, M. A., Monis, B., Barotto, N. N., and Herrera, P.

Published
1994
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28. Antioxidant treatment in hereditary pancreatitis. A pilot study on three young patients

Author

Uomo, G, Talamini, G, and Rabitti, PG

Subjects
Antioxidants -- Health aspects, Pancreatitis -- Diet therapy, Health, Diet therapy, Health aspects
Abstract

Antioxidant treatment in hereditary pancreatitis. A pilot study on three young patients. Uomo G, Talamini G, Rabitti PG. Dig Liver Dis 2001;33:58-62. BACKGROUND: Abdominal pain is the most challenging symptom [...]

Published
2001

29. RISK FACTORS FOR POST-ERCP IN HIGH- AND LOW-VOLUME CENTERS AND AMONG EXPERT AND NON-EXPERT OPERATORS: A PRIOSPECTIVE MULTICENTER STUDY

Author

TESTONI , PIER ALBERTO, MARIANI A, GIUSSANI A, VAILATI C, MASCI E, MACARRI G, GHEZZO L, FAMILIARI L, GIARDULLO N, MUTIGNANI M, LOMBARDI G, TALAMINI G, SPADACCINI A, BRIGLIA R, PIAZZI L., Testoni, PIER ALBERTO, Mariani, A, Giussani, A, Vailati, C, Masci, E, Macarri, G, Ghezzo, L, Familiari, L, Giardullo, N, Mutignani, M, Lombardi, G, Talamini, G, Spadaccini, A, Briglia, R, and Piazzi, L.

Abstract

OBJECTIVES: Prospective studies have identified a number of patient- and procedure-related independent risk factors for post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis, with different conclusions, so various questions are still open. The endoscopist's expertise, case volume, and case mix can all significantly influence the outcome of ERCP procedures, but have been investigated little to date. METHODS: We identified patient- and procedure-related risk factors for post-ERCP pancreatitis and the impact of the endoscopist's experience and the center's case volume, using univariate and multivariate analysis, in a multicenter, prospective study involving low- and high-volume centers, over a 6-month period. RESULTS: A total of 3,635 ERCP procedures were included; 2,838 (78%) ERCPs were performed in the 11 high-volume centers (median 257 each) and 797 in the 10 low-volume centers (median 45 each). Overall, 3,331 ERCPs were carried out by expert operators and 304 by less-skilled operators. There were significantly more grade 3 difficulty procedures in high-volume centers than in low-volume ones (P10 attempts to cannulate the Vater's papilla, pancreatic duct cannulation, contrast injection of the pancreatic ductal system, pre-cut technique, and pancreatic sphincterotomy, among procedure-related risk factors. Multivariate analysis also showed that a history of post-ERCP pancreatitis, biliary pain, >10 attempts to cannulate the Vater's papilla, main pancreatic duct cannulation, and pre-cut technique were significantly associated with the complication. CONCLUSIONS: A history of pancreatitis among patient-related factors, and multiple attempts at cannulation among procedure-related factors, were associated with the highest rates of post-ERCP pancreatitis. Pre-cut sphincterotomy, although identified as another significant risk factor, appeared safer when done early (fewer than 10 attempts at cannulating), compared with repeated multiple cannulation. The risk of post-ERCP pancreatitis was not associated with the case volume of either the single endoscopist or the center; however, high-volume centers treated a larger proportion of patients at high risk of pancreatitis and did a significantly greater number of difficult procedures

Published
2010

33. Alcohol and smoking as risk factors in chronic pancreatitits and pancreatic cancer

Author

Talamini, G, Bassi, Claudio, Falconi, Massimo, Sartori, N, Salvia, Roberto, Rigo, L, Castagnini, Armando, DI FRANCESCO, V, Frulloni, Luca, Bovo, Paolo, Vaona, Bruna, Angelini, Giampaolo, Vantini, I, Cavallini, Giorgio, Pederzoli, Paolo, Talamini, G, Bassi, C, Falconi, Massimo, Sartori, N, Salvia, R, Rigo, L, Castagnini, A, DI FRANCESCO, V, Frulloni, L, Bovo, P, Vaona, B, G., Angelini, Vantini, I, Cavallini, G, and Pederzoli, P.

Published
1999

35. Early detection of pancreatic cancer following the diagnosis of chronic pancreatitis

Author

TALAMINI G, BASSI C, SARTORI N, PASETTO M, SALVIA R, DI FRANCESCO V, L. FRULLONI, VAONA B, BOVO P, VANTINI I, PEDERZOLI P, CAVALLINI G., FALCONI , MASSIMO, Talamini, G, Bassi, C, Falconi, Massimo, Sartori, N, Pasetto, M, Salvia, R, DI FRANCESCO, V, L., Frulloni, Vaona, B, Bovo, P, Vantini, I, Pederzoli, P, and Cavallini, G.

Subjects
Male, Pathology, Time Factors, Pancreatic disease, Gastroenterology, Risk Factors, Cause of Death, Ductal, Diagnosis, 80 and over, Odds Ratio, Medicine, Breast, Stage (cooking), Aged, 80 and over, Incidence, Carcinoma, Ductal, Breast, Smoking, Age Factors, Middle Aged, Survival Rate, medicine.anatomical_structure, Adult, Aged, Alcohol Drinking, Chronic Disease, Diabetes Mellitus, Type 2, Diagnosis, Differential, Female, Humans, Pancreatic Neoplasms, Pancreatitis, Retrospective Studies, Sex Factors, Pancreas, Type 2, medicine.medical_specialty, Internal medicine, Pancreatic cancer, Diabetes Mellitus, Carcinoma, Survival rate, business.industry, medicine.disease, Differential, Differential diagnosis, business
Abstract

Aim: To assess whether patients with misdiagnoses of chronic pancreatitis (CP), followed at an early stage by a diagnosis of pancreatic cancer (PCr), present different epidemiological characteristics from patients suffering either from CP alone or from CP with late degeneration to PCr. Methods: We arbitrarily subdivided our patient series into three groups: (1) 12 CP who developed PCr within 4 years after onset of symptoms; (2) 12 CP developing PCr after the 4th year, and (3) 701 CP with no subsequent development of PCr. The variables studied were age, sex, drinking and smoking habits, tumor localization, and presence of intraductal calcifications and diabetes mellitus at the time of diagnosis of CP. Results: There were no significant differences between CP and ‘late’ PCr in any of the study variables considered. As compared with the CP group, the ‘early’ PCr cases were older (58.7 vs. 40.7 years; p < 0.0001), with a lower proportion of males (58 vs. 88%; p < 0.01), smaller proportions of both smokers (42 vs. 88%; p < 0.0001) and subjects drinking more than 40 g of alcohol/day (42 vs. 86%; p < 0.0001), and a greater incidence of non-insulin-dependent diabetics at the time of diagnosis of CP (25 vs. 3.7%; p < 0.012). As compared with the ‘late’ PCr group, the malignancies in the ‘early’ PCr cases were more often located in the head of the pancreas (100 vs. 50%; p < 0.01). Multivariate logistic regression analysis selected age over 50 (odds ratio OR 13.5, 95% confidence interval CI 2.79–65.5; p < 0.001), smoking habits (OR 0.14, 95% CI 0.04–0.49; p < 0.002), and non-insulin-dependent diabetes (OR 5.91, 95% CI 1.20–29.1; p < 0.028) as variables identifying subjects with ‘early’ PCr. Conclusions: A high suspicion of a pancreatic tumor is necessary when CP is diagnosed in a patient with atypical epidemiological characteristics for this condition, possibly female, aged over 50, who is not a smoker or drinker, and suffers from non-insulin-dependent diabetes.

Published
1999

36. Risk factors for post-ERCP pancreatitis in high- and low-volume centers and among expert and non-expert operators: a prospective multicenter study

Author

Testoni, Pa, Mariani, A, Giussani, A, Vailati, C, Masci, E, Macarri, G, Ghezzo, L, Familiari, L, Giardullo, N, Mutignani, M, Lombardi, G, Talamini, G, Spadaccini, A, Briglia, R, Piazzi, L, Gabbrielli, A, Casadei, A, Terruzzi, V, Golia, M, Tampieri, I, Borruto, A, Tombesi, G, and Polese, Lino

Subjects
Adult, Male, medicine.medical_specialty, Iohexol, MEDLINE, pancreatitis, Contrast Media, medicine, Humans, risk factors, Prospective Studies, Risk factor, Prospective cohort study, Diagnosis-Related Groups, Aged, Cholangiopancreatography, Endoscopic Retrograde, Chi-Square Distribution, ercp, Hepatology, business.industry, General surgery, ERCP, Pancreatitis, Gastroenterology, Middle Aged, medicine.disease, digestive system diseases, Low volume, surgical procedures, operative, Logistic Models, Multicenter study, Italy, Emergency medicine, Female, Clinical Competence, Post ercp pancreatitis, business, Chi-squared distribution
Abstract

Prospective studies have identified a number of patient- and procedure-related independent risk factors for post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis, with different conclusions, so various questions are still open. The endoscopist's expertise, case volume, and case mix can all significantly influence the outcome of ERCP procedures, but have been investigated little to date.We identified patient- and procedure-related risk factors for post-ERCP pancreatitis and the impact of the endoscopist's experience and the center's case volume, using univariate and multivariate analysis, in a multicenter, prospective study involving low- and high-volume centers, over a 6-month period.A total of 3,635 ERCP procedures were included; 2,838 (78%) ERCPs were performed in the 11 high-volume centers (median 257 each) and 797 in the 10 low-volume centers (median 45 each). Overall, 3,331 ERCPs were carried out by expert operators and 304 by less-skilled operators. There were significantly more grade 3 difficulty procedures in high-volume centers than in low-volume ones (P0.0001). Post-ERCP pancreatitis occurred in 137 patients (3.8%); the rates did not differ between high- and low-volume centers (3.9% vs. 3.1%) and expert and non-expert operators (3.8% vs. 5.5%). However, in high-volume centers, there were 25% more patients with patient- and procedure-related risk factors, and the pancreatitis rate was one-third higher among non-expert operators. Univariate analysis found a significant association with pancreatitis for history of acute pancreatitis, either non-ERCP- or ERCP-related and recurrent, young age, absence of bile duct stones, and biliary pain among patient-related risk factors, and10 attempts to cannulate the Vater's papilla, pancreatic duct cannulation, contrast injection of the pancreatic ductal system, pre-cut technique, and pancreatic sphincterotomy, among procedure-related risk factors. Multivariate analysis also showed that a history of post-ERCP pancreatitis, biliary pain,10 attempts to cannulate the Vater's papilla, main pancreatic duct cannulation, and pre-cut technique were significantly associated with the complication.A history of pancreatitis among patient-related factors, and multiple attempts at cannulation among procedure-related factors, were associated with the highest rates of post-ERCP pancreatitis. Pre-cut sphincterotomy, although identified as another significant risk factor, appeared safer when done early (fewer than 10 attempts at cannulating), compared with repeated multiple cannulation. The risk of post-ERCP pancreatitis was not associated with the case volume of either the single endoscopist or the center; however, high-volume centers treated a larger proportion of patients at high risk of pancreatitis and did a significantly greater number of difficult procedures.

Published
2010

39. RISK FACTORS OF PEPTIC ULCER IN 4943 PATIENTS

Author

Talamini, G, Tommasi, M, Amadei, V, Pajusco, B, Fratucello, A, Lechi, A, Scroccaro, G, and Vantini, Italo

Subjects
peptic ulcer, gastric ulcer, duodenal ulcer
Published
2008

41. How should we go about staging cancer in the future?

Author

C. Bassi, G. Zamboni, Iacono C., Talamini G., P. Pederzoli, FALCONI , MASSIMO, Beger, Büchler, Schoenberg, C., Bassi, Falconi, Massimo, G., Zamboni, Iacono, C., Talamini, G., and P., Pederzoli

Subjects
"pancreas", "staging", "carcinoma"
Published
1996

42. Pain relapses in the first ten years of chronic pancreatitis

Author

TALAMINI G, BASSI C, SARTORI N, DI FRANCESCO V, L. FRULLONI, VAONA B, BOVO P, VANTINI I, PEDERZOLI P, CAVALLINI G., FALCONI , MASSIMO, Talamini, G, Bassi, C, Falconi, Massimo, Sartori, N, DI FRANCESCO, V, L., Frulloni, Vaona, B, Bovo, P, Vantini, I, Pederzoli, P, and Cavallini, G.

Subjects
Adult, Adolescent, Alcohol Drinking, Smoking, Middle Aged, Abdominal Pain, Pancreatitis, Recurrence, Chronic Disease, Multivariate Analysis, Pancreatic Pseudocyst, Humans, Aged, Child, Follow-Up Studies, Prospective Studies
Published
1996

43. Intraductal mucinous papillary neoplasms and chronic pancreatitis

Author

Talamini, G., Zamboni, G., Salvia, Roberto, Capelli, P., Sartori, N., Casetti, L., Bovo, P., Vaona, B., Falconi, M., Basi, C., Scarpa, Aldo, Vantini, Italo, and Pederzoli, P.

Subjects
PANCREATIC NEOPLASMS, CHRONIC PANCREATITIS, SMAKING, PANCREATIC DISEASE, ALCOHOL, MUCNOUS TUMORS
Published
2006

46. Reference values for exaled nitric oxide (reveno) study

Author

Olivieri, Mario, Talamini, G, Corradi, M, Perbellini, Luigi, Mutti, A, Cantucci, C, and Malerba, M.

Subjects
Sex Factors, Breath Tests*/methods, Reference Values, Spirometry, Practice Guidelines as Topic, Nitric Oxide/analysis, Reproducibility of Results
Published
2006

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