80 research outputs found
Severe hemorrhagic complications in pancreatitis.
No full textSevere bleeding may complicate the course of either acute or chronic pancreatitis, the latter being more frequently involved. Pseudocysts, severe inflammation, regional necrosis and infection may cause major vessel erosion with or without pseudoaneurysm formation which eventually may result in severe bleeding into the gastrointestinal tract, retroperitoneum and peritoneal cavity. The AA report their experience on 8 cases and analyze the data of a comprehensive review of 389 cases of massive bleeding reported in the literature during the last 100 years until December 1993. Mortality rate seems to be related to the etiology of the bleeding along with its localization and the underlying anatomo-pathologic findings. In patients with chronic pancreatitis it is 22% while in patients with acute pancreatitis or chronic pancreatitis with acute exacerbation it is 60.4% and 57.1% respectively. Splenic, gastroduodenal and superior pancreaticoduodenal arteries are the most commonly involved vessels being associated respectively with a mortality rate of 20.5%, 27.9% and 46.1%. Massive haemorrhage complicating infected necrosis or abscesses implies a worse prognosis when compared to severe bleeding associated with pseudocyst with or without pseudoaneurysm. The increasing use of diagnostic and interventional radiology appears to be the way forward to improve survival rates. Awareness of high risk predisposing condition, activism in achieving an early identification of the bleeding sources, and eventually its angiographic control are essential guidelines for successful approach to the most unpredictable complication of pancreatitis. When embolization fails or is followed by recurrence of hemorrhage, definitive surgical procedures should be immediately instituted
Surgery of pancreatitis and massive bleeding complications. Risk factors, diagnostic and therapeutic guidelines.
No full textTrattamento delle complicanze emorragiche delle pancreatiti. Esperienza personale e revisione della letteratura.
No full textCorrection to: RarERN Path: a methodology towards the optimisation of patients’ care pathways in rare and complex diseases developed within the European Reference Networks (Orphanet Journal of Rare Diseases, (2020), 15, 1, (347), 10.1186/s13023-020-01631-1)
No full textFollowing the publication of the original article [1] we were informed that the authors’ given and family names had unfortunately been interchanged. The correct author names are shown here below: Rosaria Talarico, Sara Cannizzo, Valentina Lorenzoni, Diana Marinello, Ilaria Palla, Salvatore Pirri, Simone Ticciati, Leopoldo Trieste, Isotta Triulzi, Enrique Terol, Anna Bucher and Giuseppe Turchetti. The author names have been corrected in the author list of this Correction and updated in the original article
Is intraoperative ultrasonography useful in pancreatic cancer surgery?
No full textPreoperative staging of pancreatic cancer represents a major challenge for a suitable surgical management of the disease. In a consistent number of patients laparotomy is still necessary in order to decide whether the tumor is resectable or not. In the present paper the Authors report their experience with intraoperative ultrasonography (IOU) in evaluating pancreatic cancer resectability. Very important data for intraoperative decision making were obtained in 37.9% of the patients, useful information in 31%, while in 31% IOU may be looked forward to as an important aid in decision making and for a safely guided dissection
Anatomo-histologic and functional study after reconstruction of choledochus with arterial and venous graft.
No full text
From James Joyce to Katherine Mansfield: Epiphanic Poetics and Writing of the Self
No full textWith the term and notion of epiphany Joyce created not only what was to become a fundamental tool for the interpretation of his own work. He gave a name to – thus contributing to make visible – an issue which, to a large extent, characterised all modernist poetics and which determined the restless formal experimentation of the period. In this essay, I analyse some aspects of Katherine Mansfield’s reflection on the epiphanic moment, which she calls “glimpse”. My aim is twofold: on the one hand, I wish to highlight the original stance of this major and highly innovative author, whose deep theoretical awareness has long been undervalued; on the other hand, I intend to provide material for further critical investigation on the affinity and difference between Mansfield and Joyce on the notion of epiphany, thereby contributing to the general critical debate on the aesthetics which developed during the first decades of the twentieth century
Pancreatic abscess and massive intraoperative bleeding due to erosion of the splenic artery.
No full textauthors report a case of massive intraoperative bleeding complicating a post-pancreatic abscess. Hemorrhage was due to erosion of the splenic artery, which eventually ruptured within the abscess cavity, immediately after incising its wall. Left pancreatic resection was performed, the postoperative recovery was uneventful and the patient was found to be in good health at a 6-month follow-up. The most important etiopathogenic and clinical features of this rare but dramatic complication of pancreatitis are discussed on the basis of the authors’ personal experience and a recent literature review of 277 cases
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