1,721,002 research outputs found
Réfugiés politiques et diplomates pour l'institution d'une République sarde sous la protection de la France (1796-1800)
No full textFrancioni Federico. Réfugiés politiques et diplomates pour l'institution d'une République sarde sous la protection de la France (1796-1800). In: Cahiers de la Méditerranée, n°57, 1, 1998. Bonaparte, les îles méditerranéennes et l'appel de l'Orient [Actes du Colloque d'Ajaccio 29-30 Mai 1998] pp. 101-124
Un'economia finalmente riconciliata con la natura. Importanti Indicazioni da un convegno per ricordare Vincenzo Migaleddu
No full textIn questo articolo si sostiene l'importanza di un'econonia non lineare e prometeica, basata sull'asseogettamento della natura, ma che sia di tipo "circolare" e che cerchi di restituire alla natura quello che che le è stato sottratto dalla "civiltà": questo il messaggio di Vandana Shiva, fisica e femminista indiana. I contenuti del suo insegnamento sono stati proposti in Sardegna dal medico ambientalista Vincenzo Migaleddu (ISDE - International Society Doctors for Environment), al quale si deve un'accurata geografia dei luoghi innquinati in Sardegna. A partire da un convegno a lui dedicato i due autori propongono alcune riflessioni e rilanciano la necessità di una visione progettuale dello sviluppo circolare in Sardegna
Nonsymptomatic tracheocele-like sac after tracheoesophageal fistula repair.
No full textDiagnosis of a symptomatic tracheal pouch by means of bronchoscopy after repair of a tracheoesophageal fistula
Complete endoscopic closure (clipping) of a large esophageal perforation after pneumatic dilation in a patient with achalasia
Full text link05/03/14meb. Publisher PDF, OK to add.The risk of esophageal perforation following endoscopic balloon dilation for achalasia is in the range of 1 and 5% with a mortality rate of 1-20%. Perforations need to be recognized early and, if reasonable, an immediate endoscopic repair should be pursued quickly. Herein, we report a case of successful endoscopic closure by clipping of a large iatrogenic perforation in a patient with achalasia.
An 80-year-old woman with achalasia was admitted to our institution to undergo pneumatic dilation. A 40-mm balloon dilator with inflation pressure of 20 PSI was used for 2 minutes as usual. During the procedure, the patient had a transient bradycardia. Endoscopic control showed a 2-cm rupture of the distal esophagus. Prompt endoscopic repair of the perforation by endoclips (n=6) was then attempted, followed by conservative management by total parenteral nutrition and intravenous antibiotics.
Endoscopic clipping closed completely the esophageal perforation. The patient was given oral nutrition 10 days later without any complications. Six months after the discharge, the patient was healthy and free of dysphagia. Endoscopy showed complete healing of the esophageal mucosa without luminal stenosis.
This report highlights that prompt endoscopic clipping is a useful means to close a large esophageal perforation caused by pneumatic dilation
Magnetic resonance-fluoroscopy as long-term follow-up examination in patients with narrow gastric tube reconstruction after radical esophagectomy
No full textObjective: To evaluate the functionality and morphology of neo-esophagus in subjects who underwent narrow gastric tube (NGT) reconstruction after total esophagectomy using magnetic resonance (MR)-fluoroscopy with Turbo-FLASH sequences acquired during positive oral contrast agent administration. Methods and materials: Ten patients, who underwent NGT reconstruction after total esophagectomy between 2002 and 2004, were studied using a 1.5 T magnet (Magnetom Avanto: Siemens, Erlangen, Germany, featuring total imaging matrix-TIM (R) technology), equipped with surface phased-array and integrated spine coils. Imaging protocol included TRUFI and Turbo-FLASH sequences (TR = 600 ms; TE = 1.3 ms; Flip Angle 8 degrees; Thickness 20 mm; FoV 350; Matrix 128 x 256; N. acquisition 120; TA = 50 s) acquired on sagittal. and axial planes to achieve motility evaluation during oral administration of positive contrast agent (yoghurt + Gd-DTPA 0.5 M, 1:100 boluses). Results: Good quality images were obtained in all patients, with adequate lumen contrast and a frame rate of 2.5 frames per second (fps). Three patients had completely re-established motility of NGT, six patients had mild to moderate alterations including raised transit time, reflux and contrast agent stasis; one patient had severe alterations with grossly dilated NGT, severe reflux and stasis. Conclusions: MR-fluoroscopy approach represents a promising radiation-free modality in the evaluation of functionality and morphology of NGT Further investigation in the evaluation of post-surgery patients is necessary. (c) 2006 Elsevier B.V. All rights reserved
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