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[Primary esophageal motility disorders: medical treatment]. 【原发性食管运动障碍:药物治疗】。
Minerva dietologica e gastroenterologica Pub Date : 1990-07-01
V Annese, J Janssens, G Vantrappen
{"title":"[Primary esophageal motility disorders: medical treatment].","authors":"V Annese,&nbsp;J Janssens,&nbsp;G Vantrappen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Primary esophageal motility disorders consist of a complex group of motor disturbances, affecting the characteristics of esophageal contractions, occurrence of peristalsis and lower esophageal sphincter function. The medical treatment is still challenging because of the absence, except for Achalasia, of generally agreed criteria for diagnosis and the still unresolved relationship between esophageal symptoms and some motor abnormalities. In Achalasia, the medical therapy does not constitute a main role and should be reserved to selected conditions. Current medical therapies for Diffuse Esophageal Spasm and Esophageal Chest Pain are often considered less than satisfactory, however, a better physiopathological knowledge of these conditions might produce a more appropriate therapeutic management of the patients with continual and disabling symptoms.</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 3","pages":"145-55"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13431618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Prognosis of colorectal tumors in patients with synchronous polyps]. 【同时性息肉患者结直肠肿瘤的预后分析】。
Minerva dietologica e gastroenterologica Pub Date : 1990-07-01
F De Francesco, M Picciotto, A D'Aquino, V Pitini, M Mesiti
{"title":"[Prognosis of colorectal tumors in patients with synchronous polyps].","authors":"F De Francesco,&nbsp;M Picciotto,&nbsp;A D'Aquino,&nbsp;V Pitini,&nbsp;M Mesiti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A retrospective study was carried out in 110 patients who underwent colon resection for cancer of the colon-rectum. Polypoid formation reappeared in 10 (21.5%) patients in whom synchronous polyps were found around carcinoma during initial staging; during the follow-up polyps were only found in 3% of patients in whom synchronous polyps had not been documented. A similar ratio was found in the incidence of neoplastic recurrences which was greater (14%) in patients with synchronous polyps. This incidence was higher in cases with multiple polyps and/or polyps larger than 2 cm in size, and in relation to their histological type. The authors suggest that a more comprehensive operation, for example subtotal colectomy, should be performed in patients at greater risk to develop a second primary carcinoma, and/or that a particularly careful post-operative follow-up should be carried out in these patients.</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 3","pages":"157-9"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13431620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Scintigraphic diagnosis of Meckel's diverticulum using Tc-99m-pertechnetate]. [Tc-99m-pertechnetate显像诊断Meckel憩室]。
Minerva dietologica e gastroenterologica Pub Date : 1990-07-01
V Valenza, M Salvatori, A Calisti, C Manzoni, C Focacci
{"title":"[Scintigraphic diagnosis of Meckel's diverticulum using Tc-99m-pertechnetate].","authors":"V Valenza,&nbsp;M Salvatori,&nbsp;A Calisti,&nbsp;C Manzoni,&nbsp;C Focacci","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Meckel's diverticulum (MD) is a well-known cause of lower gastrointestinal hemorrhage, particularly in the pediatric age group. The radionuclide 99mTc-pertechnetate has been found useful in visualizing MD which contain gastric mucosa. This test is predicated of the affinity of the isotope for the parietal cells of the gastric glands. In an attempt to evaluate the sensibility and specificity of pertechnetate, the clinical data and scintigrams of 27 patients with suspected MD were reviewed. The scintigram correctly identified MD before operation in 6 of 7 patients. The false negative study occurred in a MD without gastric mucosa.</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 3","pages":"139-43"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13331138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[500 days of somatostatin treatment]. [500天生长抑素治疗]。
Minerva dietologica e gastroenterologica Pub Date : 1990-07-01
U Fiora
{"title":"[500 days of somatostatin treatment].","authors":"U Fiora","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A group of 11 patients received somatostatin for a minimum period of 30 days. Patients affected by pancreatic fistulae following either chronic and acute pancreatitis of surgery were admitted to the study. Other published reports are not explicit about the possible side-effects of such a long period of full-dose therapy (lasting at least twice the recommended cycle). In this case, having been forced to continue therapy, no significant side-effects were observed and the therapy retained its effectiveness and tolerability up to the end of the study.</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 3","pages":"171-6"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13137967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Chronic generalized skin diseases caused by food intolerance to nickel salts]. [食物对镍盐不耐受引起的慢性全身性皮肤病]。
Minerva dietologica e gastroenterologica Pub Date : 1990-07-01
A Antico, R Soana, R Baioni, L Clivio
{"title":"[Chronic generalized skin diseases caused by food intolerance to nickel salts].","authors":"A Antico,&nbsp;R Soana,&nbsp;R Baioni,&nbsp;L Clivio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A group of patients with a patch-test positive to nickel sulphate, was selected within a population suffering from pseudo-allergic chronic cutaneous manifestations. On the ground of the results of dietary restriction and oral challenge, the Authors reach the conclusion that the intolerance to nickel salts is to be considered in these patients the mayor factor in the development of skin disorders.</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 3","pages":"165-70"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13431623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Criteria of diagnostic evaluation and results of surgical treatment in chronic pancreatitis]. [慢性胰腺炎的诊断、评价标准及手术治疗结果]。
Minerva dietologica e gastroenterologica Pub Date : 1990-07-01
P Purri, A Finizio, R Pisani, R Ciancio, M D'Antonio, I Carbone, P Frongillo
{"title":"[Criteria of diagnostic evaluation and results of surgical treatment in chronic pancreatitis].","authors":"P Purri,&nbsp;A Finizio,&nbsp;R Pisani,&nbsp;R Ciancio,&nbsp;M D'Antonio,&nbsp;I Carbone,&nbsp;P Frongillo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Correct diagnostic evaluation of chronic pancreatitis pictures must of necessity be directed to recognition of recurrent and stable forms and identification of the pathogenetic cause of the clinical forms. This objective seems to be achieved more than satisfactions by the diagnostic protocol employed personally, the first stages of which include X-ray of the abdomen for the identification of possible pancreatic calcification, ultrasonography and computed axial tomography for the analysis of organ's morphology and structure, intestinal absorption and pharmacodynamic tests of the papillary excretory complex for the evaluation of functional state of the pancreas. At a second time, this diagnostic protocol includes endoscopic pancreatography for the analysis of the excretory duct and identification of possible calcareous concretions in its lumen, and district angiography, for information on the extreme viscero-vascular implications and the possibility of coexistence of district portal hypertension pictures. The resulting information dominates therapeutic choices by indicating the usefulness of performing a papillo-sphincteroplasty to handle the biliary aetiology in recurrent forms and Wirsung septoplasty for ductal ostial stenoses. The choice of shunts and resections is confirmed to the stable forms, with the use of the former in the event of ductal dilatation and of the latter in the absence of this and in the presence of more or less marked gland fibrosis. Derivative procedures also control treatment of chronic post-pancreatitis pseudocyst, with a clear-cut prevalence of cysto-gastric shunts over all the other possibilities.(ABSTRACT TRUNCATED AT 250 WORDS)</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 3","pages":"161-4"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13431625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Campylobacter pylori (C. pylori): an occasional finding or a constant pathogenetic factor in peptic and inflammatory gastroduodenal pathology? Personal observations]. 幽门螺旋弯曲杆菌(C. pylori):消化性和炎性胃十二指肠病理中的偶然发现还是恒定的致病因素?个人观察)。
Minerva dietologica e gastroenterologica Pub Date : 1990-07-01
A Licata, P Naso, G Bartoloni, G Bonanno, G Di Gaetano, N Torcetta
{"title":"[Campylobacter pylori (C. pylori): an occasional finding or a constant pathogenetic factor in peptic and inflammatory gastroduodenal pathology? Personal observations].","authors":"A Licata,&nbsp;P Naso,&nbsp;G Bartoloni,&nbsp;G Bonanno,&nbsp;G Di Gaetano,&nbsp;N Torcetta","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The detection of CP in the mucosa of the gastric antrum had led to the supposition of this bacterium's potential pathogenetic role in the onset and continuation of peptic ulcer and/or inflammatory gastroduodenal disease. After reviewing the literature, the Authors report the incidence rate of the presence of C.P. in the mucosa of the gastric antrum in 110 symptomatic patients. Endoscopic examination revealed a negative diagnosis, or the presence of gastric and/or duodenal ulcer, or aspecific inflammatory disease. C.P. was detected using the quick urea test and histomorphological analysis after modified Giemsa staining on bioptic endoscopic specimens. C.P. were present in 86.6% of duodenal ulcers, 94.8% of gastro-duodenal inflammation, and 29.4% of endoscopical normal patients. These results confirm that C.P. should not be considered an occasional finding but almost a constant factors. The importance of performing the quick urea test during endoscopic examination is underlined, since if positive an appropriate therapeutic protocol can be started as soon as possible.</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 3","pages":"133-7"},"PeriodicalIF":0.0,"publicationDate":"1990-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13431617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Gallbladder carcinoma. The clinical and echographic aspects in 3 cases]. (胆囊癌。临床及超声检查3例]。
Minerva dietologica e gastroenterologica Pub Date : 1990-04-01
M Mengoli, F Pupelli, M Marchi, W Burgazzi
{"title":"[Gallbladder carcinoma. The clinical and echographic aspects in 3 cases].","authors":"M Mengoli,&nbsp;F Pupelli,&nbsp;M Marchi,&nbsp;W Burgazzi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Gallbladder carcinoma is difficult to diagnose in its early stage due to the nonspecificity of various characteristics. The authors describe 3 cases of gallbladder carcinoma. Diagnostic utility of ultrasonography in primary carcinoma of the gallbladder and diagnostic problems in the differentiation from inflammatory diseases are reported.</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 2","pages":"113-7"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13399317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A comparative evaluation of computerized diagnostic decisional support in gastroenterology in relation to typical clinical pictures]. [胃肠病学计算机诊断决策支持与典型临床影像的比较评价]。
Minerva dietologica e gastroenterologica Pub Date : 1990-04-01
G P Mortola, G Arnulfo, G Pitto, L Spiga, M R Sarcona
{"title":"[A comparative evaluation of computerized diagnostic decisional support in gastroenterology in relation to typical clinical pictures].","authors":"G P Mortola,&nbsp;G Arnulfo,&nbsp;G Pitto,&nbsp;L Spiga,&nbsp;M R Sarcona","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>On the basis of the results obtained in a previous perspective comparative study aimed to compare the diagnostic accuracy of a computerized diagnostic decisional support in gastroenterology with that of non-specialist physicians, the Authors have carried out a retrospective study, based on the same series and on the same results, but disaggregating the global comparisons according to the feature of the clinical presentations. The latter were therefore classified by independent gastroenterologists as \"typical\", \"atypical\", or \"borderline\", and for each group the difference of diagnostic accuracy between program and physicians was again evaluated. Even if the program proved more accurate in all groups, the greatest difference was observed in the \"borderline\" group which the Authors claim to include the kind of presentation which more than any other needs a decisional aid. This should suggest a possible useful implementation of the system in daily clinical practice.</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 2","pages":"83-6"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13399324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[A gastric leiomyoma of conspicuous size. A case report]. [显著大小的胃平滑肌瘤][病例报告]。
Minerva dietologica e gastroenterologica Pub Date : 1990-04-01
A Boccardi, F Spalluto, M Del Piano, P Occhipinti, F Montino, V Bergamaschi
{"title":"[A gastric leiomyoma of conspicuous size. A case report].","authors":"A Boccardi,&nbsp;F Spalluto,&nbsp;M Del Piano,&nbsp;P Occhipinti,&nbsp;F Montino,&nbsp;V Bergamaschi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The authors describe a large gastric leiomyoma with prevailing subserous growth. Conventional X-ray examination and endoscopy failed to diagnose the lesion properly. On the contrary, with CT it was possible to hypothesize the existence of leiomyoma with the correct definition of the outline of the lesion.</p>","PeriodicalId":18687,"journal":{"name":"Minerva dietologica e gastroenterologica","volume":"36 2","pages":"119-21"},"PeriodicalIF":0.0,"publicationDate":"1990-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13399322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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