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256篇 您的检索式:作者名="Cianci"
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1Management of cholelithiasis with choledocholithiasis:Endoscopic and surgical approaches显示文摘Gallstone disease and complications from gallstones are a common clinical problem.The clinical presentation ranges between being asymptomatic and recurrent attacks of biliary pain requiring elective or emergency treatment.Bile duct stones are a frequent condition associated with cholelithiasis.Amidst the total cholecystectomies performed every year for cholelithiasis,the presence of bile duct stones is 5%-15%;another small percentage of these will develop common bile duct stones after intervention.To avoid serious complications that can occur in choledocholithiasis,these stones should be removed.Unfortunately,there is no consensus on the ideal management strategy to perform such.For a long time,a direct open surgical approach to the bile duct was the only unique approach.With the advent of advanced endoscopic,radiologic,and minimally invasive surgical techniques,however,therapeutic choices have increased in number,and the management of this pathological situation has become multidisciplinary.To date,there is agreement on preoperative management and the need to treat cholelithiasis with choledocholithiasis,but a debate still exists on how to cure the two diseases at the same time.In the era of laparoscopy and miniinvasiveness,we can say that therapeutic approaches can be performed in two sessions or in one session.Comparison of these two approaches showed equivalent success rates,postoperative morbidity,stone clearance,mortality,conversion to other procedures,total surgery time,and failure rate,but the onesession treatment is characterized by a shorter hospital stay,and more cost benefits.The aim of this review article is to provide the reader with a general summary of gallbladder stone disease in association with the presence of common bile duct stones by discussing their epidemiology,clinical and diagnostic aspects,and possible treatments and their advantages and limitations.Pasquale Cianci Enrico Restini 2021World Journal of Gastroenterology2021,27,28:46
2Third-line rescue therapy for Helicobacter pylori infection显示文摘H pylori 胃的感染是世界范围的最流行的传染病之一。很上面的胃肠的疾病与 H pylori 感染有关能因此与抗菌素被对待的发现是重要医药进展。当前,首要的三倍的治疗被所有一致会议和指南基于质子泵禁止者(PPI ) 或加二抗菌素(clarithromycin 和 amoxicillin 或 nitroimidazole ) 的 ranitidine 枸橼酸铋(RBC ) 推荐。甚至与这药联合的正确使用,感染不能在多达 23% 病人被根除。因此,几第二线治疗被推荐了。7 d 四倍的治疗基于 PPI,铋,四圜素和灭滴灵,更多经常被接受。与第二线的治疗,然而,细菌的根除可以在多达 40% 盒子失败。当 H pylori 根除严格地被显示时,进一步的治疗的选择是争论的。当前,标准第三线的治疗正在缺乏,各种各样的协议被建议了。甚至在二连续失败以后,最近的文学数据证明了 H pylori 根除能在几乎所有病人被完成,甚至当抗菌素危险性没被测试时。实验治疗的不同可能性存在,可得到的第三线的策略此处被考察。Rossella Cianci Massimo Montalto Franco Pandolfi Giovan Battista Gasbarrini Giovanni Cammarota 2006World Journal of Gastroenterology2006,12,15:31
3Negative capsule endoscopy in patients with obscure gastrointestinal bleeding reliable: Recurrence of bleeding on long-term follow-up显示文摘AIM: To assess the rate of recurrent bleeding of the small bowel in patients with obscure bleeding already undergone capsule endoscopy (CE) with negative results. METHODS: We reviewed the medical records related to 696 consecutive CE performed from December 2002 to January 2011, focusing our attention on patients with recurrence of obscure bleeding and negative CE. Evaluating the patient follow-up, we analyzed the recurrence rate of obscure bleeding in patient with a negative CE. Actuarial rates of rebleeding during follow-up were calculated, and factors associated with rebleeding were assessed through an univariate and multivariate analysis. A P value of less than 0.05 was regarded as statistically significant. The sensitivity, specificity, and positive and negative predictive values (PPV and NPV) of negative CE were calculated. RESULTS: Two hundred and seven out of 696 (29.7%) CE studies resulted negative in patient with obscure/overt gastrointestinal bleeding. Overall, 489 CE (70.2%) were positive studies. The median follow-up was 24 mo (range 12-36 mo). During follow-up, recurrence of obscure bleeding was observed only in 34 out of 207 negative CE patients (16.4%); 26 out of 34 with obscure overt bleeding and 8 out of 34 with obscure occult bleeding. The younger age (< 65 years) and the onset of bleeding such as melena are independent risk factors of rebleeding after a negative CE (OR = 2.6703, 95%CI: 1.1651-6.1202, P = 0.0203; OR 4.7718, 95%CI: 1.9739-11.5350, P = 0.0005). The rebleeding rate (CE+ vs CE-) was 16.4% vs 45.1% (χ 2 test, P = 0.00001). The sensitivity, specificity, and PPV and NPV were 93.8%, 100%, 100%, 80.1%, respectively. CONCLUSION: Patients with obscure gastrointestinal bleeding and negative CE had a significantly lower rebleeding rate, and further invasive investigations can be deferred.Maria Elena Riccioni Riccardo Urgesi Rossella Cianci Gianluca Rizzo Luca D'Angelo Riccardo Marmo Guido Costamagna 2013World Journal of Gastroenterology2013,19,28:14
4冒号囊内视镜检查法: 优点,限制和期望哪个新奇?显示文摘 Since the first reports almost ten years ago, wireless capsule endoscopy has gained new f ields of application. Colon capsule endoscopy represents a new diagnostic technology for colonic exploration. Clinical trials have shown that colon capsule endoscopy is feasible, accurate and safe in patients suffering from colonic diseases and might be a valid alternative to conventional colonoscopy in selected cases such as patients refusing conventional colonoscopy or with contraindications to colonoscopy or when colonoscopy is incomplete. Despite the enthusiasm surrounding this new technique, few clinical and randomized controlled trials are to be found in the current literature, leading to heterogeneous or controversial results. Upcoming studies are needed to prove the substantial utility of colon capsule endoscopy for colon cancer screening, especially in a low prevalence of disease population, and for other indications such as inflammatory bowel disease. Possible perspectives are critically analysed and reported in this paper.Maria Elena Riccioni Riccardo Urgesi Rossella Cianci Alessandra Bizzotto Cristiano Spada Guido Costamagna 2012World Journal of Gastrointestinal Endoscopy2012,4,4:7
5Current status of device-assisted enteroscopy: Technical matters, indication, limits and complications显示文摘Enteroscopy, defined as direct visualization of the smallbowel with the use of a fiberoptic or capsule endoscopy, has progressed considerably over the past severalyears. The need for endoscopic access to improvediagnosis and treatment of small bowel disease hasled to the development of novel technologies one ofwhich is noninvasive, the video capsule, and a type of invasive technique, the deviceassisted enteroscopy.In particular, the device-assisted enteroscopy consiststhen of three different types of instruments all able toallow, in skilled hands, to display partially or throug-hout its extension (if necessary) the small intestine.Newer devices, double balloon, single balloon and spiral endoscopy, are just entering clinical use. The aim of this article is to review recent advances in small bowelenteroscopy, focusing on indications, modifications toimprove imaging and techniques, pitfalls, and clinical applications of the new instruments. With new technologies, the trials and tribulations of learning new endo-scopic skills and determining their role in the diagnosisand treatment of small bowel disease come. Identification of small bowel lesions has dramatically improved.Studies are underway to determine the best strategy toapply new enteroscopy technologies for the diagnosisand management of small bowel disease, particularly obscure bleeding. Vascular malformations such as angiectasis and small bowel neoplasms as adenocar cinomaor gas trointestinal stromal tumors. Complete entero-scopy of the small bowel is now possible. However, because of the length of the small bowel, endoscopic examination and the rapeutic maneuvers require significant skill, radiological assistance, the use of deep sedation with the assistance of the anesthetist. Prospective ran-domized studies are needed to guide diagnostic testing and the rapy with these new endoscopic techniques.Riccioni Maria Elena Urgesi Riccardo Cianci Rossella Alessandra Bizzotto Galasso Domenico Costamagna Guido 2012World Journal of Gastrointestinal Endoscopy2012,4,10:5
6Biofilm Demolition and Antibiotic Treatment to Eradicate Resistant Helicobacter pylori : A Clinical Trial显示文摘Giovanni Cammarota Giovanna Branca Fausta Ardito Maurizio Sanguinetti Gianluca Ianiro Rossella Cianci Riccardo Torelli Giovanna Masala Antonio Gasbarrini Giovanni Fadda Raffaele Landolfi Giovanni Gasbarrini 2010Clinical Gastroenterology and Hepatology2010,,9:3
7The Water Immersion Technique is Easy to Learn for Routine Use During EGD for Duodenal Villous Evaluation: A Single-Center 2-year Experience显示文摘Giovanni Cammarota Paola Cesaro Alessia Cazzato Rossella Cianci Paolo Fedeli Veronica Ojetti Maria Certo Lucia Sparano Silvia Giovannini Luigi M. Larocca Fabio M. Vecchio Giovanni Gasbarrini 2009Journal of Clinical Gastroenterology2009,,3:2
8A Controller-Based Architecture for Information Centric Network Construction and Topology management显示文摘Information-Centric Networking(ICN) has recently emerged as a result of the increased demand to access contents regardless of their location in the network services. This new approach facilitates content distribution as a service of the network with lower delay and higher security in comparison with the current IP network. Applying ICN in current IP infrastructure leads to major complexities. One approach to deploy ICN with less complexity is to integrate ICN with Software Defined Networking(SDN). The SDN controller manages the content distribution, caching, and routing based on the users' requests. In this paper, we extend these context by addressing the ICN topology management problem over the SDN network to achieve an improved user experience as well as network performance. In particular, a centralized controller is designed to construct and manage the ICN overlay. Experimental results indicate that this adopted topology management strategy achieves high performance, in terms of low failure in interest satisfaction and reduced download time compared to a plain ICN.Zeinab Zali Massoud Reza Hashemi Ilaria Cianci Alfredo Grieco Gennaro Boggia 2018China Communications2018,15,7:2
9First Financial Restructuring and operating efficiency: Evidence from Taiwanese commercial banks显示文摘Hsing-Chin Hsiao Hsihui Chang Anna M. Cianci Li-Hua Huang 2010Journal of Banking and Finance2010,,7:2
10Obscure and occult gastrointestinal bleeding: comparison of different imaging modalities显示文摘Antonella Filippone Roberta Cianci Angelo Milano Erika Pace Matteo Neri Antonio Raffaele Cotroneo 2012Abdominal Imaging2012,,1:2
11Four-section mu-ltidetector computed tamograph-ic in aging of bowel obstructi-on usefulness of axial and co-ronalplane combined reading显示文摘Filippone A Cianci R Grasse-donio E 2007J Comput Assist Tomogr2007,31,2:1
12Effects of exercise traning on left ventricular filling at rest and during exercise in patitnes with ischemic cardimyopathy and severe left ventricular systolic dysfunction显示文摘Belardinelli R Georgiou D Cianci G 1996Am Heart J1996,132,1:1
13Ovarian cancer:optimal chemotherapy in relapsed disease显示文摘Conte PF Cianci L Tanganelli L 2000Ann Oncol2000,16,:1
14Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity,quality of life,and clinical outcome显示文摘Belardinelli R Georgion D Cianci G 1999Circulation1999,99,9:1
15A phase II study of cetuximab/irinotecan in patients with heavily pretreated metastatic colorectal cancer: predictive value of early specific toxicities 显示文摘Gamucci T Nelli F Cianci G 2008Clin Colorectal Cancer2008,7,4:1
16Helicobacter pylori infection: is sequential therapy superior to standard triple therapy Asingle-centre Italian study in treatment- naiveand non- treatment-naive patients 显示文摘Urgesi R Pelecca G Cianci R 2011Can J Gas- troentero12011,25,6:1
17Plasma adrenomedullin concentrations in patiests with renovascular or malignant hypertension显示文摘Caliumi C Cianci R Celi M 2004Minerva Cardioangiol2004,52,4:1
18Brain and muscle express a unique alternative transcript of alpha Ⅱ spectrin 显示文摘Cianci CD Zhang Z Pradhan D 1999Biochemistry1999,38,15:1
19Oral efficacy of respiratory syncytial virus inhibitor in rodent models of infection 显示文摘Cianci C Genovesi EV lamb L 2004Antimicrob Agents Chemother2004,48,7:1
2010-year exercise training in chronic heart failure:a randomized controlled trial显示文摘BELARDINELLI R GEORGIOU D CIANCI G 2012J Am Coll Cardiol2012,60,16:1
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