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| 1 | Early endoscopic ultrasonography in acute biliary pancreatitis: A prospective pilot study显示文摘AIM: To investigate the clinical usefulness of early endoscopic ultrasonography(EUS) in the management of acute biliary pancreatitis(ABP).METHODS: All consecutive patients entering the emergency department between January 2010 and December 2012 due to acute abdominal pain and showing biochemical and/or radiological findings consistent with possible ABP were prospectively enrolled. Patients were classified as having a low,moderate,or high probability of common bile duct(CBD) stones,according to the established risk stratification. Exclusion criteria were: gastrectomy or patient in whom the cause of biliary obstruction was already identified by ultrasonography. All enrolled patients underwent EUS within 48 h of their admission. Endoscopic retrograde cholangiopancreatography was performed immediately after EUS only in those cases with proven CBD stones or sludge. The following parameters were investigated:(1) clinical: age,sex,fever;(2) radiological: dilated CBD; and(3) biochemical: bilirubin,AST,ALT,g GT,ALP,amylase,lipasis,PCR. Association between presence of CBD stone at EUS and the individual predictors wereassessed by univariate logistic regression. Predictors significantly associated with CBD stones(P < 0.05) were entered in a multivariate logistic regression model.RESULTS: A total of 181 patients with pancreatitis were admitted to the emergency department between January 2010 and December 2012. After exclusion criteria a total of 71 patients(38 females,53.5%,mean age 58 ± 20.12 years,range 27-89 years; 33 males,46.5%,mean age 65 ± 11.86 years,range 41-91 years) were included in the present study. The probability of CBD stones was considered low in 21 cases(29%),moderate in 26(37%),and high in the remaining 24(34%). The 71 patients included in the study underwent EUS,which allowed for a complete evaluation of the target sites in all the cases. The procedure was completed in a mean time of 14.7 min(range 9-34 min),without any notable complications.The overall CBD stone frequency was 44%(31 of 71),with a significant increase from the group at low pretest probability to that at moderate(OR = 5.79,P = 0.01) and high(OR = 4.25,P = 0.03) pretest probability.CONCLUSION: Early EUS in ABP allows,if appropriate,immediate endoscopic treatment and significant spare of unnecessary operative procedures thus reducing possible related complications. | Andrea Anderloni Marianna Galeazzi Marco Ballarè Michela Pagliarulo Marco Orsello Mario Del Piano Alessandro Repic | 2015 | World Journal of Gastroenterology2015,21,36: | 14 |
| 2 | desulfurization processes for puel cells systems 显示文摘 | Hemandez S Solarino L Orsello G eta | 2008 | Int J Hydrogen Ener- gy2008,33,: | 1 |
| 3 | Desulfurization processes for fuel cells systems显示文摘 | Hernáindez S Solarino L Orsello G | 2008 | International Journal of Hydrogen Energy2008,33,12: | 1 |
| 4 | Height and in-flight low back pain association among military helicopter pi- lots 显示文摘 | Orsello CA Phillips AS Rice GM | 2013 | Aviat Space Environ Med2013,84,1: | 1 |
| 5 | Probiotics: from research to consumer显示文摘 | M. Del Piano L. Morelli G.P. Strozzi S. Allesina M. Barba F. Deidda P. Lorenzini M. Ballaré F. Montino M. Orsello M. Sartori E. Garello S. Carmagnola M. Pagliarulo L. Capurso | 2006 | Digestive and Liver Disease2006,,: | 1 |
| 6 | Desulfurization processes for fuel cells systems 显示文摘 | HERNANDEZ S SOLARINO L ORSELLO G | 2008 | In- ternational Journal of Hydrogen Energy2008,33,12: | 1 |
| 7 | Height and in-flight low back pain association among military helicopter pilots显示文摘 | Orsello CA Phillips AS Rice GM | 2013 | Aviat Space Environ Med2013,84,: | 1 |
| 8 | Desulfurization processes for fuel cells systems 显示文摘 | Hern&ndez S Solarino L Orsello G | 2008 | International Journal of Hydrogen Energy2008,33,: | 1 |
| 9 | Height and in-flight low back pain association among military helicopter pilots显示文摘 | Orsello CA Phillips AS Rice GM | 2013 | Aviat Space Environ Med2013,84,1: | 1 |
| 10 | Desulfurization processes for fuel cells systems 显示文摘 | Hemndez S Solarino L Orsello G | 2008 | Int J Hydrogen Energy2008,33,12: | 1 |
| 11 | Height and in-flight low back pain association among military helicopter pilots显示文摘 | Orsello CA Phillips AS Rice GM | 2013 | Aviat Space Environ Med2013,84,1: | 1 |
| 12 | Novel endoscopic over-the-scope clip system显示文摘This paper reports our experience with a new overthe-scope clip in the setting of recurrent bleeding and oesophageal fistula. We treated five patients with the over-the-scope Padlock Clip?. It is a nitinol ring, with six inner needles preassembled on an applicator cap, thumb press displaced by the Lock-It? delivery system. The trigger wire is located alongside the shaft of the endoscope, and does not require the working channel. Three patients had recurrent bleeding lesions(bleeding rectal ulcer, post polypectomy delayed bleeding and duodenal Dieulafoy's lesion) and two patients had a persistent respiratory-esophageal fistula. In all patients a previous endoscopic attempt with standard techniques had been useless. All procedures were conducted under conscious sedation but for one patient that required general anaesthesia due to multiple comorbidities. We used one Padlock Clip? for each patient in a single session. Simple suction was enough in all of our patients to obtain tissue adhesion to the instrument tip. A remarkably short application time was recorded for all cases(mean duration of the procedure: 8 min). We obtained technical and immediate clinical success for every patient. No major immediate, early or late(within 24 h, 7 d or 4 wk) adverse events were observed, over follow-up durations lasting a mean of 109.4 d. One patient, treated for duodenal bulb bleeding from a Dieulafoy's lesion, developed signs of mild pancreatitis 24 h after the procedure. The new over-the-scope Padlock Clip? seems to be simple to use and effective in different clinical settings, particularly in 'difficult' scenarios, like recurrent bleeding and respiratory-oesophageal fistulas. | Elia Armellini Stefano Francesco Crinò Marco Orsello Marco Ballarè Roberto Tari Silvia Saettone Franco Montino Pietro Occhipinti | 2015 | World Journal of Gastroenterology2015,21,48: | 1 |
| 13 | Blends of biodegradable polyesters by reactive blending:Preparation,characterization and properties显示文摘 | Immirzi B Malinconico M Orsello G | 1999 | Journal of Materials Science1999,34,7: | 1 |
| 14 | Molecular properties in cell adhesion: A physical and engineering perspective显示文摘 | Orsello CE Lauffenburger DA Hammer DA | 2001 | Trends Biotechnol2001,19,8: | 1 |
| 15 | Desulfurization processes for fuel cells systems 显示文摘 | HERNANDEZ S SOLARIN L ORSELLO G RUSSO N FINO D SARACCO G SPECCHIA V | 2008 | lnt J Hydrogen Energy2008,33,12: | 1 |
| 16 | Desulfurization processes for fuel cell systems显示文摘 | HERNdNDEZ S SOLARINO L ORSELLO G RUSSO N FINO D SARACCO G SPECCHIA V | 2008 | Int J Hydrogen Energy2008,33,12: | 1 |
| 17 | Prospective evaluation of early endoscopic ultrasonography for triage in suspected choledocholithiasis: Results from a large single centre series显示文摘 | Andrea Anderloni Marco Ballarè Michela Pagliarulo Dario Conte Marianna Galeazzi Marco Orsello Silvano Andorno Mario Del Piano | 2013 | Digestive and Liver Disease2013,,: | 1 |
| 18 | Height and in-flight low back pain association among military helicopter pilots显示文摘 | Orsello CA Phillips AS Rice GM | 2013 | Aviat Space Environ Med2013,8,4: | 1 |