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Biomedical subjects

G Gandini

Publications and source records attributed to G Gandini.

At least 145 records · Page 8Linked to original sources

[Percutaneous correction of benign stenosis of the bile ducts and biliary-digestive anastomosis. Percutaneous transhepatic biliplasty].

The authors describe their experience in nine cases of transhepatic percutaneous dilatation of bile ducts benign stenosis by a Gruntzig catheter inflated at the stenotic level in order to stretch the sclerotic lesion. Despite the brief follow-up, the first results are satisfying; for this reason percutaneous dilatation of bile ducts benign stenosis could be a new procedure in the treatment of these lesions in selected cases.

Adult↗

[Transcutaneous chemical cholelitholysis with methyl tert-butyl ether (MTBE). lst results in man].

Three patients have been treated, with instillation of MTBE through a transcutaneous biliary drainage after transduodenal sphincterotomy. The first had gallbladder stones, the second common bile duct stones and the last intrahepatic stones (V segment). While in the first case there has been only a partial success in the other two we have obtained a total dissolution of the stones, with complete clinical recovery. This treatment has not caused immediate side effects but the absence of long term damage has not yet been proven. We think that the use of MTBE is not indicated in gallbladder stone disease. Its major indication is the dissolution of ductal gallstones when transduodenal sphincterotomy and endoscopic removal of the stones have failed.

Adult↗

[Use of the one-stick introducer system set in the pyelostomy as a 1st stage of pyelo-uretero-lithotripsy (PUL)].

In the last few years there has been an increasing diffusion of endoscopic percutaneous trans-lumbar lithotripsy as a treatment for kidney stones. This technique requires an adequate pyelostomic approach. The authors at this purpose suggest the utilisation of the "One Stick Introducer System Set", that has been created for the biliary tree catheterism as this set is easy to use and rarely traumatic for the patient.

Catheterization↗

[Description of a case of Zollinger-Ellison syndrome].

A case of Zollinger-Ellison syndrome with some peculiar aspects is described. The disease started with painless dyspepsia, watery diarrhea, relevant loss of body weight and absence of peptic ulcer. After a steroid treatment performed at home without any rationale, diarrhea stopped totally for 18 months and body weight returned to normal. Subsequently, the disease recurred with more typical clinical characters: juxtapyloric ulcer, increase in serum gastrin levels and positive secretin test, presence of gastrinomas at angiography. The monitoring of gastric pH showed a persistent hyperacidity during medical treatment with H2 and muscarinic antagonists. The localization of gastrinomas was extrapancreatic, at the root of jejunal mesentery. Excellent results were obtained by surgical treatment which consisted in resection of the principal neoplastic masses with total gastrectomy. The patient's general conditions after two years are good.

Benzodiazepinones↗

[Tomodensitometric evaluation of retroperitoneal damage caused by translumbar aortography].

23 patients were scanned over the abdomen following translumbar aortography. Retroperitoneal bleeding was smaller than expected and never serious for the patients. The use of computed tomography is considered helpful in the follow-up of patients after translumbar aortography; however it must be restricted only to patients with a previous difficult or traumatic procedure.

Adult↗

[Sequential endovenous angiourography (AUS) with image subtraction for the study of the arterial phase of urography. Comparison with nephroangiotomography (NAT)].

Two urographical techniques employed in the endovenous study of renal arteries are compared. They are nephroangiotomography (NAT) using synchroplan and sequential angiourography (SAV) with image subtraction. 64 patients were studied, 32 with NAT and 32 with AVS. Both techniques were shown to be useful, but AVS through infrequently used was cleary more efficient than Nat in the study of the vascular arterial phase.

Adult↗

[Instrumental follow-up of patients treated by internal biliary drainage].

The various radiological techniques available for the long-term follow-up of patients given definitive percutaneous trans-hepatic biliary implants (DTBI) are evaluated on the basis of personal experience. After a rapid examination of the available technics it is concluded that direct X-ray, echotomography and sequential hepatobiliary scintigraphy are more than sufficient for an accurate follow-up of the disease in such patients.

Cholangiopancreatography, Endoscopic Retrograde↗

[Proposal of an echotomographic method of guided portal catheterization].

To identify the frontal plane on which to find the right branch of the portal vein in 33 patients who underwent transhepatic percutaneous portography, we used a real-time ultrasonic scanner improved with an original device conceived for this specific need. The suggested method reduced the number of the ineffectual punctures of the liver, allowing in nearly all cases the cannulation of the right branch on the first attempts.

Adult↗

[Acupuncture in breast diseases. How, when and why].

We can value the therapeutic result reached by acupuncture in 43 female patients suffering from mastodinies, compared with other similar groups treated with antinflammatories and polyvitaminics. Before and after treatment every patient went through a complete--clinical--instrumental examination in which we also valued with telethermography the condition of mastosic vascular congestion. Positive considerations are made about the therapeutic validity of acupunture that has reached the highest percentage of success (over 95%) in comparison with other traditional methods, and patients really appreciated that. We nevertheless emphasize the need of always associating a correct, objective and instrumental study before starting any mastalgies therapy, to exclude coexistence of a sort of productive or surgical pathology.

Acupuncture Therapy↗

[Galactography: an indispensable diagnostic supplement in the study of the secreting breast. Evaluation in 132 cases].

Personal experience with 132 galactographic examinations carried out on all types of breast secretion is reported, in 7 patients in the absence of secretion. Radiology showed 38 endoductal productive lesions which did not always reveal themselves with loss of blood from the nipple. Features of the ductal lesions in relation to the type of secretion are compared. No complications connected to the examination were ever encountered even in cases in which the contrast medium spread.

Adult↗

[Telethermography of the soles of the feet. Theory in relation to muscle tension of the back].

The Authors take into consideration the telethermography of the soles of the feet in fifty-four patients suffering from troubles of the rachis and document the thermic asymmetries of the foot at rest: a static and dynamic load. We can find the above mentioned asymmetries also in patients with normal feet and traditional and normal podographies. If we assume a reflex arch parting from the propioceptors of the muscles of the plantar arch, we can make a type of sole that applied to the patients, normalize the muscular tensions of the back. We illustrate two cases treated with different methods but that have given good results both subjectively and objectively.

Adolescent↗

[Muscular tensions of the back studied with telethermography: changes induced with static measures and auricular acupuncture. Preliminary report].

Thirty-six cases affected with scoliosis or scoliotic attitudes secondary to static trouble were examined. On all these cases a telethermography of the back was carried out demonstrating the presence of thermic asymmetry as regards to a normal map presenting hot areas on the side of the curve's concavity. The dysmorphosis secondary to static trouble cases was treated with millimetric rise whilst idiopathic scoliosis was treated with auricle therapy and precisely with the penetration of semipermanent steelplated needles of the bilateral external anthelis face. The exact point of penetration was determined by making use of the F frequency. All the cases treated have undergone long-term controls which document a return towards a normal telethermography. In the case of idiopathic scoliosis a significant modification in the thermography already after fifteen seconds of needle penetration was observed.

Acupuncture Therapy↗

[Breast pneumocystography. 96 tentative cases].

Successful execution of mammary pneumocystography in 87-96 attempts is reported. A brief description of the method and a statistical assessment of the incidence and features of the cysts observed are followed by the expression of a very favourably judgment on the soundness of the technique, and the presentation of several of the more meaningful cases.

Adult↗