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Biomedical subjects

G Pecorella

Publications and source records attributed to G Pecorella.

30 records · Page 2Linked to original sources
PubMed1978

[Clinical picture and diagnosis of reflux esophagitis in children].

Whereas a burning retrosternal pain irradiating upward is the main symptom of reflux esophagitis in the adult, this symptom is usually not extant in children. Rather, the child will show unaccountable vomiting, stunted growth, anemia of unknown etiology, and respiratory disturbances. The pathologic condition more often associated with reflux esophagitis is hypertrophic stenosis of the pylorus, which is in fact regarded as one of the causes of the esophageal disorder. Reflux esophagitis may lead to ulceration and hemorrhage, and may evolve into cicatricial retraction and esophageal stenosis, the latter sometimes quite tight. The condition is diagnosed in light of radiological examination and endoscopy. Whit older children, one may add the Bernstein test and pressure and pH readings. The paper concludes by pointing out the different diagnostic approach in the newborn and small baby on the one hand and in older children on the other.

Child, Preschool↗
PubMedDate not supplied

[Risk factors in laparoscopic cholecystectomy].

In this report the authors have analysed the various risk factors of the laparoscopy cholecystectomy, proving that those are not different from the ones of standard open cholecystectomy. It has been underlined that laparoscopy cholecystectomy offers significant advantages over open cholecystectomy and moreover the possibility to convert laparoscopy cholecystectomy when it is necessary.

Age Factors↗
PubMedDate not supplied

[Follow up in carcinoma of the large intestine].

A valid program of follow-up has always been a crucial point in the overall therapy of the colon-cancer. In this retrospective study, the authors have used as specimen 74 patients put under observation between the years 1987 and 1992. The patient have been followed throughout the diagnostic period with various methods. It has been the will of the authors, who have presented their protocol of reference, to put under comparison the various controlling methods in order to visualize their reliability, specificity and the indication of each one of them. The CEA is the most sensible haemanalysis for lifting the doubt of recidivation. As for the TAC and ultrasound it has been reserved the job of formulating a correct diagnosis; the results of both diagnostics through imagery have been more or less the same. However, the ultrasound examination have shown more false positives than the TAC. The research of the blood occult in the stool is a rapid and economic detection in the case of intramural recidivations, even if we cannot disregard the share of false positives. A high specificity for the study of intramural recidivations has been offered by the endoscopic scan particularly when associated by a brushing and biopsy.

CA-19-9 Antigen↗
PubMedDate not supplied

[Emergencies in oncologic surgery of the large intestine].

The authors analyse of the large intestine at their Institute over the past 20 years. Four hundred and fifty-two cases out of 842 were performed during the period 1970-1979 and 300 during the subsequent decade. 21% (95 cases) were emergencies during the first decade and 16% (62 cases) during the second. From this study it emerges that patients operated with primary resection during the first decade 1970-1979 had a better survival rate than those operated in various stages. This was particularly true of cases of occlusion, whereas in cases of perforation the percentage remained practically unchanged. The approach adopted for this type of pathology changed during the next decade and it was decided to opt for primary resective surgery. A comparison between emergency surgery performed in a single session and operations performed in a number of stages revealed that both survival and morbidity were improved in primary resective surgery, 20% and 10% respectively, whereas mortality was higher (15%).

Emergencies↗