[Gastric pseudolymphoma. Apropos of 2 case reports].
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Adult↗
Biomedical subjects
M Malerba
Publications and source records attributed to M Malerba.
[Technical aspects of neorectum: restorative proctocolectomy].
In the last decade, restorative proctocolectomy with ileal pouch-anal anastomosis (IPAA) is considered as the procedure of choice in the surgical management of most patients with familial adenomatous polyposis and chronic ulcerative colitis. Beyond the attraction of this operation, which permit to completely remove disease-bearing mucosa, spare the anal sphincter, and avoid a permanent ileostomy, it remains a difficult procedure with not negligible complication rate. Correct operative technique is required: to the purpose, main technical aspects of IPAA are analysed.
Adenomatous Polyposis Coli↗
[Infective pneumopathies in old age].
The present paper focuses main and different aspects of pneumonia in the elderly, in relation to our recent experience in this field. Presentation, clinical features, cause and therapeutic aspects in geriatric age have important peculiarities (increased incidence of infection and non infection complications, and mortality). In the elderly patient pneumonia with slow resolution is a frequent occurrence. For a correct therapy is essential to distinguish between nosocomial and community acquired pneumonia. In our experience supportive measures seems important as much effective antibiotic therapy that can be carried out with different drugs: cephalosporins, macrolides, penicillines plus beta-lactamasi inhibitors; in case of nosocomial pneumonia and of 'difficult' germs, is more rationale to use antibiotic associations (also with aminoglycosides and/or chinolonics).
Aged↗
[Short bowel syndrome. Still a current problem].
In the last year the Authors operated two patients presenting with a clinical feature of intestinal infarct. A wide intestinal resection was performed and patients had a residual tract of 40 cm and 50 cm of bowel respectively, later manifesting as short bowel syndrome. It was not possible during the operation to preserve the Baubin valve in one case, in the other one the value had been sacrificed during a previous operation for right colonic malignancy. In the postoperative period, patients were temporarily transferred to the intensive care unit, returning in the surgery ward after few days, and counting total parenteral nutrition with progressive decreasing mixture in calories. Contemporarly enteral nutrition was started slowly increasing the quantity of water, calories and azote administration. In a second time oral diet was started up to completely weaning parenteral and enteral nutrition. At the present patients are enlisted in quarterly follow-up, completely stabilized, and independent from artificial nutrition with a good quality of life. Furthermore a saving of sanitary costs was obtained.
Aged↗