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Biomedical subjects

P Panizza

Publications and source records attributed to P Panizza.

32 records · Page 2Linked to original sources

[Efficacy of low dose mesalazine (5-ASA) in the treatment of acute inflammation and prevention of complications in patients with symptomatic diverticular disease. Preliminary results].

MATERIALS AND METHODS: To assess the efficacy of mesalazine in treating acute diverticulitis and preventing diverticular disease (DD) complication. 166 patients with symptomatic DD were randomly assigned to receive mesalazine Pentacol (400 mg b.i.d., orally; M group) or no additional treatment (controls; C group). RESULTS: After a 12 months follow-up, 26 patients experienced a symptomatic relapse (8%M vs 27% C, p=0.003), with a higher rate in C group for the patients with a history of previous diverticulitis (p=0.006) and independently of the diverticular site (sigmoid p=0.041; colon and sigmoid p=0.044). Minor diverticular haemorrhages were less frequent in M group (p=0.016), with a significant difference only for the patients with sigmoid diverticula (p=0.023); abdominal pain persisted for a shorter time in the treated group (p=0.0015). CONCLUSIONS: No significant difference was found between the two groups for the incidence of DD major complications.

English Abstract↗

[Conventional radiography and digital radiography of the thorax: evaluation of anatomo-radiological parameters].

We report the results of a comparative study of digital and conventional chest radiographs to detect normal anatomical structures of the thorax. A digital Toshiba unit (TCR 201) was used to examine 100 selected patients who were diagnosed with no chest pathologic conditions. The images in both modes were submitted for interpretation to five radiologists. The depiction of nine normal anatomical structures was more accurate on digital than on conventional radiographs. The mean confidence levels achieved in viewing digital images were higher than those obtained with conventional radiographs. This difference was statistically significant (p = 0.002).

Adult↗

[Etiologic determination of chronic liver diseases].

Sixty patients with chronic liver conditions (mostly cirrhotic) were examined for HBV markers. The percentage of markers identified, far higher than in samples of healthy subjects, suggests that HBV either alone or in association with other causes may be implicated in the pathogenesis of these conditions.

Chronic Disease↗

[Intermittent chronic occlusion of the duodenum caused by pheochromocytoma].

A case (63 y. old male) of intermittent duodenal obstruction is presented. Aortographic investigation showed a neoplastic mass in the right adrenal gland. At laparotomy the mass, histologically diagnosed as a pheochromocytoma, appeared to infiltrate the duodenal wall, displacing it upward. Though gastrointestinal disturbances have been frequently recorded in pheochromocytoma, as far as we know this is the first description of intermittent duodenal obstruction in this disease.

Adrenal Gland Neoplasms↗

The hypotonic effect of intranasal and intravenous glucagon in gastrointestinal radiology.

In the present study, following a double-blind, double placebo protocol vs. placebo, we compared the hypotonic effect of intranasal and intravenous glucagon during a double-contrast barium meal examination of the stomach. We found a statistically significant difference between placebo and intranasal or intravenous glucagon in inducing gastric hypomotility, with no significant differences between IN and IV glucagon. The intranasal administration of glucagon has the advantage of being noninvasive and well tolerated by the patients, and might be a valuable aid in upper gastrointestinal examination as well as in CT scan or magnetic resonance imaging of the abdomen.

Administration, Intranasal↗

[The diagnostic accuracy of a digital mammography system with photostimulable storage phosphors used with automatic reading].

Even though digital mammography might potentially yield major advantages in management, biology and diagnosis, state-of-the-art digitalization is still in a clinical experimental phase. To assess the diagnostic accuracy of a digital mammography system with storage phosphors, we analyzed 320 digital and 320 conventional mammograms acquired in lateral-oblique projection in the same patients. Digital mammography capabilities in identifying and characterizing breast lesions were compared with those of conventional mammography; the presence/absence of lesions and their benign/malignant nature were investigated. Complete conventional mammography was our gold standard. The digital system did not miss any malignant lesion but it did miss some benign lesions (focal masses) which had been depicted with conventional mammography, especially small low-contrast opacities. Microcalcifications were better depicted on digital images which showed, at the same time, tissues of different density, thanks to their wider dynamic range. Digital mammography yielded a false positive result on a cluster of microcalcifications, because its spatial resolution is lower. The diagnostic yield of digital mammography was poorer only in the detection of small low-contrast lesions and in the characterization of microcalcifications. To conclude, in our experience, the storage phosphor system seems to be suitable for clinical mammography, but only with careful monitoring; in contrast, we think it is not yet suitable for screening purposes.

Adult↗