- Gastric Cancer Management and Outcomes
- Esophageal and GI Pathology
- Metastasis and carcinoma case studies
- Esophageal Cancer Research and Treatment
- Pancreatic and Hepatic Oncology Research
- Colorectal Cancer Surgical Treatments
- Enhanced Recovery After Surgery
- Dysphagia Assessment and Management
- Bariatric Surgery and Outcomes
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Colorectal Cancer Screening and Detection
- Tracheal and airway disorders
- Gastrointestinal Tumor Research and Treatment
Azienda Ospedaliera Universitaria Integrata Verona
2020-2024
University of Verona
2018-2022
University of Brescia
2020
Abstract Background Prophylactic use of abdominal drain in gastrectomy has been questioned the last 15 years, and a 2015 Cochrane meta-analysis on four RCTs concluded that there was no convincing evidence to routine placement gastrectomy. Nevertheless, authors evidenced moderate/low quality included studies highlighted how 3 out 4 came from Eastern countries. After 2015, only retrospective have published, all with inconsistent results. Methods ADiGe (Abdominal Drain Gastrectomy) Trial is...
Abstract Evidence against the use of prophylactic drain after gastrectomy are increasing and ERAS guidelines suggest benefit avoidance. Nevertheless, it is unclear whether this practice still widespread. We conducted a survey among Italian surgeons through Gastric Cancer Research Group Polispecialistic Society Young Surgeons, aiming to understand current drain. A 28-item questionnaire-based was developed analyze individual opinion about gastrectomy. Groups based on age, experience unit...
Abstract The treatment of leak after esophageal and gastric surgery is a major challenge. Over the last few years, endoscopic vacuum therapy (E-VAC) has gained popularity in management this life-threatening complication. We reported our initial experience on E-VAC as rescue refractory anastomotic perforation gastro-esophageal surgery. From September 2017 to December 2019, total 8 therapies were placed secondary 7 patients. Six for (3 cervical, 1 thoracic, 2 abdominal) conduit. In 6 cases,...
Abstract Background Boerhaave’s syndrome (BS) is a rare life-threating condition with poor prognosis. Unfortunately, due to its very low incidence, no clear evidences or definitive guidelines are currently available: in detail, surgical strategy still matter of debate. Most the case series reports thoracic approach as most widely used; conversely, transhiatal abdominal management just described sporadic reports. In our center, laparoscopic has been adopted for years: present study, we aim...
Background: Delayed gastric emptying (DGE) is a common complication after esophagectomy with tube reconstruction. It still unclear whether pyloric drainage procedure might reduce the risk of DGE. Methods: We identified in our database all patients subjected to Ivor Lewis neoadjuvant chemoradiotherapy period 2000–2012. In 2000–2009, we performed routine pyloroplasty (pyloroplasty group, PP 15 patients), 2009 did not perform any type (nonpyloroplasty NPP 11 patients). compared groups...
Abstract Aim our aim was to evaluate if CT could predict outcomes in terms of treatment patient with caustic ingestion injury. Background and methods endoscopy has long been the gold standard for initial evaluation Lately several studies suggested CT-scans have an equal or even superior accuracy emergency prediction esophageal stricture formation. Wishing avoid complications endoscopic procedures, new radiological grading system are being defined supplement replace ones currently used. On...
Abstract Background Like in gastric cancer, the incidence of signet-ring cell carcinoma (SRCC) is rising also esophago-gastric junction (EGJ) adenocarcinoma Siewert type I and II. SRCC much more studied cancer WHO classification divides poorly cohesive two subtypes, depending on percentage cells: real (percentage than 50%) non-SRCC (less 50%). Real seems to have higher chemosensitivity better prognosis non-SRCC. Recently, a new for has been proposed, which subdivides based different cut-off...
Abstract Background: Prophylactic use of abdominal drain in gastrectomy has been questioned the last 15 years and a 2015 Cochrane meta-analysis on four RCTs concluded that there was no convincing evidence to routine placement gastrectomy. Nevertheless Authors evidenced moderate/low quality included studies highlighted how 3 out came from Eastern countries. After only retrospective have published, all with inconsistent results. Methods: ADiGe (Abdominal Drain GastrEctomy) Trial is multicenter...
Abstract Background: Prophylactic use of abdominal drain in gastrectomy has been questioned the last 15 years and a 2015 Cochrane meta-analysis on four RCTs concluded that there was no convincing evidence to routine placement gastrectomy. Nevertheless, Authors evidenced moderate/low quality included studies highlighted how 3 out 4 came from Eastern countries. After only retrospective have published, all with inconsistent results. Methods: ADiGe (Abdominal Drain GastrEctomy) Trial is...
Abstract Background: Prophylactic use of abdominal drain in gastrectomy has been questioned the last 15 years and a 2015 Cochrane meta-analysis on four RCTs concluded that there was no convincing evidence to routine placement gastrectomy. Nevertheless, Authors evidenced moderate/low quality included studies highlighted how 3 out 4 came from Eastern countries. After only retrospective have published, all with inconsistent results. Methods: ADiGe (Abdominal Drain GastrEctomy) Trial is...