Author: "Familiari, Pietro (ORCID:0000-0002-5181-2928)" / Publication Year Range: Last 3 years - Searchworks@Jio Institute Digital Library Search Results

5 results on '"Familiari, Pietro (ORCID:0000-0002-5181-2928)"'

1. Diagnostic accuracy and interobserver agreement of cholangioscopy for indeterminate biliary strictures: A single-center experience

Author: Milluzzo, Sebastian Manuel, Landi, Rosario, Perri, Vincenzo, Familiari, Pietro, Boskoski, Ivo, Pafundi, Pia Clara, Farina, Annarita, Ricci, Riccardo, Spada, Cristiano, Costamagna, Guido, Tringali, Andrea, Perri, Vincenzo (ORCID:0000-0002-0551-0873), Familiari, Pietro (ORCID:0000-0002-5181-2928), Boškoski, Ivo (ORCID:0000-0001-8194-2670), Ricci, Riccardo (ORCID:0000-0002-9089-5084), Spada, Cristiano (ORCID:0000-0002-5692-0960), Costamagna, Guido (ORCID:0000-0002-8100-2731), Tringali, Andrea (ORCID:0000-0002-9614-3449), Milluzzo, Sebastian Manuel, Landi, Rosario, Perri, Vincenzo, Familiari, Pietro, Boskoski, Ivo, Pafundi, Pia Clara, Farina, Annarita, Ricci, Riccardo, Spada, Cristiano, Costamagna, Guido, Tringali, Andrea, Perri, Vincenzo (ORCID:0000-0002-0551-0873), Familiari, Pietro (ORCID:0000-0002-5181-2928), Boškoski, Ivo (ORCID:0000-0001-8194-2670), Ricci, Riccardo (ORCID:0000-0002-9089-5084), Spada, Cristiano (ORCID:0000-0002-5692-0960), Costamagna, Guido (ORCID:0000-0002-8100-2731), and Tringali, Andrea (ORCID:0000-0002-9614-3449)
Abstract: Background and study aims: Characterization of indeterminate biliary strictures (IDBS) still represents a major challenge. Digital single-operator cholangioscopy (DSOC) could potentially overcome limits of conventional biopsy and brush sampling. The aim of this study was to compare diagnostic accuracy of visual evaluation and DSOC-guided biopsies to conventional trans-papillary sampling techniques and to evaluate the inter-observer agreement (IOA) on visual diagnosis. Patients and methods: All consecutive patients undergoing DSOC-guided biopsy after conventional sampling techniques for IDBS during a six-year period were retrospectively evaluated. Final diagnosis was based on histological evaluation of the surgical specimen if available or a clinical follow-up of at least 6 months. For IOA, 20-second DSOC clips were retrospectively reviewed by 6 experts and 6 trainees and classified according to the Monaco Classification. Results: Thirty-five patients underwent DSOC for IDBS in the study period; 14 patients (F = 9) with a median age of 64 years (range 53-76) met the study aim. After DSOC, strictures location was changed in three patients (additional yield of 21.4 %). Intraductal DSOC-guided biopsy were technically successful in all cases, with an adequacy of 92.8 %. No adverse events were recorded. Final diagnosis was benign disease in five cases and cholangiocarcinoma in the others. For IOA, 29 videos were evaluated with almost perfect agreement for final diagnosis (kappa 0.871; agreement 93.1, p <0.001), although overall accuracy of DSOC visual finding was 73.6 % and 64.4 % for experts and trainees, respectively. Conclusions: DSOC could improve diagnostic accuracy for IDBS, since it showed high sensitivity for visual finding and high specificity for DSOC guided-biopsy. Visual diagnosis seems reliable for diagnosis using the Monaco Classification.
Published: 2023

2. Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Author: Adisa, Adewale, Bahrami-Hessari, Michael, Bhangu, Aneel, George, Christina, Ghosh, Dhruv, Glasbey, Jame, Haque, Parvez, Ingabire, J C Allen, Kamarajah, Sivesh Kathir, Kudrna, Laura, Ledda, Virginia, Li, Elizabeth, Lillywhite, Robert, Mittal, Rohin, Nepogodiev, Dmitri, Ntirenganya, Faustin, Picciochi, Maria, Simões, Joana Filipa Ferreira, Booth, L, Elliot, R, Kennerton, A S, Pettigrove, K L, Pinney, L, Richard, H, Tottman, R, Wheatstone, P, Wolfenden, John W D, Smith, Jenovia Amisti, Sayed, A Emad, Goswami, Aakansha Giri, Malik, Aamer, Mclean, Aaron Lawson, Hassan, Abba, Nazimi, Abd Jabar, Aladna, Abdallah, Abdelgawad, Abdalrahman, Saed, Abdel, Abdelmageed, Abdelfatah, Ghannam, Abdelilah, Taha, Abdelrahman Mahmoud Ahmed Abdelsamad, Alvi, Abdul, Ismail, Abdulaziz, Adesunkanmi, Abdulhafiz, Ebrahim, Abdulla, Al-Mallah, Abdullah, Alqallaf, Abdullah, Durrani, Abdullah, Gabr, Abdullah, Kirfi, Abdullahi Musa, Altaf, Abdulmalik, Almutairi, Abdulmjeed, Sabbagh, Abdulrahman J, Ajiya, Abdulrazak, Haddud, Abdurrahman, Alnsour, Abed Alfattah Mahmoud, Singh, Abhinav, Mittal, Abhishek, Semple, Abigail, Adeniran, Abiodun, Negussie, Abraham, Oladimeji, Abraham, Muhammad, Abubakar Bala, Yassin, Abubaker, Gungor, Abuzer, Tarsitano, Achille, Soibiharry, Adaiah, Dyas, Adam, Frankel, Adam, Peckham-Cooper, Adam, Truss, Adam, Issaka, Adamu, Ads, Adel Mohamed, Aderogba, Adeleke Akeem, Adeyeye, Ademola, Ademuyiwa, Adesoji, Sleem, Adham, Papa, Adrian, Cordova, Adriana, Appiah-Kubi, Adu, Meead, Adullah, Nacion, Aeris Jane D, Michael, Afieharo, Forneris, Agustin Albani, Duro, Agustin, Gonzalez, Agustin Rodriguez, Altouny, Ahmad, Ghazal, Ahmad, Khalifa, Ahmad, Ozair, Ahmad, Quzli, Ahmad, Haddad, Ahmad, Othman, Ahmad Faidzal, Yahaya, Ahmad Shuib, Elsherbiny, Ahmed, Nazer, Ahmed, Hammad, Ahmed Tarek, Abu-Zaid, Ahmed, Al-Nusairi, Ahmed, Azab, Ahmed, Elagili, Ahmed, Elkazaz, Ahmed, Kedwany, Ahmed, Nuhu, Ahmed Mohammed, Sakr, Ahmed, Shehta, Ahmed, Shirazi, Ahmed, Mohamed, Ahmed Mohamed Ibrahim, Sherif, Ahmed Elshawadfy, Awad, Ahmed K, Abbas, Ahmed M, Abdelrahman, Ahmed Saber, Ammar, Ahmed Siddique, Azzam, Ahmed Y, Ciftci, Ahmet Burak, Dural, Ahmet Cem, Sanli, Ahmet Necati, Rahy-Martín, Aida Cristina, Tantri, Aida Rosita, Khan, Aimal, Al-Touny, Aiman, Tariq, Aiman, Gmati, Aimen, Costas-Chavarri, Ainhoa, Auerkari, Aino, Landaluce-Olavarria, Aitor, Puri, Ajay, Radhakrishnan, Ajay, Ubom, Akaninyene Eseme, Pradhan, Akhilesh, Turna, Akif, Adepiti, Akinfolarin, Kuriyama, Akira, Kassam, Al-Faraaz, Hassouneh, Ala, El-Hussuna, Alaa, Habeebullah, Alaa, Ads, Alaa Mohamed, Mousli, Alaa, Biloslavo, Alan, Hoang, Alan, Kirk, Alan, Santini, Alasdair, Melero, Alba Vazquez, Calvache, Albaro José Nieto, Baduell, Albert, Chan, Albert, Abrate, Alberto, Balduzzi, Alberto, Sánchez, Alberto Cabañero, Navarrete-Peón, Alberto, Porcu, Alberto, Brolese, Alberto, Barranquero, Alberto G, Saibene, Alberto Maria, Adam, Albushra Altayeb, Vagge, Aldo, Maquilón, Alejandra Jara, Leon-Andrino, 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Ahmad, Aline, Kent, Alistair J, Khamees, Almu'Atasim, Ugwu, Aloy Okechukwu, Turan, Alparslan, Mohammed, Alsnosy Abdullah Khalefa, Navarro-Barrios, Alvaro, Yebes, Alvaro, De Sousa, Álvaro Francisco Lope, Moreno, Amabelle, Sethi, Aman, Dawson, Amanda Caroline, Othman, Amani Alsayd Abdulsalam, Kaur, Amanjot, Wolde, Amanuel, Antonelli, Amedeo, Scifo, Amedeo, Alhamad, Ameen, Davis, Amelia, Alderazi, Amer, Harky, Amer, Mohammed-Durosinlorun, Amina, Seguya, Amina, Okhakhu, Amina, Chamakhi, Amine, Sebai, Amine, Souadka, Amine, Asla, Amir, Agrawal, Amit, Persad, Amit, Gupta, Amit, Elgazar, Amr, Kulkarni, Amruta, Coates, Amy, Bellés, Ana Ciscar, Hadzibegovic, Ana Danic, Jotic, Ana, Kowark, Ana, Martins, Ana, Pineda, Ana Mejía, Peral, Ana, Gollarte, Ana Sánchez, Senent-Boza, Ana, Camarena, Ana Isabel Avellaneda, Castaño-Leon, Ana M, Bravo, Ana Maria Minaya, Moro, Ana María Gimeno, Musina, Ana-Maria, Tapia-Herrero, Ana-María, Kothari, Anai, Gupta, Anand, Raja, Anand, Aljaiuossi, Ana, Taha, 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Marafante, Chiara, Echieh, Chidiebere Peter, Tan, Chih Ying, Ong, Chon Sum, Conso, Christel, Jardinez, Christiaan, Konrads, Christian, Warner, Christian, Makwe, Christian Chigozie, Henein, Christin, Fleming, Christina, Roland, Christina L, Maurus, Christine, Nitschke, Christine, Mittermair, Christof, Mallmann, Christoph, Andro, Christophe, Harmston, Christopher, Kuppler, Christopher, Lotz, Christopher, Nahm, Christopher, Rowe, Christopher, Ryalino, Christopher, Wallis, Christopher, Millward, Christopher Paul, Anthoulakis, Christo, Apostolou, Christo, Chouliaras, Christo, Kalfountzos, Christo, Kaselas, Christo, Vosinakis, Christo, Okereke, Chukwuma, Chean, Chung Shen, Barlow, Ciaran, Tatar, Cihad, Clancy, Cillian, Forde, Cillian, Sharpin, Claire, Mccarthy, Claire, Nestor, Claire, Warden, Claire, Ávila, Clara Castro, Massaguer, Clara, Fang, Clarissa Ern Hui, Martins, Claudia Pinto, Guerci, Claudio, Mauriello, Claudio, Holzmeister, Clemen, Miller, Clemen, Weber, Clemen, Wiesinger, Clemens Georg, Kenington, Cleo, Noel, Colin, Sue-Chue-Lam, Colin, Adumah, Collin, Neary, Colm, Sen, Comert, Fitzgerald, Conall, Ezeme, Constantine, Nastos, Constantino, Mesina, Cristian, Bombardini, Cristina, Torregrosa, Cristina, Valdespino, Cristina Puente, Don, Cristine Pathirannehalage, Wickramasinghe, Dakshitha, Milanesi, Damiano, Armijos, Daniel, Asiimwe, Daniel, Beswick, Daniel, Clerc, Daniel, Cox, Daniel, Doherty, Daniel, Martínez, Daniel Fernández, Lechuga, Daniel Garay, Gero, Daniel, Gil-Sala, Daniel, Lindegger, Daniel, Reim, Daniel, Shaerf, Daniel, Shmukler, Daniel, Branzan, Daniela, Filipescu, Daniela, Rega, Daniela, Bernardi, Daniele, Bissacco, Daniele, Fusario, Daniele, Morezzi, Daniele, Sabella, Danielle, Zimak, Danijela Mrazovac, Vinci, Danilo, Sale, Danjuma, Khan, Danyal Zaman, Thereska, Dariel, Andreotti, Dario, Tartaglia, Dario, Abdulai, Darling Ramatu, Mukherjee, Dattatreya, Verdi, Daunia, Idowu, David, John, David, Johnson, David, Moro-Valdezate, David, Naumann, David, Omar, David, Proud, David, Roberts, David, Guzmán, David Santo, Watson, David, Bergkvist, David Julià, Lumenta, David Benjamin, Ferrari, Davide, Rizzo, Davide, Degarege, Dawit, Castillo, Dayan Fanery Campino, Douglas, Deborah, Wright, Deborah, Nanjiani, Deedar, Bratus, Dejan, Altun, Demet, Sievers, Denise, Vaysburg, Denni, Katechia, Devvrat, Ghosh, Dhruva, Azize, Diallo Abdoul, Rodrigues, Diana, Pachajoa, Diana Alejandra Pantoja, Hayne, Dickon, Mutter, Didier, Raimondo, Diego, Eskinazi, Diego, Sasia, Diego, Corallino, Diletta, Muduly, Dillip, Grewal, Dilraj, Hadzhiev, Dimitar, Peristeri, Dimitra, Pournaras, Dimitri, Raptis, Dimitri Aristotle, Angelou, Dimitrio, Haidopoulos, Dimitrio, Magouliotis, Dimitrio, Moris, Dimitrio, Schizas, Dimitrio, Symeonidis, Dimitrio, Tsironis, Dimitrio, Korkolis, Dimitrio, Tatsis, Dimitri, Thekkinkattil, Dinesh, Bulian, Dirk Rolf, Pandey, Diwakar, Vatansever, Dogan, Parker, Dominic, Wiedemann, Dominik, Borselle, Dominika, Pedini, Domiziana, Schweitzer, Donald, Venskutonis, Donata, Otokwala, Job, Adamu, Kabir Musa, Pk, Parvathy, Garod, Mebanshanbor, Ellafi, Amera Ali Dakheel, Zivkovic, Dragana, Jelovac, Drago, Wijeysundera, Duminda, Mcpherson, Duncan, Ryan, Éanna, Ugwu, Ebere, Baidoo, Ebikela Ivie, Shaddad, Ebrahim, Memişoğlu, Ecem, Naranjo, Eddy P Lincango, Brodkin, Edgar, Segalini, Edoardo, Viglietta, Edoardo, Hendriks, Eduard, Bonci, Eduard-Alexandru, Sá-Marta, Eduarda, Ortega, Eduardo Nieto, Gomez, Eduardo Garcia-Loarte, Joviliano, Edwaldo Edner, Clune, Edward, Horwell, Edward, Mains, Edward, Vasarhelyi, Edward, Caruana, Edward J, Nevins, Edward J, Yenli, Edwin Mwintiereh Ta-Ang, Baili, Efstratia, Lostoridis, Eftychio, Morgan, Eghosa, Shiban, Ehab, Latif, Ejaz, Tampaki, Ekaterini Christina, Ezenwa, Ekene, Irune, Ekpemi, Borg, Elaine, Eisa, Elamin, Gialamas, Eleftherio, Parvez, Elena, Theophilidou, Elena, Toma, Elena Adelina, Arnaoutoglou, Eleni, Samadov, Elgun, Kantor, Elie, Ulman, Elif Akba, Colak, Elif, 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Abuobaida Banaga Hag, Hong, Estelle How, Saguil, Esther, Belzile, Etienne, Tuyishime, Eugene, Panieri, Eugenio, Martínez, Eunate Ganuza, Myriokefalitaki, Eva, Wong, Evan G, Samara, Evangelia, Agbeno, Evans Kofi, Drozdov, Evgeniy, Tokidis, Evripidi, Shah, Faaiz Ali, Barra, Fabio, Carbone, Fabio, Ferreli, Fabio, Marino, Fabio, Martinelli, Fabio, D'Acapito, Fabrizio, Masciello, Fabrizio, Bàmbina, Fabrizio, Issa, Fadi, Salameh, Fadi-Tama, Kethy, Fagnon, Mahmood, Fahad, Gareb, Fahed, Idrees, Farah, Karimian, Faramarz, Ashraf, Fariha, Haji, Farnaz, Inayat, Farwa, Begum, Farzana, Nabil, Fatma, Rosa, Fausto, Haider, Fayza, Parray, Fazl, Calculli, Federica, Ferracci, Federica, Saraceno, Federica, Coppola, Federico, Coccolini, Federico, Fusini, Federico, Migliorelli, Federico, Pecoraro, Felice, Alconchel, Felipe, Coimbra, Felipe José Fernandez, Trivik-Barrientos, Felipe, Naegele, Felix, Almarshad, Felwa, Agresta, Ferdinando, Fleming, Fergal, Mendoza-Moreno, Fernando, Brzeszczyński, Filip, 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Gabriel, Wagner, Gabriela, Bellio, Gabriele, Giarratano, Gabriella, Capolupo, Gabriella Teresa, Budd, Gabrielle, Marom, Gad, Poillucci, Gaetano, Thiruchandran, Gajendiran, Nicholson, Gary, Groot, Gary, Hoey, Gary, Bass, Gary Alan, Sachdev, Gaurav, Agarwal, Gaurav, Aggarwal, Gaurav, Cormio, Gennaro, Mazzarella, Gennaro, Perrone, Gennaro, Osterhoff, Georg, Singer, Georg, Dejeu, George, Fowler, George, Garas, George, Gradinariu, George, Theodoropoulos, George, Tzimas, George, Babis, George, Wong, George Kwok Chu, Cross, George W V, Micha, Georgia, Chrysovitsiotis, Georgio, Koukoulis, Georgio, Peros, Georgio, Tsoulfas, Georgio, Kapetanios, Georgio, Karagiannidis, Georgio, Verras, Georgios-Ioanni, Ekwen, Gerald, Perrotta, Gerardo, Petruzzi, Gerardo, Bertelli, Giacomo, Calini, Giacomo, Fiacchini, Giacomo, Pirola, Giacomo Maria, Dolci, Giampiero, Mendiola, Gian, Baiocchi, Gian Luca, Palini, Gian Marco, Prucher, Gian Marco, D'Andrea, Giancarlo, Maggiore, Giandomenico, Cassese, Gianluca, 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Coates, Amy, Bellés, Ana Ciscar, Hadzibegovic, Ana Danic, Jotic, Ana, Kowark, Ana, Martins, Ana, Pineda, Ana Mejía, Peral, Ana, Gollarte, Ana Sánchez, Senent-Boza, Ana, Camarena, Ana Isabel Avellaneda, Castaño-Leon, Ana M, Bravo, Ana Maria Minaya, Moro, Ana María Gimeno, Musina, Ana-Maria, Tapia-Herrero, Ana-María, Kothari, Anai, Gupta, Anand, Raja, Anand, Aljaiuossi, Ana, Taha, Ana, Majbar, Anass Mohammed, Prodromidou, Anastasia, Kanatas, Anastasio, Gupte, Anaya, Zakaria, Andee Dzulkarnaen, Balla, Andrea, Barberis, Andrea, Bondurri, Andrea, Bottari, Andrea, Costantino, Andrea, Figus, Andrea, Lauretta, Andrea, Mingoli, Andrea, Romanzi, Andrea, Sagnotta, Andrea, Scacchi, Andrea, Picchetto, Andrea, Valadez, Andrea Estefania Cueto, Luzzi, Andrea-Pierre, Älgå, Andrea, Fontalis, Andrea, Hecker, Andrea, Demetriades, Andreas K, Serban, Andreea-Madalina, Văcărașu, Andrei Bogdan, Cokan, Andrej, Isaza-Restrepo, Andre, Beamish, Andrew, Schache, Andrew, Stevenson, Andrew, Yiu, Andrew, 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Abdelmawgoud, Sherif, Shehata, Sherif, Sharma, Shilpa, Ahmed, Shima, Al-Touny, Shimaa A, Ramzanali, Shireen, Nah, Shireen Anne, Jansen, Shirley, Rajan, Shiv, Dindyal, Shiva, Amin, Shivang, Ahmad, Shoaib, Shoukrie, Shoukrie I M, Karar, Shoura, Patkar, Shraddha, Abdulsalam, Shuaib, Lin, Shuxun, Hegde, Siddhi, Fiorelli, Silvia, Quaresima, Silvia, Redondo, Silvia Villacé, Palmisano, Silvia, Ruggiero, Silvia, Balogun, Simon, Cais, Simon, Cole, Simon, Federer, Simon, Le Roux, Simon, Ippoliti, Simona, Meneghini, Simona, Viola, Simona, Manfredelli, Simone, Novello, Simone, Gananadha, Sivakumar, Mesli, Smain Nabil, Kale, Smruti, Tani, Sobhana Iftekhar, Malik, Sobia, Anastasiadou, Sofia, Boligo, Sofia, Esposito, Sofia, Valanci, Sofia, Xenaki, Sofia, Pejkova, Sofija, Bandyopadhyay, Soham, Trungu, Sokol, Basu, Sompraka, Alkhatib, Sondo, Pérez-Bertólez, Sonia, Flores, Sonia Lopez, Donoghue, Sophie, Lunca, Sorinel, Orsoo, Soyombo, Potamianos, Spyridon, Devarakonda, Sreekar, Suresh, Sreelakshmi, Croghan, Stefanie M, Turi, Stefano, Capella, Stefano, Lucchini, Stefano, Magnone, Stefano, Salizzoni, Stefano, Scabini, Stefano, Scaringi, Stefano, Cioffi, Stefano Piero Bernardo, Seyfried, Steffen, Degener, Stephan, Potten, Stephanie, Taha-Mehlitz, Stephanie, Ali, Stephen, Angamuthu, Stephen, Mcaleer, Stephen, Knight, Stephen Richard, White, Stuart, Mantziari, Styliani, Kykalos, Styliano, Goh, Su Kah, Chowdhury, Subhadip Pal, Ibrahim, Sufyan, Elzwai, Suha, Bansal, Sujesh, Tripathy, Sujit, Amrayev, Sultan, Anwar, Sumadi Lukman, Banerjee, Sumit, Thakar, Sumit, Saeed, Summaya, Venkatappa, Sunil Kumar, Das, Sunit, Techapongsatorn, Suphakarn, Dube, Surya Kumar, Lee, Susan, González-Suárez, Susana, Henriques, Susana, Konjevoda, Suzana, Gisbertz, Suzanne, Bravo, Sybil Lizanne, Mannan, Syed, Bukhari, Syed Imran, Zafar, Syed Nabeel, Batista, Sylvia, Chin, Synn Lynn, Arif, Tahera, Lawal, Taiwo Akeem, Aktokmakyan, Talar Vartanoglu, Osborn, Tamara, Szakmany, Tama, Sztipits, Tamá, Triantafyllou, Tania, Valadez, Tania Abigail Cueto, Singh, Tanveer, Khaliq, Tanwir, Patel, Tapan, Fadalla, Tarig, Jichi, Tarik, Sammour, Tarik, Al-Shaiji, Tariq, Naggs, Taryn, Barišić, Tatjana, Nikolouzakis, Taxiarchi, Bisgin, Tayfun, Perra, Teresa, Uprak, Tevfik Kıvılcım, Dagklis, Themistokli, Liakakos, Theodore, Sidiropoulos, Theodoro, Adjeso, Theophilus Justus Kofi, Dölker, Theresa, Oung, Thida, Aherne, Thoma, Diehl, Thoma, Pinkney, Thoma, Raymond, Thoma, Rhomberg, Thoma, Schmitz-Rixen, Thoma, Madhuri, Thumuluru Kavitha, Lohmann, Tibor Karl, Yeoh, Tien, Zaimis, Tilemacho, Bright, Tim, Vilz, Tim O, Glowka, Tim R, Board, Timothy, Hardcastle, Timothy, Cohnert, Tina, Mahečić, Tina Tomić, William, Tinka George, Klatte, Tobia, Abbott, Tom, Watcyn-Jones, Tom, Mendes, Tome, Kulis, Tomislav, Sečan, Tomislav, Campagnaro, Tommaso, Frisoni, Tommaso, Simoncini, Tommaso, Violante, Tommaso, Safranovs, Toms Jani, Risteski, Toni, Pang, Tony, Akinyemi, Tosin, Yotsov, Tsanko, Laeke, Tsegazeab, Kochiyama, Tsukasa, Sholadoye, Tunde T, Alekberli, Tural, Ezomike, Uchechukwu, Giustizieri, Ugo, Grossi, Ugo, Köksoy, Ülkü Ceren, Bork, Ulrich, Kisser, Ulrich, Ronellenfitsch, Ulrich, Saeed, Umar, Bracale, Umberto, Jayarajah, Umesh, Rauf, Umme Habiba Abdul, Bumbasirevic, Uro, Ferrer, Ursula María Jariod, Ahmed, Usama, Bello, Usman Mohammed, Jogiat, Uzair, Sadia, Uzma, Galandarov, Vagif, Narayanan, Vairavan, Calu, Valentin, Bianchi, Valentina, Ciniero, Valeria, Tonini, Valeria, Silvestri, Vania, Vijay, Vardhini, Dewan, Varun, Lohsiriwat, Varut, Thuduvage, Vasanthika, Mousafeiris, Vasileio, Dragisic, Vedran, Sasireka, Veerasamy, Santric, Veljko, Kusuma, Venkata Ramana Murthy, Kolli, Venkata Satish, Alonso, Veronica, De Simone, Veronica, Picotti, Veronica, Martínez, Verónica Martín, Panduro-Correa, Vicky, Kakotkin, Victor, Angulo, Victor Pinto, Turrado-Rodriguez, Victor, Krishnamoorthy, Vijay, Ban, Vin Shen, Shah, Vinay, Maiola, Vincenza, Giordano, Vincenzo, La Vaccara, Vincenzo, Lizzi, Vincenzo, Papagni, Vincenzo, Schiavone, Vincenzo, Satchithanantham, Vinojan, Garcia-Virto, Virginia, Jimenez, Virginia, Kumar, Vishal, Shelat, Vishal, Bhat, Vivek, Sodhai, Vivek, Graziadei, Vivien, Kutuzov, Vladislav, Stoyanov, Vladislav, Oktseloglou, Vlasio, Flis, Vojko, Elhassan, Wael Atif Fadl, Yang, Wah, Soon, Wai Cheong, Tashkandi, Wail, Al-Khyatt, Waleed, Mabood, Waleed, Bijou, Walid, Wijenayake, Wasantha, D, Wasim, Krawczyk, Wiktor, Atkins, William, Bolton, William, White, William, Ceelen, Wim, Vagena, Xanthoula, Gozal, Yaacov, Baba, Yabasin Iddrisu, Subramani, Yamini, Jansen, Yanina, Mittal, Yash, Kara, Yasi̇n, Zwain, Yasir, Noureldin, Yasser, Alawneh, Yazan, Aydin, Yener, Lam, Yick Ho, Tang, Yita, Lim, Yizhe, Dean, Yomna, Tanas, Yousef, Su, Yu-Xiong, Fujimoto, Yuki, Altinel, Yuksel, Frolova, Yulia, Oshodi, Yusuf, Fadel, Zahir T, Zahid, Zahra, Elahi, Zain, Djama, Zakarya, Zaheen, Zakia, Jawad, Zaynab, Demetrashvili, Zaza, Gebremeskel, Zersenay, Gudisa, Zewdie, Alyami, Ziyad, Garoufalia, Zoe, Li, Zoe, Zimak, Zoran, Radin, Zorana, Balogh, Zsolt J, Smith, A, Mahmoud, Abdelrahman, Tarek, Ahmed, Moro, Alessandro (ORCID:0000-0002-6708-171X), Marra, Angelo Alessandro (ORCID:0000-0001-8384-5081), Ratto, Carlo (ORCID:0000-0002-0556-0037), D'acapito, Fabrizio, Rosa, Fausto (ORCID:0000-0002-7280-8354), Bussu, Francesco (ORCID:0000-0001-6261-2772), Colombo, Francesco, Franceschini, Gianluca (ORCID:0000-0002-2950-3395), Gasparini, Giulio (ORCID:0000-0001-5091-5178), Bianco, Giuseppe (ORCID:0000-0001-7451-4002), Brisinda, Giuseppe (ORCID:0000-0001-8820-9471), Marano, Luigi (ORCID:0000-0002-9833-8055), Fransvea, Pietro (ORCID:0000-0003-4969-3373), and Familiari, Pietro (ORCID:0000-0002-5181-2928)
Abstract: Background: Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods: This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low-middle-income countries. Results: In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of 'single-use' consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low-middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion: This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high- and low-middle-income countries.
Published: 2023

3. Long-term Outcomes of Transoral Outlet Reduction (TORe) for Dumping Syndrome and Weight Regain After Roux-en-Y Gastric Bypass

Author: Pontecorvi, Valerio, Matteo, Maria Valeria, Bove, Vincenzo, De Siena, Martina, Giannetti, Giulia, Carlino, Giorgio, Polidori, Giulia, Vinti, Laila, Angelini, Giulia, Iaconelli, Amerigo, Familiari, Pietro, Raffaelli, Marco, Costamagna, Guido, Boskoski, Ivo, Familiari, Pietro (ORCID:0000-0002-5181-2928), Raffaelli, Marco (ORCID:0000-0002-1259-2491), Costamagna, Guido (ORCID:0000-0002-8100-2731), Boskoski, Ivo (ORCID:0000-0001-8194-2670), Pontecorvi, Valerio, Matteo, Maria Valeria, Bove, Vincenzo, De Siena, Martina, Giannetti, Giulia, Carlino, Giorgio, Polidori, Giulia, Vinti, Laila, Angelini, Giulia, Iaconelli, Amerigo, Familiari, Pietro, Raffaelli, Marco, Costamagna, Guido, Boskoski, Ivo, Familiari, Pietro (ORCID:0000-0002-5181-2928), Raffaelli, Marco (ORCID:0000-0002-1259-2491), Costamagna, Guido (ORCID:0000-0002-8100-2731), and Boskoski, Ivo (ORCID:0000-0001-8194-2670)
Abstract: Background Both weight regain and dumping syndrome (DS) after Roux-en-Y gastric bypass (RYGB) have been related to the dilation of gastro-jejunal anastomosis. The aim of this study is to assess the safety and long-term efficacy of endoscopic transoral outlet reduction (TORe) for DS and/or weight regain after RYBG.Materials and Methods A retrospective analysis was performed on a prospective database. Sigstad's score, early and late Arts Dumping Score (ADS) questionnaires, absolute weight loss (AWL), percentage of total body weight loss (%TBWL), and percentage of excess weight loss (%EWL) were assessed at baseline and at 6, 12, and 24 months after TORe.Results Eighty-seven patients (median age 46 years, 79% female) underwent TORe. The median baseline BMI was 36.2 kg/m(2). Out of 87 patients, 58 were classified as "dumpers " due to Sigstad's score & GE; 7. The resolution rate of DS (Sigstad's score < 7) was 68.9%, 66.7%, and 57.2% at 6, 12, and 24 months after TORe, respectively. A significant decrease in Sigstad's score as well as in early and late ADS questionnaires was observed (p < 0.001). The median Sigstad's score dropped from 15 (11-8.5) pre-operatively to 2 (0-12) at 24 months. The %TBWL was 10.5%, 9.9%, and 8.1% at 6, 12, and 24 months, respectively. Further, "dumpers " with resolution of DS showed better weight loss results compared with those with persistent DS (p < 0.001). The only adverse event observed was a perigastric fluid collection successfully managed conservatively.Conclusion TORe is a minimally invasive treatment for DS and/or weight regain after RYGB, with evidence of long-term efficacy.
Published: 2023

4. Long versus short peroral endoscopic myotomy for the treatment of achalasia: results of a non-inferiority randomised controlled trial

Author: Familiari, Pietro, Borrelli De Andreis, Federica, Landi, Rosario, Mangiola, Francesca, Boskoski, Ivo, Tringali, Andrea, Perri, Vincenzo, Costamagna, Guido, Familiari, Pietro (ORCID:0000-0002-5181-2928), Borrelli de Andreis, Federica, Boskoski, Ivo (ORCID:0000-0001-8194-2670), Tringali, Andrea (ORCID:0000-0002-9614-3449), Perri, Vincenzo (ORCID:0000-0002-0551-0873), Costamagna, Guido (ORCID:0000-0002-8100-2731), Familiari, Pietro, Borrelli De Andreis, Federica, Landi, Rosario, Mangiola, Francesca, Boskoski, Ivo, Tringali, Andrea, Perri, Vincenzo, Costamagna, Guido, Familiari, Pietro (ORCID:0000-0002-5181-2928), Borrelli de Andreis, Federica, Boskoski, Ivo (ORCID:0000-0001-8194-2670), Tringali, Andrea (ORCID:0000-0002-9614-3449), Perri, Vincenzo (ORCID:0000-0002-0551-0873), and Costamagna, Guido (ORCID:0000-0002-8100-2731)
Abstract: Objective: Peroral endoscopic myotomy (POEM) has become standard treatment for achalasia with comparable efficacy to surgery. In most of published series, the length of myotomy is 12-13 cm. Shorter cuts could have the advantage of shorter procedure time and possibly reduced gastro-oesophageal reflux disease (GORD) rate. Design: This single-centre, patient-blinded, randomised, non-inferiority clinical trial included 200 patients, who were randomly allocated, to receive either a long-POEM (13 cm; 101 patients) or a short-POEM (8 cm; 99 patients). Primary outcome was defined as an Eckardt symptom score of ≤3 at 24 months after the procedure; a non-inferiority design was chosen with an accepted success range of 6% between the two treatments. Secondary outcomes included operating time, complication rate, postoperative manometry, GORD rate and quality of life. Results: In the intention-to-treat analysis, clinical success rates were 89.1% in the long-POEM and 98.0% in the short-POEM group, resulting in an absolute between-group difference of -8.9% (90% CI -14.5 to -3.3).Procedure time was significantly reduced in the short-POEM as compared with the long-POEM group (40 vs 50 min, p<0.0001). Severe adverse events occurred in one patient in both groups.No differences were observed in postoperative GORD: acid exposure >6% on pH monitoring study at 6 months was seen in 34.3% (long-POEM) vs 31.1% (short-POEM), while endoscopic oesophagitis was diagnosed in 37.6% vs 51.5% at 6 months and in 21% vs 24.5% at 24 months. Regular proton pump inhibitor use was not different either (36.8% vs 37.5%). Conclusions: Our study demonstrates non-inferiority of a shorter cut length of POEM as compared with the standard treatment, which saved some procedural time. GORD rate was not reduced by reducing cutting length. Trial registration number: NCT03450928.
Published: 2023

5. The efficacy of peroral endoscopic myotomy vs. pneumatic dilation as treatment for patients with achalasia suffering from persistent or recurrent symptoms after laparoscopic Heller myotomy. A RANDOMIZED CLINICAL TRIAL

Author: Saleh, Caroline M G, Familiari, Pietro, Bastiaansen, Barbara A J, Fockens, Paul, Tack, Jan, Boeckxstaens, Guy, Bisschops, Raf, Lei, Aaltje, Schijven, Marlies P, Costamagna, Jan Guido, Bredenoord, Albert J, Familiari, Pietro (ORCID:0000-0002-5181-2928), Saleh, Caroline M G, Familiari, Pietro, Bastiaansen, Barbara A J, Fockens, Paul, Tack, Jan, Boeckxstaens, Guy, Bisschops, Raf, Lei, Aaltje, Schijven, Marlies P, Costamagna, Jan Guido, Bredenoord, Albert J, and Familiari, Pietro (ORCID:0000-0002-5181-2928)
Abstract: Background & aims: For achalasia patients with persistent or recurrent symptoms after laparoscopic Heller myotomy (LHM), pneumatic dilation (PD) is the most frequently used treatment. Per-oral endoscopic myotomy (POEM) is increasingly being investigated as rescue therapy. This study aimed to determine the efficacy of POEM versus PD for patients with persistent or recurrent symptoms after LHM. Methods: This randomized multicenter controlled trial included patients after LHM with an Eckardt score >3 and significant stasis (≥2 cm) on timed barium esophagogram, randomized to POEM or PD. The primary outcome was treatment success, defined as an Eckardt score of ≤3, without unscheduled retreatment. Secondary outcomes included the presence of reflux esophagitis, HRM, and timed barium esophagogram findings. Follow-up duration was 1 year after initial treatment. Results: Ninety patients were included. POEM had a higher success rate (28 of 45 patients [62.2%]) than PD (12 of 45 patients [26.7%] (absolute difference, 35.6% [95%CI, 16.4%-54.7%]; [p=0.001); OR, 0.22 [95%CI, 0.09-0.54]; RR for success 2.33 [95%CI, 1.37-3.99]. Reflux esophagitis was not significantly different between POEM (12 of 35 [34.3%]) and PD (6 of 40 [15%]). Basal LES pressure and IRP-4 were significantly lower in the POEM group [p=0.034; p=0.002]. Barium column height after 2 and 5 minutes was significantly less in patients treated with POEM [p=0.005; p=0.015]. Conclusion: Among achalasia patients with persistent or recurrent symptoms after LHM, POEM resulted in a significantly higher success rate than PD, with a numerically higher incidence of grade A-B reflux esophagitis.
Published: 2023

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1. Diagnostic accuracy and interobserver agreement of cholangioscopy for indeterminate biliary strictures: A single-center experience

2. Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

3. Long-term Outcomes of Transoral Outlet Reduction (TORe) for Dumping Syndrome and Weight Regain After Roux-en-Y Gastric Bypass

4. Long versus short peroral endoscopic myotomy for the treatment of achalasia: results of a non-inferiority randomised controlled trial

5. The efficacy of peroral endoscopic myotomy vs. pneumatic dilation as treatment for patients with achalasia suffering from persistent or recurrent symptoms after laparoscopic Heller myotomy. A RANDOMIZED CLINICAL TRIAL

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