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Start Over Author "Ravelli, Paolo" Topic bile ducts
3 results on '"Ravelli, Paolo"'

1. Management of biliary anastomotic strictures after liver transplantation (BASALT study): A nationwide Italian survey.

Author

Cantù P, Parzanese I, Balassone V, Di Sario A, Soggiu F, Lombardi G, Barbaro F, Pisani A, Baldan A, Cariani G, Boarino V, Fasoli A, Bertani H, Forti E, Bulajic M, Ghinolfi D, Nadal E, Cerofolini A, Barresi L, Catalano G, Stroppa I, Traini S, Mazzaferro V, Cipolletta L, Tringali A, Costamagna G, Ravelli P, Bazzoli F, Merighi A, Parodi MC, Conigliaro R, Mutignani M, Zilli M, Filipponi F, Fantin A, Rodella L, Tarantino I, Traina M, Salizzoni M, Rosa R, Malinverno F, Invernizzi F, Manini MA, Donato MF, Colombo M, Conte D, Rossi G, and Penagini R

Subjects
Bile Ducts diagnostic imaging, Bile Ducts pathology, Cholangiopancreatography, Endoscopic Retrograde instrumentation, Cholangiopancreatography, Endoscopic Retrograde methods, Cholestasis diagnostic imaging, Cholestasis etiology, Constriction, Pathologic diagnostic imaging, Constriction, Pathologic etiology, Follow-Up Studies, Hospitals, High-Volume statistics & numerical data, Humans, Italy, Magnetic Resonance Angiography, Patient Selection, Postoperative Complications diagnostic imaging, Postoperative Complications etiology, Retrospective Studies, Stents, Surveys and Questionnaires, Treatment Outcome, Bile Ducts surgery, Cholangiopancreatography, Endoscopic Retrograde statistics & numerical data, Cholestasis surgery, Constriction, Pathologic surgery, Liver Transplantation adverse effects, Postoperative Complications surgery
Published
2017
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2. Early precut sphincterotomy for difficult biliary access to reduce post-ERCP pancreatitis: a randomized trial.

Author

Mariani, Alberto, Di Leo, Milena, Giardullo, Nicola, Giussani, Antonella, Marini, Mario, Buffoli, Federico, Cipolletta, Livio, Radaelli, Franco, Ravelli, Paolo, Lombardi, Giovanni, D'Onofrio, Vittorio, Macchiarelli, Raffaele, Iiritano, Elena, Le Grazie, Marco, Pantaleo, Giuseppe, and Testoni, Pier Alberto

Subjects
PREVENTION of surgical complications, BILE ducts, CATHETERIZATION, COMPARATIVE studies, ENDOSCOPIC retrograde cholangiopancreatography, LONGITUDINAL method, RESEARCH methodology, MEDICAL cooperation, PANCREATITIS, PROBABILITY theory, RESEARCH, SURGICAL complications, EVALUATION research, RANDOMIZED controlled trials, ENDOSCOPIC gastrointestinal surgery, PREVENTION
Abstract

Background and Study Aim: Precut sphincterotomy is a technique usually employed for difficult biliary cannulation during endoscopic retrograde cholangiopancreatography (ERCP) for the treatment of bile duct disease. It is a validated risk factor for post-ERCP pancreatitis (PEP), but it is not clear whether the risk is related to the technique itself or to the repeated biliary cannulation attempts preceding it. The primary aim of the study was to assess the incidence of PEP in early precut compared with the standard technique in patients with difficult biliary cannulation. Secondary aims were to compare complications and cannulation success.Patients and Methods: In this prospective, multicenter, randomized, clinical trial, patients who were referred for therapeutic biliary ERCP and difficult biliary cannulation were randomized to early precut (Group A) or repeated papillary cannulation attempts followed, in cases of failure, by late precut (Group B). PEP was defined as the onset of upper abdominal pain associated with an elevation in serum pancreatic enzymes of at least three times the normal level at more than 24 hours after the procedure. No rectal indomethacin or diclofenac was used for prevention of PEP.Results: A total of 375 patients were enrolled. PEP developed in 10 of the 185 patients (5.4 %) in Group A and 23 of the 190 (12.1 %) in Group B (odds ratio [OR] 0.35; 95 % confidence interval [CI] 0.16 - 0.78). The incidence of PEP was significantly lower in the early precut group (10/185, 5.4 %) than in the delayed precut subgroup (19/135 [14.1 %]; OR 0.42, 95 %CI 0.17 - 1.07). There were no differences in biliary cannulation success rates, bleeding, perforation, and cholangitis.Conclusions: In patients with difficult biliary cannulation, early precut is an effective technique and can significantly reduce the incidence of PEP. Repeated biliary cannulation attempts are a real risk factor for this complication. [ABSTRACT FROM AUTHOR]

Published
2016
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3. Management of biliary anastomotic strictures after liver transplantation (BASALT study): A nationwide Italian survey

Author

Roberto Penagini, Rita Conigliaro, Mauro Salizzoni, Dario Conte, Maria Francesca Donato, Federico Barbaro, Giorgia Catalano, Giovanni Lombardi, Davide Ghinolfi, Helga Bertani, Guido Costamagna, Livio Cipolletta, Elena Nadal, Roberto Rosa, Antonio Pisani, Antonio Di Sario, Andrea Tringali, Luca Rodella, Massimo Colombo, Massimiliano Mutignani, Milutin Bulajic, Ilaria Parzanese, Valentina Boarino, Angelo Cerofolini, Matteo Angelo Manini, Federica Malinverno, Giulio Cariani, Franco Filipponi, Luca Barresi, Edoardo Forti, Alberto Fasoli, Franco Bazzoli, Ilaria Tarantino, Sara Traini, Vincenzo Mazzaferro, Valerio Balassone, Mario Traina, Alberto Fantin, Paolo Cantù, Fiammetta Soggiu, Giorgio Rossi, Italo Stroppa, Maurizio Zilli, Federica Invernizzi, Alberto Merighi, Maria Caterina Parodi, Paolo Ravelli, Anna Baldan, Cantù, Paolo, Parzanese, Ilaria, Balassone, Valerio, Di Sario, Antonio, Soggiu, Fiammetta, Lombardi, Giovanni, Barbaro, Federico, Pisani, Antonio, Baldan, Anna, Cariani, Giulio, Boarino, Valentina, Fasoli, Alberto, Bertani, Helga, Forti, Edoardo, Bulajic, Milutin, Ghinolfi, Davide, Nadal, Elena, Cerofolini, Angelo, Barresi, Luca, Catalano, Giorgia, Stroppa, Italo, Traini, Sara, Mazzaferro, Vincenzo, Cipolletta, Livio, Tringali, Andrea, Costamagna, Guido, Ravelli, Paolo, Bazzoli, Franco, Merighi, Alberto, Parodi, Maria Caterina, Conigliaro, Rita, Mutignani, Massimiliano, Zilli, Maurizio, Filipponi, Franco, Fantin, Alberto, Rodella, Luca, Tarantino, Ilaria, Traina, Mario, Salizzoni, Mauro, Rosa, Roberto, Malinverno, Federica, Invernizzi, Federica, Angelo Manini, Matteo, Donato, Maria Francesca, Colombo, Massimo, Conte, Dario, Rossi, Giorgio, and Penagini, Roberto

Subjects
medicine.medical_specialty, Settore MED/12 - GASTROENTEROLOGIA, medicine.medical_treatment, Treatment outcome, Constriction, Pathologic, 030230 surgery, Anastomosis, Liver transplantation, Follow-Up Studie, 03 medical and health sciences, 0302 clinical medicine, Postoperative Complications, Surgery, Hepatology, Transplantation, Retrospective Studie, Internal medicine, Surveys and Questionnaires, medicine, Stent, Humans, Surveys and Questionnaire, Retrospective Studies, Cholangiopancreatography, Endoscopic Retrograde, Cholestasis, business.industry, Patient Selection, Follow up studies, biliary anastomotic strictures, Bile Duct, Retrospective cohort study, Liver Transplantation, Treatment Outcome, Multicenter study, Italy, Cholestasi, 030211 gastroenterology & hepatology, Stents, Bile Ducts, Postoperative Complication, business, Hospitals, High-Volume, Magnetic Resonance Angiography, Follow-Up Studies, Human
Abstract

n/a

Published
2017

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