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115 results on '"IBI, I."'

1. Meeting abstracts

Author

Agnifili A., Gola P., Guadagni S., Verzaro R., Carducci G., Gianfelice F., Ibi I., Marino M., Mancini E., De Bernardinis G., Allegri C., Spoletini F., Mariotti V., Vari A., Polinari U., Altomare D. F., Brienza E., Rinaldi M., Vicente-Prieta R., Memeo V., Bertolino F., Ceccopieri B., Nasi P. G., Porcellana V., Mattio R., Forconi S., Dellepiane M., Biccari V., Tedesco M., Matrone A. M., Sirovich I., Nicolanti V., Stipa S., Bonalumi U., Galleano R., Baiardi A., Balbi P., Simoni G., Calleri G., Casaldi, V., Cosimelli, M., Giannarelli, D., Botti, C., Mannella, E., Wappner, G., Cavaliere, R., Casale, V., Fracasso, P., Grassi, A., Lapenta, R., Stigliano, V., Nasi P. G., Cianciulli A. M., Antonaci S., Casale V., Greco C., Gandolfo G. M., Coco, C., Giordano, A., Roncolini, G., Mattana, C., Coppola, R., Magistrelli, P., Crespi C., De Giorgio A. M., Giuliani A., Galasso V., Truglia S., De Ligio F., De Ligio S., Serafino L., Limiti R., Arrabito G., Guadagni S., Palumbo G., Pantaleoni G., D'Alessandro V., Agnifili A., Carducci G., Mancini E., Marino M., Gola P., Gianfelice F., Verzaro R., Ibi I., Ranalletta D., Fanini R., De Bernardinis G., Huscher, C., Chiodini, S., Zamboni, F., Montorsi, M., Marchese C., Bertolino F., Ceccopieri B., Locatelli L., Mareni C., Mattio R., Scaglione D., Vanzetti M., Mascagni, D., Di Matteo, G., Hojo, K., Moriya, Y., Sugihara, K., Massidda, B., Nicolosi, A., Tarquini, A., Natalini, G., Borgognoni, F., Ranieri, S., Menculini, M., Carioni, G., Botti C., Cosimelli M., Casaldi V., Cavaliere R., Caporossi M., Huguet C., Chiavellati L., Cavallaro A., Pietroletti, R., Cianca, G., Barnabei, R., Simi, M., Romano G., Di Carlo A., Mariano A., D'Alessandro V., Rotondano G., Macchia V., Secco, G. B., Fardelli, R., Zoli, S., Lapini, C., Cariati, A., Prior, C., Sironi, I., Mietti, G., Arisi, B. A., Ferrari, G. C., Gasbacortat, M., Brusamolino, R., Bauer, D., Russo, A., Spinelli C., Berti P., Gori L., Materazzi G., Mucci M., Pierallini S., Miccoli P., Cosimeili M., Mannella E., Valabrega, S., Pozzi, G., De Angelis, R., D'Angelo, F., Indinnimeo, M., Aurello, P., Tabbi, P., Fegiz, G., Venezia, P., Colella, R., Pitzalis, M. V., Pitzalis, M., Vuolo, G., Di Cosmo, L., Grimaldi, L., Maglio, C., Masellis, D., and Carli, A.

Published
1994
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4. Peri-operative pulmonary function, pain and stress response after cholecystectomy performed via laparotomy or laparoscopy: Comparison between laparoscopy and laparotomy

Author

Ibi I, Verzaro R, Agnifili A, A. Colangeli, and G. De Bernardinis

Subjects
medicine.medical_specialty, Surgical stress, medicine.diagnostic_test, Visual analogue scale, business.industry, medicine.medical_treatment, Gallstones, Perioperative, medicine.disease, Pulmonary function testing, Surgery, Anesthesia, Laparotomy, medicine, Radiology, Nuclear Medicine and imaging, Cholecystectomy, business, Laparoscopy
Abstract

Pulmonary function, pain and endocrine-metabolic response to surgical stress were compared in 50 patients with elective cholelithiasis who were randomly treated by laparoscopic cholecystectomy (LC) (group 1 = 29 patients) and by open cholecystectomy (OC) (group 2 = 21 patients). Data were stored in Dbse III and analysed using SPSS software. We compared the two groups using the unpaired t-test and by two-tailed chi-square test. No respiratory dysfunction was present after LC whilst in the OC group, pulmonary impairment lasted 5–7 days post-operatively. Pain evaluation by visual analogue scale confirmed that LC is less invasive and less harmful than OC. During surgery, hormonal response did not significantly differ in either group. In the post-operative period, an increase in prolactin and cortisol levels resulted in the OC group, which suggested stress. The findings of this study suggest that LC has more advantages than OC in the elective treatment of gallstones.

Published
1993
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5. A rare case of splenic hematoma following chronic pancreatitis —The diagnostic and therapeutic procedures

Author

Gola P, Agnifili A, Angelo Onorato, Filippo Gianfelice, Ibi I, and Giancarlo De Bernardinis

Subjects
Male, Hematoma, medicine.medical_specialty, Splenic Capsule, business.industry, medicine.medical_treatment, Splenectomy, Proteolytic enzymes, Spleen, General Medicine, Middle Aged, medicine.disease, Surgery, medicine.anatomical_structure, Pancreatitis, Chronic Disease, Parenchyma, medicine, Humans, Complication, business, Splenic Diseases
Abstract

We describe herein a clinical case in which a subcapsular splenic hematoma complicated chronic relapsing pancreatitis. A pathogenetic mechanism is postulated that explains the subacute insorgence of the liquid collection with the diffusion of proteolytic enzymes between the splenic capsule and parenchyma. Radical therapy, consisting of exeresis of the cystic formation, splenectomy and caudal pancreatectomy, is recommended for this extremely rare complication.

Published
1991
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6. [Pylorus-preserving pancreatoduodenectomy allows a better maintenance of glucose homeostasis]

Author

Agnifili, Alessio, Marino, M, Verzaro, R, Carducci, G, Mancini, E, Ibi, I, Gianfelice, F, Poccia, G, and De Bernardinis, G.

Abstract

Pancreatic diseases and pancreatic surgery usually cause a derangement of glucose metabolism ranging from a change in glucose tolerance test to insulin-dependent diabetes. The authors assess the changes in glycemia both in basal condition and after a challenge test in a group of patients who underwent Pylorus Preserving Pancreatoduodenectomy (PPPD) according to an original technique of reconstruction with two separate bowel loops.Ten patients who underwent PPPD either for chronic pancreatitis or ampullar carcinoma were enrolled in this study. Pre- and postoperative assessment of pancreatic endocrine function was carried out in all the patients. The evaluation included: 1) oral glucose tolerance test (OGTT), 2) intravenous glucose tolerance test (IVGTT) and 3) glucagon challenge test.Plasma glucose level in basal condition, after oral glucose tolerance test, intravenous glucose tolerance test and glucagone challenge test, shows that insulin secretion and/or its effectiveness is not impaired after PPPD. Two patients with preoperative insulin-dependent diabetes needed a lower dose of insulin in the postoperative period. One patient responded abnormally to OGTT both in the preoperative and postoperative periods. Seven patients maintained normal glucose homeostasis in the postoperative period.PPPD allows a normal control of glucose metabolism. Better digestive and endocrine function noted in our patients in the postoperative period is due to the integrity of the stomach and the reconstruction technique with two bowel loops used to drain biliary and pancreatic secretion separately.

Published
2006

7. Biological effects of preoperative radiotherapy on metastatic lymph nodes from rectal cancer

Author

Ibi, I., Saito, Y., Alessio AGNIFILI, Bernardinis, G., Citone, G., and Muto, T.

Subjects
Male, Time Factors, Rectal Neoplasms, General Medicine, Middle Aged, Gene Expression Regulation, Neoplastic, Immunoenzyme Techniques, Lymphatic Metastasis, Proliferating Cell Nuclear Antigen, Humans, Female, Radiotherapy, Adjuvant, Neoplasm Recurrence, Local, Cell Division, Retrospective Studies
Abstract

The quantitative description of the proliferative activity of cancer cells correlates with the aggressiveness of malignant tumors. The aim of this retrospective study was to determine the biological effect of adjuvant therapy on metastatic lymph nodes from rectal cancer and to compare the results between patients treated with surgery alone and patients treated with preoperative radiotherapy. Expression of the proliferating cell nuclear antigen (PCNA) was examined in metastatic lymph node samples of 12 rectal cancer patients receiving and 14 patients not receiving preoperative radiotherapy. PCNA immunostaining was performed by an avidin-biotin complex immunoperoxidase technique. The results of the mean proliferation index (PI) between the two groups were compared. A semiquantitative PCNA grading system was also estimated. In patients receiving preoperative radiotherapy, the PI was 22.8 per cent, and only one patient had high proliferative grade. On the contrary, the PI in nonirradiated patients was 67.6 per cent, and nine patients showed high proliferative grade. Although not sufficient to reach significance in terms of prognosis, the present study confirms the clinical value of radiation therapy, and it supports the suggestion to treat Dukes’ C patients with preoperative radiotherapy to decrease the risk of local recurrence.

Published
1999

17. IL CHIRURGO E LA VASCOLARIZZAZIONE ARTERIOSA DELLO STOMACO

Author

Guadagni, Stefano, Gola, P., Agnifili, Alessio, Carducci, G., Mancini, Eva, Gianfelice, F., Turco, G., Ibi, I., Verzaro, R., Marino, M., Di Renzo, M., Scoccia, L., Lombardi, L., Marsili, L., and De Bernardinis, G.

Subjects
Blood supply, Gastric neoplasms, Gastric stump, Stomach, Angiography, Ischemic necrosis, Surgery
Published
1994

23. Anatomia laparoscopica dell'ilo della colecisti

Author

Verzaro, R, Agnifili, A, Gola, P, Guadagni, S, Carducci, G, Ibi, I, Marino, M, Mancini, E, Centi, D, Scoccia, L, Gianfelice, F, Di Renzo, M, and De Bernardinis, G.

Published
1994

34. An original reconstructive method after pylorus-preserving pancreatoduodenectomy

Author

Verzaro R, Agnifili A, Gianfelice F, Ibi I, De Bernardinis G, Carducci G, and Gola P

Subjects
Adult, Male, medicine.medical_specialty, Ampulla of Vater, Pancreatic disease, Pancreaticoduodenectomy, Postoperative Complications, Duodenal Neoplasms, Pancreaticojejunostomy, medicine, Humans, Pylorus, Gastric emptying, business.industry, digestive, oral, and skin physiology, Biliary fistula, General Medicine, Middle Aged, medicine.disease, digestive system diseases, Surgery, Pancreaticojejunal anastomosis, medicine.anatomical_structure, Bile Duct Neoplasms, Pancreatitis, Chronic Disease, Acute pancreatitis, Dumping syndrome, Female, business
Abstract

Acute pancreatitis and leakage of pancreaticojejunal anastomosis are the most important causes of operative morbidity and mortality after pancreatoduodenectomy. We have introduced a modified technique for reconstruction that provides a functional exclusion of the pancreatic-jejunostomy in respect of the transit of gastric and biliary secretions. The immediate advantages of this technique are the reduction in the risk of leakage and the possibility of undertaking conservative treatment, in the case that leakage occurs. The preservation of the antral-pyloric unit, according to Traverso and Longmire,1 increases the functional features of the procedure, by reducing entero-gastric refluxes, and assuring a regulated gastric emptying. We herein present our series of 11 pancreatoduodenectomies (PD) for periampullary neoplasms and chronic pancreatitis. Throughout our series we experienced no cases of operative mortality. However, there was one specific instance of morbidity, consisting of one case of external biliary fistula by micro-dehiscence of the hepaticjejunostomy and which was later resolved by conservative treatment. Our most recent results have produced almost normal findings in terms of gastric secretion, gastric emptying and an absence of dumping syndrome, ulcers and refluxes.

Published
1993

36. Hurthle cell adenoma of the thyroid gland

Author

Guadagni, S, Agnifili, A, Carducci, G, Mancini, E, Marino, M, Gola, P, Gianfelice, F, Verzaro, R, Turco, G, Ibi, I, Ranalletta, D, Centi, D, Di Renzo, M, Sawaid, A, and De Bernardinis, G.

Published
1993

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