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28篇 您的检索式:作者名="Alessandro Colombo"
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1Endoscopic management of difficult common bile duct stones:Where are we now?A comprehensive review显示文摘Endoscopic management for difficult common bile duct(CBD)stones still presents a challenge for several reasons,including anatomic anomalies,patients’individual conditions and stone features.In recent years,variable methods have emerged that have attributed to higher stone removal success rates,reduced cost and lower adverse events.In this review,we outline a stepwise approach in CBD stone management.As first line therapy,endoscopic sphincterotomy and large balloon dilation are recommended,due to a 30%-50%reduction of the use of mechanical lithotripsy.On the other hand,cholangioscopy-assisted lithotripsy has been increasingly reported as an effective and safe alternative technique to mechanical lithotripsy but remains to be reserved in special settings due to limited large-scale evidence.As discussed,findings suggest that management needs to be tailored to the patient’s characteristics and anatomical conditions.Furthermore,we evaluate the management of CBD stones in various surgical altered anatomy(Billroth II,Roux-en-Y and Roux-en-Y gastric bypass).Moreover,we could conclude that cholangioscopy-assisted lithotripsy needs to be evaluated for primary use,rather than following a failed management option.In addition,we discuss the importance of dissecting other techniques,such as the primary use of interventional endoscopic ultrasound for the management of CBD stones when other techniques have failed.In conclusion,we recognize that endoscopic sphincterotomy and large balloon dilation,mechanical lithotripsy and intraductal lithotripsy substantiate an indication to the management of difficult CBD stones,but emerging techniques are in rapid evolution with encouraging results.Alberto Tringali Deborah Costa Alessandro Fugazza Matteo Colombo Kareem Khalaf Alessandro Repici Andrea Anderloni 2021World Journal of Gastroenterology2021,27,44:8
2Patterns of appearance and risk of misdiagnosis of intrahepatic cholangiocarcinoma in cirrhosis at contrast enhanced ultrasound显示文摘Marzia Galassi Massimo Iavarone Sandro Rossi Simona Bota Sara Vavassori Laura Rosa Simona Leoni Laura Venerandi Sara Marinelli Angelo Sangiovanni Letizia Veronese Mirella Fraquelli Alessandro Granito Rita Golfieri Massimo Colombo Luigi Bolondi Fabio Pisca 2013Liver Int2013,,5:1
3Enhanced endoscopic ultrasound imaging for pancreatic lesions: The road to artificial intelligence显示文摘Early detection of pancreatic cancer has long eluded clinicians because of its insidious nature and onset.Often metastatic or locally invasive when symptomatic,most patients are deemed inoperable.In those who are symptomatic,multi-modal imaging modalities evaluate and confirm pancreatic ductal adenocarcinoma.In asymptomatic patients,detected pancreatic lesions can be either solid or cystic.The clinical implications of identifying small asymptomatic solid pancreatic lesions(SPLs)of<2 cm are tantamount to a better outcome.The accurate detection of SPLs undoubtedly promotes higher life expectancy when resected early,driving the development of existing imaging tools while promoting more comprehensive screening programs.An imaging tool that has matured in its reiterations and received many image-enhancing adjuncts is endoscopic ultrasound(EUS).It carries significant importance when risk stratifying cystic lesions and has substantial diagnostic value when combined with fine needle aspiration/biopsy(FNA/FNB).Adjuncts to EUS imaging include contrast-enhanced harmonic EUS and EUS-elastography,both having improved the specificity of FNA and FNB.This review intends to compile all existing enhancement modalities and explore ongoing research around the most promising of all adjuncts in the field of EUS imaging,artificial intelligence.Marco Spadaccini Glenn Koleth James Emmanuel Kareem Khalaf Antonio Facciorusso Fabio Grizzi Cesare Hassan Matteo Colombo Benedetto Mangiavillano Alessandro Fugazza Andrea Anderloni Silvia Carrara Alessandro Repici 2022World Journal of Gastroenterology2022,28,29:1
4Undergraduates’ metacognitive knowledge about the psychological effects of different kinds of computer-supported instructional tools显示文摘Alessandro Antonietti Barbara Colombo Yuri Lozotsev 2007Computers in Human Behavior2007,,5:1
5Monitoring of central retinal artery and vein with color doppler ultrasound during heart surgery as an alternative to transcranial doppler ultrasonography: A case report显示文摘Massimo Venturini Massimo Zambon Giulia Cristel Giulia Agostini Giulia Querques Michele Colombo Stefano Benussi Giovanni Landoni Alberto Zangrillo Alessandro Maschio 2014J. Clin. Ultrasound2014,,2:1
6‘Click’ synthesis of a triazole-based inhibitor of Met functions in cancer cells显示文摘Francesco Colombo Cristina Tintori Alessandro Furlan Stella Borrelli Michael S. Christodoulou Rosanna Dono Flavio Maina Maurizio Botta Mercedes Amat Joan Bosch Daniele Passarella 2012Bioorganic & Medicinal Chemistry Letters2012,,14:1
7Identification of new aminoacid amides containing the imidazo[2,1- b ]benzothiazol-2-ylphenyl moiety as inhibitors of tumorigenesis by oncogenic Met signaling显示文摘Alessandro Furlan Francesco Colombo Andrea Kover Nathalie Issaly Cristina Tintori Lucilla Angeli Vincent Leroux Sébastien Letard Mercedes Amat Yasmine Asses Bernard Maigret Patrice Dubreuil Maurizio Botta Rosanna Dono Joan Bosch Oreste Piccolo Daniele Pas 2011European Journal of Medicinal Chemistry2011,,:1
83D face detection using curvature analysis 显示文摘Alessandro Colombo Claudio Cusano Raimondo Schettini 2006Pattern Recognition2006,39,3:1
9Randomised study of radical surgery versus radiotherapy for stage Ib-IIa cervical cancer显示文摘Fabio Landoni Andrea Maneo Alessandro Colombo Franco Placa Rodolfo Milani Patrizia Perego Giorgio Favini Luigi Ferri Costantino Mangioni 1997The Lancet1997,,9077:1
10Patterns of appearance and risk of misdiagnosis of intrahepatic cholangiocarcinoma in cirrhosis at contrast enhanced ultrasound显示文摘Marzia Galassi Massimo Iavarone Sandro Rossi Simona Bota Sara Vavassori Laura Rosa Simona Leoni Laura Venerandi Sara Marinelli Angelo Sangiovanni Letizia Veronese Mirella Fraquelli Alessandro Granito Rita Golfieri Massimo Colombo Luigi Bolondi Fabio Pisca 2013Liver Int2013,,5:1
11Comparison between hepatocellular carcinoma prognostic scores:A 10-year single-center experience and brief review of the current literature显示文摘BACKGROUND Hepatocellular carcinoma(HCC)represents the most common primitive liver malignancy.A relevant concern involves the lack of agreement on staging systems,prognostic scores,and treatment allocation algorithms.AIM To compare the survival rates among already developed prognostic scores.METHODS We retrospectively evaluated 140 patients with HCC diagnosed between February 2006 and November 2017.Patients were categorized according to 15 prognostic scoring systems and estimated median survivals were compared with those available from the current medical literature.RESULTS The median overall survival of the cohort of patients was 35(17;67)mo,and it was statistically different in relation to treatment choice,ultrasound surveillance,and serum alpha-fetoprotein.The Italian Liver Cancer(ITA.LI.CA)tumor staging system performed best in predicting survival according to stage allocation among all 15 evaluated prognostic scores.Using the ITA.LI.CA prognostic system,28.6%,40.7%,22.1%,and 8.6%of patients fell within stages 0-1,2-3,4-5 and>5 respectively.The median survival was 57.9 mo for stages 0-1,43 mo for stages 2-3,21.7 mo for stages 4-5,and 10.4 mo for stage>5.The 1-,3-,and 5-year survival rates were respectively 95%,65%,and 20%,for stages 0-1;94.7%,43.9%and 26.3%for stages 2-3;71%,25.8%and 16.1%for stages 4-5;and 50%,16.7%and 8.3%for stage>5.At the same time,although statistically significant in prognostic stratification,the most commonly used Barcelona Clinic Liver Cancer system showed one of the most relevant differences in median survival,especially for stages A and C,when compared to the medical literature.In fact,10.7%,59.3%,27.1%,1.4%,and 0%of patients were stratified into stages 0,A,B,C,and D respectively.The median survival was>81.1 mo for stage 0,44.9 mo for stage A,21.3 mo for stage B,and 3.1 mo for stage C.The 1-,3-,and 5-year survival rates were respectively 86.7%,60%,and 46.7%for stage 0;91.6%,50.6%,and 20.5%for stage A;73.7%,23.7%and 13.2%for stage B;and 2%,0%and 0%for stage C.CONCLUSION Survival analysis shows excellent prognostic ability of the ITA.LI.CA scoring system compared to other staging systems.Michele Campigotto Mauro Giuffrè Anna Colombo Alessia Visintin Alessandro Aversano Martina Budel Flora Masutti Cristiana Abazia Lory Saveria Croce 2020World Journal of Hepatology2020,12,12:1
12Percutaneous endoscopic gastrostomy and jejunostomy:Indications and techniques显示文摘Nutritional support is essential in patients who have a limited capability to maintain their body weight.Therefore,oral feeding is the main approach for such patients.When physiological nutrition is not possible,positioning of a nasogastric,nasojejunal tube,or other percutaneous devices may be feasible alternatives.Creating a percutaneous endoscopic gastrostomy(PEG)is a suitable option to be evaluated for patients that need nutritional support for more than 4 wk.Many diseases require nutritional support by PEG,with neurological,oncological,and catabolic diseases being the most common.PEG can be performed endoscopically by various techniques,radiologically or surgically,with different outcomes and related adverse events(AEs).Moreover,some patients that need a PEG placement are fragile and are unable to express their will or sign a written informed consent.These conditions highlight many ethical problems that become difficult to manage as treatment progresses.The aim of this manuscript is to review all current endoscopic techniques for percutaneous access,their indications,postprocedural follow-up,and AEs.Alessandro Fugazza Antonio Capogreco Annalisa Cappello Rosangela Nicoletti Leonardo Da Rio Piera Alessia Galtieri Roberta Maselli Silvia Carrara Gaia Pellegatta Marco Spadaccini Edoardo Vespa Matteo Colombo Kareem Khalaf Alessandro Repici Andrea Anderloni 2022World Journal of Gastrointestinal Endoscopy2022,14,5:1
13Influence of CLOCK gene polymorphism on circadian mood fluctuation and illness recurrence in bipolar depression 显示文摘Francesco Benedetti Alessandro Serretti Cristina Colombo 2003Am J Med Genet2003,123,1:1
14Effect of Percutaneous Coronary Intervention on Coronary Blood Flow at Rest in Myocardial Sites Remote from the Intervention Site in Patients With Stable Angina Pectoris显示文摘Olivia Manfrini Michela Slucca Carmine Pizzi Alessandro Colombo Maurizio Viecca Raffaele Bugiardini 2008The American Journal of Cardiology2008,,6:1
15Aggressive Surgery in Retroperitoneal Soft Tissue Sarcoma Carried Out at High-Volume Centers is Safe and is Associated With Improved Local Control显示文摘Sylvie Bonvalot MD PhD Rosalba Miceli PhD Mattia Berselli MD Sylvain Causeret MD Chiara Colombo MD Luigi Mariani MD Hatem Bouzaiene MD Cécile Péchoux MD Paolo Giovanni Casali MD Axel Cesne MD Marco Fiore MD Alessandro Gronchi MD 2010Annals of Surgical Oncology2010,,6:1
16Masseteric–facial nerve anastomosis for early facial reanimation显示文摘Federico Biglioli Alice Frigerio Valeria Colombo Giacomo Colletti Dimitri Rabbiosi Pietro Mortini Elena Dalla Toffola Alessandro Lozza Roberto Brusati 2011Journal of Cranio-Maxillofacial Surgery2011,,2:1
17Assessment of on-road emissions of four Euro V diesel and CNG waste collection trucks for supporting air-quality improvement initiatives in the city of Milan显示文摘Georgios Fontaras Giorgio Martini Urbano Manfredi Alessandro Marotta Alois Krasenbrink Francesco Maffioletti Roberto Terenghi Mauro Colombo 2012Science of the Total Environment2012,,:1
18Relief of jaundice in malignant biliary obstruction:When should we consider endoscopic ultrasonography-guided hepaticogastrostomy as an option?显示文摘Background:Since it was first described in 2001,endoscopic ultrasonography-guided biliary drainage(EUS-BD)has emerged as an alternative procedure for achieving an endoscopic internal drainage in case of endoscopic retrograde cholangiopancreatography(ERCP)failure.Biliary drainage can be achieved by either a transduodenal extrahepatic approach through EUS-guided choledochoduodenostomy(EUS-CDS),or a transgastric intrahepatic approach,namely EUS-guided hepaticogastrostomy(EUS-HGS)which already holds a remarkable place in the treatment of patients with malignant biliary obstruction.Data sources:For this review we did a comprehensive search of PubMed/MEDLINE from inception to May 31,2021 for papers with a significant sample size(at least 20 patients enrolled)dealing with EUS-HGS.Data on technical success,clinical success and rate of adverse events were collected.Results:A total of 22 studies with different design,com prising 874 patients,were included.Technical success was achieved in about 96% of cases(ranging from 65% to 100%).Clinical success was obtained in almost 91% of cases(ranging from 76% to 100%).Overall rate of adverse events was 19%(ranging from 0% to 35%).Abdominal pain,self-limiting pneumoperitoneum,bile leak,cholangitis,bleeding,perforation and intraperitoneal migration of the stent were the most common.Conclusions:Despite both safety and efficacy profile,at the moment HGS still remains a challenging procedure at every single step and must therefore be conducted by a very experienced endoscopist in interventional EUS and ERCP procedures,who is able to deal with the possible severe adverse events of this procedure.A rapid introduction in clinical practice of dedicated devices is desiderable.Alessandro Fugazza Matteo Colombo Marco Spadaccini Edoardo Vespa Roberto Gabbiadini Antonio Capogreco Alessandro Repici Andrea Anderloni 2022Hepatobiliary & Pancreatic Diseases International2022,21,3:1
19Initial experience of a single center with the use of ZSI 475 penile prosthesis显示文摘Objective:To evaluate surgical outcomes after implantation of the Zephyr ZSI 475 inflatable penile prosthesis(IPP)and patients’quality of life.Methods:From December 2014 to September 2018,15 patients underwent prosthesis implantation with ZSI 475.A retrospective review of clinical data was performed.Patients’quality of life after implantation was investigated with Quality of Life and Sexuality with Penile Prosthesis(QoLSPP)questionnaire.Results:The median age of patients was 57 years and the average follow-up time was 22 months.Twelve patients received a standard implantation due to severe erectile dysfunction(ED);three patients also presented penile curvature and additional corporoplasty with grafting was necessary.Three procedures had to be interrupted due to defects of the insertion tools.In one case a manufacturing defect resulted in a pump leak.In one case,a severe postoperative complication occurred,which requested explanation of the device.During the follow-up,four patients experienced mechanical failure of the prosthesis.Results of QoLSPP questionnaire at 12 months were skewed toward the positive end of the scale in all domains.Conclusion:In our initial experience,ZSI 475 suffered a high rate of mechanical failures;on the other hand,the company showed great commitment in order to improve the quality and reliability of the device.The lower cost of ZSI 475 may add to the chances of the product to become a cost-effective alternative to treat those patient who need a IPP.Fulvio Colombo Giorgio Gentile Valerio Vagnoni Alessandro Fiorillo Pietro Piazza Fabrizio Sartorio Alessandro Franceschelli 2021Asian Journal of Urology2021,8,2:0
20Endoscopic management of benign biliary strictures:Looking for the best stent to place显示文摘Benign biliary strictures(BBS)might occur due to different pancreaticobiliary conditions.The etiology and location of biliary strictures are responsible of a wide array of clinical manifestations.The endoscopic approach endoscopic retrograde cholangiopancreatography represents the first-line treatment for BBS,considering interventional radiology and surgery when endoscopic treatment fails or it is not suitable.The purpose of this review is to provide an overview of possible endoscopic treatments for the optimal management of this subset of patients.Matteo Colombo Edoardo Forcignanò Leonardo Da Rio Marco Spadaccini Marta Andreozzi Carmelo Marco Giacchetto Silvia Carrara Roberta Maselli Piera Alessia Galtieri Gaia Pellegatta Antonio Capogreco Davide Massimi Kareem Khalaf Cesare Hassan Andrea Anderloni Alessandro Repici Alessandro Fugazza 2023World Journal of Clinical Cases2023,11,31:0
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