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| 1 | Management of duodenal stump fistula after gastrectomy for gastric cancer: Systematic review显示文摘AIM: To identify the most effective treatment of duodenalstump fistula(DSF) after gastrectomy for gastric cancer.METHODS: A systematic review of the literature was performed. Pub Med, EMBASE, Cochrane Library, CILEA Archive, BMJ Clinical Evidence and Up To Date databases were analyzed. Three hundred eighty-eight manuscripts were retrieved and analyzed and thirteen studies published between 1988 and 2014 were finally selected according to the inclusion criteria, for a total of 145 cases of DSF, which represented our group of study. Only patients with DSF after gastrectomy for malignancy were selected. Data about patients' characteristics, type of treatment, short and long-term outcomes were extracted and analyzed. RESULTS: In the 13 studies different types of treatment were proposed: conservative approach, surgical approach, percutaneous approach and endoscopic approach(3 cases). The overall mortality rate was 11.7% for the entire cohort. The more frequent complications were sepsis, abscesses, peritonitis, bleeding, pneumonia and multi-organ failure. Conservative approach was performed in 6 studies for a total of 79 patients, in patients with stable general condition, often associated with percutaneous approach. A complete resolution of the leakage was achieved in 92.3% of these patients, with a healing time ranging from 17 to 71 d. Surgical approach included duodenostomy, duodenojejunostomy, pancreatoduodenectomy and the use of rectus muscle flap. In-hospital stay of patients who underwent relaparotomy ranged from 1 to 1035 d. The percutaneous approach included drainage of abscesses or duodenostomy(32 cases) and percutaneous biliary diversion(13 cases). The median healing time in this group was 43 d. CONCLUSION: Conservative approach is the treatment of choice, eventually associated with percutaneus drainage. Surgical approach should be reserved for severe cases or when conservative approaches fail. | Paolo Aurello Dario Sirimarco Paolo Magistri NiccolòPetrucciani Giammauro Berardi Silvia Amato Marcello Gasparrini Francesco D’Angelo Giuseppe Nigri Giovanni Ramacciato | 2015 | World Journal of Gastroenterology2015，21，24： | 19 |
| 2 | Reasoning on UML Classs Diagrams显示文摘 | Berardi D Cal A Calvanese D | 2005 | Artificial Intelligence2005，168，1： | 1 |
| 3 | Finite state automata as conceptual model for services显示文摘 | Berardi D Rosa F D Santis L D | 2004 | Integrated De-sign and Process Technology2004，8，2： | 1 |
| 4 | Implant micromotion is related to peak insertion torque and bone density 显示文摘 | Trisi P Perfetti G Baldoni E Berardi D Colagiovanni M Scogna G | 2009 | Clin Oral Implants Res2009，20，5： | 1 |
| 5 | Reasoning on UML class diagrams显示文摘 | Berardi D Calvanese D Giacomo G D | 2005 | Artificial Intelligence2005，168，12： | 1 |
| 6 | Aerodynamic performances of propellers with parametric considerations on the optimal design显示文摘 | Angelo S D Berardi F Minisci E | 2002 | The Aeronautical Journal2002，106，1060： | 1 |
| 7 | Computation of maximal safe sets for switching linear systems显示文摘 | E De Santis M D Di Benedetto L Berardi | | 0，，02： | 1 |
| 8 | Reasoning on UML class diagrams显示文摘 | BERARDI D CALVANESE D GIACOMO G D | 2005 | Artificial Intelligence2005，168，12： | 1 |
| 9 | Olanzapine augmentation in treatment-resistant panic disorder:a 12week,fixed-dose,open-label trial显示文摘 | Sepede G De Berardis D Gambi F | 2006 | J Clin Psychopharmaco12006，26，1： | 1 |
| 10 | Finite state automata as conceptual model for e-Services显示文摘 | Berardi D Rosa F D Santis L D | 2003 | Integrated Design and Process Technology2003，7，： | 1 |
| 11 | Effect of mirtazapine on thyroid hormones in adult patients with major depression显示文摘 | Gambi F De Berardis D Sepede G | 2005 | Int J Immunopathol Pharmacol2005，18，4： | 1 |
| 12 | Are type 2 diabetic patients offered adequate foot care? The role of physician and patient characteristics显示文摘 | De Berardis D Pellegrini F Franciosia M | 2005 | J Diabetes Com-plications2005，19，6： | 1 |
| 13 | Mirtazapine treat- ment of generalized anxiety disorder: a fixed dose, open label study显示文摘 | Gambi F De Berardis D Campanella D | 2005 | J Psyehopharmaeo12005，19，： | 1 |
| 14 | Agomela- tine reversal of escitalopram-induced apathy: a case report 显示文摘 | De Berardis D Valchera A Fornaro M | 2013 | Psychiatry Clin Neurosci2013，67，3： | 1 |
| 15 | The relationships between cholesterol and suicide:an update显示文摘 | Berardis D Marini S Piersanti M | 2012 | ISRN Psychiatry2012，，38： | 1 |
| 16 | Successful use of agomelatine in the treatment of major depression in a woman taking tamoxifen:a case report显示文摘 | De Berardis D Brucchi M Serroni N | 2014 | Clin Neuropharmacol2014，37，1： | 1 |
| 17 | Effect of mirtazapine on thyroid hormones in adult patients with major depression显示文摘 | GAMBI F de BERARDIS D SEPEDE G | 2005 | Int J Immunopathol Pharmacol2005，18，4： | 1 |
| 18 | Update on the adverse effects of clozapine:focus on myocarditis显示文摘 | De Berardis D Serroni N Campanella D | 2012 | Curr Drug Saf2012，7，1： | 1 |
| 19 | CDH1 C-160A promoter polyrnorphisrn and gastric cancer risk显示文摘 | Corso G Berardi A Marrelli D | 2009 | Eur J Cancer Prev2009，18，1： | 1 |
| 20 | S-Adenosyl-L-Methionine augmentation in patients with stage Ⅱ treatment-resistant major depressive disorder:an open label,fixed dose,single-blind study显示文摘 | De Berardis D Marini S Serroni N | 2013 | ScientificWorldJournal2013，2013，20： | 1 |
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