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| 1 | Pancreatic trauma: The role of computed tomography for guiding therapeutic approach显示文摘AIM: To evaluate the role of computed tomography(CT) for diagnosing traumatic injuries of the pancreas and guiding the therapeutic approach.METHODS: CT exams of 6740 patients admitted to our Emergency Department between May 2005 and January 2013 for abdominal trauma were retrospectively evaluated. Patients were identified through a search of our electronic archive system by using such terms as 'pancreatic injury', 'pancreatic contusion', 'pancreatic laceration', 'peri-pancreatic fluid', 'pancreatic active bleeding'. All CT examinations were performed before and after the intravenous injection of contrast material using a 16-slice multidetector row computed tomography scanner. The data sets were retrospectively analyzed by two radiologists in consensus searching for specific signs of pancreatic injury(parenchymal fracture and laceration, focal or diffuse pancreatic enlargement/edema, pancreatic hematoma, active bleeding, fluid between splenic vein and pancreas) and non-specific signs(inflammatory changes in peri-pancreatic fat and mesentery, fluid surrounding the superior mesentericartery, thickening of the left anterior renal fascia, pancreatic ductal dilatation, acute pseudocyst formation/peri-pancreatic fluid collection, fluid in the anterior and posterior pararenal spaces, fluid in transverse mesocolon and lesser sac, hemorrhage into peri-pancreatic fat, mesocolon and mesentery, extraperitoneal fluid, intraperitoneal fluid).RESULTS: One hundred and thirty-six/Six thousand seven hundred and forty(2%) patients showed CT signs of pancreatic trauma. Eight/one hundred and thirty-six(6%) patients underwent surgical treatment and the pancreatic injures were confirmed in all cases. Only in 6/8 patients treated with surgical approach, pancreatic duct damage was suggested in the radiological reports and surgically confirmed in all cases. In 128/136(94%) patients who underwent non-operative treatment CT images showed pancreatic edema in 97 patients, hematoma in 31 patients, fluid between splenic vein and pancreas in 113 patients. Non-specific CT signs of pancreatic injuries were represented by peri-pancreatic fat stranding and mesentery fluid in 89% of cases, thickening of the left anterior renal fascia in 65%, pancreatic ductal dilatation in 18%, acute pseudocyst/peri-pancreatic fluid collection in 57%, fluid in the pararenal spaces in 45%, fluid in transverse mesocolon and lesser sac in 29%, hemorrhage into peri-pancreatic fat, mesocolon and mesentery in 66%, extraperitoneal fluid in 66%, intra-peritoneal fluid in 41% cases.CONCLUSION: CT represents an accurate tool for diagnosing pancreatic trauma, provides useful information to plan therapeutic approach with a detection rate of 75% for recognizing ductal lesions. | Marco Moschetta Michele Telegrafo Valeria Malagnino Laura Mappa Amato A Stabile Ianora Dario Dabbicco Antonio Margari Giuseppe Angelelli | 2015 | World Journal of Radiology2015，7，11： | 4 |
| 2 | Microrobotics for future gastrointestinal endoscopy显示文摘 | Menciassi A Quirini M Dario P | | 0，，： | 1 |
| 3 | Opportunities and Chal enges) of eHealth and Telemedicine via Satel ite显示文摘 | Dario C Dunbar A Feliciani F | | 0，，10： | 1 |
| 4 | Capsule endoseopy: from current achieve- ments to open challenges显示文摘 | Ciuti G Meneiassi A Dario P | 2011 | IEEE Reviews in Biomedical Engineering2011，4，： | 1 |
| 5 | Impact of increased adipose tissue mass on in{lamination, insulin resistance, and dyslipidemia显示文摘 | Dario A Gutierrez Michael J Puglisi Alyssa H Hasty | 2009 | Current Diabetes Reports2009，9，1： | 1 |
| 6 | Subtemporal suboc cipital transpetrosal transsigmoidal approach to aneurysm of the basilar artery fenestration显示文摘 | Scamoni C Dario A Spriano G | 1998 | J Neurosurg Sci1998，42，3： | 1 |
| 7 | A characterization study of the surface acidity of solid catalysts by temperature programmed methods显示文摘 | Arena F Dario R Parmaliana A | 1998 | Applied Catalysis A1998，170，1： | 1 |
| 8 | Development and in vitro testing of a miniature robotic system for colonoscopy显示文摘 | Dario P Carrozza M C Pietrabissa A | 1999 | Journal of Computer Aided Surgery1999，4，1： | 1 |
| 9 | High performance spectroradiometer for very accurate radiometric calibrations and testing of blackbody sources and EO test equipment 显示文摘 | DARIO C AMIR G BUCKWALD R A | 2006 | SPIE2006，6207，： | 1 |
| 10 | A kinetic study of the effect of ultrasound power onthe sonohydrolysis of tetraethyl orthosilicate显示文摘 | Cortes Andresa D S Donatti Dario A Ibanez Ruiz A VolletDimas R | 2007 | UltrasonicsSonochemistry2007，14，6： | 1 |
| 11 | A characterization study of the surface acidity of solid catalysts by temperature programmed methods显示文摘 | Arena F Dario R Parmalina A | | 0，，： | 1 |
| 12 | Smart Surgical Tools and Augmenting Devices显示文摘 | Dario P Hannaford B Menciassi A | 2003 | IEEE Transations on Robotics and Automation2003，19，5： | 1 |
| 13 | Capsule endoscopy:from current achievements to open challenges显示文摘 | CIUTI G MENCIASSI A DARIO P | 2011 | Biomedical Engineering IEEE Reviews in2011，4，： | 1 |
| 14 | Chromatin remodeling agents for cancer the rapy显示文摘 | Dario L S Rosa M A Mariela E | 2008 | Reviews on Recent Clinical Trials2008，3，3： | 1 |
| 15 | Rotordynamic performance of a rotor supported on bump type foil gas bearings: experiments and predictions 显示文摘 | A Luis San R Dario K Tae Ho | 2007 | Journal of Engineering for Gas Turbines and Power2007，129，： | 1 |
| 16 | Expression of a novel antiapoptosis gene,survivin,correlated with tumor cell apoptosis and p53 accumulation in gastric carcinomas显示文摘 | Cai D L Dario C A Nobuhiko T | 1998 | Cancer Res1998，58，： | 1 |
| 17 | Structural stiffness, dry friction coefficient, and equivalent viscous damping in a bump - type foil gas bearing 显示文摘 | R Dario A Luis San | 2007 | Journal of Engineering for Gas Turbines and Power2007，129，： | 1 |
| 18 | Plasma treatment of mammalian vascular cells: A quantitative description显示文摘 | Kieft I E Darios D Roks A J M | 2005 | IEEE Transaction on Plasma Science2005，33，2： | 1 |
| 19 | Bio-inspired solutions for locomotion in the gastrointestinal tract: Background and perspectives 显示文摘 | Menciassi A Dario P | 2003 | Phil Trans R Soe Lond A2003，5，1： | 1 |
| 20 | Molecular circuits of apoptosis regulation and cell division control:the survivin paradigm显示文摘 | DARIO C A | 2004 | J Cell Biochem2004，92，4： | 1 |
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