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| 1 | Comparison of Wirsung-jejunal duct-tomucosa and dunking technique for pancreatojejunostomy after pancreatoduodenectomy显示文摘Pancreato-enteric reconstruction after pancreatoduodenectomy (PD) is still a source of debate because of the high incidence of complications. Among the various types of pancreato-jejunostomies we don’t know yet which is the best in terms of anastomotic failure and related complications rates. Wirsung-jejunal duct-to-mucosa anastomosis (WJ) and 'dunking' pancreato-jejunal anastomosis (DPJ) are the two most used ones worldwide but conflicting results are reported. To determine which is the safer anastomosis and to define when an anastomosis should be preferred, we retrospectively reviewed two groups of patients who underwent WJ or DPJ. METHODS:Twenty-three patients underwent PD with WJ (n=17) with dilated (WJD) (n=9) or not-dilated Wirsung’s duct (WJND) (n=8) or with a DPJ (n=6) over a 3-year period at a single institution. RESULTS: The complications rate was high in all groups of patients (33.3% in WJD, 37.5% in WJND and 66.7% in DPJ). A pancreatic fistula developed in one patient in each group (11. 1% in WJD, 12. 5% in WJND and 16. 7% in DPJ). All these patients were managed conservatively. Anastomotic disruption took place in the WJ patients especially in the WJND group (n=2) compared to the WJD (n=1) (25% vs 11.1%) or DPJ groups (0%) : these three patients required a re-operation. Overall, the anastomotic defects were higher in patients who underwent WJND (37.5%), compared to WJD (22.2%) and to DPJ (16.7%). However, no statistical differences were found among the groups. Delayed gastric emptying (DGE) and total parenteral nutrition (TPN) along with anastomotic defects were responsible for a prolonged hospital stay. CONCLUSIONS:Our results were not able to demonstrate any statistical difference between the two different techniques in preventing anastomotic failure. WJ can represent a valid choice in case of a dilated duct and a firm, fibrotic enlarged gland that could not be properly invaginated in a small jejunal loop. DGE may occur in those patients who experienced an anastomotic failure and required a TPN regimen with a prolonged hospital stay. | Unita di Chirurgia, Dipartimento di Fisiopatologia Clinica (Batignani G, Fratini G, Zuckermann M and Tonelli F) and Dipartimento di Statistica (Bianchini E), Universitd degli Studi di Firenze, Flo rence, Italy | 2005 | Hepatobiliary & Pancreatic Diseases International2005，4，3： | 9 |
| 2 | Dissimilar titanium/aluminum friction stir welding lap joints by experiments and numerical simulation显示文摘 | G. Buffa M. De Lisi E. Sciortino L. Fratini | 2016 | Advances in Manufacturing2016，4，4： | 4 |
| 3 | Beeswax:A minireview of its antimicrobial activity and its application in medicine显示文摘Beeswax is the substance that forms the structure of a honeycomb; the bees secrete wax to build the honeycombs where to store honey.Thanks to its rich hydrophobic protective properties,the beeswax is in fact present within cosmetics and body products.Also,beeswax is used in the food industry:as a film to wrap cheese for maturing or as a food additive(E901) to give shine to the products.Exactly as the honey which it contains,beeswax is also characterized by several therapeutic properties of great interest to us; it is thought to be particularly effective in healing bruises,inflammation and burns.Recently,the interest of researchers has moved even on antimicrobial properties of beeswax although there are still few studies in the literature focused only on the action of beeswax.The few studies showed an anitimicrobic effectiveness of beeswax against overall Staphylococcus aureus,Salmonella enterica,Candida albicans and Aspergillus niger; these inhibitory effects are enhanced synergistically with other natural products such as honey or olive oil.This minireview aims to be a collection of major scientific works that have considered the antimicrobial activity of beeswax alone or in combination with other natural products in recent years. | Filippo Fratini Giovanni Cilia Barbara Turchi Antonio Felicioli | 2016 | Asian Pacific Journal of Tropical Medicine2016，9，9： | 3 |
| 4 | Volatile profile of Atlantic shellfish species by HS-SPME GC/MS显示文摘 | Glenda Fratini Salomé Lois Manuel Pazos Giuliana Parisi Isabel Medina | 2012 | Food Research International2012，，2： | 2 |
| 5 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines-Part 1 : emulsion production显示文摘 | Chiaramomi D Bonini M Fratini E et ai | 2003 | Biomass and Bienergy2003，25，1： | 1 |
| 6 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines--Part 1: Emulsion production显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass and Bienergy2003，，25： | 1 |
| 7 | On the influence of tool path in friction stir spot welding of aluminum alloys显示文摘 | Buffa G Fratini L Piacentini M | 2008 | Journal of Materials Processing Technology2008，208，13： | 1 |
| 8 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines-Part 2 : tests in diesel engines显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass and Bienergy2003，25，1： | 1 |
| 9 | Development of emulsions from biomass pyrolysis liquid and diesel and their use in engines--Part 2: Tests in diesel engines显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Biomass andBienergy2003，，25： | 1 |
| 10 | Development of emulsions from biomass pyrolysis liquid and diesel'and their use in engines-Part 1: emulsion production显示文摘 | Chiaramonti D Bonini M Fratini E | 2003 | Bio- mass and Bioenergy2003，25，1： | 1 |
| 11 | Umbilical cord haematoma with altered fetal heart rate显示文摘 | A. Barbati M. G. Cacace D. Fratini T. Ceccarelli F. Capanna G. C. Di Renzo | 2009 | Journal of Obstetrics & Gynecology2009，，2： | 1 |
| 12 | Small diameter H-graft porta-caval shunt performed at different stages of liver disease显示文摘BACKGROUND: Partial porto-systemic shunts have been popularized because of reported low rate of mortality and morbidity (especially encephalopathy, liver failure and oc- clusion). To further investigate these assumptions, we ret- rospectively reviewed the results of partial porta-caval shunts performed at different stages of liver disease. METHODS: Twenty-nine cirrhotic patients underwent a partial porta-caval shunt with a ringed polytetrafluoroethy- lene interposition prosthesis of 8-mm ( 20 patients) or 10- mm (9 patients) in diameter. Pre- and post-shunt porta- caval pressure was measured in all patients. Twelve patients (41.4%) belonged to Child A, 11 Child B (37.9%), and 6 Child C (20.7%). Eleven patients (37.9%) suffered from hepatic encephalopathy preoperatively. Twelve patients (41%) were operated on in emergency/urgency. RESULTS: Porta-caval pressure gradient, reduced signifi- cantly using either 8- or 10-mm prosthesis. The overall ear- ly mortality and morbidity were 13. 8% and 48% respec- tively. The early mortality and morbidity were different be- tween patients of Child A and B when compared to those of Child C (0 vs 66.6% and 34.8% vs 66.6% respectively). No patient re-bled early from varices. The overall late mor- tality and morbidity were 40% and 64% respectively. Shunt thrombosis and stenosis took place in 16% and 8% of the two groups of patients respectively; variceal re-bleeding oc- curred in 4 patients (16%). Encephalopathy occurred post- operatively in 5 patients (20%), acute in 3 patients (12%), and chronic in 2 (8%). The actuarial survival rate at 3 and 5 years was 92% and 75% for patients of Child A, 70% and 60% for patients of Child B, and 0% for patients of Child C. CONCLUSIONS: Our results indicate that partial porta-ca- val shunt with a small diameter interposition H-graft is an effective procedure for the treatment of variceal bleeding, as well as for the prevention of re-bleeding in patients of Child A and those of Child B, as an elective or emergency/ urgency procedure, with a low rate of complications and encephalopathy. This technique could be used safely in pa- tients with good liver function but they should be moni- tored closely because of the risk of shunt occlusion. | Giacomo Batignani Francesco Vizzutti Luigi Rega Michele Zuckermann Geri Fratini Massimo Pinzani Francesco Tonelli | 2004 | Hepatobiliary & Pancreatic Diseases International2004，3，4： | 1 |
| 13 | Hydration water and microstructure in calcium sil-icate and aluminate hydrates显示文摘 | Fratini Emiliano Ridi Francesca Chen Sow-Hsin etal | 2006 | J Phys CondensMatter2006，18，： | 1 |
| 14 | On microstructural phenomena occurring in friction stir welding of aluminium alloys 显示文摘 | BARCELLONA A BUFFA G FRATINI L PALMERI D | 2006 | J Mater Processing Technology2006，177，： | 1 |
| 15 | Water confined in cement pastes as a probe of ce-ment microstructure evolution显示文摘 | Ridi Francesca Luciani Paola Fratini Emiliano etal | 2009 | J Phys Chem B2009，113，： | 1 |
| 16 | FEM based prediction of phase transformations during friction stir welding of Ti6A14V titanium alloy显示文摘 | BUFFA G DUCATO A FRATINI L | 2013 | Materials Science and Engineering: A2013，581，： | 1 |
| 17 | Volatile profile of Atlantic shellfish species by HS- SPME GC/MS 显示文摘 | Fratini G Lois S Pazos M | 2012 | Food Research International2012，48，2： | 1 |
| 18 | Development of emulsion from biomass pyrolysis liquid and diesel and their use in engines: Part 1 Emulsion production 显示文摘 | CHIARAMONTI D BONINI M FRATINI E TONDI G GARTNER K BRIDGWATER A V GRIMM H P SOLDAINI I WEBSTER A BAGLIONI P | 2003 | Biomass Bioenergy2003，25，1： | 1 |
| 19 | Material characterization for the prediction of ductile fracture occurrence an inverse approach显示文摘 | FRATINI L LOMBARDO A MICARI F | 1996 | Journal of Materials Processing Technology1996，60，14： | 1 |
| 20 | Effective longrange attraction between protein molecules in solutions studied by small angle neutron scattering显示文摘 | LIU Y FRATINI E BAGLIONI P | 2005 | Physical review letters2005，95，11： | 1 |
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