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| 1 | Computed tomography findings of pneumatosis and portomesenteric venous gas in acute bowel ischemia显示文摘AIM:To use more representative sample size to evaluate whether computed tomography(CT)scan evidence of the concomitant presence of pneumatosis and portomesenteric venous gas is a predictor of transmural bowel necrosis.METHODS:Data from 208 patients who were referred for a diagnosis of bowel ischemia were retrospectively reviewed.Only patients who underwent a surgical intervention following a diagnosis of bowel ischemia who also had a post-operative histological confirmation of such a diagnosis were included.Patients were split into two groups according to the presence of histological evidence of transmural bowel ischemia(case group)or partial bowel ischemia(control group).CT images were reviewed for findings of ischemia,including mural thickening,pneumatosis,bowel distension,portomesenteric venous gas and arterial or venous thrombi.RESULTS:A total of 248 subjects who underwent surgery for bowel ischemia were identified.Among the208 subjects enrolled in our study,transmural bowel necrosis was identified in 121 subjects(case group),and partial bowel necrosis was identified in 87 subjects(control group).Based on CT findings,including mural thickening,bowel distension,pneumatosis,pneumatosis plus portomesenteric venous gas and presence of thrombi or emboli,there were no significant differences between the case and control groups.The concomitant presence of pneumatosis and porto-mesenteric venous gas showed an odds ratio of 1.95(95%CI:0.491-7.775,P=0.342)for the presence of transmural necrosis.The presence of pneumatosis plus porto-mesenteric venous gas exhibited good specificity(83%)but low sensitivity(17%)in the identification of transmural bowel infarction.Accordingly,the positive and negative predictive values were 60% and 17%,respectively.CONCLUSION:Although pneumatosis plus porto-mesenteric venous gas is associated with bowel ischemia,we have demonstrated that their co-occurrence cannot be used as diagnostic signs of transmural necrosis. | Marco Milone Matteo Nicola Dario Di Minno Mario Musella Paola Maietta Vittorio Iaccarino Giovanni Barone Francesco Milone | 2013 | World Journal of Gastroenterology2013，19，39： | 15 |
| 2 | Role of colonoscopy in the diagnostic work-up of bowel endometriosis显示文摘AIM:To evaluate the accuracy of colonoscopy for the prediction of intestinal involvement in deep pelvic endometriosis.METHODS:This prospective observational study was performed between September 2011 and July 2014.Only women with both a clinical and imaging diagnosis of deep pelvic endometriosis were included.The study was approved by the local ethics committee and written informed consent was obtained in all cases.Both colonoscopy and laparoscopy were performed by expert surgeons with a high level of expertise with these techniques.Laparoscopy was performed within4 wk of colonoscopic examination.All hypothetical colonoscopy findings(eccentric wall thickening with or without surface nodularities and polypoid lesions with or without surface nodularities of endometriosis)were compared with laparoscopic and histological findings.We calculated the sensitivity,specificity,positive predictive value and negative predictive value for the presence of colonoscopic findings of intestinal endometriosis.RESULTS:A total of 174 consecutive women aged between 21-42 years with a diagnosis of deep pelvic endometriosis who underwent colonoscopy andsurgical intervention were included in our analysis.In 76 of the women(43.6%),intestinal endometrial implants were found at surgery and histopathological examination.Specifically,38 of the 76 lesions(50%)were characterized by the presence of serosal bowel nodules;28 of the 76 lesions(36.8%)reached the muscularis layer;8 of the 76 lesions(10.5%)reached the submucosa;and 2 of the 76 lesions(2.6%)reached the mucosa.Colonoscopic findings suggestive of intestinal endometriosis were detected in 7 of the174(4%)examinations.Colonoscopy failed to diagnose intestinal endometriosis in 70 of the 76 women(92.1%).A colonoscopic diagnosis of endometriosis was obtained in all cases of mucosal involvement,in 3of 8 cases(37.5%)of submucosal involvement,in no cases of muscularis layer involvement and in 1 of 38cases(2.6%)of serosa involvement.The sensitivity,specificity,positive predictive and negative predictive values of colonoscopy for the diagnosis of intestinal endometriosis were 7%,98%,85%and 58%,respectively.CONCLUSION:Being an invasive procedure,colonoscopy should not be routinely performed in the diagnostic work-up of bowel endometriosis. | Marco Milone Antonio Mollo Mario Musella Paola Maietta Loredana Maria Sosa Fernandez Olena Shatalova Alessandro Conforti Gianni Barone Giuseppe De Placido Francesco Milone | 2015 | World Journal of Gastroenterology2015，21，16： | 5 |
| 3 | Varicocele repair in severe oligozoospermia: A case report of post-operative azoospermia显示文摘Varicocele has been implicated as a cause in 35%-50% of patients with primary infertility and up to 81% of men with secondary infertility. Although a large number of reports have shown improvement in the semen parameters after correction of varicocele, other studies have suggested no benefit. We report the first case of azoospermia after surgery in a young infertile male patient with left-sided varicocele and severe oligozoospermia undergoing laparoscopic varicocelectomy. A pregnancy was only achieved with assisted reproductive technology because semen cryopreservation was performed before surgery. In the light of the above, the deterioration of sperm count after varicocele repair in patients with severe oligozoospermia could be due to irreversible impairment of spermatogenesis of such patients, together with the possible temporary damage of the surgical repair. This possible complication could therefore turn the severe oligozoospermia into an indication to perform cryopreservation before surgery, on both clinical and medico-legal grounds. Further research is needed before drawing definitive conclusions regarding the management of varicocele-related severe oligozoospermia. | Marco Milone Mario Musella Miguel Emilio Sosa Fernandez Paola Maietta Annarita Sasso Loredana Maria Sosa Fernandez Laura Virginia Sosa Fernandez Francesco Milone | 2014 | World Journal of Clinical Cases2014，2，4： | 4 |
| 4 | A prospective phase II study of topotecan (Hycamtin?) and cisplatin as neoadjuvant chemotherapy in locally advanced cervical cancer显示文摘 | N. Manci C. Marchetti C. Di Tucci M. Giorgini F. Esposito I. Palaia A. Musella G. Perniola A. Carrone P. Benedetti Panici | 2011 | Gynecologic Oncology2011，，2： | 3 |
| 5 | Bariatric surgery and diabetes remission: Sleeve gastrectomy or mini-gastric bypass?显示文摘AIM:To investigate the weight loss and glycemic control status[blood glucose,hemoglobin A1c(HbA1c)and hypoglycaemic treatment].METHODS:The primary risk factor for type 2 diabetes is obesity,and 90%of all patients with type 2 diabetes are overweight or obese.Although a remarkable effect of bariatric surgery is the profound and durable resolution of type 2 diabetes clinical manifestations,little is known about the difference among various weight loss surgical procedures on diabetes remission.Data from patients referred during a 3-year period(from January2009 to December 2011)to the University of Naples'FedericoⅡ'diagnosed with obesity and diabetes were retrieved from a prospective database.The patients were split into two groups according to the surgical intervention performed[sleeve gastrectomy(SG)and mini-gastric bypass(MGB)].Weight loss and glycemic control status(blood glucose,HbA1c and hypoglycaemic treatment)were evaluated.RESULTS:A total of 53 subjects who underwent sleeve gastrectomy or mini-gastric bypass for obesity and diabetes were screened for the inclusion in this study.Of these,4 subjects were excluded because of surgical complications,7 subjects were omitted because young surgeons conducted the operations and 11 subjects were removed because of the lack of follow-up.Thirtyone obese patients were recruited for this study.A total of 15 subjects underwent SG(48.4%),and 16underwent MGB(51.6%).After adjusting for various clinical and demographic characteristics in a multivariate logistic regression analysis,high hemoglobin A1c was determined to be a negative predictor of diabetes remission at 12 mo(OR=0.366,95%CI:0.152-0.884).Using the same regression model,MGB showed a clear trend toward higher diabetes remission rates relative to SG(OR=3.780,95%CI:0.961-14.872).CONCLUSION:Although our results are encouraging regarding the effectiveness of mini-gastric bypass on diabetes remission,further studies are needed to provide definitive conclusions in selecting the ideal procedure for diabetes remission. | Marco Milone Matteo Nicola Dario Di Minno Maddalena Leongito Paola Maietta Paolo Bianco Caterina Taffuri Dario Gaudioso Roberta Lupoli Silvia Savastano Francesco Milone Mario Musella | 2013 | World Journal of Gastroenterology2013，19，39： | 3 |
| 6 | IL-10 down-regulate costimulatory molecule on mycobacterium tuberculosispulsed macrophages and impair the lytic activity of CD4 and CD8 CTL in tuberculosis patlents显示文摘 | De la Barrera S Aleman M Musella R | 2004 | Clin Exp Immunol2004，138，1： | 1 |
| 7 | Omega-3 polyunsaturated fatty acid from extruded linseed influences the fatty acid composition and sensory characteristics of dry-cured ham form heavy pigs显示文摘 | Musella M Cannata S Rossi R | 2009 | J Anim Sci2009，87，： | 1 |
| 8 | IL-10 down-regulate costimulatory molecule on mycobacterium tiberculosis-pulsed macrophages and impair the lytic activity of CD4 and CD8 CTL in tuberculosis patients显示文摘 | De la Barrera S Aleman M Musella R | 2004 | Clin Exp Immunol2004，138，1： | 1 |
| 9 | Formation of coloured maillard reaction products in a gluten-glucose model system显示文摘 | Fogliano V Monti S M Musella T | | 0，，： | 1 |
| 10 | Mycobacterium tuberculosis impairs dendritic cell response by altering CDlb, DC-SIGN and MR profile显示文摘 | Balboa L Romero MM Yokobori N Schierloh P Geffner L Basile JI Musella RM Abbate E de la Barrera S Sasiain MC Alemdn M | 2010 | Immunol Cell Biol2010，88，7： | 1 |
| 11 | Effect of bariatric surgery on obesity-related infertility显示文摘 | Mario Musella Marco Milone Marcello Bellini Loredana Maria Sosa Fernandez Maddalena Leongito Francesco Milone | 2012 | Surgery for Obesity and Related Diseases2012，，4： | 1 |
| 12 | Video-assisted ab- lation of pilonidal sinus: a new minimally invasive treatment--a pi- lot study显示文摘 | Milone M Musella M Di Spiezio Sardo A | 2014 | Surgery2014，155，： | 1 |
| 13 | IL-10 down-regulates costimulatory molecules on Mycobacterium tuberculosis-pulsed and impairs the lytic activity of CD4 and CD8 CTL in tuberculosis patients 显示文摘 | Barrea DL Aleman M Musella R | 2004 | Clin Exp Immunol2004，138，： | 1 |
| 14 | A technical modification of video-assisted ablation for recurrent pilonidal sinus显示文摘 | Milone M Bianco P Musella M | 2014 | Colorectal Dis2014，16，： | 1 |
| 15 | Simple extrafascial traehelectomy and pelvic bilateral lymphadenectomy in early stage cervical cancer显示文摘 | Palala I Musella A Bellati F | 2012 | Gynecol Onco12012，126，1： | 1 |
| 16 | Changes of natriuretie peptides predict hospital admissions in patients with chronic heart failure: a meta-analysis显示文摘 | Savarese G Musella F D'Amore C | 2014 | JACC Heart Fail2014，2，2： | 1 |
| 17 | Apparent dif?fusion coefficient measurements of the pancreas, pan?creas carcinoma, and mass-forming focal pancreatitis显示文摘 | Wiggermann p Grlitzmann R Weissenbock A Ka?musella P Dittert D D Stroszczynski C | 2012 | Acta Radiol2012，53，： | 1 |
| 18 | Chemotherapy in elderly patients with gynecological cancer显示文摘 | Palaia I Loprete E Musella A | 2013 | Oncology2013，85，3： | 1 |
| 19 | Collagen tampons as aminoglycoside carriers to reduce postoperative infection rate in prosthetic repair of groin hernias显示文摘 | Musella M Guido A Musella S | 2001 | Eur J Surg2001，167，： | 1 |
| 20 | Sex, ethnieity, and slow acetylator profile are the major causes of hepatotoxicity induced by antituberculosis drugs 显示文摘 | Chamorro JG Castagnino JP Musella RM | 2013 | J Gastroen Hepatol2013，28，2： | 1 |
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