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| 1 | Biliary and pancreatic stenting:Devices and insertiontechniques in therapeutic endoscopic retrogradecholangiopancreatography and endoscopic ultrasonography显示文摘Stents are tubular devices made of plastic or metal. Endoscopic stenting is the most common treatment for obstruction of the common bile duct or of the main pancreatic duct, but also employed for the treatment of bilio-pancreatic leakages, for preventing post- endoscopic retrograde cholangiopancreatography pancreatitis and to drain the gallbladder and pancreatic fluid collections. Recent progresses in techniques of stent insertion and metal stent design are represented by new, fullycovered lumen apposing metal stents. These stents are specifically designed for transmural drainage, with a saddle-shape design and bilateral flanges, to provide lumen-to-lumen anchoring, reducing the risk of migration and leakage. This review is an update of the technique of stent insertion and metal stent deployment, of the most recent data available on stent types and characteristics and the new applications for biliopancreatic stents. | Benedetto Mangiavillano Nico Pagano Todd H Baron Monica Arena Giuseppe Iabichino Pierluigi Consolo Enrico Opocher Carmelo Luigiano | 2016 | World Journal of Gastrointestinal Endoscopy2016，8，3： | 6 |
| 2 | Natural history of a randomized trial comparing distal spleno-renal shunt with endoscopic sclerotherapy in the prevention of variceal rebleeding:A lesson from the past显示文摘AIM: To compare endoscopic sclerotherapy (ES) with distal splenorenal shunt (DSRS) in the prevention of recurrent variceal bleeding in cirrhotic patients during a long-term follow-up period. METHODS: In 1984 we started a prospective, controlled study of patients with liver cirrhosis. Long-term follow-up presents a natural history of liver cirrhosis complicated by advanced portal hypertension. In this study the effects of 2 types of treatment, DSRS or ES, were evaluated. The study population included 80 patients with cirrhosis and portal hypertension referred to our department from October 1984 to March 1991. These patients were drawn from a pool of 282 patients who underwent either elective surgery or ES during the same period of time. Patients were assigned to one of the 2 groups according to a random number table: 40 to DSRS and 40 to ES using polidocanol. RESULTS: During the postoperative period, no DSRS patient died, while one ES patient died of uncontrolled hemorrhage. One DSRS patient had mild recurrent variceal hemorrhage despite an angiographically patent DSRS and another patient suffered duodenal ulcer rebleeding. Eight ES patients suffered at least one episode of gastrointestinal bleeding: 4 from varices and 4 from esophageal ulcerations. Eight ES patients developed transitory dysphagia. Long-term follow- up was completed in all patients except for 5 cases (2 DSRS and 3 ES patients). Five-year survival rates for shunt (73%) and ES (56%) groups were statistically different: in this follow-up period and in subsequent follow-ups this difference decreased and ceased to be of statistical relevance. The primary cause of deathbecame hepatocellular carcinoma (HCC). Four DSRS patients rebled due to duodenal ulcer, while eleven ES patients had recurrent bleeding from esophago-gastric sources (seven from varices, three from hypertensive gastropathy, one from esophageal ulcerations) and two from unknown sources. Nine DSRS and 2 ES patients developed a chronic encephalopathy; 13 DSRS and 5 ES patients suffered at least one episode of acute encephalopathy. Five ES patients had esophageal stenoses, which were successfully dilated. CONCLUSION: In a subgroup of patients with good liver function, DSRS with a correct portal-azygos disconnection more effectively prevents variceal rebleeding than ES. However, this positive effect did not influence the long-term survival because other factors (e.g. HCC) were more important in deciding the fate of the cirrhotic patients with portal hypertension. | Roberto Santambrogio Enrico Opocher Mara Costa Savino Bruno Andrea Pisani Ceretti Gian Paolo Spina | 2006 | World Journal of Gastroenterology2006，12，39： | 4 |
| 3 | Hepatic resection for hepatocellular carcinoma in patients with C hild– P ugh’s A cirrhosis: is clinical evidence of portal hypertension a contraindication?显示文摘 | Roberto Santambrogio Michael D. Kluger Mara Costa Andrea Belli Matteo Barabino Alexis Laurent Enrico Opocher Daniel Azoulay Daniel Cherqui | 2012 | HPB2012，，1： | 2 |
| 4 | Laparoscopic liver resections for hepatocellular carcinoma. Is it a feasible option for patients with liver cirrhosis?显示文摘 | R. Santambrogio L. Aldrighetti M. Barabino C. Pulitanò M. Costa M. Montorsi G. Ferla E. Opocher | 2009 | Langenbeck’s Archives of Surgery2009，，2： | 2 |
| 5 | Impact of intraoperative ultrasonography in laparoscopic liver surgery显示文摘 | Opocher E Ceretti Ap | 2007 | surg Endosc2007，21，2： | 1 |
| 6 | Survival and intra-hepatic recurrences after laparoscopic radiofrequency of hepatocel- lular carcinoma in patients with liver cirrhosis显示文摘 | Santambrogio R Opocher E Costa M | 2005 | J Surg 0ncol2005，89，4： | 1 |
| 7 | Adrenal incidentaloma:an overview of hormonal data from the National Italian Study Group显示文摘 | Mantero F Masini AM Opocher G | 1997 | Horm Res1997，47，46： | 1 |
| 8 | Is the laparoscopie adrenaleetomy for pheochromoeytoma the best treatment? 显示文摘 | Toniato A Bosehin IM Opocher G | 2007 | Surgery2007，141，6： | 1 |
| 9 | Adrenal incidentalo- ma: an overview of hormonal data from the National Italian Study Group显示文摘 | Mantero F Masini AM Opocher G | 1997 | Horm Res1997，47，4： | 1 |
| 10 | Adrenal incidentaloma:an overview of hormonal data from the National Italian Study Group显示文摘 | Mantero F Masini AM Opocher G | | 0，，4： | 1 |
| 11 | Surgical Resection Versus Laparoscopic Radiofrequency Ablation in Patients With Hepatocellular Carcinoma and Child-Pugh Class A Liver Cirrhosis显示文摘 | Roberto Santambrogio Enrico Opocher Massimo Zuin Carlo Selmi Emanuela Bertolini Mara Costa Matteo Conti Marco Montorsi | 2009 | Annals of Surgical Oncology2009，，12： | 1 |
| 12 | Adrenal incidentaloma: an overview of hormonal data from the National Italian Study Group 显示文摘 | Mantero F Masini AM Opocher G | 1997 | Horm Res1997，47，46： | 1 |
| 13 | Impact of intraoperative ultrasonography in laparoscopic liver surgery 显示文摘 | Santambrogio R Opocher E Ceretti AP | 2007 | Surg Endosc2007，21，2： | 1 |
| 14 | Survival and intra-hepatic recurrences after laparoscopic radiofrequency of hepatocellular carcinoma in patients with liver cirrhosis 显示文摘 | Santambrogio R Opocher E Costa M | 2005 | J Surg Oncol2005，89，4： | 1 |
| 15 | Adrenal incidentaloma:an overview of hormonal data from the National Italian Study Group显示文摘 | Masini AM Opocher G | 1997 | Horm Res1997，47，46： | 1 |
| 16 | Acute and chronic effect of nifedipine in primary aldosteronism 显示文摘 | Carpene G Rocco S Opocher G | 1989 | Clin Exp Hypertens A1989，11，7： | 1 |
| 17 | Original technique for small colorectal tumor localization during laparoscopic surgery显示文摘 | Montorsi M Opocher E Santambrogio R | 1999 | Dis Colon Rectum1999，42，6： | 1 |
| 18 | Adrenal incidentaloma:an overview of hormonal data from the National Italian Study Group显示文摘 | Masini AM Opocher G | 1997 | Horm Res1997，47，46： | 1 |
| 19 | Pheochromocyto- ma in yon Hippel-Lindau disease and neurofibromatosis type 1 显示文摘 | Opocher G Conton P Schiavi F | 2005 | Fam Cancer2005，4，1： | 1 |
| 20 | Is the laparoscopic adrenalectomy for pheochromocytoma the best treatment? 显示文摘 | Toniato A Boschin IM Opocher G | 2007 | Surg2007，141，6： | 1 |
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