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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 | Prospactive randomized trial of mechanical bowel preparation in patients undergoing elective colorectal surgery显示文摘 | Santos JC Jr Batista J Sirimarco MT | 1994 | Br J Surg1994，81，11： | 1 |
| 3 | Carotid Atherosclerosis and Risk of Subsequent Coronary Event in Outpatients With Atherothrombosis显示文摘 | Gaia Sirimarco Pierre Amarenco Julien Labreuche Pierre-Jean Touboul Mark Alberts Shinya Goto Joachim Rother Jean-Louis Mas Deepak L. Bhatt Philippe Gabriel Steg | 2013 | Stroke2013，，2： | 1 |
| 4 | Bilateral spontaneous internal carotid artery dissection with both early and very late recanali-zation:A case report显示文摘 | Vicenzini E Ricciardi MC Sirimarco G | | 0，，： | 1 |
| 5 | Prospective randomized trial of mechanical bowel preparation in patients undergoing elective colorectal surgery显示文摘 | Santos JC Jr Batista J Sirimarco MT | 1994 | Br J Surg1994，81，11： | 1 |
| 6 | Robotic right colectomy: A worthwhile procedure? Results of a meta- analysis of trials comparing robotic versus laparoscopic right colectomy显示文摘 | Petrucciani N Sirimarco D Nigri GR | 2015 | J Minim Access Surg2015，11，： | 1 |
| 7 | Incidence, risk factors, and treatment of dysplasia in the anal transitional zone after ileal pouch-anal anastomosis显示文摘 | Yehiel Ziv Victor W. Fazio Mauro T. Sirimarco Ian C. Lavery John R. Goldblum Robert E. Petras | 1994 | Diseases of the Colon & Rectum1994，，12： | 1 |
| 8 | Atherogenic dyslipi- demia in patients with transient isehemic attack 显示文摘 | Sirimarco G Deplanque D Lavallee PC | 2011 | Stroke2011，，42： | 1 |
| 9 | Athero- genic dyslipidemia in patients with transient ischemic attack显示文摘 | Sirimarco G Deplanque D Lavall6e P C | 2011 | Stroke2011，42，8： | 1 |
| 10 | Extracranial and intracranial sonographic findings in vertebral artery diseases显示文摘 | Vicenzini E Ricciardi MC Sirimarco G | | 0，，12： | 1 |
| 11 | Carotid atherosclerosis and risk of subsequent coronary event in out- patients with atherothrombosis 显示文摘 | Sirimarco G Amarenco P Labreuche J | 2013 | Stroke2013，44，2： | 1 |
| 12 | Incidence, riskfactors, and treatment of dysplasia in the anal transitional zoneafter ileal pouch-anal anastomosis 显示文摘 | Ziv Y Fazio VW Sirimarco MT | 1994 | Dis Colon Rectum1994，37，： | 1 |
| 13 | Carotid Atherosclerosis and Risk of Subsequent Coronary Event in Outpatients With Atherothrombosis显示文摘 | Gaia Sirimarco Pierre Amarenco Julien Labreuche Pierre-Jean Touboul Mark Alberts Shinya Goto Joachim Rother Jean-Louis Mas Deepak L. Bhatt Philippe Gabriel Steg | 2013 | Stroke2013，，2： | 1 |
| 14 | Overlap of Diseases Underlying Ischemic Stroke显示文摘 | Gaia Sirimarco Philippa C. Lavallée Julien Labreuche Elena Meseguer Lucie Cabrejo Céline Guidoux Isabelle F. Klein Jean-Marc Olivot Halim Abboud Valérie Adra? Jér?me Kusmierek Samina Ratani Pierre-Jean Touboul Mikael Mazighi Philippe Gabriel Steg Pierre A | 2013 | Stroke2013，，9： | 1 |
| 15 | Carotid atherosclerosis and risk of subsequent coronary event in outpatients with atherothrombosis显示文摘 | Sirimarco G Amarenco P Labreuche J | 2013 | Stroke2013，44，2： | 1 |
| 16 | Prospective randomized trial of mechanical bowel preparation in patients undergoing elective colorectal surgery显示文摘 | Santos J Batista J Sirimarco M | | 0，，11： | 1 |
| 17 | Carotid atherosclero- sis and risk of subsequent coronary event in outpatients with athero- thrombosis显示文摘 | Sirimarco G Amarenco P Labreuche J | 2013 | Stroke2013，44，2： | 1 |
| 18 | Outcomes after thrombolysis in AIS according to prior statin use: A registry and review显示文摘 | Elena Meseguer Mikael Mazighi Bertrand Lapergue Julien Labreuche Gaia Sirimarco Jaime Gonzalez-Valcarcel Philippa C. Lavallée Lucie Cabrejo Céline Guidoux Isabelle F. Klein Jean-Marc Olivot Aymeric Rouchaud Jean-Philippe Desilles Pierre Amarenco | 2012 | Neurology2012，，17： | 1 |
| 19 | Prospective randomized trial of mechanical bowel preparation in patients undergoing elective colorectal surgery显示文摘 | Santos TCM Jr Batista J Sirimarco MT | 1994 | Br J Surg1994，81，： | 1 |
| 20 | Prospective randocnzed trinal of mechanical bowel preparation in patients undergoing elective colorectal surgery 显示文摘 | Santes J Batista J Sirimarco M | 1990 | Br J Surg1990，81，： | 1 |
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