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Article ; Online: Endoscopic ultrasound-guided emergency choledochoduodenostomy through a double duodenal stent.

Sacco, Marco / Dottori, Ludovica / Staiano, Maria Teresa / Caronna, Stefania / Gaia, Silvia / Saracco, Giorgio Maria / Bruno, Mauro

Endoscopy

2024 Volume 56, Issue S 01, Page(s) E392–E393

MeSH term(s)	Humans ; Choledochostomy/methods ; Stents ; Endosonography/methods ; Ultrasonography, Interventional ; Male ; Female ; Duodenum/surgery ; Duodenum/diagnostic imaging ; Aged
Language	English
Publishing date	2024-05-07
Publishing country	Germany
Document type	Journal Article ; Case Reports ; Video-Audio Media
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-2307-5889
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Zs.A 669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 162: Show issues

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Article ; Online: Combined laparoscopic-endoscopic resection of a bleeding giant duodenal Brunner's gland hamartoma.

Marano, Alessandra / Sacco, Marco / Rorato, Lisa Marie / Caronna, Stefania / Di Giovanni, Fabrizia / Santarelli, Mauro / De Angelis, Claudio Giovanni

Endoscopy

2023 Volume 55, Issue S 01, Page(s) E983–E984

MeSH term(s)	Humans ; Brunner Glands/surgery ; Duodenum ; Laparoscopy
Language	English
Publishing date	2023-08-21
Publishing country	Germany
Document type	Journal Article
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-2134-9639
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 162: Show issues

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Article: Endoscopic ultrasound-guided emergency choledochoduodenostomy through a double duodenal stent

Sacco, Marco / Dottori, Ludovica / Staiano, Maria Teresa / Caronna, Stefania / Gaia, Silvia / Saracco, Giorgio Maria / Bruno, Mauro

Endoscopy

2024 Volume 56, Issue S 01, Page(s) E392–E393

Language	English
Publishing date	2024-05-07
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-2307-5889
Database	Thieme publisher's database

In stock of ZB MED Cologne/Königswinter

Zs.A 669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 162: Show issues

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Article ; Online: Malignant duodenocolic fistula successfully treated with self-expandable partially covered metal stent and endoscopic suturing.

Sacco, Marco / Gesualdo, Marcantonio / Fimiano, Federica / Mauriello, Anna / Castellano, Fabio / Caronna, Stefania / De Angelis, Claudio

Endoscopy

2022 Volume 54, Issue S 02, Page(s) E902–E903

Language	English
Publishing date	2022-07-01
Publishing country	Germany
Document type	Journal Article
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-1860-1712
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
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Article: Combined laparoscopic–endoscopic resection of a bleeding giant duodenal Brunner’s gland hamartoma

Marano, Alessandra / Sacco, Marco / Rorato, Lisa Marie / Caronna, Stefania / Di Giovanni, Fabrizia / Santarelli, Mauro / De Angelis, Claudio Giovanni

Endoscopy

2023 Volume 55, Issue S 01, Page(s) E983–E984

Language	English
Publishing date	2023-08-21
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-2134-9639
Database	Thieme publisher's database

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Zs.A 669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 162: Show issues

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Article ; Online: Training in advanced bilio-pancreatic endoscopy.

DE Angelis, Claudio G / Rizza, Stefano / Rizzi, Felice / Debernardi Venon, Wilma / Caronna, Stefania / Gaia, Silvia / Bruno, Mauro

Minerva gastroenterology

2021 Volume 68, Issue 2, Page(s) 121–132

Abstract: As the clinical applications of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) take more and more root in everyday practice and these endoscopic procedures become increasingly more complex and interventional with a ... ...

Abstract	As the clinical applications of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) take more and more root in everyday practice and these endoscopic procedures become increasingly more complex and interventional with a higher chance for complications, the demand for expert biliopancreatic endoscopists continues to increase. In response to this growing need, specific postgraduate fellowships have been developed, however the standardization of training programs and the assessment of the achieved competence still remains an open debate. ERCP and EUS competency often requires training beyond the scope of a standard GI fellowship program, which lasts at least 1-2 years, and there are some differences in the way to face the issues of advanced biliopancreatic endoscopy training between Europe, America and the Asian regions. Today there is no role for the self-teaching of ERCP and EUS through trial and error without supervision and, in the near future, it is necessary to critically revise current training guidelines, to establish a standardized curriculum for advanced biliopancreatic endoscopists and to implement universally validated skill assessment tools, able to ensure constant and targeted feedback to trainees.
MeSH term(s)	Cholangiopancreatography, Endoscopic Retrograde ; Clinical Competence ; Endoscopy, Gastrointestinal ; Endosonography ; Fellowships and Scholarships
Language	English
Publishing date	2021-04-01
Publishing country	Italy
Document type	Journal Article
ZDB-ID	3062713-8
ISSN	2724-5365
ISSN (online)	2724-5365
DOI	10.23736/S2724-5985.21.02869-2
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Article: Malignant duodenocolic fistula successfully treated with self-expandable partially covered metal stent and endoscopic suturing

Sacco, Marco / Gesualdo, Marcantonio / Fimiano, Federica / Mauriello, Anna / Castellano, Fabio / Caronna, Stefania / De Angelis, Claudio

Endoscopy

(More E-Videos)

2022 Volume 54, Issue S 02, Page(s) E902–E903

Series title	More E-Videos
Language	English
Publishing date	2022-07-01
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	80120-3
ISSN	1438-8812 ; 0013-726X
ISSN (online)	1438-8812
ISSN	0013-726X
DOI	10.1055/a-1860-1712
Database	Thieme publisher's database

In stock of ZB MED Cologne/Königswinter

Zs.A 669: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG)
Zs.MO 162: Show issues

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Article ; Online: Screening and surveillance of oesophageal varices in patients with HCV-positive liver cirrhosis successfully treated by direct-acting antiviral agents.

Ciancio, Alessia / Ribaldone, Davide Giuseppe / Salamone, Rossella / Bruno, Mauro / Caronna, Stefania / Debernardi Venon, Wilma / Giordanino, Chiara / Mondardini, Alessandra / Musso, Alessandro / Pennazio, Marco / Rolle, Emanuela / Sacco, Marco / Sprujevnik, Tatiana / De Angelis, Claudio / Saracco, Giorgio Maria

Liver international : official journal of the International Association for the Study of the Liver

2022 Volume 42, Issue 5, Page(s) 1121–1131

Abstract: Background & aims: limited evidence is available to guide hepatologists regarding endoscopic surveillance of oesophageal varices (EV) in Hepatitis C Virus (HCV)-positive cirrhotic patients achieving a sustained virologic response. To address these ... ...

Abstract	Background & aims: limited evidence is available to guide hepatologists regarding endoscopic surveillance of oesophageal varices (EV) in Hepatitis C Virus (HCV)-positive cirrhotic patients achieving a sustained virologic response. To address these issues, we conducted a long-term prospective study on 427 HCV-positive cirrhotic patients successfully treated by Direct Antiviral Agents (DAAs). Methods: Patients were divided into two groups according to their baseline Baveno VI status: Group 1 (92, 21.5%, favourable Baveno VI status) and Group 2 (335, 78.5%, unfavourable Baveno VI status). Each patient underwent baseline endoscopy and was endoscopically monitored for a median follow-up of 65.2 months according to Baveno VI recommendations. Results: About 4.3% of Group 1 patients showed baseline EV compared with 30.1% of Group 2 patients (p < .0001). No patients belonging to Group 1 without baseline EV developed EV at follow-up endoscopy compared with 6.5% in Group 2 patients (p = .02); 69/107 (64.5%) patients with baseline EV showed small varices. During the endoscopic follow-up, EV disappeared/improved in 36 (33.6%), were stable in 39 (36.4%) and worsened in 32 (29.9%) patients, all belonging to Group 2 (p = .001). Improvement in Baveno VI status was observed in 118/335 (35.2%, p < .0001) of Group 2 patients and among those without pre-therapy EV, none developed EV throughout the follow-up. Conclusions: HCV-positive cirrhotic patients cured by DAAs showing baseline favourable Baveno VI status and no worsening during follow-up can safely avoid endoscopic screening and surveillance. Patients having unfavourable Baveno VI status without baseline EV who improve their status may suspend further endoscopic surveillance.
MeSH term(s)	Antiviral Agents/therapeutic use ; Elasticity Imaging Techniques ; Endoscopy, Gastrointestinal ; Esophageal and Gastric Varices/etiology ; Hepatitis C, Chronic/complications ; Hepatitis C, Chronic/drug therapy ; Humans ; Liver Cirrhosis ; Prospective Studies
Chemical Substances	Antiviral Agents
Language	English
Publishing date	2022-03-07
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2102783-3
ISSN	1478-3231 ; 1478-3223
ISSN (online)	1478-3231
ISSN	1478-3223
DOI	10.1111/liv.15210
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Zs.A 1632: Show issues

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Article ; Online: Endoscopic radiofrequency ablation for the treatment of severe gastric antral vascular ectasia in patients with cirrhosis.

Senzolo, Marco / Realdon, Stefano / Zanetto, Alberto / Simoncin, Beatrice / Schepis, Filippo / Caronna, Stefania / Saracco, Giorgio Maria / De Angelis, Claudio Giovanni / Debernardi Venon, Wilma

European journal of gastroenterology & hepatology

2020 Volume 33, Issue 11, Page(s) 1414–1419

Abstract: Introduction: Gastric antral vascular ectasia is a significant cause of gastrointestinal bleeding in patients with cirrhosis.: Aim: To assess safety/efficacy and cost/advantages of radiofrequency ablation for the treatment of gastric antral vascular ... ...

Abstract	Introduction: Gastric antral vascular ectasia is a significant cause of gastrointestinal bleeding in patients with cirrhosis. Aim: To assess safety/efficacy and cost/advantages of radiofrequency ablation for the treatment of gastric antral vascular ectasia in patients with cirrhosis. Materials and methods: Patients with cirrhosis and severe gastric antral vascular ectasia who underwent radiofrequency ablation were enrolled. Clinical data, gastric antral vascular ectasia grade, and gastric antral vascular ectasia-related hospitalizations were collected. Primary outcome was defined as the absence of transfusion over the 6 months after radiofrequency. An economic analysis was performed in the same period. Results: Forty patients (50% Child B) were enrolled (80% refractory to argon plasma coagulation). Gastric antral vascular ectasia eradication was obtained in all patients and 65% of these patients achieved primary outcome. After radiofrequency, mean number of red blood cells transfusions dropped (from 25 to 0.9, P < 0.0001), with a parallel increase in hemoglobin (from 8 to 10.5 g/dL, P < 0.0001). No major complication occurred and liver function remained stable in all patients. The cost-analysis demonstrated a profound reduction of health care cost (from € 536.084 to € 189.044 in the 6 months before vs. after radiofrequency, respectively). These results were confirmed in the subgroup analysis in patients refractory to argon plasma coagulation. Conclusions: Radiofrequency ablation is safe and effective for the treatment of gastric antral vascular ectasia in patients with cirrhosis, including those refractory to argon plasma coagulation. Although the cost of single radiofrequency ablation is relatively high, the cost-analysis demonstrated considerable saving.
MeSH term(s)	Argon Plasma Coagulation ; Gastric Antral Vascular Ectasia/complications ; Gastric Antral Vascular Ectasia/diagnosis ; Gastric Antral Vascular Ectasia/surgery ; Gastrointestinal Hemorrhage/etiology ; Gastrointestinal Hemorrhage/surgery ; Humans ; Liver Cirrhosis/complications ; Radiofrequency Ablation/adverse effects
Language	English
Publishing date	2020-09-13
Publishing country	England
Document type	Journal Article
ZDB-ID	1034239-4
ISSN	1473-5687 ; 0954-691X
ISSN (online)	1473-5687
ISSN	0954-691X
DOI	10.1097/MEG.0000000000001889
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Zs.A 2932: Show issues

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Article ; Online: Antiplatelet and anticoagulant drugs management before gastrointestinal endoscopy: do clinicians adhere to current guidelines?

Bruno, Mauro / Marengo, Andrea / Elia, Chiara / Caronna, Stefania / Debernardi-Venon, Wilma / Manfrè, Selene Francesca / Musso, Alessandro / Puglisi, Flavia / Sguazzini, Carlo / Rizzetto, Mario / De Angelis, Claudio

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver

2015 Volume 47, Issue 1, Page(s) 45–49

Abstract: Background: Managing antiplatelet and anticoagulant drugs before endoscopy may be challenging.: Aims: To assess whether the pre-endoscopic management of antiplatelet/anticoagulant drugs is adherent to current guidelines and the influence of patients' ...

Abstract	Background: Managing antiplatelet and anticoagulant drugs before endoscopy may be challenging. Aims: To assess whether the pre-endoscopic management of antiplatelet/anticoagulant drugs is adherent to current guidelines and the influence of patients' characteristics, referring physician's specialty, type of endoscopic procedure and therapeutic regimen on adherence. Methods: Two hundred and twenty patients taking aspirin, thienopyridines or warfarin and scheduled for upper endoscopy (± biopsies), variceal band ligation, colonoscopy (± biopsies or polypectomy), were prospectively analyzed. Results: In 109 patients (49.5%) the management of antiplatelet/anticoagulant drugs was thoroughly compliant with guidelines. Neither demographic characteristics, nor in/outpatient status, nor type of endoscopic procedure, nor physician's specialty influenced the adherence but the therapeutic regimen had a significant impact (p < 0.0001) as compliance was less likely in patients on warfarin. Unwarranted drugs withholding was more frequent before colonoscopy than upper endoscopy (p = 0.0001). Warfarin was stopped longer than recommended more frequently than aspirin (p = 0.009). The International Normalized Ratio was properly checked before endoscopy in 47.7% of patients. Among the 55 patients who withheld warfarin, the decision about bridging to low molecular weight heparin was appropriate in 21 (38.2%). Conclusions: Compliance with guidelines is low especially in the management of warfarin, both among gastroenterologists and other physicians.
MeSH term(s)	Aged ; Aged, 80 and over ; Anticoagulants/therapeutic use ; Aspirin/therapeutic use ; Biopsy ; Cohort Studies ; Colonic Polyps/surgery ; Colonoscopy/methods ; Colonoscopy/standards ; Endoscopy, Digestive System/methods ; Endoscopy, Digestive System/standards ; Endoscopy, Gastrointestinal/methods ; Endoscopy, Gastrointestinal/standards ; Esophageal and Gastric Varices/surgery ; Female ; Gastroenterology/statistics & numerical data ; Guideline Adherence/statistics & numerical data ; Humans ; Ligation ; Male ; Middle Aged ; Platelet Aggregation Inhibitors/therapeutic use ; Practice Guidelines as Topic ; Practice Patterns, Physicians'/statistics & numerical data ; Preoperative Care/methods ; Preoperative Care/standards ; Prospective Studies ; Thienopyridines/therapeutic use ; Warfarin/therapeutic use
Chemical Substances	Anticoagulants ; Platelet Aggregation Inhibitors ; Thienopyridines ; Warfarin (5Q7ZVV76EI) ; Aspirin (R16CO5Y76E)
Language	English
Publishing date	2015-01
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	1459373-7
ISSN	1878-3562 ; 1125-8055
ISSN (online)	1878-3562
ISSN	1125-8055
DOI	10.1016/j.dld.2014.10.017
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