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  1. Article ; Online: Endoscopic treatment of Zenker's diverticulum: a never ending (r)evolution.

    Familiari, Pietro

    Endoscopy

    2021  Volume 54, Issue 4, Page(s) 352–353

    MeSH term(s) Digestive System Surgical Procedures ; Esophagoscopy ; Humans ; Myotomy ; Retrospective Studies ; Zenker Diverticulum/diagnostic imaging ; Zenker Diverticulum/surgery
    Language English
    Publishing date 2021-09-24
    Publishing country Germany
    Document type Editorial ; Comment
    ZDB-ID 80120-3
    ISSN 1438-8812 ; 0013-726X
    ISSN (online) 1438-8812
    ISSN 0013-726X
    DOI 10.1055/a-1616-1092
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Endoscopic treatment of Zenker’s diverticulum: a never ending (r)evolution

    Familiari, Pietro

    Endoscopy

    2021  Volume 54, Issue 04, Page(s) 352–353

    Language English
    Publishing date 2021-09-24
    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-1616-1092
    Database Thieme publisher's database

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  3. Article: Selection of new COVID-19 genotypes following mass vaccination: The Rotavirus model.

    Lapolla, Pierfrancesco / Familiari, Pietro / Bruzzaniti, Placido

    Vacunas

    2022  Volume 23, Issue 2, Page(s) 144–146

    Language English
    Publishing date 2022-01-06
    Publishing country Spain
    Document type Journal Article ; Review
    ISSN 1576-9887
    ISSN 1576-9887
    DOI 10.1016/j.vacun.2021.10.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Long versus short peroral endoscopic myotomy for the treatment of achalasia: results of a non-inferiority randomised controlled trial.

    Familiari, Pietro / Borrelli de Andreis, Federica / Landi, Rosario / Mangiola, Francesca / Boskoski, Ivo / Tringali, Andrea / Perri, Vincenzo / Costamagna, Guido

    Gut

    2023  Volume 72, Issue 8, Page(s) 1442–1450

    Abstract: Objective: Peroral endoscopic myotomy (POEM) has become standard treatment for achalasia with comparable efficacy to surgery. In most of published series, the length of myotomy is 12-13 cm. Shorter cuts could have the advantage of shorter procedure time ...

    Abstract Objective: Peroral endoscopic myotomy (POEM) has become standard treatment for achalasia with comparable efficacy to surgery. In most of published series, the length of myotomy is 12-13 cm. Shorter cuts could have the advantage of shorter procedure time and possibly reduced gastro-oesophageal reflux disease (GORD) rate.
    Design: This single-centre, patient-blinded, randomised, non-inferiority clinical trial included 200 patients, who were randomly allocated, to receive either a long-POEM (13 cm; 101 patients) or a short-POEM (8 cm; 99 patients). Primary outcome was defined as an Eckardt symptom score of ≤3 at 24 months after the procedure; a non-inferiority design was chosen with an accepted success range of 6% between the two treatments. Secondary outcomes included operating time, complication rate, postoperative manometry, GORD rate and quality of life.
    Results: In the intention-to-treat analysis, clinical success rates were 89.1% in the long-POEM and 98.0% in the short-POEM group, resulting in an absolute between-group difference of -8.9% (90% CI -14.5 to -3.3).Procedure time was significantly reduced in the short-POEM as compared with the long-POEM group (40 vs 50 min, p<0.0001). Severe adverse events occurred in one patient in both groups.No differences were observed in postoperative GORD: acid exposure >6% on pH monitoring study at 6 months was seen in 34.3% (long-POEM) vs 31.1% (short-POEM), while endoscopic oesophagitis was diagnosed in 37.6% vs 51.5% at 6 months and in 21% vs 24.5% at 24 months. Regular proton pump inhibitor use was not different either (36.8% vs 37.5%).
    Conclusions: Our study demonstrates non-inferiority of a shorter cut length of POEM as compared with the standard treatment, which saved some procedural time. GORD rate was not reduced by reducing cutting length.
    Trial registration number: NCT03450928.
    MeSH term(s) Humans ; Esophageal Achalasia/complications ; Esophageal Sphincter, Lower/surgery ; Quality of Life ; Treatment Outcome ; Natural Orifice Endoscopic Surgery/adverse effects ; Natural Orifice Endoscopic Surgery/methods ; Gastroesophageal Reflux/surgery ; Gastroesophageal Reflux/etiology ; Myotomy/methods ; Esophagoscopy/methods
    Language English
    Publishing date 2023-04-18
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 80128-8
    ISSN 1468-3288 ; 0017-5749
    ISSN (online) 1468-3288
    ISSN 0017-5749
    DOI 10.1136/gutjnl-2021-325579
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Endoscopic treatment of GERD: is there still a chance?

    Familiari, Pietro / Mangiola, Francesca / Landi, Rosario / Costamagna, Guido

    Endoscopy international open

    2019  Volume 7, Issue 12, Page(s) E1701–E1703

    Language English
    Publishing date 2019-12-02
    Publishing country Germany
    Document type Editorial
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722
    ISSN (online) 2196-9736
    ISSN 2364-3722
    DOI 10.1055/a-1012-1905
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Visual Aura Secondary to Supratentorial Lipomatous Meningioma: A Rare Case Report.

    Lapolla, Pierfrancesco / Bruzzaniti, Placido / Zancana, Giuseppa / Stoppacciaro, Antonella / Relucenti, Michela / Chen, Rui / Li, Xiaobo / Mingoli, Andrea / Frati, Alessandro / Familiari, Pietro

    Diagnostics (Basel, Switzerland)

    2022  Volume 12, Issue 2

    Abstract: Background/aim: Lipomatous meningioma is a rare type of meningioma that is formed as the result of an accumulation of lipids inside the cell due to metabolic activity dysregulation. It differs from other types of meningiomas in its radiological and ... ...

    Abstract Background/aim: Lipomatous meningioma is a rare type of meningioma that is formed as the result of an accumulation of lipids inside the cell due to metabolic activity dysregulation. It differs from other types of meningiomas in its radiological and immunohistochemical characteristics. We report a rare case of a patient treated in our department for this particular type of meningioma who developed a type of migraine with the aura component as the first clinical symptom.
    Case report: A 55-year-old woman presented with a migraine and reported having phosphenes in recent years. Head Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) scans were performed; these showed an extensive hypodense and hypointense formation located in the left parieto-occipital region. This formation was implanted in the tentorium region, with a prevailingly adipose-type signal intensity. The patient underwent an occipital craniotomy with the total removal of the lesion. The histological examination indicated a lipomatous metaplastic meningioma.
    Conclusion: We reported the first case of a lipomatous meningioma presenting with a migraine with a visual aura. Seizures and headaches can be included as possible symptoms. According to the current literature, lipomatous meningiomas affect women more commonly than men. The patient of our reported case presented visual disturbances in the form of a visual aura, which occurred 10 years before finding the meningioma, and surgery dramatically improved the symptoms and quality of life.
    Language English
    Publishing date 2022-02-01
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2662336-5
    ISSN 2075-4418
    ISSN 2075-4418
    DOI 10.3390/diagnostics12020365
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Pediatric anesthesia and achalasia: 10 years' experience in peroral endoscopy myotomy management.

    Sbaraglia, Fabio / Familiari, Pietro / Maiellare, Federica / Mecarello, Marco / Scarano, Annamaria / Del Prete, Demetrio / Lamacchia, Rosa / Antonicelli, Federica / Rossi, Marco

    Journal of Anesthesia, Analgesia and Critical Care (Online)

    2022  Volume 2, Issue 1, Page(s) 25

    Abstract: Background: Endoscopic treatment for achalasia (POEM) is a recently introduced technique that incorporates the concepts of natural orifice transluminal surgery. Although pediatric achalasia is rare, POEM has been episodically used in children since 2012. ...

    Abstract Background: Endoscopic treatment for achalasia (POEM) is a recently introduced technique that incorporates the concepts of natural orifice transluminal surgery. Although pediatric achalasia is rare, POEM has been episodically used in children since 2012. Despite this procedure entails many implications for airway management and mechanical ventilation, evidences about anesthesiologic management are very poor. We conducted this retrospective study to pay attention on the clinical challenge for pediatric anesthesiologists. We put special emphasis on the risk in intubation maneuvers and in ventilation settings.
    Results: We retrieved data on children 18 years old and younger who underwent POEM in a single tertiary referral endoscopic center between 2012 and 2021. Demographics, clinical history, fasting status, anesthesia induction, airway management, anesthesia maintenance, timing of anesthesia and procedure, PONV, and pain treatment and adverse events were retrieved from the original database. Thirty-one patients (3-18 years) undergoing POEM for achalasia were analyzed. In 30 of the 31 patients, rapid sequence induction was performed. All patients manifested consequences of endoscopic CO
    Conclusions: POEM procedure seems to be characterized by a low-risk profile, but specials precaution must be taken. The inhalation risk is actually due to the high rate of full esophagus patients, even if the Rapid Sequence Induction was effective in preventing ab ingestis pneumonia. Mechanical ventilation may be difficult during the tunnelization step. Future prospective trials will be necessary to individuate the better choices in such a special setting.
    Language English
    Publishing date 2022-06-13
    Publishing country England
    Document type Journal Article
    ISSN 2731-3786
    ISSN (online) 2731-3786
    DOI 10.1186/s44158-022-00054-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Endoscopic management of a tubular esophageal duplication in a young adult.

    Familiari, Pietro / Landi, Rosario / Mangiola, Francesca / Vita, Camilla Vittoria / Costamagna, Guido

    VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy

    2020  Volume 5, Issue 10, Page(s) 455–457

    Language English
    Publishing date 2020-06-29
    Publishing country United States
    Document type Journal Article
    ISSN 2468-4481
    ISSN (online) 2468-4481
    DOI 10.1016/j.vgie.2020.05.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Blind-eye cannulation as a new method for ERCP training: Can we do more than merely teach?

    Boškoski, Ivo / Webster, George / Tringali, Andrea / Familiari, Pietro / Perri, Vincenzo / Costamagna, Guido

    Endoscopy international open

    2020  Volume 8, Issue 2, Page(s) E186–E188

    Abstract: Background and study ... ...

    Abstract Background and study aims
    Language English
    Publishing date 2020-01-22
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2761052-4
    ISSN 2196-9736 ; 2364-3722
    ISSN (online) 2196-9736
    ISSN 2364-3722
    DOI 10.1055/a-1066-8880
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Promiscuous Roles of Autophagy and Proteasome in Neurodegenerative Proteinopathies.

    Limanaqi, Fiona / Biagioni, Francesca / Gambardella, Stefano / Familiari, Pietro / Frati, Alessandro / Fornai, Francesco

    International journal of molecular sciences

    2020  Volume 21, Issue 8

    Abstract: Alterations in autophagy and the ubiquitin proteasome system (UPS) are commonly implicated in protein aggregation and toxicity which manifest in a number of neurological disorders. In fact, both UPS and autophagy alterations are bound to the aggregation, ...

    Abstract Alterations in autophagy and the ubiquitin proteasome system (UPS) are commonly implicated in protein aggregation and toxicity which manifest in a number of neurological disorders. In fact, both UPS and autophagy alterations are bound to the aggregation, spreading and toxicity of the so-called prionoid proteins, including alpha synuclein (α-syn), amyloid-beta (Aβ), tau, huntingtin, superoxide dismutase-1 (SOD-1), TAR-DNA-binding protein of 43 kDa (TDP-43) and fused in sarcoma (FUS). Recent biochemical and morphological studies add to this scenario, focusing on the coordinated, either synergistic or compensatory, interplay that occurs between autophagy and the UPS. In fact, a number of biochemical pathways such as mammalian target of rapamycin (mTOR), transcription factor EB (TFEB), Bcl2-associated athanogene 1/3 (BAG3/1) and glycogen synthase kinase beta (GSk3β), which are widely explored as potential targets in neurodegenerative proteinopathies, operate at the crossroad between autophagy and UPS. These biochemical steps are key in orchestrating the specificity and magnitude of the two degradation systems for effective protein homeostasis, while intermingling with intracellular secretory/trafficking and inflammatory pathways. The findings discussed in the present manuscript are supposed to add novel viewpoints which may further enrich our insight on the complex interactions occurring between cell-clearing systems, protein misfolding and propagation. Discovering novel mechanisms enabling a cross-talk between the UPS and autophagy is expected to provide novel potential molecular targets in proteinopathies.
    MeSH term(s) Animals ; Apoptosis Regulatory Proteins/genetics ; Apoptosis Regulatory Proteins/metabolism ; Autophagy/genetics ; Biomarkers ; Cell Communication ; Disease Susceptibility ; GPI-Linked Proteins/genetics ; GPI-Linked Proteins/metabolism ; Humans ; Neurodegenerative Diseases/etiology ; Neurodegenerative Diseases/metabolism ; Neurodegenerative Diseases/pathology ; Neurons/metabolism ; Prions/genetics ; Prions/metabolism ; Proteasome Endopeptidase Complex/metabolism ; Proteolysis ; Signal Transduction
    Chemical Substances Apoptosis Regulatory Proteins ; Biomarkers ; GPI-Linked Proteins ; PRND protein, human ; Prions ; Proteasome Endopeptidase Complex (EC 3.4.25.1)
    Language English
    Publishing date 2020-04-24
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms21083028
    Database MEDical Literature Analysis and Retrieval System OnLINE

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