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Article ; Online: Aorto-mesenteric compass syndrome (Wilkie's syndrome) in the differential diagnosis of chronic abdominal pain.

Forte, Angelo / Santarpia, Lidia / Venetucci, Piero / Barbato, Antonio

BMJ case reports

2023 Volume 16, Issue 9

Abstract: A woman in her 40s was admitted to hospital with weight loss, asthenia, persistent abdominal pain and post-prandial nausea and vomiting. Other comorbidities were anxiety-depressive disorder, gastro-oesophageal reflux disease and fibrocystic mastopathy. ... ...

Abstract	A woman in her 40s was admitted to hospital with weight loss, asthenia, persistent abdominal pain and post-prandial nausea and vomiting. Other comorbidities were anxiety-depressive disorder, gastro-oesophageal reflux disease and fibrocystic mastopathy. On admission her body mass index (BMI) was 15.57 kg/m
MeSH term(s)	Female ; Humans ; Diagnosis, Differential ; Superior Mesenteric Artery Syndrome/diagnostic imaging ; Duodenal Obstruction ; Abdominal Pain/etiology ; Duodenum
Language	English
Publishing date	2023-09-18
Publishing country	England
Document type	Case Reports ; Journal Article
ISSN	1757-790X
ISSN (online)	1757-790X
DOI	10.1136/bcr-2022-254157
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Low Potassium Intake: A Common Risk Factor for Nephrolithiasis in Patients with High Blood Pressure.

Abate, Veronica / Vergatti, Anita / Fiore, Antonella / Forte, Angelo / Attanasio, Alessia / Altavilla, Nadia / De Filippo, Gianpaolo / Rendina, Domenico / D Elia, Lanfranco

High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension

2023 Volume 30, Issue 4, Page(s) 343–350

Abstract: Hypertension (Htn) is a crucial cause of cardio-vascular and chronic kidney disease. Moreover, it is an independent risk factor for nephrolithiasis (NL). A diet rich in vegetables and fruits is indicated for both Htn and NL prevention, and the 24-h ... ...

Abstract	Hypertension (Htn) is a crucial cause of cardio-vascular and chronic kidney disease. Moreover, it is an independent risk factor for nephrolithiasis (NL). A diet rich in vegetables and fruits is indicated for both Htn and NL prevention, and the 24-h urinary potassium excretion can be used as a warning light for adherence. The aim of this study is to demonstrate the association between urinary potassium excretion and recurrent nephrolithiasis among patients affected by Htn. We have analyzed medical records of 119 patients affected by Htn and NL (SF-Hs) referring to Bone and Mineral Metabolism laboratory and 119 patients affected by Htn but without NL (nSF-Hs) referring to Hypertension and Organ Damage Hypertension related laboratory, both in Federico II University of Naples. The potassium 24-h urinary levels in SF-Hs were significantly lower compared to nSF-Hs. This difference was confirmed by the multivariable linear regression analysis in the unadjusted model and adjusted model for age, gender, metabolic syndrome, and body mass index. In conclusion, a higher potassium urinary excretion in 24-h is a protective factor against NL in patients affected by Htn and dietary interventions can be considered for kidney protection.
MeSH term(s)	Humans ; Nephrolithiasis/diagnosis ; Nephrolithiasis/epidemiology ; Nephrolithiasis/etiology ; Hypertension/diagnosis ; Hypertension/epidemiology ; Risk Factors ; Diet/adverse effects ; Potassium/urine ; Blood Pressure/physiology
Chemical Substances	Potassium (RWP5GA015D)
Language	English
Publishing date	2023-06-17
Publishing country	New Zealand
Document type	Journal Article
ZDB-ID	1236337-6
ISSN	1179-1985 ; 1120-9879
ISSN (online)	1179-1985
ISSN	1120-9879
DOI	10.1007/s40292-023-00587-0
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Article: Conventional (CH) vs. stapled hemorrhoidectomy (SH) in surgical treatment of hemorrhoids. Ten years experience.

Manfredelli, Simone / Montalto, Gioacchino / Leonetti, Giovanni / Covotta, Marco / Amatucci, Chiara / Covotta, Alfredo / Forte, Angelo

Annali italiani di chirurgia

2012 Volume 83, Issue 2, Page(s) 129–134

Abstract: Introduction: Interest about hemorrhoids is related to its high incidence and elevated social costs that derive from its treatment. Several comparative studies are reported in Literature to define a standard for ideal treatment of hemorrhoidal disease. ... ...

Abstract	Introduction: Interest about hemorrhoids is related to its high incidence and elevated social costs that derive from its treatment. Several comparative studies are reported in Literature to define a standard for ideal treatment of hemorrhoidal disease. Radical surgery is the only therapeutic option in case of III and IV stage haemorrhoids. Hemorrhoids surgical techniques are classified as Open, Closed and Stapled ones. Objective: We report our decennial experience on surgical treatment focusing on early, middle and late complications, indications and contraindications, satisfaction level of each surgical procedure for hemorrhoids. Methods: Four hundred forty-eight patients have been hospitalized in our department fom 1st January to 31st December 2008. Of these 241 underwent surgery with traditional open or closed technique and 207 with the SH technique according to Longo. This retrospective study includes only patients with symptomatic hemorrhoids at III or IV stage. Results: There were no differences between CH and SH about both pre and post surgery hospitalization and intraoperative length. Pain is the most frequently observed early complication with a statistically significant difference in favour of SH. We obtain good results in CH group using anoderma sparing and perianal anaesthetic infiltration at the end of the surgery. In all cases, pain relief was obtained only with standard analgesic drugs (NSAIDs). We also observed that pain level influences the outcome after surgical treatment. No chronic pain cases were observed in both groups. Bleeding is another relevant early complication in particular after SH: we reported 2 cases of immediate surgical reintenvention and 2 cases treated with blood transfusion. Only in SH group we report also 5 cases of thrombosis of external haemorrhoids and 7 perianal hematoma both solved with medical therapy There were no statistical significant differences between two groups about fever, incontinence to flatus, urinary retention, fecal incontinence, substenosis and anal burning. No cases of anal stenosis were observed. About late complications, most frequently observed were rectal prolapse and hemorrhoidal recurrence, especially after SH. Discussion and conclusion: Our experience confirms the validity of both CH and SH. Failure may be related to wrong surgical indication or technical execution. Certainly CH procedure is more invasive and slightly more painfull in immediate postoperative period than SH surgery, which is slightly more expensive and has more complications. In our opinion the high risk of possible early and immediate complications after surgery requires at least a 24 hours hospitalization length. SH is the gold standard for III grade haemorrhoids with mucous prolapse while CH is suggested in IV grade cases. Hemorrhoidal arterial ligation operation (HALO) technique in III and IV degree needs further validations.
MeSH term(s)	Adolescent ; Adult ; Aged ; Digestive System Surgical Procedures/methods ; Female ; Hemorrhoids/surgery ; Humans ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Retrospective Studies ; Surgical Stapling ; Time Factors ; Young Adult
Language	English
Publishing date	2012-03
Publishing country	Italy
Document type	Comparative Study ; Journal Article
ZDB-ID	418927-9
ISSN	2239-253X ; 0003-469X
ISSN (online)	2239-253X
ISSN	0003-469X
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Article ; Online: An inguinal bladder diverticulum Case report of a rare finding in a recurrent inguinal hernia.

Manfredelli, Simone / Zitelli, Andrea / Pontone, Stefano / Marcantonio, Maria / Nargi, Amedeo / Forte, Angelo / Angelici, Alberto

Annali italiani di chirurgia

2012 Volume 2012

Abstract: We report a rare case of recurrent right inguinal hernia with bladder diverticulum incarcerated in a 63 years old male. Patient complained of painful swelling in inguinoscrotal region associated with urinary discomfort. Preoperatively diagnosis was made ... ...

Abstract	We report a rare case of recurrent right inguinal hernia with bladder diverticulum incarcerated in a 63 years old male. Patient complained of painful swelling in inguinoscrotal region associated with urinary discomfort. Preoperatively diagnosis was made possible by ultrasound and urography imaging. Surgical treatment was achieved, by infra-umbilical incision, a reduction of the herniated and fixed diverticulum followed by a mesh repair of the wall defect. Patient was discharged five days after surgery and became free of symptomatology soon after surgical procedure. Bladder diverticulum involvement in a direct inguinal hernia is rare finding and define a potential pitfall for surgeon if not diagnosed preoperatively. There are no other cases of incarcerated bladder diverticulum incarcerated in a recurrent inguinal hernia described in Literature. KEY WORDS: Bladder diverticulum, Bladder hernia, Inguinal hernia.
Language	English
Publishing date	2012-10-26
Publishing country	Italy
Document type	Journal Article
ZDB-ID	418927-9
ISSN	2239-253X ; 0003-469X
ISSN (online)	2239-253X
ISSN	0003-469X
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Book: Viking empires

Forte, Angelo / Oram, Richard D / Pedersen, Frederik

2005

Author's details	Angelo Forte; Richard Oram and Frederik Pedersen
Language	English
Size	XIV, 447 S., Ill., Kt.
Publisher	Univ. Press
Publishing place	Cambridge u.a.
Document type	Book
Note	Literaturverz. S. 401 - 425
ISBN	0521829925 ; 9780521829922
Database	Former special subject collection: coastal and deep sea fishing

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Article: Rives technique is the gold stardard for incisional hernioplasty. An institutional experience.

Forte, Angelo / Zullino, Antonio / Manfredelli, Simone / Montalto, Gioacchino / Covotta, Francesco / Pastore, Piergiorgio / Bezzi, Marcello

Annali italiani di chirurgia

2011 Volume 82, Issue 4, Page(s) 313–317

Abstract: Aim: We report our clinical experience with incisional hernia surgery and we retrospectively analyze the outcomes obtained with the different techniques of repair used, confirming that Rives-Stoppa procedures actually represent the gold standard for ... ...

Abstract	Aim: We report our clinical experience with incisional hernia surgery and we retrospectively analyze the outcomes obtained with the different techniques of repair used, confirming that Rives-Stoppa procedures actually represent the gold standard for incisional hernia. Material of study: 334 patients were observed for incisional hernioplasty at our Department of Surgery from 1996 to 2007. They were treated according to the following surgical procedures: 44 primary direct closures; 246 Rives-Stoppa procedures; 9 Chevrel procedures; 35 intraperitoneal repairs. The outcomes were considered in terms of postoperative surgical complications. Results: In total, we had 13 cases of hernia recurrence (3.9%), 14 cases of infections (4.2%), 7 cases ofseroma/hematoma (2.9%) and one case of acute respiratory insufficiency. Discussion: The choice of the surgical technique depends on several factors, such as the size of the hernia defect and the representation of the anatomical structures, essential for the reconstruction of the abdominal wall. We abandoned Chevrel technique due to high rate of recurrence and infective complications and reserved the intra-peritoneal repair only for cases where a fascial layer could not be reconstructed. Instead, the primary direct closure should be considered for high risk patients because of its low surgical impact, although it is characterized by higher incidence of recurrence. Combining the Rives-Stoppa technique with some personal technical modifications, we obtained acceptable results in terms of recurrence rate and morbidity. Conclusions: Rives-Stoppa procedures are the current standard of care for the surgical repair of incisional hernia and our treatment of choice.
MeSH term(s)	Female ; Follow-Up Studies ; Hernia, Ventral/surgery ; Humans ; Male ; Retrospective Studies ; Surgical Procedures, Operative/methods ; Surgical Procedures, Operative/standards
Language	English
Publishing date	2011-07
Publishing country	Italy
Document type	Journal Article
ZDB-ID	418927-9
ISSN	2239-253X ; 0003-469X
ISSN (online)	2239-253X
ISSN	0003-469X
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Article: Dietary chemoprevention of colorectal cancer.

Forte, Angelo / De Sanctis, Rita / Leonetti, Giovanni / Manfredelli, Simone / Urbano, Vincenzo / Bezzi, Marcello

Annali italiani di chirurgia

2008 Volume 79, Issue 4, Page(s) 261–267

Abstract: Aims and background: Colorectal cancer is the second cause of morbidity and death in Italy. Genetic and environmental factors, i.e. inappropriate nutrition, are strongly involved in the aetiology of colon cancer. In the present review the authors ... ...

Abstract	Aims and background: Colorectal cancer is the second cause of morbidity and death in Italy. Genetic and environmental factors, i.e. inappropriate nutrition, are strongly involved in the aetiology of colon cancer. In the present review the authors analyze the possible mechanisms by which certain nutritive factors may interfere with the complex process of carcinogenesis. Methods: The authors identify studies by a literature search of Medline from January 1, 1970, through December 31, 2006. Results: The mechanism of every protective compound is detailed, in particular the impact of antioxidant vitamins and minerals on tumor development. At present, the data suggest that vegetables are associated with lower risk and that their fbre content alone does not account for this association. Further, meat consumption is associated with an increased risk but this, too, is not explained solely by its fat content. Several microconstituents of the diet may be associated with reduced risk, including folate, methionine, calcium and vitamin D. Short chain fatty acids also contribute to colonic health. Nevertheless agricultural products contain several dangerous pesticides. Mutagenic compounds, particularly heterocyclic amines, produced when protein is cooked, plausibly explain the meat association. Conclusions: Healthy nutrition is a necessary but not sufficient condition for colon cancer prevention: accepted the feasibility of an accurate control on every patient's diet, fequently the difficulty encountered in nutritional chemoprevention is to establish individual metabolic profiles.
MeSH term(s)	Age Factors ; Aged ; Antioxidants/administration & dosage ; Chemoprevention ; Colorectal Neoplasms/epidemiology ; Colorectal Neoplasms/metabolism ; Colorectal Neoplasms/prevention & control ; Diet ; Dietary Fiber/administration & dosage ; Fruit ; Humans ; Incidence ; Middle Aged ; Minerals/administration & dosage ; Risk Factors ; Vegetables ; Vitamins/administration & dosage
Chemical Substances	Antioxidants ; Dietary Fiber ; Minerals ; Vitamins
Language	English
Publishing date	2008-07
Publishing country	Italy
Document type	Comparative Study ; Journal Article ; Review
ZDB-ID	418927-9
ISSN	2239-253X ; 0003-469X
ISSN (online)	2239-253X
ISSN	0003-469X
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Article: Exeresi polmonare: predittività della funzione respiratoria.

Forte, Angelo / Lo Storto, Giuseppe / D'Urso, Antonio / Gallinaro, Luca Salvatore / Vietri, Francesco

Chirurgia italiana

2002 Volume 54, Issue 1, Page(s) 19–24

Abstract: The most important preoperative cardiopulmonary variables for identifying patients at increased risk prior to lung resection are: FEV1, FEV1-ppo, DLCO, MVO2, and SO2. The aim of this study was to evaluate the ability and usefulness of predictive ... ...

Title translation	Lung resection: predictive value of respiratory function.
Abstract	The most important preoperative cardiopulmonary variables for identifying patients at increased risk prior to lung resection are: FEV1, FEV1-ppo, DLCO, MVO2, and SO2. The aim of this study was to evaluate the ability and usefulness of predictive postoperative FEV1 (FEV1-ppo) in 80 patients undergoing lung resection. Spirometry was performed before and 6 months after operation; residual respiratory function was calculated using Nakahara's formula, and data analysis calculations were performed using the chi 2 test. It was observed that the resulting predictive values were almost comparable to the values observed 6 months postoperatively in 63.75% of patients and the correlation proved statistically significant (P < 0.005). In view of its simple and rapid execution, we conclude that Nakahara's formula, compared with the others, remains a reliable standard method of assessing high-risk patients and planning appropriate surgery.
MeSH term(s)	Aged ; Chi-Square Distribution ; Female ; Forced Expiratory Volume ; Humans ; Lung/surgery ; Lung Abscess/surgery ; Lung Diseases/surgery ; Lung Neoplasms/surgery ; Male ; Middle Aged ; Pneumonectomy ; Predictive Value of Tests ; Respiration ; Risk Factors ; Spirometry
Language	Italian
Publishing date	2002-01
Publishing country	Italy
Document type	Comparative Study ; English Abstract ; Journal Article
ZDB-ID	603591-7
ISSN	0009-4773
ISSN	0009-4773
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Article: Trattamento chirurgico d'urgenza della diverticolite acuta complicata.

Bezzi, Marcello / Lorusso, Riccardo / Forte, Angelo / Leonetti, Giovanni / Gallinaro, Luca Salvatore / Urbano, Vincenzo

Chirurgia italiana

2002 Volume 54, Issue 2, Page(s) 203–208

Abstract: Twenty-five percent of patients undergoing surgery for acute complicated diverticulitis represent emergencies. This condition is currently treated by colonic resection with primary anastomosis with or without colostomy, or by a Hartmann operation. We ... ...

Title translation	Emergency surgical treatment of complicated acute diverticulitis.
Abstract	Twenty-five percent of patients undergoing surgery for acute complicated diverticulitis represent emergencies. This condition is currently treated by colonic resection with primary anastomosis with or without colostomy, or by a Hartmann operation. We report on our experience with 52 consecutive patients with generalized peritonitis (8 cases), peri- and paracolonic abscesses (19 cases), severe pelvic abscesses (12 cases) and multiple abscesses with visceral fistulas (13 cases). All patients had emergency surgery. In 50/52 patients (96.2%) we performed a colonic resection with primary anastomosis using a mechanical stapler and in 2/52 a Hartmann operation. The overall mortality rate was 5.8%. The morbidity rate was 22% with 9 anastomotic leakages. A diverting colostomy was constructed in 16 patients and opened in only 8 patients. In 4 cases a parastomal hernia occurred after late closure and reduction of the colostomy. This data suggest that colonic resection with primary anastomosis, even without colostomy, is a safe procedure for the emergency treatment of acute complicated diverticulitis.
MeSH term(s)	Acute Disease ; Anastomosis, Surgical/methods ; Colectomy/methods ; Colon/surgery ; Diverticulitis, Colonic/complications ; Diverticulitis, Colonic/surgery ; Emergencies ; Female ; Humans ; Male ; Rectum/surgery ; Retrospective Studies
Language	Italian
Publishing date	2002-03
Publishing country	Italy
Document type	English Abstract ; Journal Article
ZDB-ID	603591-7
ISSN	0009-4773
ISSN	0009-4773
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Book: The law of Scotland

Gloag, William Murray / Earlsferry, Rodger of / Forte, Angelo / Henderson, Robert Candlish / Wilson, W. A

1995

Author's details	by the late W.M. Gloag and the late R. Candlish Henderson
Language	English
Size	CCXXVIII, 1099 S, 25 cm
Edition	10. ed.
Publisher	W. Green/Sweet & Maxwell
Publishing place	Edinburgh
Document type	Book
Note	Frühere Aufl. u.d.T.: Introduction to the law of Scotland ; Includes bibliographical references and index
ISBN	041401068X ; 0414011295 ; 9780414010680 ; 9780414011298
Database	Former special subject collection: coastal and deep sea fishing

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