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Article ; Online: ScleroEmorrhoidectomy: A new tool for the mucosal bridges - a video vignette.

Lisi, Giorgio / Mastrangeli, Maria Rosaria / Campanelli, Michela / Passaro, Umberto / Spoletini, Domenico

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

2024

Language	English
Publishing date	2024-04-08
Publishing country	England
Document type	Letter
ZDB-ID	1440017-0
ISSN	1463-1318 ; 1462-8910
ISSN (online)	1463-1318
ISSN	1462-8910
DOI	10.1111/codi.16981
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Article: Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series

Campanelli, Michela / Bianciardi, Emanuela / Benavoli, Domenico / Bagaglini, Giulia / Lisi, Giorgio / Gentileschi, Paolo

Journal of obesity. 2022 Jan. 29, v. 2022

2022

Abstract: Introduction. Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication ... ...

Abstract	Introduction. Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication rate. Recent publications suggest that dumping syndrome and weight regain might be reduced by placing a silicone ring over the gastric pouch during the procedure, so called laparoscopic banded one anastomosis gastric bypass (LBOAGB). Methods. 86 patients undergoing LBOAGB between 2018 and 2020 were enrolled in this retrospective study. Hospital records were used to assess weight loss, comorbidity resolution, and any complications either in the short or medium term. Results. 54 Female and 32 male patients were included with a mean age of 43 years (25–64), preoperative body mass index of 42 kg/m² (35–49), and preoperative weight of 114 kg (86–162). Thirty-four patients presented with type 2 diabetes (39.5%), 42 patients (49%) diagnosed with hypertension, 24 presented with OSAS (28%), and 21 (24%) hypercholesterolaemia patients were included. In total, 36 patients were diagnosed with multiple comorbidities. The operative data showed an average operative time of 48 minutes with 3.4% of patients suffering from early (minor) complications and 2.3% with a late (minor) complication. One patient required reoperation due to intra-abdominal bleeding. The median length of hospital stay was 2.5 days. Median follow-up was 18 months (5–36). In that period, no patient required ring removal or conversion to Roux-en-Y gastric bypass surgery. Food intolerance/vomiting was present in 1 patient (1.1%), bile reflux was present in 1 patient (1.1%), and no stomal ulcers were observed. Mean % excess weight loss at 12 and 24 months was 72% and 80%, respectively. Fifty-two out of 86 patients (60%) had a complete resolution of comorbidities. A CONUT score >2 (mild malnutrition) was found in 40% of patients, while a CONUT score 0-1 was found in 60% of patients. Conclusion. LBOAGB shows promising results in terms of safety and efficacy in the short term. Further prospective studies will be required to evaluate the consistency of the results in the long term.
Keywords	bariatric surgery ; bile ; body mass index ; comorbidity ; females ; food intolerance ; hospitals ; hypercholesterolemia ; hypertension ; males ; malnutrition ; noninsulin-dependent diabetes mellitus ; obesity ; patients ; retrospective studies ; silicone ; weight loss
Language	English
Dates of publication	2022-0129
Publishing place	Hindawi
Document type	Article
ZDB-ID	2573566-4
ISSN	2090-0716 ; 2090-0708
ISSN (online)	2090-0716
ISSN	2090-0708
DOI	10.1155/2022/4942052
Database	NAL-Catalogue (AGRICOLA)

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Article ; Online: Sclerotherapy with 3% polidocanol foam for third- and fourth-degree hemorrhoids as "bridge treatment" during the COVID-19 pandemic in Italy.

Lisi, Giorgio / Campanelli, M / Grande, S / Milito, G / Grande, M

International journal of colorectal disease

2021 Volume 36, Issue 6, Page(s) 1321–1322

Abstract: Purpose: In Italy, colorectal surgery has been strongly affected with the vast majority (90%) of operations treating benign diseases, with an estimated overall 12-week cancellation rate of 72%. Little is known on how to best manage patients with benign ... ...

Abstract	Purpose: In Italy, colorectal surgery has been strongly affected with the vast majority (90%) of operations treating benign diseases, with an estimated overall 12-week cancellation rate of 72%. Little is known on how to best manage patients with benign diseases and the consequences this interruption of care will have in post-pandemic times. Proctologic diseases have social, psychological, and healthcare repercussions for their high incidence and great impact on the quality of life. Methods: We decided to treated 10 urgent cases affected from III- and IV-degree hemorrhoids with 3% polidocanol foam in attempt to reduce hemorrhoidal symptoms while waiting for surgery so called "bridge treatment". Results: During the follow-up no complications were occurred, and all patients had resolution of bleeding and pruritus with a mean VAS of 1 (range, 0-1). Conclusions: This treatment could reduce the bleeding that is the main symptom from which patients suffer and for which they underwent proctological evaluation and surgery. According to our preliminary experience in the impossibility of accessing the surgery during the COVID-19 pandemic, ST could be considered as the treatment of choice in those patients who are suffering from grade III- and IV-degree hemorrhoids while waiting for surgery.
MeSH term(s)	COVID-19 ; Hemorrhoids/surgery ; Humans ; Italy/epidemiology ; Pandemics ; Polidocanol ; Quality of Life ; SARS-CoV-2 ; Sclerotherapy/adverse effects ; Treatment Outcome
Chemical Substances	Polidocanol (0AWH8BFG9A)
Language	English
Publishing date	2021-01-16
Publishing country	Germany
Document type	Journal Article
ZDB-ID	84975-3
ISSN	1432-1262 ; 0179-1958
ISSN (online)	1432-1262
ISSN	0179-1958
DOI	10.1007/s00384-021-03848-3
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Article: Sclerotherapy for III- and IV-degree hemorrhoids: Results of a prospective study.

Lisi, Giorgio / Gentileschi, Paolo / Spoletini, Domenico / Passaro, Umberto / Orlandi, Simone / Campanelli, Michela

Frontiers in surgery

2022 Volume 9, Page(s) 978574

Abstract: Background: In the last 2 years, anorectal surgery has been strongly affected and even surgery for urgent cases cannot be scheduled; also, patients with III- and IV-degree bleeding hemorrhoids should be treated conservatively. The aim was to evaluate ... ...

Abstract	Background: In the last 2 years, anorectal surgery has been strongly affected and even surgery for urgent cases cannot be scheduled; also, patients with III- and IV-degree bleeding hemorrhoids should be treated conservatively. The aim was to evaluate the effectiveness of sclerotherapy in patients who had to postpone surgery. Methods: We included all patients with III- and IV-degree bleeding hemorrhoids who underwent outpatient sclerotherapy. The visual analog scale and the hemorrhoid severity score were used at the baseline and at 4 weeks after the procedure with a telephone interview, and all patients were outpatient-evaluated 1 week, 1 month, and 1 year after the treatment. All pre- and postoperative data were recorded. Results: From October 2020 to November 2021, 19 patients with III- (12 patients; 63%) and IV-degree (7 patients; 37%) bleeding hemorrhoids were enrolled. The mean operative time was 4.5 min, and no intraoperative complications occurred. One case of tenesmus and three failures were detected. Six months after the procedure, the overall success rate was 84%, although all of the patients enrolled reported persistent bleeding at the end of the study period. Of these, 5 patients (26%) were scheduled for surgery and 11 patients (58%) refused surgery and asked to undergo a re-do sclerotherapy. Conclusion: Sclerotherapy with 3% polidocanol foam is a safe and effective procedure also in III- and IV-degree bleeding hemorrhoids. The long-term data on the length of the foam remain to be evaluated in additional studies.
Language	English
Publishing date	2022-09-01
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2773823-1
ISSN	2296-875X
ISSN	2296-875X
DOI	10.3389/fsurg.2022.978574
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Article: Benign Anorectal Disorders and Pelvic Floor Disease After Bariatric Surgery.

Lisi, Giorgio / Campanelli, Michela / Benavoli, Domenico / Bianciardi, Emanuela / Spoletini, Domenico / Gentileschi, Paolo

Journal of clinical medicine research

2022 Volume 14, Issue 7, Page(s) 260–263

Abstract: The correlations between morbid obesity, bariatric surgery and gastrointestinal disorders are well known and reported. Symptoms like abdominal pain, constipation, bloating, heartburn and gastroesophageal reflux disease are known to be significantly more ... ...

Abstract	The correlations between morbid obesity, bariatric surgery and gastrointestinal disorders are well known and reported. Symptoms like abdominal pain, constipation, bloating, heartburn and gastroesophageal reflux disease are known to be significantly more prevalent in overweight patients and body mass index is associated positively with abdominal pain and diarrhea. In spite of these conditions, less is known about the lower gastrointestinal tract. Of these, anorectal disorders and pelvic floor disease are both believed to be more frequent in obese patients compared to the general population. Weight loss related to bariatric surgery seems to improve quality of life and weight-related symptoms, although some of these conditions may get worse. All these conditions are rarely studied in patients undergoing bariatric surgery for morbid obesity. This concise review aimed to focus on these conditions in patients undergoing bariatric surgery for morbid obesity in order to improve patient selection and post-operative management.
Language	English
Publishing date	2022-06-02
Publishing country	Canada
Document type	Journal Article ; Review
ZDB-ID	2548987-2
ISSN	1918-3011 ; 1918-3003
ISSN (online)	1918-3011
ISSN	1918-3003
DOI	10.14740/jocmr4713
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Article ; Online: Laparoscopic Banded One Anastomosis Gastric Bypass: A Single-Center Series.

Campanelli, Michela / Bianciardi, Emanuela / Benavoli, Domenico / Bagaglini, Giulia / Lisi, Giorgio / Gentileschi, Paolo

Journal of obesity

2022 Volume 2022, Page(s) 4942052

Abstract: Introduction: Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication ... ...

Abstract	Introduction: Laparoscopic one anastomosis gastric bypass (LOAGB) is a relatively new procedure for the treatment of morbid obesity and related comorbidities. On average, this procedure results in good postoperative weight loss with a low complication rate. Recent publications suggest that dumping syndrome and weight regain might be reduced by placing a silicone ring over the gastric pouch during the procedure, so called laparoscopic banded one anastomosis gastric bypass (LBOAGB). Methods: 86 patients undergoing LBOAGB between 2018 and 2020 were enrolled in this retrospective study. Hospital records were used to assess weight loss, comorbidity resolution, and any complications either in the short or medium term. Results: 54 Female and 32 male patients were included with a mean age of 43 years (25-64), preoperative body mass index of 42 kg/m Conclusion: LBOAGB shows promising results in terms of safety and efficacy in the short term. Further prospective studies will be required to evaluate the consistency of the results in the long term.
MeSH term(s)	Adult ; Diabetes Mellitus, Type 2/complications ; Female ; Gastric Bypass/methods ; Humans ; Laparoscopy/methods ; Male ; Obesity, Morbid/complications ; Obesity, Morbid/surgery ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Prospective Studies ; Reoperation/adverse effects ; Reoperation/methods ; Retrospective Studies ; Treatment Outcome ; Weight Loss
Language	English
Publishing date	2022-01-29
Publishing country	United States
Document type	Journal Article
ZDB-ID	2573566-4
ISSN	2090-0716 ; 2090-0708
ISSN (online)	2090-0716
ISSN	2090-0708
DOI	10.1155/2022/4942052
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Colorectal Cancer: Current Updates and Future Perspectives.

Marcellinaro, Rosa / Spoletini, Domenico / Grieco, Michele / Avella, Pasquale / Cappuccio, Micaela / Troiano, Raffaele / Lisi, Giorgio / Garbarino, Giovanni M / Carlini, Massimo

Journal of clinical medicine

2023 Volume 13, Issue 1

Abstract: Colorectal cancer is a frequent neoplasm in western countries, mainly due to dietary and behavioral factors. Its incidence is growing in developing countries for the westernization of foods and lifestyles. An increased incidence rate is observed in ... ...

Abstract	Colorectal cancer is a frequent neoplasm in western countries, mainly due to dietary and behavioral factors. Its incidence is growing in developing countries for the westernization of foods and lifestyles. An increased incidence rate is observed in patients under 45 years of age. In recent years, the mortality for CRC is decreased, but this trend is slowing. The mortality rate is reducing in those countries where prevention and treatments have been implemented. The survival is increased to over 65%. This trend reflects earlier detection of CRC through routine clinical examinations and screening, more accurate staging through advances in imaging, improvements in surgical techniques, and advances in chemotherapy and radiation. The most important predictor of survival is the stage at diagnosis. The screening programs are able to reduce incidence and mortality rates of CRC. The aim of this paper is to provide a comprehensive overview of incidence, mortality, and survival rate for CRC.
Language	English
Publishing date	2023-12-21
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm13010040
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Article ; Online: Colorectal emergency surgery in a COVID-19 referral hospital during the phase 2 in Italy.

Lisi, Giorgio / Campanelli, M / Villa, M / Grande, S / Grande, M

International journal of colorectal disease

2020 Volume 35, Issue 11, Page(s) 2137–2138

MeSH term(s)	COVID-19 ; Colorectal Surgery/methods ; Colorectal Surgery/statistics & numerical data ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Cross Infection/prevention & control ; Emergencies ; Female ; Humans ; Incidence ; Infection Control/organization & administration ; Italy ; Male ; Occupational Health/statistics & numerical data ; Pandemics/prevention & control ; Pandemics/statistics & numerical data ; Patient Safety/statistics & numerical data ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control ; Recurrence ; Referral and Consultation ; Risk Assessment
Keywords	covid19
Language	English
Publishing date	2020-07-01
Publishing country	Germany
Document type	Letter ; Review
ZDB-ID	84975-3
ISSN	1432-1262 ; 0179-1958
ISSN (online)	1432-1262
ISSN	0179-1958
DOI	10.1007/s00384-020-03684-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Radiofrequency haemorrhoidectomy: technical guide to our standardized technique - a video vignette.

Lisi, Giorgio / Campanelli, Michela / Mastrangeli, Maria Rosaria / Menditto, Rosa / Grande, Michele / Milito, Giovanni

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

2021 Volume 23, Issue 5, Page(s) 1272–1273

MeSH term(s)	Hemorrhoidectomy ; Hemorrhoids/surgery ; Humans ; Pain, Postoperative
Language	English
Publishing date	2021-02-11
Publishing country	England
Document type	Letter ; Video-Audio Media
ZDB-ID	1440017-0
ISSN	1463-1318 ; 1462-8910
ISSN (online)	1463-1318
ISSN	1462-8910
DOI	10.1111/codi.15540
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Article ; Online: Laparoscopic right colectomy: changes in surgical technique and perioperative management allow better postoperative results in a comparative series of 361 patients.

Grieco, Michele / Marcellinaro, Rosa / Spoletini, Domenico / Menditto, Rosa / Lisi, Giorgio / Russo, Giulia / Napoleone, Vincenzo / Carlini, Massimo

Updates in surgery

2022 Volume 74, Issue 3, Page(s) 883–890

Abstract: To compare the short-term outcomes in patients who underwent laparoscopic right colectomy with a traditional minimally invasive approach versus patients who underwent a laparoscopic colectomy with an enhanced perioperative pathway. A retrospective ... ...

Abstract	To compare the short-term outcomes in patients who underwent laparoscopic right colectomy with a traditional minimally invasive approach versus patients who underwent a laparoscopic colectomy with an enhanced perioperative pathway. A retrospective analysis was conducted on a consecutive series of patients who underwent elective laparoscopic right colectomy for neoplastic disease between January 1, 2011 and December 31, 2020. The patients were divided into two groups: the first cohort (FC), who underwent a traditional laparoscopic colectomy, mainly with extracorporeal anastomosis, between January 1, 2011 and December 31, 2015 and the second cohort (SC), who underwent a laparoscopic colectomy with an enhanced intraoperative (intracorporeal anastomosis) and perioperative pathway (ERAS protocol) between January 1, 2016 and December 31, 2020. There were a total of 361 patients, including 177 in the FC and 184 in the SC. In the SC a higher number of intracorporeal anastomoses was performed (91.8% vs. 19.2%, p < 0.001), drains were placed in 42 patients only (22.8% vs. 100% in the FC) and nasogastric tubes were placed in 21 patients only (11.4% vs. 100% in the FC). In the initial period of the SC. the procedures required a slightly longer operative time (median 105 vs. 95 min; p = 0.002), but postoperative surgical complications were lower (12% vs. 17.4%, p = 0.179). Postoperative recovery was faster in SC along with time to discharge (4 vs. 7 days; p < 0.001). Intraoperative anastomosis and enhanced pathways in right laparoscopic colectomy seem to guarantee better results with lower surgical complications and faster postoperative recovery.
MeSH term(s)	Anastomosis, Surgical/methods ; Colectomy/methods ; Colonic Neoplasms/surgery ; Humans ; Laparoscopy/methods ; Operative Time ; Perioperative Care/methods ; Postoperative Complications/epidemiology ; Postoperative Complications/prevention & control ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2022-04-12
Publishing country	Italy
Document type	Journal Article
ZDB-ID	2572692-4
ISSN	2038-3312 ; 2038-131X
ISSN (online)	2038-3312
ISSN	2038-131X
DOI	10.1007/s13304-022-01287-5
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