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  1. Article ; Online: Get Fit: Muscle Health for Crohn's Disease Surgical Outcome Optimization.

    Massironi, Sara / Sileri, Pierpaolo / Danese, Silvio

    Inflammatory bowel diseases

    2023  

    Language English
    Publishing date 2023-10-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1340971-2
    ISSN 1536-4844 ; 1078-0998
    ISSN (online) 1536-4844
    ISSN 1078-0998
    DOI 10.1093/ibd/izad235
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 4530: Show issues Location:
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  2. Article ; Online: Blockchain in surgery: are we ready for the digital revolution?

    Carrano, Francesco Maria / Sileri, Pierpaolo / Batt, Susie / Di Lorenzo, Nicola

    Updates in surgery

    2022  Volume 74, Issue 1, Page(s) 3–6

    MeSH term(s) Blockchain ; Humans
    Language English
    Publishing date 2022-01-09
    Publishing country Italy
    Document type Editorial
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-021-01232-y
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    Zs.B 101: Show issues Location:
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  3. Article ; Online: Prospective Italian validation of the Vaizey and Wexner and fecal incontinence severity index (FISI) questionnaires.

    Ortenzi, Monica / Guerrieri, Mario / Saraceno, Federica / Reggiani, Angelica / Lepiane, Pasquale / Sileri, Pierpaolo / Balla, Andrea

    Updates in surgery

    2023  Volume 75, Issue 6, Page(s) 1617–1623

    Abstract: Several objective severity measurement questionnaires of the fecal incontinence (FI), are available to describe type, frequency and degree of FI, and their impact on quality of life, aiming to establish baseline scores measure response to treatment over ... ...

    Abstract Several objective severity measurement questionnaires of the fecal incontinence (FI), are available to describe type, frequency and degree of FI, and their impact on quality of life, aiming to establish baseline scores measure response to treatment over time and allow comparison among patients treated using different strategies. Presently, despite their widespread use in clinical practice, none of these questionnaire have been validated in the Italian language. The aim is to test the translated Italian version of the Vaizey and Wexner and Fecal Incontinence Severity Index (FISI) questionnaires assessing their reliability and validity among Italian-speaking patients. Two researchers proficient in spoken English and Italian translated both questionnaires in the Italian language. They independently translated the two questionnaires from English and then they met to produce a single version of the two questionnaires, to solve any possible discrepancy. A forward-backward translation was then obtained by a professional bilingual translator, so as to define the final version of the questionnaires. The questionnaires were independently administered twice to 100 Italian-speaking patients by two different and independent raters. Cronbach's α of the first and second Vaizey and Wexner questionnaire was 0.755 and 0.727, respectively. While Cronbach's α of the first and second FISI questionnaire was 0.810 and 0.806, respectively. Spearman correlation and inter-rater reliability were 0.937 and 0.913 for Vaizey and Wexner questionnaire, respectively, and 0.915 and 0.871 for FISI questionnaire, respectively. Italian version of the Vaizey and Wexner and FISI questionnaires proved good consistency, reliability, reproducibility, showing good psychometric properties.
    MeSH term(s) Humans ; Quality of Life ; Reproducibility of Results ; Prospective Studies ; Fecal Incontinence/diagnosis ; Severity of Illness Index ; Language ; Surveys and Questionnaires ; Italy
    Language English
    Publishing date 2023-06-27
    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/s13304-023-01567-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book: Pelvic floor disorders

    Gaspari, Achille / Sileri, Pierpaolo

    surgical approach

    (Updates in surgery,)

    2014  

    Author's details Achille Lucio Gaspari, Pierpaolo Sileri, editors ; foreword by Giorgio De Toma
    Series title Updates in surgery,
    MeSH term(s) Pelvic Floor Disorders/diagnosis ; Pelvic Floor Disorders/surgery ; Pelvic Organ Prolapse/surgery ; Pelvic Floor/anatomy & histology ; Pelvic Floor/physiopathology
    Language English
    Size xvi, 272 pages :, illustrations
    Document type Book
    ISBN 9788847054400 ; 9788847054417 ; 8847054400 ; 8847054419
    Database Catalogue of the US National Library of Medicine (NLM)

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  5. Article ; Online: Perirectal hematoma after stapled surgery for hemorrhoidal prolapse and obstructed defecation syndrome: case series management to avoid panic-guided treatment.

    Mascagni, Domenico / Eberspacher, Chiara / Naldini, Gabriele / Arcieri, Francesco Leone / Mascagni, Pietro / Cirocchi, Roberto / Popivanov, Georgi / Sileri, Pierpaolo / Arcieri, Stefano

    Updates in surgery

    2023  Volume 75, Issue 3, Page(s) 627–634

    Abstract: Perirectal hematoma (PH) is one of the most feared complications of stapling procedures. Literature reviews have reported only a few works on PH, most of them describing isolated treatment approaches and severe outcomes. The aim of this study was to ... ...

    Abstract Perirectal hematoma (PH) is one of the most feared complications of stapling procedures. Literature reviews have reported only a few works on PH, most of them describing isolated treatment approaches and severe outcomes. The aim of this study was to analyze a homogenous case series of PH and to define a treatment algorithm for huge postoperative PHs. A retrospective analysis of a prospective database of three high-volume proctology units was performed between 2008 and 2018, and all PH cases were analyzed. In all, 3058 patients underwent stapling procedures for hemorrhoidal disease or obstructed defecation syndrome with internal prolapse. Among these, 14 (0.46%) large PH cases were reported, and 12 of these hematomas were stable and treated conservatively (antibiotics and CT/laboratory test monitoring); most of them were resolved with spontaneous drainage. Two patients with progressive PH (signs of active bleeding and peritonism) were submitted to CT and arteriography to evaluate the source of bleeding, which was subsequently closed by embolization. This approach helped ensure that no patients with PH were referred for major abdominal surgery. Most PH cases are stable and treatable with a conservative approach, evolving with self-drainage. Progressive hematomas are rare and should undergo angiography with embolization to minimize the possibility of major surgery and severe complications.
    MeSH term(s) Humans ; Hemorrhoids/surgery ; Defecation ; Retrospective Studies ; Surgical Stapling/adverse effects ; Surgical Stapling/methods ; Prolapse ; Hematoma/etiology ; Hematoma/therapy ; Treatment Outcome ; Postoperative Complications/therapy ; Postoperative Complications/surgery
    Language English
    Publishing date 2023-03-10
    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/s13304-023-01490-y
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    Zs.B 101: Show issues Location:
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  6. Article ; Online: Surgeons' practice and preferences for the anal fissure treatment: results from an international survey.

    Balla, Andrea / Saraceno, Federica / Shalaby, Mostafa / Gallo, Gaetano / Di Saverio, Salomone / De Nardi, Paola / Perinotti, Roberto / Sileri, Pierpaolo

    Updates in surgery

    2023  Volume 75, Issue 8, Page(s) 2279–2290

    Abstract: The best nonoperative or operative anal fissure (AF) treatment is not yet established, and several options have been proposed. Aim is to report the surgeons' practice for the AF treatment. Thirty-four multiple-choice questions were developed. Seven ... ...

    Abstract The best nonoperative or operative anal fissure (AF) treatment is not yet established, and several options have been proposed. Aim is to report the surgeons' practice for the AF treatment. Thirty-four multiple-choice questions were developed. Seven questions were about to participants' demographics and, 27 questions about their clinical practice. Based on the specialty (general surgeon and colorectal surgeon), obtained data were divided and compared between two groups. Five-hundred surgeons were included (321 general and 179 colorectal surgeons). For both groups, duration of symptoms for at least 6 weeks is the most important factor for AF diagnosis (30.6%). Type of AF (acute vs chronic) is the most important factor which guide the therapeutic plan (44.4%). The first treatment of choice for acute AF is ointment application for both groups (59.6%). For the treatment of chronic AF, this data is confirmed by colorectal surgeons (57%), but not by the general surgeons who prefer the lateral internal sphincterotomy (LIS) (31.8%) (p = 0.0001). Botulin toxin injection is most performed by colorectal surgeons (58.7%) in comparison to general surgeons (20.9%) (p = 0.0001). Anal flap is mostly performed by colorectal surgeons (37.4%) in comparison to general surgeons (28.3%) (p = 0.0001). Fissurectomy alone is statistically significantly most performed by general surgeons in comparison to colorectal surgeons (57.9% and 43.6%, respectively) (p = 0.0020). This analysis provides useful information about the clinical practice for the management of a debated topic such as AF treatment. Shared guidelines and consensus especially focused on operative management are required to standardize the treatment and to improve postoperative results.
    MeSH term(s) Humans ; Fissure in Ano/surgery ; Fissure in Ano/drug therapy ; Botulinum Toxins, Type A ; Neuromuscular Agents/therapeutic use ; Chronic Disease ; Anal Canal/surgery ; Surgeons ; Colorectal Neoplasms/drug therapy ; Treatment Outcome
    Chemical Substances Botulinum Toxins, Type A (EC 3.4.24.69) ; Neuromuscular Agents
    Language English
    Publishing date 2023-10-08
    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/s13304-023-01661-x
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    Zs.B 101: Show issues Location:
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  7. Article: Appendiceal perforation due to biliary stent migration in a neutropenic patient with lung cancer receiving chemotherapy: A case report.

    Pengermä, Pasi / Katunin, Jevgeni / Turunen, Arto / Sileri, Pierpaolo / Giarratano, Gabriella / Palomäki, Ari / Kechagias, Aristotelis

    Molecular and clinical oncology

    2021  Volume 15, Issue 1, Page(s) 136

    Abstract: The use of biliary stents has become a common and usually safe procedure. However, the migration of biliary stents is an uncommon but well-recognized event after endoscopic retrograde cholangiopancreatography. The migration of plastic stents usually does ...

    Abstract The use of biliary stents has become a common and usually safe procedure. However, the migration of biliary stents is an uncommon but well-recognized event after endoscopic retrograde cholangiopancreatography. The migration of plastic stents usually does not result in complications and are spontaneously eliminated from the gastro-intestinal tract. Additionally, <1% of migrated stents result in intestinal perforation, which typically occurs at the duodenum. Chemotherapeutic agents may cause gastrointestinal toxicity and hematologic toxicity predisposing to neutropenic enterocolitis. The current study reports a patient with an unprecedented case of biliary stent migration resulting in appendiceal gangrene and perforation in a neutropenic patient under chemotherapy for metastatic small cell lung cancer.
    Language English
    Publishing date 2021-05-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 2796865-0
    ISSN 2049-9469 ; 2049-9450
    ISSN (online) 2049-9469
    ISSN 2049-9450
    DOI 10.3892/mco.2021.2298
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Laparoscopic reversal of Hartmann's procedure for perforated diverticulitis - a video vignette.

    Stupalkowska, Weronika / Khalid, Sarah / Akingboye, Akinfemi / Sileri, Pierpaolo / Di Carlo, Isidoro / Di Saverio, Salomone

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

    2021  Volume 23, Issue 1, Page(s) 333

    MeSH term(s) Anastomosis, Surgical ; Colostomy ; Diverticulitis/complications ; Diverticulitis/surgery ; Diverticulitis, Colonic/complications ; Diverticulitis, Colonic/surgery ; Humans ; Intestinal Perforation/etiology ; Intestinal Perforation/surgery ; Laparoscopy ; Proctocolectomy, Restorative ; Rectum/surgery ; Reoperation ; Treatment Outcome
    Language English
    Publishing date 2021-01-05
    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.15417
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    Zs.A 5799: Show issues Location:
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  9. Article ; Online: Ostomy closure rate during COVID-19 pandemic: an Italian multicentre observational study.

    Balla, Andrea / Saraceno, Federica / Di Saverio, Salomone / Di Lorenzo, Nicola / Lepiane, Pasquale / Guerrieri, Mario / Sileri, Pierpaolo

    Updates in surgery

    2022  Volume 74, Issue 3, Page(s) 1017–1025

    Abstract: During the corona virus disease 2019 (COVID-19) pandemic, most of the surgical procedures were performed for emergencies or oncologic reasons to the detriment of the remaining elective procedures for benign conditions. Ileostomy or colostomy creation are ...

    Abstract During the corona virus disease 2019 (COVID-19) pandemic, most of the surgical procedures were performed for emergencies or oncologic reasons to the detriment of the remaining elective procedures for benign conditions. Ileostomy or colostomy creation are sequelae of oncologic or emergency colorectal surgery, but their closure does not fall within the definition of oncologic or emergency surgery. The aim of this retrospective multicentre observational study is to report the impact of COVID-19 pandemic on the ostomy closure rate in Italy. Data regarding ileostomy and colostomy creation and closure from 24 Italian centres, during the study period (March 2020-February 2021) and during the control period (March 2019-February 2020) were collected. Three hospitals (12.5%) were COVID free. The number of colostomies and ileostomies created and closed in the same period was lower ( -18.8% and -30%, respectively) in the study period in comparison to the control period (p = 0.1915 and p = 0.0001, respectively), such as the ostomies closed in the analysed periods but created before (colostomy -36.2% and ileostomy -7.4%, p = 0.2211 and p = 0.1319, respectively). Overall, a 19.5% reduction in ostomies closed occurred in the study period. Based on the present study, a reduction in ostomy closure rate occurred in Italy between March 2020 and February 2021. During the pandemic, the need to change the clinical practice probably prolonged deterioration of quality of life in patients with ostomies, increasing number of stomas that will never be closed, and related management costs, even if these issues have not been investigated in this study.
    MeSH term(s) COVID-19 ; Colostomy/methods ; Humans ; Ostomy/methods ; Pandemics ; Quality of Life
    Language English
    Publishing date 2022-03-24
    Publishing country Italy
    Document type Journal Article ; Multicenter Study ; Observational Study
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-022-01274-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Correction to: Ostomy closure rate during COVID-19 pandemic: an Italian multicentre observational study.

    Balla, Andrea / Saraceno, Federica / Di Saverio, Salomone / Di Lorenzo, Nicola / Lepiane, Pasquale / Guerrieri, Mario / Sileri, Pierpaolo

    Updates in surgery

    2022  Volume 74, Issue 3, Page(s) 1175

    Language English
    Publishing date 2022-03-30
    Publishing country Italy
    Document type Published Erratum
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-022-01289-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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