Linee guida

Consensus sul management delle stenosi biliari benigne

Asia-Pacific Consensus Guidelines for Endoscopic Management of Benign Biliary Strictures.Hu B, Sun B, Cai Q, Wong Lau JY, Ma S, Itoi T, Moon JH, Yasuda I, Zhang X, Wang HP, Ryozawa S, Rerknimitr R, Li W, Kutsumi H, Lakhtakia S, Shiomi H, Ji M, Li X, Qian D, Yang Z, Zheng X. Gastrointest Endosc. 2017 Mar 7. [Epub ahead of print]

Benign biliary strictures (BBSs) are commonly caused by surgical injury, chronic pancreatitis, and inflammatory cholangiopathies. Although advanced imaging tests and tissue acquisition methods have been developed for evaluation of indeterminate biliary strictures, differentiation of BBSs from biliary malignancies remains a challenge to clinicians. The majority of BBSs have good response to nonsurgical treatment and surgical intervention mainly serves as a rescue when nonsurgical approaches fail.

Leggi tutto...

Management della coledocolitiasi

Updated guideline on the management of common bile duct stones (CBDS).Williams E, Beckingham I, El Sayed G, Gurusamy K, Sturgess R, Webster G, Young T. Gut. 2017 Jan 25. [Epub ahead of print]

Common bile duct stones (CBDS) are estimated to be present in 10-20% of individuals with symptomatic gallstones. They can result in a number of health problems, including pain, jaundice, infection and acute pancreatitis. A variety of imaging modalities can be employed to identify the condition, while management of confirmed cases of CBDS may involve endoscopic retrograde cholangiopancreatography, surgery and radiological methods of stone extraction.

Leggi tutto...

Imaging HCC

Current Guidelines for the Diagnosis and Management of Hepatocellular Carcinoma: A Comparative Review.Arslanoglu A, Seyal AR, Sodagari 1, Sahin A, Miller FH, Salem R, Yaghmai V. AJR Am J Roentgenol. 2016 Aug 4:W1-W11. [

OBJECTIVE:The purpose of this article is to review aspects of guidelines pertinent to radiologists involved in the diagnosis or treatment of hepatocellular carcinoma.

Leggi tutto...

Consenso informato in endoscopia

Guideline for obtaining valid consent for gastrointestinal endoscopy procedures.    Simon M Everett, Helen Griffiths, U Nandasoma, Katie Ayres, Graham Bell, Mike Cohen, Siwan Thomas-Gibson, Mike Thomson, Kevin M T Naylor .Gut 2016;65:1585-1601

Much has changed since the last guideline of 2008, both in endoscopy and in the practice of obtaining informed consent, and it is vital that all endoscopists who are responsible for performing invasive and increasingly risky procedures are aware of the requirements for obtaining valid consent.

Leggi tutto...

Management chirurgico dell’insufficienza intestinale

European Society of Coloproctology consensus on the surgical management of intestinal failure in adults.    ESCP Intestinal Failure Group:, C. J. Vaizey, Y. Maeda, E. Barbosa, F. Bozzetti, J. Calvo, Ø. Irtun, P. B. Jeppesen, S. Klek, M. Panisic-Sekeljic, I. Papaconstantinou, A. Pascher, Y. Panis, W. D. Wallace, G. Carlson and M. Boermeester. Colorectal Disease Version of Record online: 8 JUN 2016

Intestinal failure (IF) is a debilitating condition of inadequate nutrition due to an anatomical and/or physiological deficit of the intestine. Surgical management of patients with acute and chronic IF requires expertise to deal with technical challenges and make correct decisions. Dedicated IF units have expertise in patient selection, operative risk assessment and multidisciplinary support such as nutritional input and interventional radiology, which dramatically improve the morbidity and mortality of this complex condition and can beneficially affect the continuing dependence on parenteral nutritional support.

Leggi tutto...

Informazioni aggiuntive