Abstract:
:An association between gastroesophageal reflux and respiratory symptoms has been postulated to exist for some time. Several theories support a pathophysiologic relationship. Effective treatment of gastroesophageal reflux-related respiratory symptoms is not standardized. Modification of lifestyle may be beneficial, but the majority of patients should receive proton pump inhibitor therapy to suppress acid secretion. Treatment failures should be assessed for patient non-compliance, failure to make correct diagnosis, failure to recognize co-existing disease, and failure to treat adequately. If acid suppression is inadequate and acid reflux events persist even with additional acid suppression, patients should be considered for an antireflux operation with expected long-term clinical improvement and decreased medication requirements. Because laparoscopic techniques offer the benefit of antireflux surgery with reduced morbidity, this modality should be considered the current treatment of choice.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Greason KL,Miller DLkeywords:
subject
Has Abstractpub_date
2002-12-01 00:00:00pages
781-7issue
6eissn
0026-4733issn
1827-1626journal_volume
57pub_type
杂志文章,评审abstract::After an introduction on the various aetiological factors involved in toxic megacolon, its onset, medical treatment and indications to surgery, the paper describes personal experience with seven cases. The report highlights the importance of medical treatment which is recommended as the appropriate initial therapeutic...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-07-01 00:00:00
abstract:BACKGROUND:Peripheral lymphadenopathy can be caused by benign disease, or it could be a manifestation of underlying hematological disease or metastasis of a yet undiagnosed malignant condition. Fine-needle aspiration cytology (FNAC) and image-guided core biopsy usually make up the first line of investigation. There are...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.18.07752-0
更新日期:2019-06-01 00:00:00
abstract::Between January 1989 and December 1994 we accomplished 130 CT-guided transthoracic fine needle aspirations (FNA) in 120 patients. Ten patients underwent a second FNA because of the negativity and doubts of the first. Diagnosis was targeted in 114 (95%) patients and 89% showed cytological evidence of malignancy. FNA-CT...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Two cases of pancreatic cystadenocarcinoma, a very rare pathology, are reported. The authors treat the anatomopathological classification and they underline the diagnosis especially with reference to the new methods of cytologic study. Finally they consider the surgical approach that must be radical because of the pot...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1991-04-15 00:00:00
abstract:BACKGROUND:The choice of surgical technique in antral gastric cancer is still debated. Some authors support total gastrectomy in all cases. In recent years there is a trend to use total gastrectomy only if strictly necessary. Total gastrectomy allows a large lymph node excision, with better oncological results. The mor...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1998-01-01 00:00:00
abstract:BACKGROUND:Personal experience about substernal goiter is reported. Stressing laid on the importance of definition: a goiter that is totally or in the most part below the superior thoracic outlet, with normal vascularization. METHODS: DESIGN:retrospective evaluation of patients observed in the last six years. SETTIN...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
abstract:AIM:Patients undergoing excision for breast lumps prefer general anesthesia or local anesthesia plus sedation, because of the fear of pain for local anesthesia alone. The aim of this study is to show the efficacy of an eutectic mixture of local anesthetic lignocaine and prilocaine (EMLA®) in these patients. METHODS:Th...
journal_title:Minerva chirurgica
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2012-04-01 00:00:00
abstract::The authors report a case of associated injuries (thoracoabdominal trauma with multiple rib and sternum fractures, perforation of the small intestine, abdominal cutaneous ecchymosis) caused by a seat belt, and describe the possible seat-belt mechanisms of lesion in road accidents. Some clinical aspects are discussed; ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-05-15 00:00:00
abstract::The plexosarcomas or gastrointestinal autonomic nerve tumors (GAN tumors) are very rare neoplasms originating from the gastrointestinal autonomic nervous system. They have been differentiated from the other gastrointestinal stromal tumors due to ultrastructural features showed by electronic microscopy. Their mesenteri...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-03-01 00:00:00
abstract::Immediate and long-term results in 250 PSP operations associated with WSP in 116 cases are reported. Complications and failures are described and evaluated, while their causes and possible connection with the type of operation employed are explained. Examinations carried out in the assessment of long-term results are ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1976-03-15 00:00:00
abstract:BACKGROUND:The conservative surgery is considered currently the treatment of choice for the carcinoma of the breast in the initial stage. METHODS:From 1993 to the 2000, 46 patients (median age 52 years) affected by intraductal carcinoma of the breast, have been submitted to surgical intervention. In 10 cases (21,7%) a...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2003-08-01 00:00:00
abstract::Successful resection of a leiomyoma of the epicardial segment of the oesophagus in a personal cases is reported. ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1976-03-31 00:00:00
abstract::Extensive iliacofemoral obstruction has always posed a difficult therapeutical problem for the surgeon. Personal experience is cited in support of employment of the deep femoral artery as a natural by-pass, together with its anastomoses. The indications for this form of management are discussed, along with the techniq...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1975-11-15 00:00:00
abstract::Angina-like chest pain, caused by alterations of esophageal function, is an increasingly common occurrence confronting cardiologists: advances in pathogenetic knowledge and in diagnostic possibilities in this field have in fact shed light on the prevalence of esophageal angina, which is present in approximately 60% of...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1991-04-15 00:00:00
abstract::Breast cancer is the most frequent form of tumour in women. The only weapon at our disposal to reduce the mortality rate for breast cancer is early diagnosis. A number of studies have shown, using appropriate prevention programmes, an increasing number of minimum 20-30% lesions. The probability that a non-palpable les...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1997-05-01 00:00:00
abstract:INTRODUCTION:Transanal endoscopic microsurgery (TEM) is a safe procedure and the rates of intra- and post-operative complications are low. The information in the literature on the management of these complications is limited, and so their importance may be either under- or overestimated (which may in turn lead to under...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:10.23736/S0026-4733.20.08405-9
更新日期:2021-01-12 00:00:00
abstract::The effective early treatment of oto-hematoma is important so as to prevent reaccumulation of fluid and the typical chronic "cauliflower ear" deformity. A simple method of treatment with the use of transfixed tie-through compression mattress sutures, incorporating bolster dressings on both surfaces of the ear, followi...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-03-15 00:00:00
abstract::Personal experience of short-term chemoprophylaxis with piperacillin in 261 consecutive "clean" and "non-contaminating" operations is reported. Piperacillin was employed in a dose of 2 g i.m. every 8 hours for a total of 48 hours, the first administration being carried out at the same time as pre-anaesthesia. Results ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
abstract::Vagal paragangliomas are rare tumors of neural crest origin. This neoplasm is generally located at various points along the peripheral distribution of the vagus nerve, in the region of the jugular and nodose ganglia, just beneath the perineurium of the nerve, but may arise anywhere along the course of the vagus nerve....
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1993-12-01 00:00:00
abstract::Leiomyosarcoma of rectum is a rather rare malignant tumour. Generally, it manifests late when pain, tenderness, rectal bleeding and obstruction occur or ulceration through the rectal mucose with bleeding or discharge occur. Rectal examination leads to the diagnosis of malignancy. The histological report confirms the t...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1980-11-30 00:00:00
abstract::Solid pseudopapillary pancreatic tumour is an uncommon disease including 2.7% of exocrine malignancies of the pancreas. Its low incidence is associated with an uncertain prognosis and with difficult diagnostic and therapeutic problems, despite routine use of ultrasonography, TC and RMN. A case of solid pseudopapillary...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2003-12-01 00:00:00
abstract::An increased risk of colorectal cancer has been reported in first-degree relatives of affected patients, and following cholecystectomy or partial gastrectomy for benign peptic ulcer disease. The aim of this study was to examine the incidence of these potential risk factors in 197 patients (127 males, 70 females, mean ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
abstract::Small cell carcinoma of the esophagus is a rare tumor. It was described for the first time in 1952 by McKeown and 200 cases have been reported till now. Because of its similarity with small cell carcinoma of the lung, the treatment of this tumor is controversial. In our Institute we treated three patients with small c...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2003-08-01 00:00:00
abstract::Obesity is the leading public health concern in the industrialized world with the advent of the very obese or "super obese" increasing exponentially. Bariatric surgery remains the only effective and enduring treatment for morbid obesity and can be safely accomplished in experienced centers. Surgery in the very obese m...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2010-12-01 00:00:00
abstract::A new system has been developed for transanal endoscopic microsurgery (TEM), which allows all the conventional surgical techniques within the rectal cavity. The main indication is the removal of sessile adenomas. "Early rectal carcinomas" are also suitable for local excision. We perform local excision of advanced canc...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1992-06-30 00:00:00
abstract::A case of a young male operated on for acute appendicitis due to a carcinoid of the base is reported. Since the tumor was infiltrating the resection margin of the appendix, the patient was later treated with a right hemicolectomy. Carcinoid tumor is unusual, but can be encountered several times during the career of a ...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2000-01-01 00:00:00
abstract::Thyroidectomy is one of the most frequently performed surgical procedure worldwide, even if the risks of lethal postoperative complications prevented its evolution and diffusion until the beginning of the XX century. At that time, T. Kocher described his meticulous technique, reporting excellent results in terms of mo...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:2007-10-01 00:00:00
abstract::Esophagectomy is a surgical operation which requires technical expertise to decrease the morbidity and mortality frequently associated with this advance procedure. Various minimally invasive esophagectomy techniques have been developed to decrease the negative impact of esophageal resection. Recently, robotic assisted...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:2013-10-01 00:00:00
abstract::The Authors report two cases with local recurrence after partial gastrectomy for advanced gastric carcinoma. The Authors suggest that chemo and/or radiotherapy associated with surgical treatment can improve the prognosis in some patients with recurrence. Response to chemotherapy and time elapsing before recurrence app...
journal_title:Minerva chirurgica
pub_type: 杂志文章,评审
doi:
更新日期:1992-06-15 00:00:00
abstract::A case of acute gangrenous appendicitis in the sac of right inguinal hernia in a 77 year-old man is described. This condition is extremely uncommon; it is very difficult to establish a correct diagnosis preoperatively; a high mortality rate is due to extensive peritoneal contamination; primary hernia repair is indicat...
journal_title:Minerva chirurgica
pub_type: 杂志文章
doi:
更新日期:1997-06-01 00:00:00