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 patients with angiographically intact coronaries (11% of anginal patients overall). Classically, esophageal chest pain is attributed to alterations of motility or to mucosal disease (pathologic gastro-esophageal reflux of the acid, mixed or alkaline type): this last cause prevails quantitatively. Little is known of the nociceptive mechanisms triggered by these alterations: as far as mucous disease is concerned, activation of the chemosensitive receptors has been postulated, while esophageal mechanoreceptors may be activated, in the course of a motor disorder, by distension of the wall. A recently proposed additional mechanism consists in the induction of parietal esophageal ischemia by chemical or mechanical injury: it is a fascinating and potentially resolvable mechanism, which however requires further investigation. Moreover, elements of psychological nature are also involved in the genesis of esophageal pain. A diagnosis of esophageal angina, heavily conditioned by obvious considerations of prognostic order, must necessarily aim for "certainty". Prolonged monitoring of the endoluminal pH and the adoption of provocative tests, in the course of pH monitoring and manometry, play an important role in achieving this aim (ergometric test, distension induced with a balloon, edrophonium, electrostimulation, seem most effective). A promising outlook is supported by the recent introduction of prolonged manometry. Finally, diagnostic attitude must necessarily abandon its limited specialistic horizon to consider the patient's profile in its entirety.
journal_name
Minerva Chirjournal_title
Minerva chirurgicaauthors
Cheli R,Bovero E,Poletti M,de Iaco Fsubject
Has Abstractpub_date
1991-04-15 00:00:00pages
137-41issue
7 Suppleissn
0026-4733issn
1827-1626journal_volume
46pub_type
杂志文章,评审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：:Nowadays the laparoscopic cholecystectomy has become the main surgical therapy in the treatment of cholecysto-lithiasis. At the beginning the treatment of cholecysto-choledochal lithiasis was the sequential endoscopic-laparoscopic therapy. In fact, the endoscopic sphincterotomy allows transpapillary ablation of Common...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
abstract：:A case of intestinal occlusion is reported caused by volvulus of Meckel's diverticulum. The etiological and clinical aspects are discussed together with their implications in terms of suitable surgical therapy. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1990-06-30 00:00:00
abstract：:After a description of the basic criteria for the correct formulation of Multiple Choice Questions (MCQ) for use in the assessment of different levels in the intellectual process (memorising, data interpretation, problem solving) a package of computer programs for the use of MCQ in the assessment of what has been lear...
journal_title：Minerva chirurgica
pub_type： 社论
doi：
更新日期：1989-05-31 00:00:00
abstract：BACKGROUND:The aim of this study is to evaluate the biocompatibility of Angimesh mesh (polypropilene) in rats, usually used to replace or to strengthen the abdominal fasciae. METHODS:We made an abdominal longitudinal incision of skin and muscles in 20 rats was carried out and two muscular semilunae removed. The incisi...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1999-07-01 00:00:00
abstract：:The authors make a wide-ranging review of the literature, examine the epidemiological aspect of fail chest and underline the importance of its correct anatomopathological classification for a more qualified physiopathologist, diagnostic and therapeutic approach. They make a historical excursion on volet's treatment an...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1994-03-01 00:00:00
abstract：:The authors report 2 cases of small bowel ischemia due to unusual cause. In both cases, vasculopathy was the cause of ischemia, but with a different etiology. In the first case, a mesenteric inflammatory veno-occlusive disease, with striking features of extensive phlebitis and venulitis affecting the veins of the smal...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2004-10-01 00:00:00
abstract：:Persistent postmastectomy pain (PPMP) syndrome is characterized by neuropathic pain that develops following surgery in breast cancer patients. The reported incidence of PPMP ranges between 30% and 50% and is estimated to increase as the number of women surviving cancer continues to rise. Though effective, today's drug...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2015-04-01 00:00:00
abstract：:The symptomatology and diagnostic procedure adopted in 11 cases of acute mesenteric infarction are examined. Stress is laid on the importance of early, aetiologically accurate diagnosis for the purpose of instituting profitable treatment. In order to comply with such needs it is essential to perform urgent selective a...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-07-31 00:00:00
abstract：:Warthin's tumour is a much debated clinical case-characterised by the presence of epithelial proliferation and lymphoreticular stroma. Numerous controversies concern this type of tumour so much so that recently is was even denied that it can be considered a real tumour. The present paper aims to review the state of th...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1993-03-31 00:00:00
abstract：AIM:The aim of this study was to make a contribution to improve the care of patients with colorectal cancer by optimizing times and methods of the follow-up; particular attention is given to factors which may be important for the prognosis and for the quality of life in the immediate postoperative period. METHODS:The ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：2007-06-01 00:00:00
abstract：BACKGROUND:Benign biliary strictures are a binding situation for clinicians when choosing the best treatment. This is a benign disease and needs safe, effective and lasting therapy. Up to day non surgical treatment have been suggested as the first therapeutical option but surgery seems to support the best late results....
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1999-03-01 00:00:00
abstract：:We have reported two patients with unilateral adrenal hyperplasia as a rare cause of primary aldosteronism, and discussed the literature on this subject. When diagnosed by NMR-CT imaging and selective sampling from adrenal veins, the treatment of this disorder appears to be surgical. Whether its pathogenesis is relate...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1995-01-01 00:00:00
abstract：:Authors personal experience during ten years in surgery Oddi's sphincter is reported. Indications and technique of papillosphincteroplasty and wirsungsphincteroplasty are described; results obtained in 504 surgical treatment of PSP (combined with WSP in 121 cases) are referred; failures and complications are described...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1981-10-15 00:00:00
abstract：:A case of atherosclerotic aneurysm of the superior mesenteric artery is reported. This was located about 15 cm from its origin and immediately distal to the middle colic artery in a patient who had been operated on 4 years previously with aorto-iliac substitution for aneurysm of the same nature with ligature and secti...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1979-07-15 00:00:00
abstract：:The ultrasonic scalpel has been used for some time in surgery in tissue with a predominantly cellular component since it can be used selectively on the parenchymatous component while respecting the vasculo-stromal component. On the basis of their earlier experience and using a versatile ultrasonic device currently uti...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:The paper reports a case of digestive hemorrhage due to duodenal varices in a cirrhotic patient. The authors emphasise the extreme rarity and severity of this pathology and, in accordance with the literature, underline the difficulty of selecting the correct approach. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-08-01 00:00:00
abstract：:The haemodynamic premises for extra-anatomical by-pass in the treatment of stenosis and obstructions of the subclavian and vertebral arteries are discussed with a report on a surgically treated series. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1989-03-15 00:00:00
abstract：BACKGROUND:Robotic complete mesocolic excision (CME) has recently emerged as promising technique to enhance oncologic results in hemicolectomy for cancer. The potential near-infrared (NIR) fluorescence with indocyanine-green (ICG) dye for lymphatic mapping is under investigation and few small case-series are reported. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：10.23736/S0026-4733.18.07831-8
更新日期：2019-04-01 00:00:00
abstract：:Three cases of diverticulum of the IV duodenal portion are presented. The Authors, after having summarized the general features of the duodenal diverticula, remembered the rareness of the ones of its fourth portion, describe the clinical cases and conclude synthetizing the main indications to this type of surgery: com...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1980-09-15 00:00:00
abstract：:The authors analyzed the data obtained from their experiences in extensive head and neck resections, and, reconstructive treatments using myocutaneous and conventional flaps. They tried to evaluate comparatively the reconstructive approach, in terms of morbidity and functional results. The 145 cases of advanced had an...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1997-03-01 00:00:00
abstract：:Double pylorus is an extremely rare pathology: it can be an acquired or congenital lesion. Two new cases complicating a peptic ulcer are reported and the clinical appearance and evolution of the different etiological type are described. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：1998-10-01 00:00:00
abstract：:Palliative care represents a new field among clinical approaches to patients with advanced or terminal cancer. The modern concept of palliative care can be considered in several ways: 1) the relationship between palliative care and primary treatments of cancer (surgery, radiotherapy or chemotherapy); 2) the treatment ...
journal_title：Minerva chirurgica
pub_type： 杂志文章,评审
doi：
更新日期：2005-08-01 00:00:00
abstract：:The aetiology and clinical manifestations most commonly noted in pseudocysts of the pancreas are briefly described. Particular attention is given to the treatments of lesions operated under emergency conditions and the clinical aspects of pancreatic effusions sometimes encountered during the course of the disease. ...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1977-05-15 00:00:00
abstract：BACKGROUND:The purpose of this study is to investigate the value of surgical treatment for lung cancer in the elderly. Results are compared with findings in younger patients operated on during the same period (1985-1990). METHODS:137 patients 70 years of age or older (range: 70 yrs-87 yrs) (group A) underwent surgical...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1998-06-01 00:00:00
abstract：INTRODUCTION:Laparoscopic cholecystectomy now represents a valid alternative to traditional surgery in the treatment of gallstone diseases. For the past twenty years laparotomic cholecystectomy has represented the golden standard of gallstone treatment given its extremely low mortality rate (0.5%) and equally acceptabl...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1994-03-01 00:00:00
abstract：:A case of distal volvulus of the stomach as a cause of acute intestinal obstruction in a paraesophageal hernia is presented. The patient, an old woman aged 82, had been suffering from abdominal pain and vomiting for about 48 hours. She successfully underwent emergency operation for the reduction of hernia and plasty o...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1989-10-31 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：:A series of 100 patients suffering from deep venous thrombosis with prior episodes of pulmonary embolism or ilio-caval floating thrombi, submitted to surgery for the prevention of new embolic episodes, is analysed. Indications are discussed together with the various prevention techniques adopted over the past 5 years....
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1991-10-15 00:00:00
abstract：:Ingestion of a corrosive agent results in a life-threatening clinical condition that requires emergency intensive care and often surgical intervention. Treatment is multifactorial and varies with the extent and depth of the injury. We report a case of a young 24-year-old man with accidental ingestion of sulphonic acid...
journal_title：Minerva chirurgica
pub_type： 杂志文章
doi：
更新日期：1993-09-15 00:00:00
