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C Marchiori

Publications and source records attributed to C Marchiori.

34 records · Page 2Linked to original sources
PubMedDate not supplied

Percutaneous endoscopic gastrostomy for feeding. A comparison between neurologic and neoplastic indications.

The most common indications for percutaneous endoscopic gastrostomy (PEG) are neurologic deficits precluding adequate oral nutrition. The aim of this study was to ascertain whether PEG is as feasible, safe and effective in patients with advanced oropharyngeal, oesophageal and pulmonary carcinoma as it is in patients with neurologic deficit. PEG, attempted in 108 consecutive patients, was successful in 100 (overall success rate of 92%). On the basis of primary disease, the patients were subdivided into two groups: patients with neurologic diseases (group A, n = 50) and patients with oropharyngeal, oesophageal and lung carcinoma precluding adequate oral nutrition (group B, n = 50). No statistically significant difference was found between the PEG placement success rates of the two groups. Of the patients PEG placement 1 died and 2 had major complications. 15 out of 50 patients in group A and 11 out of 50 in group B had minor complications. No statistically significant differences were found between the mortality and morbidity rates of the two groups. Duration of nutrition was similar in both groups. In particular, 46% group A patients and 46% group B patients were PEG-fed for more than 3 months. A wider use of PEG is suggested in patients with advanced oropharyngeal, oesophageal and pulmonary carcinoma precluding adequate oral nutrition.

Adolescent↗
PubMedDate not supplied

MRI evidence of labyrinthine and eighth-nerve bundle involvement in mumps virus sudden deafness and vertigo.

Enhanced MRI has recently become an even more useful diagnostic tool in the study of the labyrinth in sudden deafness and vertigo. A 22-year-old male who experienced a right-sided sudden deafness and vertigo due to mumps virus underwent labyrinthine MRI examination with gadolinium, and both labyrinthine and nerve bundle involvement was demonstrated. The relationship between mumps virus and the sudden deafness in humans has not been completely established and the path of labyrinthine infection and the possible eighth-nerve involvement is discussed. In vivo evidence of labyrinthine and cochleovestibular-nerve involvement, in mumps virus sudden deafness and vertigo has not been previously demonstrated. MRI findings may represent a new contribution in the evaluation of the etiopathogenesis of mumps virus deafness and vertigo.

Adult↗
PubMedDate not supplied

[Antibiotic prophylaxis of infectious complications of cervico-facial surgery].

Head and neck surgery presents a high operating risk of infectious complications. We agree upon the fact that 60% of the so-called infected operations would be complicated by secondary infections if they are not treated by antibiotic therapy. Such a premise justifies the more and more used application of a chemoprophylaxis in surgery, carried out preoperatively. The AA. report 81 cases of patients, from 15 o 70 years old (62 males, 19 females), subjected to head and neck surgery and subdivided into two groups according to the kind of the operation. I group: 40 patients subjected to operations of minor infectious risk, the whole number subjected only to the prophylactic pre-operational treatment with 1 gr. of Ceftriaxone by intravenous injection, 30-60 min. before the operation. II group: 41 patients subjected to infected operations: 21 patients treated with 1 gr. of Ceftriaxone by intravenous injection, 30-60 min. before the operation, and 20 patients treated with Cefazolin, 1 gr. per daily administration, carried out after the surgical operation. As dealing with infected operations of high risk infectious complications, the antibiotic treatment has been carried out for 7-8 days for all the patients. In operations with minor infectious risk (group I) we have had a good post-operational course, without any infectious complication; the use of Ceftriaxone, with only one preoperational dose, is extremely useful for this group of patients. In infected operations of head and neck oncological surgery (group II) the cases of infectious complications have been 2 in the subgroup treated with Ceftriaxone, and 4 in the subgroup treated with Cefazolin.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMedDate not supplied

Serum SCC-Ag in head and neck squamous cell carcinoma.

We estimated the serum levels of SCC-Ag, CEA and TPA in 69 patients with head or neck neoplasia and 31 healthy patients using a radioimmunometric method (double antibody). SCC-Ag concentrations were significantly increased in 43.4% cancer patients with respect to the cut-off point value (1.7 ng/ml) of the control group, and the specificity was 96.7%. The data varied according to the evolutive phase of disease. Since the combined evaluation of SCC-Ag, TPA and CEA serum levels increased the sensitivity, that was 71.0%, we thought it opportune to use all these markers in the tumoral pathology taken into consideration.

Adult↗
PubMedDate not supplied

The fine needle aspiration cytodiagnosis of masses in major salivary glands. Cyto-histological correlations in 65 cases.

In this study the authors report data regarding 65 cases of FNAC in major salivary glands masses, in which this method provided specific and sensitive data for the presence or absence of tumors, though in a more limited way, in order to precise the oncological type. In the routine use of the method it is possible to appreciate its high versatility and accuracy; this is a great aid in the indispensable mutual understanding between the surgeon and the pathologist. All this brings a more rational "management" of the patients, considering that the eventual surgical demolition in this region must be pondered taking also the functional, aesthetic and psychologic effects induced into account.

Adult↗
PubMedDate not supplied

[Value of TC99m-Nanocolloid spect in diagnosis and follow-up of necrotizing external otitis].

Necrotizing external otitis (NEO), or malignant external otitis, a severe penetrating infection of the ear canal and the temporal bone, which occurs almost exclusively in diabetic or immunodepressed elderly patients, is caused in most cases by Pseudomonas aeruginosa while Staphylococcus epidermidis and Aspergillus fumigatus have been described as other possible agents. Recently bone scintigraphy, carried out above all employing SPECT, has been considered an important tool in diagnosis and follow-up of NEO. Many Authors confirm the role taken by Technetium99m-methylene-diphosphonate (MDP) and Gallium67-citrate bone scanning. Benecke suggested that response to therapy could be monitored with Ga67 or In111 scans. Two cases of NEO in which diagnosis and follow-up were made using Tc99m-nanocolloid (NC) SPECT are presented in this paper. The Authors discuss the advantages of this latter radiotracer, compared to those obtained with Ga67-citrate, in the follow-up evaluation of therapy efficacy. Tc99m-NC, in fact, is a better inflammation index in that its fixation on bone tissue is determined by the permeability of the basal membrane of vessels. Furthermore, with Tc99m-NC antibiotic therapy may be continued as long as necessary. Bone scintigraphy with other radiotracers may infact result positive for a long period after disease remission in that their fixation is linked to the one remodelling process.

Aged↗