[Current status of hemodynamic studies in cardiomyopathies].
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to M Sebastiani.
Explore the source record for details and available documents.
The experience with 1916 Doppler ultrasound examinations carried out on peripheral vascular districts and supra-aortic trunks is reported. It is underlined that Doppler velocimetry is a reliable, specific and non-invasive technique and therefore it should be considered a first choice examination particularly useful in the study of the development of vascular diseases in the different districts and in the postoperative follow-up.
Explore the source record for details and available documents.
The so-called "carcinoid" tumors of the breast are at present a difficult entity to define. Two histopathological features are used to recognize such tumors: argyrophilia and ultrastructural dense-core granules. Eight cases of "carcinoid" tumor of the breast, observed over a 5-year period, with 3.6% incidence over the total of breast cancers recorded during the same period, are reported. All patients were females with a mean age of 55.2 years. Argyrophilia was found in all tumors and dense-core granules were observed in five studied ultrastructurally. No patient had nodal or distant metastases and no carcinoid syndrome was observed. A modified radical mastectomy was performed for tumors over 2.5 cm; in case of smaller tumors the surgical treatment was quadrantectomy with axillary dissection. All patients are alive and disease-free but follow-up is short. As the so-called "carcinoid" tumors of the breast have been only recently identified, additional morphological, immunohistochemical and clinical data are required for a full understanding of their significance.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The authors report 5 cases of Total Pancreatectomy (T.P.) treated with Total Parenteral Nutrition (T.P.N.) in which the non-protein calorie supply consisted of lipids and carbohydrates ("dual energy system"). This form of nutrition, which provided a high energy supply with a reduced glucose intake, prevented the problems associated with hypertonic glucose solutions in the unstable diabetes which follows total pancreatectomy. The authors compared these cases with an earlier series of 11 cases of Total pancreatectomy who were not treated with Total Parenteral Nutrition and observed that the patients treated with TPN had a better recovery, a better glucose homeostasis, a reduction in the complications and mortality and a decreased length of stay in hospital.
Two recently observed cases of carotid body tumor (chemodectoma) are presented. The treatment was subadventitial resection of the tumor with good long-term results. The clinic, diagnostic and therapeutic problems of such tumors are re-examined on the basis of the most recent informations obtained from a wide review of the literature.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
A personal series of 21 cases of primary retroperitoneal tumors (PRT) are reported and the clinical features, diagnostic assessment, surgical treatment and results are examined. The problem of the complementary radio-chemotherapy, which is mandatory following surgical resection, is also dealt with. It is underlined that long-term results are improved only by early diagnosis and therefore the use of the most recent technical procedures, such as echotomography, computed tomography, and angiography, is stressed.
Vitamin B12 absorption and real amount of circulating cyanocobalamin were determined by Thurangh Schilling's test and radioimmunoassay respectively, in 28 patients undergone total gastrectomy. The methods are described and the results discussed, in relation to the parameters under consideration, that is: age, sex, pathology of lesion, time elapsed from surgery, and type of reconstruction of intestinal continuity.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The authors offer a critical review of eight cases of hemorrhagic colorectitis and Crohn's disease (regional ileitis) managed with medical treatments, and eleven like cases treated surgically, during the last ten years. After a discussion of the resources and limitations of medical therapy, the authors describe the various surgical strategies adopted in their cases; they define the possibility of obtaining final cures in Crohn's disease with extended ileocolectomy; and concerning ulcerative forms, they point out the greater efficacy of surgical procedures involving sacrifice of the rectum compared to those in which the terminal segment of the gut is used immediately or later for restoring continuity of the intestinal canal.
Authors experience in the Dixon's operation regarding the surgical treatment of cancer of the rectum and recto-sigmoid junction is reviewed. It consists in 224 cases of malignant lesions which were treated by Miles operation (106 cases--47%), Dixon's operation (49 cases--21%), palliation anterior resection (16 cases--7%), other operations (53 cases--24%). After a brief discussion on anatomo-pathological conditions and tecniques, the Authors consider their results: operatory mortality 4%; complications: total anastomosis dehiscence 1 case, partial anastomosis dehiscence 14%; local repetitions 10%; hepatic metastasis within 5 ys 40%; survival at 5 ys 46%. Functional results were always very good. The Authors conclude that, even considering the large rate (56%) of wide-spread cancers treated, Dixon's operation, at least in their experience, doesn't seem to satisfy those needs of radically requested by a correct surgical therapy, which only Miles' operation guarantees.