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N Caruso

Publications and source records attributed to N Caruso.

24 records · Page 2Linked to original sources

Are the lower oesophageal sphincter relaxations in achalasia always incomplete? A manometric and scintigraphic study.

In two patients with achalasia we found intermittent, complete lower oesophageal sphincter (LES) relaxations at manometric evaluation. These patients had no weight loss, minimal oesophageal dilation, lower LES pressure and faster radionuclide oesophageal emptying when compared with other achalasia patients. Concurrent performing of radionuclide oesophageal emptying and manometry showed that the complete relaxations (CRs) were too short and functionally unsuccessful. Our findings suggest that these patients may be at an earlier disease stage and that intermittent CRs of LES may occasionally occur in achalasia.

Barium Sulfate↗

[ERCP in the diagnosis of bilio-pancreatic pathology. Comparison with echography and CT].

The authors have evaluated both sensitivity and specificity of ERCP in comparison with other imaging methods, such as US and CT, on the basis of a study of 63 patients with suspected pancreatobiliary pathologies. Our results show ERCP of chronic pancreatitis to have 83% sensitivity and 66% specificity. As for biliary pathologies, sensitivity was 94% and specificity 88%. In pancreatic pathologies, CT sensitivity was 99% and its specificity was 70%. The combined use of ERCP and CT determines a considerable rise in the percentages, and allows the evaluation of both the excretory tree and the parenchyma. As for biliary pathologies, the role of ERCP is fundamental, since its combination with the other methods (CT: sensitivity 72%, specificity 3.5%; US: sensitivity 70%, specificity 3.5%) has not determined but a slight increase in sensitivity, and no significant increase in specificity.

Adult↗

[Nosologic position of angioimmunoblastic lymphadenopathy. Apropos of 2 debatable cases].

Two cases of lymphadenopathy grouped together by a common histologic diagnosis of angio-immunoblastic lymphadenopathy (A.I.L.) have been described. While in the first case there was a recent vaccination with BCG and tests positive for toxoplasmosis, the second case did not reveal any important anamnestic elements. The first case appeared to respond to antiprotozoan therapy while the second underwent lymphomatous degeneration with cerebral involvement. In view of the different clinical developments the existing nosologic position of A.I.L. comes under discussion. The great difficulty with which A.I.L. is demarcated from forms of reactive or neoplastic lymphadenopathy is emphasized by this example. Essential towards this is the study of lymphocyte markers and their in vitro function.

Adult↗