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Caleo A, Vitale M, Valvano L, Siano M, Angrisani B, Forlenza M, Massari A, Puzziello A, Salzano F, Zeppa P. Fine needle cytology pre-surgical differentiation of parathyroid neoplasms: Is it reliable? Cytopathology 2017; 28:273-279. [PMID: 28217943 DOI: 10.1111/cyt.12413] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/04/2016] [Indexed: 12/31/2022]
Abstract
BACKGROUND Fine needle cytology (FNC) of a parathyroid neoplasia (PN) is reliable, but needs to be confirmed by Parathormone (PTH) and Thyroglobulin (TG) immunoassay on needle washing or by immunocytochemistry (ICC) evaluation. The differentiation between parathyroid adenoma (PA), atypical adenoma (PAA) and carcinoma (PC) is difficult on histology or even impossible on FNC. The aim of this study was to evaluate possible cytological criteria to classify FNC-PN further. METHODS Twenty-three FNC samples of PN and parathyroid cysts were rather then have been reviewed. The series includes 18 PNs, 4 cysts and 1 Thyr3B (histologically diagnosed as PA). Cytological features were: cellularity, patterns (follicular, solid or papillary), clear, oncocytic, isolated cells, nuclear atypia, cytoplasmic inclusions, nucleoli and mitoses. Data were compared with the histological controls. RESULTS Seventeen PNs, 2 cysts and 1 Thyr3B FNC samples were histologically diagnosed as PA (16), PAA (2) and PC (2). Two cysts and 1 PN were not confirmed histologically. Cytological features and incidences were: high cellularity (1 PA, 1 PAA, 2 PCs), follicular (8 PAs, 1 PAA), solid (5 PAs, 1 PC), papillary pattern (1PA, 1 PAA, 1 PC), clear cells (4 PAs, 1 PAA, 2 PCs), oncocytic cells (6 PAs, 1 PAA, 2 PCs), isolated cells (5 PAs, 2 PAAs, 2 PCs), nuclear atypia (2 PAs, 1 PAA, 2 PCs), cytoplasmic inclusions (4 PAs, 2 PCs), nucleoli (2 PCs) and mitoses (2 PCs). CONCLUSION Evident nucleoli and mitoses may suggest the differentiation between PA and PC. However, further investigations are required to confirm these preliminary observations.
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Affiliation(s)
- A Caleo
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
| | - M Vitale
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
| | - L Valvano
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
| | - M Siano
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
| | - B Angrisani
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
| | - M Forlenza
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
| | - A Massari
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
| | - A Puzziello
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
| | - F Salzano
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
| | - P Zeppa
- Azienda Ospedaliera Universitaria "San Giovanni di Dio e Ruggi d' Aragona", Salerno, Italy
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Orlando G, Luppino IM, Lerose MA, Gervasi R, Amato B, Silecchia G, Puzziello A. Feasibility of capsule endoscopy in elderly patients with obscure gastrointestinal bleeding. An up-to-date report. BMC Surg 2012; 12 Suppl 1:S30. [PMID: 23173943 PMCID: PMC3499354 DOI: 10.1186/1471-2482-12-s1-s30] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Background Anemia is the most common hematologic abnormality in older populations. Furthermore, iron deficiency anemia is common and merits investigation and treatment, as it usually results from chronic occult bleeding from the gastrointestinal tract. In view of a wide use of capsule endoscopy as a diagnostic procedure for occult gastrointestinal bleeding and of the growth of aging population, we performed a literature review about the feasibility of capsule endoscopy in the elderly. Methods We conducted a literature search in the PubMed database in July 2012, and all English-language publications on capsule endoscopy in elderly patients since 2005 were retrieved. The potential original articles mainly focused on obscure gastrointestinal bleeding were all identified and full texts were obtained and reviewed for further hand data retrieving. Results We retrieved only six papers based on different primary end-points. Four were retrospective non randomized studies and two were prospective non randomized studies. In the end 65, 70, 80 and 85 years were used as an age cut-off. All studies evaluate the diagnostic yield of capsule endoscopy in iron deficiency anemia. Only three studies assess the feasibility of capsule examination of the elderly. Conclusions Iron deficiency anemia in the elderly with or without obscure gastrointestinal bleeding is the major indication for capsule endoscopy after a negative esophago-gastro-duodenoscopy and colonoscopy. It is safe and effective to identify a small bowel pathology without a great discomfort for the elderly. Inability to swallow the capsule, battery failure before capsule reaches the cecum, and capsule retention are some of the important problems associated with capsule endoscopy in elderly as well as in younger patients.
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Affiliation(s)
- G Orlando
- Gastroenterology and Endoscopy Unit, T Campanella Oncological Foundation, Catanzaro, Italy
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3
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Orlando G, Luppino IM, Gervasi R, Lerose MA, Amato B, Spagnuolo R, Marasco R, Doldo P, Puzziello A. Surgery for a gastric Dieulafoy's lesion reveals an occult bleeding jejunal diverticulum. A case report. BMC Surg 2012; 12 Suppl 1:S29. [PMID: 23173883 PMCID: PMC3499193 DOI: 10.1186/1471-2482-12-s1-s29] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Background Jejunal diverticulosis is an uncommon disease and usually asymptomatic. It can be complicated not only by diverticulitis, but by hemorrhage, perforation, intussusception, volvulus, malabsorption and even small bowel obstruction due to enteroliths formed and expelled from these diverticula. Methods We describe a case of an occult bleeding jejunal diverticulum, casually discovered in a patient that was taken to surgery for a Dieulafoy’s lesion after unsuccessful endoscopic treatment. We performed a gastric resection together with an ileocecal resection. Macroscopic and microscopic examinations confirmed the gastric Dieulafoy’s lesion and demonstrated the presence of another source of occult bleeding in asymptomatic jejunal diverticulum. Discussion The current case emphasizes that some gastrointestinal bleeding lesions, although rare, can be multiple and result in potentially life-threatening bleeding. The clinician must be mindful to the possibility of multisite lesions and to the correlation between results of the investigations and clinical condition of the bleeding patient.
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Affiliation(s)
- G Orlando
- Gastroenterology and Endoscopy Unit, T Campanella Oncological Foundation, Catanzaro, Italy
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4
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Puzziello A, Lucisano AM, Gervasi R, Siani C, Lerose MA, Orlando G, Innaro N, Vescioe G, Sacco R. Indications to total thyroidectomy for multinodular goiter in old patients. BMC Geriatr 2011. [PMCID: PMC3194377 DOI: 10.1186/1471-2318-11-s1-a49] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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5
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Sammarco G, Vescio G, Puzziello A, Marra E, Sacco R. Esophageal resection in the ederly. BMC Geriatr 2010. [PMCID: PMC3290176 DOI: 10.1186/1471-2318-10-s1-a34] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Sammarco G, Vescio G, Puzziello A, Marra E, Sacco R. Palliative treatment of malignant esophageal-cardiac stricture in the ederly. BMC Geriatr 2010. [PMCID: PMC3290175 DOI: 10.1186/1471-2318-10-s1-a33] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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De Palma GD, Puzziello A, Aprea G, Persico F, Rega M, Ciamarra P, Patrone F, Masone S, Di Marino M, Persico M, Mastantuono L, Noceroni L, Persico G. [Ultrasound-guided endoscopic drainage, without radiological examination, in patients with neoplastic biliary obstruction. Preliminary results]. MINERVA CHIR 2004; 59:347-50. [PMID: 15278029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/30/2023]
Abstract
AIM Endoscopic stent insertion has become the preferred method for palliation of malignant biliary obstruction. Currently, endoscopic stent placement involves the use of contrast media and radiological equipment to achieve direct opacification of the biliary duct systems, and to determine the location and the extension of biliary obstruction. This report proposes a new combination of ultrasonography and biliary endoscopy, with endoscopic stent placement entirely performed under US-guidance. METHODS US-guided stent placement was carried out in 8 patients. A guide-wire and a guiding-catheter were endoscopically introduced and identified, by US, the common bile duct across the stricture. Hydromer-coated polyurethane angled stents (10F) were finally inserted over the guide-wire/guiding-catheter by a pusher tube system. RESULTS Successful stent insertion was achieved in all patients. There were no complications. Successful drainage, with substantial reduction in bilirubin level, was achieved in all patients (14.2+/-9.5 vs 4.2+/-2.9 mg/dl at 1 week). CONCLUSION Endoscopic stent placement performed under US-guidance, is safe and effective. Further studies in a larger series, including more proximal strictures are suggested.
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Affiliation(s)
- G D De Palma
- Dipartimento di Chirurgia Generale e Tecnologie Avanzate, Settore Funzionale di Diagnostica e Terapia Endoscopica, Università degli Studi Federico II, Facoltà di Medicina e Chirurgia, Napoli, Italy.
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De Palma GD, Puzziello A, Rega M, Mastantuono L, Persico F, Patrone F, Persico G. Ultrasonography-guided endoscopic stent placement for malignant biliary obstruction: a preliminary report of four cases. Endoscopy 2004; 36:334-6. [PMID: 15057684 DOI: 10.1055/s-2004-814307] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Abstract
We present a new combination of transabdominal ultrasound (US) and biliary endoscopy, with endoscopic stent placement carried out under US guidance. Four patients (two men, two women; average age 66.2 years) underwent US-guided stent placement for palliation of ampullary carcinoma (n = 3) or pancreatic cancer (n = 1). A guide wire and a guiding catheter were endoscopically introduced and identified, by US in the common bile duct across the stricture. Hydromer-coated polyurethane angled stents (10 Fr) were finally inserted over the guide wire/guiding catheter by a pusher tube system. Successful drainage, with substantial reduction in bilirubin level, was achieved in all patients (14.2 +/- 9.5 vs. 4.2 +/- 2.9 mg/dl at 1 week). The present case series shows that endoscopic stent placement performed under US guidance is safe and effective. Further studies of larger series, including more proximal strictures, are warranted.
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Affiliation(s)
- G D De Palma
- Department of Surgery and Advanced Technologies, Section of Diagnostic and Therapeutic Endoscopy, University Federico II, School of Medicine, Naples, Italy.
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De Palma GD, Galloro G, Romano G, Sottile R, Puzziello A, Persico F, Masone S, Labianca O, Persico G. Long-term follow-up after endoscopic biliary stent placement for bile duct strictures from laparoscopic cholecystectomy. Hepatogastroenterology 2003; 50:1229-31. [PMID: 14571706] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/27/2023]
Abstract
BACKGROUND/AIMS The outcome of endoscopic biliary stent insertion for postoperative bile duct stenosis was retrospectively evaluated. METHODOLOGY Fifty-seven patients with biliary stenosis from laparoscopic cholecystectomy were included from February 1992 to January 2000. One to three stents were inserted for an average of 12.4 months, with stent exchange every 3 months to avoid cholangitis caused by clogging. RESULTS Successful stent insertion was achieved in 43/57 (75.4%) patients. Stent insertion failed in 10 patients with complete and in 4 patients with incomplete biliary obstruction. Early complications occurred in 4 patients. Late complications occurred in 5/43 patients. Five patients experienced recurrence of stenosis. CONCLUSIONS Endoscopic treatment should be the initial management of choice for postoperative bile duct stenosis.
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Affiliation(s)
- Giovanni D De Palma
- Department of Surgery and Advanced Technolgoies, Service of Surgical Digestive Endoscopy, University Federico II, School of Medicine, Naples, Italy.
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De Palma GD, Iuliano GP, Puzziello A, Manfredini S, Masone S, Persico G. Biliary leaks after laparoscopic cholecystectomy. Results of the endoscopic treatment. MINERVA CHIR 2002; 57:123-7. [PMID: 11941287] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
BACKGROUND Significant postoperative bile leaks occur in approximately 0.8 to 1.1% of patients. The goal of endoscopic therapy is to eliminate the transpapillary pressure gradient, thereby permitting preferential transpapillary bile flow rather than extravasation at the site of leak. METHODS. Sixty-four patients were retrospectively evaluated. Endoscopic treatment comprised endoscopic sphincterotomy followed by insertion of a naso-biliary drainage or a stent. Retained stones were extracted by standard procedures. RESULTS The cystic duct remnant was the site of bile extravasation in 50 cases, ducts of Luschka were the source in 4 cases, common bile duct in 6 cases and common hepatic duct in 4 cases. Retained bile duct stones were detected in 21 cases and papillary stenosis in 4 cases. Endoscopic therapy involved sphincterotomy in 25 cases with stones extraction in 21 cases followed by nasobiliary drain insertion, and placement of stent in the remainder. Bile leaks resolved in 96.9% of patients, on average 3 days in cases of associated stones or papillary stenosis, and 6.5 days in the remainder. Two cases of mild pancreatitis were evidenced from endoscopic treatment. CONCLUSIONS Endoscopic management is the treatment of choice for postcholecystectomy bile leaks.
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Affiliation(s)
- G D De Palma
- Dipartimento di Chirurgia Generale e Tecnologie Avanzate, Facoltà di Medicina e Chirurgia, Università degli Studi Federico II, Naples, Italy.
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De Palma GD, Galloro G, Puzziello A, Masone S, Diamantis G, Persico G. [Personal experience with the endoscopic treatment of pancreatic pseudocysts. Long-term results and analysis of prognostic factors]. MINERVA CHIR 2001; 56:475-81. [PMID: 11568722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
BACKGROUND The aim of this study was to assess the safety and utility of endoscopic treatment of pancreatic pseudocysts. Prognostic factors for the outcome of endoscopic drainage were assessed in a prospective analysis. METHODS Forty-nine consecutive symptomatic patients were included in the study. Transmural drainage was used in 30 patients and transpapillary drainage in 19 patients. RESULTS Successful drainage was achieved in 27/30 (90%) of patients after transmural drainage and in 16/19 (84.2%) patients after transpapillary drainage. Twelve (24.5%) patients had complications; 2 patients had bleeding, 2 had mild pancreatitis, 8 had cyst infection, in relation to the presence of necrosis (5 patients) or stent clogging (3 patients). Nine patients (20.9%) had recurrence of pseudocyst. Endoscopic drainage was a definitive treatment in 37 out of 49 (75.5%) patients (median follow-up: 25.9 months). Presence of necrosis was the only significant prognostic factor for infectious complication. CONCLUSIONS Endoscopic drainage provides a successful and safe minimally invasive approach to the management of pancreatic pseudocysts.
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Affiliation(s)
- G D De Palma
- Facoltà di Medicina e Chirurgia, Dipartimento di Chirurgia Generale e Tecnologie Avanzate, Università degli Studi Federico II, Naples, Italy
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12
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Camera L, Selva G, Puzziello A, Sparano L, Ignarra R, Quarantelli M. [Castleman's disease: CT and MR findings in a case localized in the portocaval space]. Radiol Med 2001; 102:186-8. [PMID: 11677464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/22/2023]
Affiliation(s)
- L Camera
- Dipartimento di Scienze Biomorfologiche e Funzionali, Sezioni di Diagnostica per Immagini, Consiglio Nazionale delle Ricerche, Università degli Studi di Napoli Federico II, Naples, Italy
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Franzese A, Vajro P, Argenziano A, Puzziello A, Iannucci MP, Saviano MC, Brunetti F, Rubino A. Liver involvement in obese children. Ultrasonography and liver enzyme levels at diagnosis and during follow-up in an Italian population. Dig Dis Sci 1997; 42:1428-32. [PMID: 9246041 DOI: 10.1023/a:1018850223495] [Citation(s) in RCA: 365] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Our aim was to evaluate incidence and risk factors of liver involvement in obese Italian children as assessed by both ultrasonographic and biochemical parameters. In seventy-five consecutive obese children (age 9.5 +/- 2.9 years, males/females 41/34), serum levels of enzymes and ultrasonography of the liver were evaluated. Tests were repeated one, three, and six months after starting a moderate hypocaloric diet and an exercise program. Three obese children who were found to have chronic viral hepatitis were excluded from the study. Thirty-eight of 72 (53%) obese children had an ultrasonographic image of bright liver consistent with liver steatosis. The latter was severe in nine children, moderate in 16, and mild in 13. Eighteen obese children (25%) had elevated transaminase levels. Bright liver and hypertransaminasemia were not due to any of the most common causes of liver disease. Both were rapidly responsive to loss of weight, confirming that liver involvement was secondary to obesity and that steatosis or steatohepatitis rather than fibrosis were involved. Obesity duration not more than three years (odds ratio = 4.77), a higher degree of obesity (odds ratio = 2.09), and hypertransaminasemia (odds ratio = 2.15) appeared as important predictive factors of liver involvement at ultrasonography. Incidence of liver involvement assessed by means of ultrasonography is significantly higher than that revealed by measurement of serum liver enzymes. A short duration of obesity emerged as a potentially new risk factor of liver involvement in the pediatric obese population and needs to be confirmed in future studies.
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Affiliation(s)
- A Franzese
- Department of Pediatrics, University of Naples, Federico II, Italy
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Franzese A, Vajro P, Argenziano A, Puzziello A, Iannucci MP, Saviano MC, Brunetti F, Rubino A. Liver involvement in obese children. Ultrasonography and liver enzyme levels at diagnosis and during follow-up in an Italian population. Dig Dis Sci 1997. [PMID: 9246041 DOI: 10.1023/a: 1018850223495] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Our aim was to evaluate incidence and risk factors of liver involvement in obese Italian children as assessed by both ultrasonographic and biochemical parameters. In seventy-five consecutive obese children (age 9.5 +/- 2.9 years, males/females 41/34), serum levels of enzymes and ultrasonography of the liver were evaluated. Tests were repeated one, three, and six months after starting a moderate hypocaloric diet and an exercise program. Three obese children who were found to have chronic viral hepatitis were excluded from the study. Thirty-eight of 72 (53%) obese children had an ultrasonographic image of bright liver consistent with liver steatosis. The latter was severe in nine children, moderate in 16, and mild in 13. Eighteen obese children (25%) had elevated transaminase levels. Bright liver and hypertransaminasemia were not due to any of the most common causes of liver disease. Both were rapidly responsive to loss of weight, confirming that liver involvement was secondary to obesity and that steatosis or steatohepatitis rather than fibrosis were involved. Obesity duration not more than three years (odds ratio = 4.77), a higher degree of obesity (odds ratio = 2.09), and hypertransaminasemia (odds ratio = 2.15) appeared as important predictive factors of liver involvement at ultrasonography. Incidence of liver involvement assessed by means of ultrasonography is significantly higher than that revealed by measurement of serum liver enzymes. A short duration of obesity emerged as a potentially new risk factor of liver involvement in the pediatric obese population and needs to be confirmed in future studies.
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Affiliation(s)
- A Franzese
- Department of Pediatrics, University of Naples, Federico II, Italy
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Angrisani L, Lorenzo M, Esposito G, Romano G, Puzziello A, Belfiore A, Santoro T, Roina G, Petito A, Falconi C, Tesauro B. Laparoscopic adjustable silicone gastric banding: preliminary results of the University of Naples experience. Obes Surg 1997; 7:19-21. [PMID: 9730532 DOI: 10.1381/096089297765556178] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Laparoscopic adjustable silicone gastric banding (LASGB) is a minimally invasive surgical procedure indicated for the treatment of patients with morbid obesity. METHODS From January 1996, eight patients successfully underwent the video-laparoscopic procedure. RESULTS Preoperative body mass index was 44.4 +/- 4.7 (range 37.9-53.3). Mean operative time was 255 +/- 73 minutes (range 150-360). Mean hospital stay was 3 +/- 1 days. Intraoperative complications were absent. CONCLUSION Preliminary results have been satisfactory, and encourage us to continue with LASGB.
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Affiliation(s)
- L Angrisani
- Department of Surgery, School of Medicine, Federico II University, Naples, Italy
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Criscito P, Di Palo P, Morrone G, Angrisani L, Puzziello A, Mastantuono A, Ventriglia R, Tesauro B. [Billroth I using mechanical staplers in peptic ulcer (experience in 112 operated cases)]. Ann Ital Chir 1990; 61:21-3. [PMID: 2240931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- P Criscito
- II Facoltà di Medicina e Chirurgia, Università degli Studi di Napoli
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