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Taeniasis:A possible cause of ileal bleeding

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World Journal of Clinical Cases 2017年第12期5卷 432-436页

作者： Alessia Settesoldi alessandro Tozzi Ottaviano tarantino Department of Gastroenterology and Digestive Endoscopy San Giuseppe Hospital Department of Gastroenterology Clinical Azienda Ospedaliero-Universitaria Careggi

Taenia *** flatworms of the class Cestoda,whose definitive hosts are humans and *** infestation(taeniasis) results from the ingestion of raw meat contaminated with encysted larval tapeworms and is considered relatively harmless and mostly *** is not recognized as a possible sign of taeniasis and taeniasis-induced hemorrhage is not described in medical *** therapy is based on anthelmintics such praziquantel,niclosamide or *** we describe a case of acute ileal bleeding in an Italian man affected with both Taenia *** resistant to albendazole and Helicobacter pylori-associated duodenal ulcers.

关键词： Taenia spp. Intestinal bleeding Irondeficiency anemia Endoscopy

Multilevel oblique corpectomies as an effective surgical option to treat cervical chordoma in a young girl

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World Journal of Clinical Cases 2014年第3期2卷 57-61页

作者： Roberto Delfini Daniele Marruzzo Roberto tarantino Nicola Marotta alessandro Landi Department of Neurology and Psychiatry Division of Neurosurgery University of Rome "Sapienza"

Chordomas are malignant tumors arising from notochordal remnants. They are the most frequent tumors of the spine after plasmacytomas. Only 6% of chordomas are localized to the cervical level. In young patients, chordomas are rare and unpredictable. Despite this, the treatment of choice remains the total resection, as much as possible, followed by proton beam radiation. This case was managed using a precarotid and retrocarotid approach at the same time. The tumor was completely resected with the edges free from disease. The cervical spine was stabilized with an anterior plating C2-C4. Eighteen months after surgery the patient is still free from illness. Multilevel oblique corpectomies are an available and safe option for the treatment of upper cervical chordomas.

关键词： Cervical chordoma Multilevel oblique corpectomy Surgery RXT Retrocarotid approach

Omega-3 fatty acids for the treatment of non-alcoholic fatty liver disease

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World Journal of Gastroenterology 2012年第41期18卷 5839-5847页

作者： Matteo Nicola Dario Di Minno Anna Russolillo Roberta Lupoli Pasquale Ambrosino alessandro Di Minno Giovanni tarantino Department of Clinical and Experimental Medicine Regional Reference Centre for Coagulation Disorders"Federico II" University80131 NaplesItaly Department of Endocrinology and Oncology "Federico II" University80131 NaplesItaly

Non-alcoholic fatty liver disease （NAFLD） has been recognized as a major health burden. It is the most important cause of chronic liver disease and a major in- dependent cardiovascular risk factor. Lacking a definite treatment for NAFLD, a specific diet and an increase in physical activity represent the most commonly used therapeutic approaches. In this review, major literature data about the use of omega-3 polyunsaturated fatty ac- ids （n-3 PUFAs） as a potential treatment of NAFLD have been described, n-3 PUFAs, besides having a beneficial impact on most of the cardio-metabolic risk factors （hy- pertension, hyperlipidemia, endothelial dysfunction and atherosclerosis） by regulating gene transcription factors [i.e., peroxisome proliferator-activated receptor （PPAR） cz, PPARy, sterol regulatory element-binding protein-i, carbohydrate responsive element-binding protein], im- pacts both lipid metabolism and on insulin sensitivity. In addition to an enhancement of hepatic beta oxidation and a decrease of the endogenous lipid production, n-3 PUFAs are able to determine a significant reduction of the expression of pro-inflammatory molecules （tumor necrosis factor-~ and interleukin-6） and of oxygen reac- tive species. Further strengthening the results of the in vitro studies, both animal models and human interven- tion trials, showed a beneficial effect of n-3 PUFAs on the severity of NAFLD as expressed by laboratory pa- rameters and imaging measurements. Despite available results provided encouraging data about the efficacy of n-3 PUFAs as a treatment of NAFLD in humans, well- designed randomized controlled trials of adequate size and duration, with histological endpoints, are needed to assess the long-term safety and efficacy of PUFA, as well as other therapies, for the treatment of NAFLD and non-alcoholic steatohepatitis patients. It is worthwhile to consider that n-3 PUFAs cannot be synthesized by the human body and must be derived from exogenous sources （fish oil, flax

关键词： Hepatic steatosis Non-alcoholic fatty liverdisease Omega-3 polyunsaturated fatty acids Animalmodels

Flow cytometry assay of myeloid dendritic cells (mDCs)in peripheral blood during acute hepatitis C:Possible pathogenetic mechanisms

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World Journal of Gastroenterology 2006年第7期12卷 1105-1109页

作者： alessandro Perrella Luigi Atripaldi Pasquale Bellopede Tommaso Patarino Costanza Sbreglia Giovanni tarantino Paolo Sorrentino Paolo Conca Luca Ruggiero Oreste Perrella Department Infectious Disease and Immunology Hospital D.CotugnoNaplesItaly Department Institute for Cancer Genetics Columbia University

AIM： To asses the expression of myeloid dendritic cells （CD11c＋） subset during acute HCV hepatitis and its possible involvement in natural history of the infection.METHODS： We enrolled 11 patients with acute hepatitis C （AHC）（Group A）, 10 patients with acute hepatitis A （AHA）（as infective control-Group B） and 10 healthy donors （group C） in this study. All patients underwent selective flow cytometry gating strategies to assess the peripheral number of the myeloid dendritic cells （mDCs） to understand the possible role and differences during acute hepatitis.RESULTS： Eight of 11 patients with acute HCV hepatitis did not show any increase of mDCs compared to healthy individuals, while a significant decrease of mDCs was found in absolute cell count （z=-2.37, P〈0.05） and percentage （z=-2.30; P〈 0.05） as compared with AHA. On the contrary, The remaining three patients of the group A had a higher mDCs number and percentage as occur in group B. Interestingly, after six months, those patients did not show any increase of mDCs subset were chronically infected, while the three subjects with an increase of peripheral mDCs, as in HAV acute infection, resolved the illness.CONCLUSION： The lack of increase of mDCs during acute hepatitis C might be an important factor involved in chronicization of the infection.

关键词： Myeloid dendritic cells HCV CD4+ CD11c+ HCV-RNA HAV

Lumbar ganglion cyst:Nosology, surgical management and proposal of a new classification based on 34 personal cases and literature review

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World Journal of Orthopedics 2017年第9期8卷 697-704页

作者： Maurizio Domenicucci alessandro Ramieri Daniele Marruzzo Paolo Missori Massimo Miscusi Roberto tarantino Roberto Delfini Department of Neurological and Psychiatric Sapienza University of Rome Orthopedic Division Don Gnocchi Foun-dation Department of Medico-Surgical Sciences and Biotechnologies Sapienza University of Rome

AIM To analyze different terms used in literature to identify lumbar extradural cysts and propose a common scientific terminology; to elaborate a new morphological classification of this pathology, useful for clinical and surgical purposes; and to describe the best surgical approach to remove these cysts, in order to avoid iatrogenic instability or treat the pre-existing one. METHODS We retrospectively reviewed 34 patients with symptomatic lumbar ganglion cysts treated with spinal canal decompression with or without spinal fixation. Microsurgical approach was the main procedure and spinal instrumentation was required only in case of evident preoperative segmental instability. RESULTS The complete cystectomy with histological examination was performed in all cases. All patients presented an improvement of clinical conditions, evaluated by Visual Analogic Scale and Japanese Orthopaedic Association scoring. CONCLUSION Spinal ganglion cysts are generally found in the lumbar spine. The treatment of choice is the microsurgical cystectomy, which generally does not require *** need for fusion must be carefully evaluated: Preoperative spondylolisthesis or a wide joint resection, during the operation, are the main indications for spinal instrumentation. We propose the terms "ganglion cyst" to finally identify this spinal pathology and for the first time its morphological classification, clinically useful for all specialists.

关键词： Synovial cyst Lumbar spine Instability Surgery Ganglion

Success and safety of endoscopic treatments for concomitant biliary and duodenal malignant stenosis: A review of the literature

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World Journal of Gastrointestinal Surgery 2019年第2期11卷 53-61页

作者： Benedetto Mangiavillano Mouen A Khashab Ilaria tarantino Silvia Carrara Rossella Semeraro Francesco Auriemma Mario Bianchetti Leonardo Henry Eusebi Chen Yen-I Luca De Luca Mario Traina alessandro Repici Gastrointestinal Endoscopy Unit Humanitas-Mater Domini Humanitas Huniversity Division of Gastroenterology and Hepatology Johns Hopkins Hospital Gastroenterology and Endoscopy Unit Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IsMeTT) Digestive Endoscopy Unit Division of Gastroenterology Humanitas Clinical and Research Center IRCCS Digestive Endoscopy Unit Istituto Clinico Humanitas Research Hospital Unit of Gastroenterology Department of Medical and Surgical Sciences S. Orsola-Malpighi Hospital University of Bologna Gastroenterology and Digestive Endoscopy Unit Ospedali Riuniti Marche Nord Digestive Endoscopy Unit Division of Gastroenterology Humanitas Research Hospital

Synchronous biliary and duodenal malignant obstruction is a challenging endoscopic scenario in patients affected with ampullary, peri-ampullary, and pancreatic head neoplasia. Surgical bypass is no longer the gold-standard therapy for these patients, as simultaneous endoscopic biliary and duodenal stenting is currently a feasible and widely used technique, with a high technical success in expert hands. In recent years, endoscopic ultrasonography(EUS) has evolved from a diagnostic to a therapeutic procedure, and is now increasingly used to guide biliary drainage, especially in cases of failed endoscopic retrograde cholangiopancreatography(ERCP). The advent of lumen-apposing metal stents(LAMS) has expanded EUS therapeutic options, and changed the management of synchronous bilioduodenal stenosis. The most recent literature regarding endoscopic treatments for synchronous biliary and duodenal malignant stenosis has been reviewed to determine the best endoscopic approach, also considering the advent of an interventional EUS approach using LAMS.

关键词： Malignant biliary strictures Malignant duodenal stenosis Bilio-duodenal stenosis Biliary self-expandable metal stent Duodenal self-expandable metal stent Lumen-apposing metal stents Gastro-jejunostomy

Trans-sacral screw fixation in the treatment of high dyplastic developmental spondylolisthesis

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World Journal of Clinical Cases 2013年第3期1卷 116-120页

作者： alessandro Landi Nicola Marotta Cristina Mancarella Roberto tarantino Roberto Delfini Department of Neurology and Psychiatry Division of NeurosurgeryUniversity of Rome"Sapienza"00165 RomeItaly

We describe the case of a 67-year-old woman with L5-S1 ontogenetic spondylolisthesis treated with pedicle fixation associated with interbody arthrodesis performed with S1-L5 trans-sacral screwing according to the technique of Bartolozzi. The procedure was followed by a wide decompressive laminectomy. The patient had a progressive improvement of the symptoms which gradually disappeared in 12 mo. The radiograph at 6 and 12 mo showed complete fusion system. The choice of treatment in L5-S1 ontogenetic spondylolithesis is related to a correct clinical and diagnostic planning(X-ray, computer tomography magnetic resonance imaging, Measurement). In particular, the severity index and the square of unstable zone, and the standard measurements already described in the literature, are important to understand and to plane the correct surgical strategy, that require, in most of the times, fusion and interbody artrodesis.

关键词： High-dysplastic developmental spondylolisthesis Spondylolisthesis Trans-sacral screw Pelvic balance Spinopelvic imbalance

Anterior Surgery in Multilevel Stenosis of the Lower Cervical Spine: Technical Indications and Personal Experience. 12 Years Follow-Up

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International Journal of Clinical Medicine 2014年第4期5卷 157-161页

作者： alessandro Landi Nicola Marotta Cristina Mancarella Carlotta Morselli Roberto tarantino Andrea Ruggeri Roberto Delfini Department of Neurology and Psychiatry Division of Neurosur-gery University of Rome “Sapienza” Roma Italy

Objective: cervical spondylotic myelopathy is a progressive degenerative cervical spine disease. During later stages of segmental degeneration, kyphosis of the cervical spine can occur and further compromise the spinal cord and nerve roots. Optimal surgical approach remains controversial. The choice to perform an anterior, posterior or combined approach depends on: sagittal alignment, number of involved levels, main compression localization, and clinical status. The anterior approach is recommended when compression involves primarily anterior horn of spinal cord. Methods: between January 2001 and December 2005, 121 patients (42 F, 79 M, mean age 62 years) were operated for cervical spondylosis (98 myelopathy, 23 radiculopathy). Anterior surgical approach was performed in 81 patients. 63 patients were operated performing multilevel discectomy and fusion (ACDF) and 18 patients performing corpectomy and fusion and anterior plating (ACCF). Preoperative documentation collected consisted of cervical X-ray (static-dynamic), cervical spine TC, cervical MRI. Clinical documentation permitted us to obtained clinical status of each patient based on JOA, NDI and VAS. A Clinical and radiological follow-up was performed at 1 month, 3 months, 1 year, 6 years, 12 years. Results: the fusion rate was calculated based on the static and dynamic X-ray (flexion and extension position), only a little percentage of patients underwent CT scan. There were no significant differences between ACDF and ACCF in clinical outcome at 6 years evaluated by VAS and NDI. The rate of fusion at 6 years for 2 levels ACCF (92%) was higher than that for 2 levels ACDF (86%) but is not statistically significative. Conclusion: classifying degenerative disease and biomechanics feature, preoperatively in necessary to guide the surgeon to choose the best anterior approach for cervical spondylosis.

关键词： Corpectomy Discectomy Multilevel Cervical Spine

360° fusion for realignment of high grade cervical kyphosis by one step surgery: Case report

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World Journal of Clinical Cases 2014年第7期2卷 289-292页

作者： alessandro Landi Nicola Marotta Cristina Mancarella Demo Eugenio Dugoni Roberto tarantino Roberto Delfini Department of Neurology and Psychiatry Division of NeurosurgeryUniversity of RomeSapienza00100 RomeItaly

Surgical treatment for cervical kyphotic deformity is still controversial. Circumferential approach has been well described in the literature but long terms outcomes are not well reported. Important to decide the correct treatment option is the preoperative radiological exams to value the type of deformity(flexible or fixed). We report the case of a 67-year-old woman affected by a severe cervical kyphotic deformity who underwent combined anterior/posterior surgical approach, getting a good reduction of the deformity and an optimal stability in a long term follow up.

关键词： Cervical deformity High grade kyphosis Circumferential fusion Surgical technique Degenerative cervical spine