Presentazione a cura del Professor Daniele Napolitano - M.A.S.T.E.R. ECM in Gastroenterologia: Approccio personalizzato alla complessità in Gastroenterologia - Fondazione Santa Lucia - Roma 19/01/2018
Presentazione a cura del Professor Franco Scaldaferri - M.A.S.T.E.R. ECM in Gastroenterologia: Approccio personalizzato alla complessità in Gastroenterologia - Fondazione Santa Lucia - Roma 19/01/2018
Este documento describe diferentes tipos de cirugía mínimamente invasiva, incluyendo cirugía laparoscópica, endoscópica y robótica. La cirugía laparoscópica utiliza pequeñas incisiones y una cámara para realizar procedimientos dentro de la cavidad abdominal con menos dolor y recuperación más rápida que las cirugías abiertas tradicionales. La cirugía endoscópica utiliza orificios naturales como entrada para acceder a otras áreas del cuerpo. La cirugía robótica utiliza un sistema
1. Evaluation of acute abdominal pain is challenging but recognition of life-threatening causes is important. Abdominal pain accounts for 10% of emergency department visits.
2. Abdominal pain originates from three pathways: visceral pain from organ distension or stretching, parietal pain from inflammation or stretching of the abdominal wall, and referred pain felt distant from the source.
3. A thorough patient history regarding pain onset, location, characteristics, and exacerbating/relieving factors can help identify potential causes like appendicitis, perforated ulcer, or pancreatitis. Sudden severe pain requiring waking from sleep indicates a serious problem like perforation or ischemia.
Cystic diseases of the liver can be diagnosed using imaging such as ultrasound, CT, or MRI scans. Simple hepatic cysts appear as thin-walled lesions with homogenous interiors, while polycystic liver disease involves multiple cysts throughout the liver. Hydatid cysts may contain daughter cysts. Liver abscesses appear cystic but can usually be diagnosed clinically. Cystadenomas and cystadenocarcinomas often have thick, irregular walls with heterogeneous interiors and septations. Imaging helps characterize cystic lesions and guide treatment.
This document provides an overview of the practical approach to managing non-variceal upper gastrointestinal bleeding. It discusses initial considerations including risk stratification, definitions, differential diagnosis, history and physical exam findings. It then covers resuscitation including fluid management and transfusion thresholds. The role of endoscopy is explained, including optimal timing and findings requiring endoscopic therapy. Risk scores for predicting outcomes and need for intervention are presented. Management strategies before and after endoscopy are outlined.
This document discusses the endovascular management of mesenteric ischemia. It begins with an introduction that outlines the incidence, mortality, and morbidity of mesenteric ischemia. It then covers the basic anatomy of the mesenteric blood supply and the etiology of mesenteric ischemia, which can be due to arterial embolism, arterial thrombosis, venous thrombosis, or non-occlusive causes. The pathophysiology and clinical presentations of the different types are also described. Diagnostic tools including imaging modalities and angiography are discussed. Treatment options focus on early diagnosis and aggressive management to reduce high mortality rates from this condition.
Presentazione a cura del Professor Franco Scaldaferri - M.A.S.T.E.R. ECM in Gastroenterologia: Approccio personalizzato alla complessità in Gastroenterologia - Fondazione Santa Lucia - Roma 19/01/2018
Este documento describe diferentes tipos de cirugía mínimamente invasiva, incluyendo cirugía laparoscópica, endoscópica y robótica. La cirugía laparoscópica utiliza pequeñas incisiones y una cámara para realizar procedimientos dentro de la cavidad abdominal con menos dolor y recuperación más rápida que las cirugías abiertas tradicionales. La cirugía endoscópica utiliza orificios naturales como entrada para acceder a otras áreas del cuerpo. La cirugía robótica utiliza un sistema
1. Evaluation of acute abdominal pain is challenging but recognition of life-threatening causes is important. Abdominal pain accounts for 10% of emergency department visits.
2. Abdominal pain originates from three pathways: visceral pain from organ distension or stretching, parietal pain from inflammation or stretching of the abdominal wall, and referred pain felt distant from the source.
3. A thorough patient history regarding pain onset, location, characteristics, and exacerbating/relieving factors can help identify potential causes like appendicitis, perforated ulcer, or pancreatitis. Sudden severe pain requiring waking from sleep indicates a serious problem like perforation or ischemia.
Cystic diseases of the liver can be diagnosed using imaging such as ultrasound, CT, or MRI scans. Simple hepatic cysts appear as thin-walled lesions with homogenous interiors, while polycystic liver disease involves multiple cysts throughout the liver. Hydatid cysts may contain daughter cysts. Liver abscesses appear cystic but can usually be diagnosed clinically. Cystadenomas and cystadenocarcinomas often have thick, irregular walls with heterogeneous interiors and septations. Imaging helps characterize cystic lesions and guide treatment.
This document provides an overview of the practical approach to managing non-variceal upper gastrointestinal bleeding. It discusses initial considerations including risk stratification, definitions, differential diagnosis, history and physical exam findings. It then covers resuscitation including fluid management and transfusion thresholds. The role of endoscopy is explained, including optimal timing and findings requiring endoscopic therapy. Risk scores for predicting outcomes and need for intervention are presented. Management strategies before and after endoscopy are outlined.
This document discusses the endovascular management of mesenteric ischemia. It begins with an introduction that outlines the incidence, mortality, and morbidity of mesenteric ischemia. It then covers the basic anatomy of the mesenteric blood supply and the etiology of mesenteric ischemia, which can be due to arterial embolism, arterial thrombosis, venous thrombosis, or non-occlusive causes. The pathophysiology and clinical presentations of the different types are also described. Diagnostic tools including imaging modalities and angiography are discussed. Treatment options focus on early diagnosis and aggressive management to reduce high mortality rates from this condition.
This document provides an overview of mesenteric ischemia, including its various types, risk factors, clinical features, diagnosis, and management. It begins with definitions of relevant terms like ischemia, infarction, embolism, and thrombosis. It then describes the different types of mesenteric ischemia - acute, chronic, and non-occlusive. For each type, it outlines typical causes, risk factors, clinical presentations, diagnostic approaches, and treatment options, which may involve endovascular or open surgical revascularization procedures. It concludes by noting the generally poor prognosis of acute mesenteric ischemia but improved outcomes with timely diagnosis and treatment.
1) The document discusses the evaluation and management of gastrointestinal (GI) bleeding. It describes differentiating upper from lower GI bleeding, recognizing common causes, and acute management steps.
2) A clinical case example involves a patient with hematemesis and melena, where NG tube aspiration can help distinguish upper from lower GI bleeding.
3) Common causes of upper GI bleeding include peptic ulcer disease, while diverticular disease is a common cause of lower GI bleeding. Fluid resuscitation, proton pump inhibitors, and blood transfusion are key to managing acute upper GI bleeding.
Approach to patient with upper GIT bleeding
Approach to patient with upper GIT bleeding
Approach to patient with upper GIT bleeding
Approach to patient with upper GIT bleeding
The document discusses lower gastrointestinal bleeding, including its definition, causes such as diverticular disease, inflammatory bowel disease, angiodysplasia, and coagulopathy. It covers the clinical presentation, various diagnostic tests including colonoscopy, capsule endoscopy and nuclear scintigraphy. Colonoscopy is the mainstay for evaluation as it can both diagnose the bleeding source and provide therapeutic treatment in many cases.
This document discusses lower gastrointestinal bleeding, including its definition, causes, symptoms, diagnosis, and management. The most common causes of lower GI bleeding are diverticular disease and angiodysplasia. Diagnostic tests include colonoscopy, angiography, and radionuclide scanning. Colonoscopy allows for diagnosis and treatment but requires bowel prep, while angiography and scanning are less invasive but also less accurate. Management depends on the severity and cause of bleeding, and may include blood transfusions, endoscopic therapies, angiography, or surgery in severe cases.
1) Autoimmune pancreatitis is characterized by lymphoplasmacytic infiltration and fibrosis of the pancreas that often dramatically responds to steroid therapy.
2) Diagnosis involves a combination of clinical, imaging, histological, and serological findings including elevated serum IgG4 levels and involvement of other organs.
3) Two subtypes exist - type 1 is associated with elevated IgG4, other organ involvement and a good response to steroids, while type 2 involves granulocytic epithelial lesions and is less responsive to steroids.
Η λαπαροσκοπική χειρουργική έχει καθιερωθεί στη χειρουργική των καλοήθων όγκων των επινεφριδίων
- Λιγότερο μετεγχειρητικό άλγος
- Μικρότερος χρόνος νοσηλείας
- Μικρότερη νοσηρότης (διαπυήσεις, μτχ κήλες, ατελεκτασίες)
- Ταχύτερη επάνοδος στίς δραστηριότητες
* Δεν απαιτήθηκαν τυχαιοποιημένες μελέτες για την επικράτηση της λαπαροσκοπικής χειρουργικής στους καλοήθεις όγκους των επινεφριδίων
1) The document discusses obstructive jaundice, defining it as jaundice resulting from widespread tissue deposition of bilirubin due to impaired bile formation or flow.
2) A thorough history and physical exam is important to determine if the cause is intrahepatic or extrahepatic. Clues to each are provided.
3) Common extrahepatic causes include choledocholithiasis, benign strictures, primary sclerosing cholangitis, malignancies such as cholangiocarcinoma and pancreatic cancer.
Common intrahepatic causes include viral hepatitis, alcoholic hepatitis, primary biliary cirrhosis, and primary sclerosing cholangitis.
Lower gastrointestinal bleeding can have various causes like diverticulosis, angiodysplasia, inflammation, and cancers. A thorough history, physical exam, and initial tests like colonoscopy are important to determine the source and severity of bleeding. Colonoscopy allows for both diagnosis and potential treatment but often requires bowel prep, while angiography and CT angiography can localize active bleeding but lack therapeutic options. Together, these diagnostic tests aim to safely identify the cause and guide appropriate clinical management of lower GI bleeding.
Upper and lower gastrointestinal bleeding can have different causes and outcomes. Upper GI bleeding has a mortality rate of around 15% and can present as vomit containing blood or dark stools. Lower GI bleeding typically causes bright red blood from the rectum and has a lower 4% mortality. While the source cannot be identified in 15% of cases, common causes include ulcers, esophageal varices, hemorrhoids, and colonic diverticula. A full medical history, physical exam, blood tests, and potentially endoscopy can help determine the source and guide management, which involves resuscitation for unstable patients and treatment of the underlying cause.
This document provides an overview of acute abdominal pain, including classifications, causes, symptoms, diagnostic tests, and treatment considerations. It describes three types of abdominal pain - visceral, parietal, and referred - and covers common intra-abdominal etiologies like appendicitis, cholecystitis, small bowel obstruction, and ischemic bowel. It also discusses extra-abdominal, toxic, metabolic, and neurogenic causes of abdominal pain and emphasizes the importance of thorough history taking and physical exam in diagnosing the source.
This document discusses lower gastrointestinal bleeding, including its definition, causes, clinical presentation, risk stratification, localization techniques, and treatment approaches. The main causes of lower GI bleeding discussed are diverticular diseases, hemorrhoids, angiodysplasia, inflammatory bowel disease, and neoplasms. Initial management involves resuscitation, risk stratification, and localization of the bleeding site using techniques such as colonoscopy, radionuclide scanning, and mesenteric angiography. Treatment depends on the underlying cause but may include pharmacologic, endoscopic, angiographic, or surgical interventions.
- Management of lower GI bleeding (LGIB) requires identifying high-risk patients, optimizing medical management, and performing endoscopy within 24 hours for diagnosis and treatment.
- For ongoing or recurrent LGIB after endoscopy, angiography may be considered to locate the bleeding site.
- Coordinated care between emergency department, ICU, GI specialists, and interventional radiology is important to optimize outcomes for patients with LGIB.
A review of mesenteric ischemia: investigations, treatment, surgical approach, medical therapy, and resolution. Flow charts are courtesy of UpToDate.com (all rights reserved 2017).
1. Acute appendicitis is most commonly caused by obstruction of the appendix, usually by a faecolith. It presents with abdominal pain shifting to the right lower quadrant along with nausea, vomiting, and fever.
2. Diagnosis is made through physical exam finding tenderness over McBurney's point and confirmed through blood tests, ultrasound, or CT scan showing signs of appendiceal inflammation.
3. Treatment is an appendectomy, which can be performed through open, laparoscopic, or robotic methods to remove the inflamed appendix. Complications include wound infections, intra-abdominal abscesses, and bowel obstructions.
for download go to
Etiology of lower gastrointestinal bleeding ppt, gastrointestinal bleeding ppt, History takingin lower gastrointestinal bleeding ppt, Investigations in lower gastrointestinal bleeding ppt
This document provides an overview of lower gastrointestinal bleeding, including definitions, epidemiology, causes, diagnosis, and management. Some key points:
- Lower GI bleed most commonly originates from the colon, with diverticular disease and angiodysplasias being the most frequent underlying causes.
- Diagnosis involves digital rectal exam, endoscopic procedures like sigmoidoscopy and colonoscopy, and imaging tests like radionuclide scanning.
- Specific colonic conditions that may cause bleeding include diverticular disease, angiodysplasias, colitis, infections, radiation proctitis, and anorectal diseases.
- Small bowel sources of bleeding include angiodysplasias,
Prevenire i tumori passando per la buona cucinaGiulia Vellani
Un convegno sulla buona tavola e i tumori per dimostrare come sia possibile mangiare bene e al tempo stesso seguire un corretto e sano stile di vita che aiuta a prevenire i tumori. A Modena, alla Camera di Commercio il 14 e 15 maggio 2015, il convegno organizzato da Esprit si rivolge alla popolazione intera per fare il punto sulla correlazione tra tumori e stili di vita e soprattutto per dimostrare, attraverso uno show cooking finale, come sia possibile cucinare e mangiare bene applicando i principi della sana alimentazione, per ottenere ricette facili, veloci e allo stesso tempo gustose. Il convegno validao anche come accreditamento ECM è presieduto dal prof. Giovanni Tazzioli presidente del convegno, responsabile della Struttura di Chirurgia Oncologica e Senologica e del Punto Amico – Percorso Senologico presso il Policlinico di Modena –insieme al prof. David Khayat presidente dell’Istituto Nazionale dei Tumori francese e direttore del dipartimento di Oncologia all’ospedale Salpêtrière di Parigi. Guiderà lo show cooking la chef e paziente Giovanna Guidetti dell'Osteria La Fefa di Finale Emilia.
Terza fase del progetto EpiCa di Casoria.
Queste sono le slide utilizzate nei seminari rivolti agli studenti delle classi terze delle scuole medie di Casoria per informare, sensibilizzare, prevenire e consigliare su un corretto stile di vita. Il progetto fa parte di un programma di monitoraggio del fenomeno cancro a Casoria, città di circa 80000 abitanti nell'area nord della provincia di Napoli. I seminari coinvolgo gli alunni delle classi terze della scuola media, delle classi quarte della scuola superiore ed i loro docenti; entro la fine dell'anno scolastico saranno coinvolti anche i docenti e i genitori degli alunni della scuola primaria.
Il progetto EpiCa è condotto dai medici di famiglia, dai pediatri e dai medici del distretto del DS 43 dell'ASL Napoli 2 nord
This document provides an overview of mesenteric ischemia, including its various types, risk factors, clinical features, diagnosis, and management. It begins with definitions of relevant terms like ischemia, infarction, embolism, and thrombosis. It then describes the different types of mesenteric ischemia - acute, chronic, and non-occlusive. For each type, it outlines typical causes, risk factors, clinical presentations, diagnostic approaches, and treatment options, which may involve endovascular or open surgical revascularization procedures. It concludes by noting the generally poor prognosis of acute mesenteric ischemia but improved outcomes with timely diagnosis and treatment.
1) The document discusses the evaluation and management of gastrointestinal (GI) bleeding. It describes differentiating upper from lower GI bleeding, recognizing common causes, and acute management steps.
2) A clinical case example involves a patient with hematemesis and melena, where NG tube aspiration can help distinguish upper from lower GI bleeding.
3) Common causes of upper GI bleeding include peptic ulcer disease, while diverticular disease is a common cause of lower GI bleeding. Fluid resuscitation, proton pump inhibitors, and blood transfusion are key to managing acute upper GI bleeding.
Approach to patient with upper GIT bleeding
Approach to patient with upper GIT bleeding
Approach to patient with upper GIT bleeding
Approach to patient with upper GIT bleeding
The document discusses lower gastrointestinal bleeding, including its definition, causes such as diverticular disease, inflammatory bowel disease, angiodysplasia, and coagulopathy. It covers the clinical presentation, various diagnostic tests including colonoscopy, capsule endoscopy and nuclear scintigraphy. Colonoscopy is the mainstay for evaluation as it can both diagnose the bleeding source and provide therapeutic treatment in many cases.
This document discusses lower gastrointestinal bleeding, including its definition, causes, symptoms, diagnosis, and management. The most common causes of lower GI bleeding are diverticular disease and angiodysplasia. Diagnostic tests include colonoscopy, angiography, and radionuclide scanning. Colonoscopy allows for diagnosis and treatment but requires bowel prep, while angiography and scanning are less invasive but also less accurate. Management depends on the severity and cause of bleeding, and may include blood transfusions, endoscopic therapies, angiography, or surgery in severe cases.
1) Autoimmune pancreatitis is characterized by lymphoplasmacytic infiltration and fibrosis of the pancreas that often dramatically responds to steroid therapy.
2) Diagnosis involves a combination of clinical, imaging, histological, and serological findings including elevated serum IgG4 levels and involvement of other organs.
3) Two subtypes exist - type 1 is associated with elevated IgG4, other organ involvement and a good response to steroids, while type 2 involves granulocytic epithelial lesions and is less responsive to steroids.
Η λαπαροσκοπική χειρουργική έχει καθιερωθεί στη χειρουργική των καλοήθων όγκων των επινεφριδίων
- Λιγότερο μετεγχειρητικό άλγος
- Μικρότερος χρόνος νοσηλείας
- Μικρότερη νοσηρότης (διαπυήσεις, μτχ κήλες, ατελεκτασίες)
- Ταχύτερη επάνοδος στίς δραστηριότητες
* Δεν απαιτήθηκαν τυχαιοποιημένες μελέτες για την επικράτηση της λαπαροσκοπικής χειρουργικής στους καλοήθεις όγκους των επινεφριδίων
1) The document discusses obstructive jaundice, defining it as jaundice resulting from widespread tissue deposition of bilirubin due to impaired bile formation or flow.
2) A thorough history and physical exam is important to determine if the cause is intrahepatic or extrahepatic. Clues to each are provided.
3) Common extrahepatic causes include choledocholithiasis, benign strictures, primary sclerosing cholangitis, malignancies such as cholangiocarcinoma and pancreatic cancer.
Common intrahepatic causes include viral hepatitis, alcoholic hepatitis, primary biliary cirrhosis, and primary sclerosing cholangitis.
Lower gastrointestinal bleeding can have various causes like diverticulosis, angiodysplasia, inflammation, and cancers. A thorough history, physical exam, and initial tests like colonoscopy are important to determine the source and severity of bleeding. Colonoscopy allows for both diagnosis and potential treatment but often requires bowel prep, while angiography and CT angiography can localize active bleeding but lack therapeutic options. Together, these diagnostic tests aim to safely identify the cause and guide appropriate clinical management of lower GI bleeding.
Upper and lower gastrointestinal bleeding can have different causes and outcomes. Upper GI bleeding has a mortality rate of around 15% and can present as vomit containing blood or dark stools. Lower GI bleeding typically causes bright red blood from the rectum and has a lower 4% mortality. While the source cannot be identified in 15% of cases, common causes include ulcers, esophageal varices, hemorrhoids, and colonic diverticula. A full medical history, physical exam, blood tests, and potentially endoscopy can help determine the source and guide management, which involves resuscitation for unstable patients and treatment of the underlying cause.
This document provides an overview of acute abdominal pain, including classifications, causes, symptoms, diagnostic tests, and treatment considerations. It describes three types of abdominal pain - visceral, parietal, and referred - and covers common intra-abdominal etiologies like appendicitis, cholecystitis, small bowel obstruction, and ischemic bowel. It also discusses extra-abdominal, toxic, metabolic, and neurogenic causes of abdominal pain and emphasizes the importance of thorough history taking and physical exam in diagnosing the source.
This document discusses lower gastrointestinal bleeding, including its definition, causes, clinical presentation, risk stratification, localization techniques, and treatment approaches. The main causes of lower GI bleeding discussed are diverticular diseases, hemorrhoids, angiodysplasia, inflammatory bowel disease, and neoplasms. Initial management involves resuscitation, risk stratification, and localization of the bleeding site using techniques such as colonoscopy, radionuclide scanning, and mesenteric angiography. Treatment depends on the underlying cause but may include pharmacologic, endoscopic, angiographic, or surgical interventions.
- Management of lower GI bleeding (LGIB) requires identifying high-risk patients, optimizing medical management, and performing endoscopy within 24 hours for diagnosis and treatment.
- For ongoing or recurrent LGIB after endoscopy, angiography may be considered to locate the bleeding site.
- Coordinated care between emergency department, ICU, GI specialists, and interventional radiology is important to optimize outcomes for patients with LGIB.
A review of mesenteric ischemia: investigations, treatment, surgical approach, medical therapy, and resolution. Flow charts are courtesy of UpToDate.com (all rights reserved 2017).
1. Acute appendicitis is most commonly caused by obstruction of the appendix, usually by a faecolith. It presents with abdominal pain shifting to the right lower quadrant along with nausea, vomiting, and fever.
2. Diagnosis is made through physical exam finding tenderness over McBurney's point and confirmed through blood tests, ultrasound, or CT scan showing signs of appendiceal inflammation.
3. Treatment is an appendectomy, which can be performed through open, laparoscopic, or robotic methods to remove the inflamed appendix. Complications include wound infections, intra-abdominal abscesses, and bowel obstructions.
for download go to
Etiology of lower gastrointestinal bleeding ppt, gastrointestinal bleeding ppt, History takingin lower gastrointestinal bleeding ppt, Investigations in lower gastrointestinal bleeding ppt
This document provides an overview of lower gastrointestinal bleeding, including definitions, epidemiology, causes, diagnosis, and management. Some key points:
- Lower GI bleed most commonly originates from the colon, with diverticular disease and angiodysplasias being the most frequent underlying causes.
- Diagnosis involves digital rectal exam, endoscopic procedures like sigmoidoscopy and colonoscopy, and imaging tests like radionuclide scanning.
- Specific colonic conditions that may cause bleeding include diverticular disease, angiodysplasias, colitis, infections, radiation proctitis, and anorectal diseases.
- Small bowel sources of bleeding include angiodysplasias,
Prevenire i tumori passando per la buona cucinaGiulia Vellani
Un convegno sulla buona tavola e i tumori per dimostrare come sia possibile mangiare bene e al tempo stesso seguire un corretto e sano stile di vita che aiuta a prevenire i tumori. A Modena, alla Camera di Commercio il 14 e 15 maggio 2015, il convegno organizzato da Esprit si rivolge alla popolazione intera per fare il punto sulla correlazione tra tumori e stili di vita e soprattutto per dimostrare, attraverso uno show cooking finale, come sia possibile cucinare e mangiare bene applicando i principi della sana alimentazione, per ottenere ricette facili, veloci e allo stesso tempo gustose. Il convegno validao anche come accreditamento ECM è presieduto dal prof. Giovanni Tazzioli presidente del convegno, responsabile della Struttura di Chirurgia Oncologica e Senologica e del Punto Amico – Percorso Senologico presso il Policlinico di Modena –insieme al prof. David Khayat presidente dell’Istituto Nazionale dei Tumori francese e direttore del dipartimento di Oncologia all’ospedale Salpêtrière di Parigi. Guiderà lo show cooking la chef e paziente Giovanna Guidetti dell'Osteria La Fefa di Finale Emilia.
Terza fase del progetto EpiCa di Casoria.
Queste sono le slide utilizzate nei seminari rivolti agli studenti delle classi terze delle scuole medie di Casoria per informare, sensibilizzare, prevenire e consigliare su un corretto stile di vita. Il progetto fa parte di un programma di monitoraggio del fenomeno cancro a Casoria, città di circa 80000 abitanti nell'area nord della provincia di Napoli. I seminari coinvolgo gli alunni delle classi terze della scuola media, delle classi quarte della scuola superiore ed i loro docenti; entro la fine dell'anno scolastico saranno coinvolti anche i docenti e i genitori degli alunni della scuola primaria.
Il progetto EpiCa è condotto dai medici di famiglia, dai pediatri e dai medici del distretto del DS 43 dell'ASL Napoli 2 nord
Approccio interdisciplinare ed interprofessionale alla valutazione posturale in età evolutiva. Aspetti metodologici
di Vera Lezza e Dario Colella
L’esercizio fisico nel trattamento conservativo del dolore radicolare lombare: proposta di protocollo in uno studio di caso
di Gabriele Mascherini e Giulia Carboni
Il pilates: l'allenamento della power house e i vantaggi adattativi nelle altre discipline sportive
di Elda Sacco
Perché un nuovo infortunio al legamento crociato anteriore? Dal meccanismo di rottura al ritorno in campo: cosa ci dice la scienza
di Emilio Panichi
La gestione energetica e l'assetto metabolico del crossfit
di Maria Teresa Sguera
Fitness e dintorni. Il microbiota umano: caratteristiche, funzioni e implicazioni per la salute dell'individuo
di Pierluigi De Pascalis
"L'assistenza domiciliare ematologica AIL di Modena: analisi dell'attività nel periodo 1999-2007. Aspetti clinici ed organizzativi". Post-graduate final dissertation at School of Hematology in Modena on haematologic home care services (text in italian).
Importanza della comunicazione nella relazione medico cittadino. Comunicazione che deve essere insegnata durante il corso di laurea e applicata dai docenti che debbono fare, anche loro, corsi apposta. Meno medicine e ppiù comunicazione
Slow medicine, fare di più non significa fare meglio, amortali, disease mongering, adolescenza, ferrando, ferrandoalberto, fimp, Piacenza, medicalizzazione, Nativity
Seminario Università degli Studi di Salerno 13 maggio 2016
gli interventi delle dottoresse:
- Manilia - introduzione alla Dieta Mediterranea
- Marchese - Dieta Mediterranea in oncologia e patologie neurodegenerative
- Sorgente - La componente Psicosomatica delle patologie metaboliche
SANDRI G. La Nutrizione Clinica al S.Eugenio. ASMaD 2017Gianfranco Tammaro
DOTT. GIANCARLO SANDRI - Convegno "Il Presente ed il Futuro della Nutrizione Clinica" - 24/03/2017 - Sala Rita Levi Montalcini - Ospedale S.Eugenio - ROMA
Sito ASMaD: http://www.asmad.net
Canale Youtube: https://youtu.be/O7NcSQjnRR4
Il congresso si configura come una novità nel campo della Medicina, in un'epoca in cui il web, il giornalismo pseudoscientifico e le correnti contrarie alla Scienza contribuiscono alla disinformazione, a falsi miti e a bugie dalle ripercussioni anche gravi sulla salute del singolo e della comunità e si rivolge a quella parte integrante della "catena della scienza" che è il primo punto di riferimento per i pazienti.
Presa in carico del paziente con LMC e gestione della terapia a medio e lungo...ASMaD
This document discusses cardiovascular risk management from the perspective of a vascular surgeon. It summarizes the author's experience treating patients with chronic myeloid leukemia who developed vascular complications. The main points are:
1) Patients with chronic myeloid leukemia often have multi-level vascular disease involving the carotid, renal, mesenteric, and lower extremity arteries.
2) Endovascular interventions had high restenosis and failure rates, while open surgeries resulted in better mid-term patency but higher amputation rates.
3) An aggressive surgical approach along with intensive medical management and follow-up is needed for these high-risk patients due to their underlying disease and risk factors. A multidisciplinary team approach
I meccanismi del danno gastrico e la patologia H. Pylori correlataASMaD
Presentazione a cura del Dottor Vincenzo De Francesco - "Malattia da reflussogastroesofageo e infezione da Helicobacter Pylori: old topics?" - Roma 11/05/2019
Ph impedenziometria nella MRGE: quando, come e perchèASMaD
Presentazione a cura della Dottoressa Francesca Galeazzi - "Malattia da reflussogastroesofageo e infezione da Helicobacter Pylori: old topics?" - Roma 11/05/2019
This document discusses the classification of gastroesophageal reflux disease (GERD) and challenges in classifying patients. It notes that while some patients with typical GERD symptoms respond to treatment, they remain unclassified and may not actually have GERD. A single classification system based on symptoms and endoscopy does not capture all clinical conditions related to GERD. Patients who do not respond to PPIs should be referred to a gastroenterologist. Some GERD patients have significant esophageal motility issues. Those who do not respond to PPIs may require an esophageal biopsy. Some PPI responders actually have eosinophilic esophagitis. Some GERD patients have multiple gastrointestinal comor
Cambiamenti di popolazione e flussi migratori: cambiano anche le malattie met...ASMaD
Presentazione a cura della Dottoressa Migneco Maria Giuseppina - "Incontri endocrinologici AME LAzio - L'endocrinologia nel SSN: prospettive e nuove problematiche" - Roma 17/12/2018
Tiroide: chi decide quale intervento e per chi?ASMaD
Presentazione a cura del Dottor Bellotti Carlo - "Incontri endocrinologici AME LAzio - L'endocrinologia nel SSN: prospettive e nuove problematiche" - Roma 17/12/2018
Tiroide: Integrazione tra elementi nutriacetici e farmacologia: utile o inutile?ASMaD
Presentazione a cura del Dottor Roberto Cesareo - "Incontri endocrinologici AME LAzio - L'endocrinologia nel SSN: prospettive e nuove problematiche" - Roma 17/12/2018
L'ecografia tiroidea: strumento cruciale nella gestione clinica?ASMaD
Presentazione a cura del Dottor Guglielmi Rinaldo - "Incontri endocrinologici AME LAzio - L'endocrinologia nel SSN: prospettive e nuove problematiche" - Roma 17/12/2018
Il chirurgo e la tiroide oggi un rapporto in crisi?ASMaD
Presentazione a cura del Dottor Luca Piantoni e del Dottor Francesco Pedicini - "TIROIDE 2018 Nuovi approcci diagnostici e terapeutici" - Roma 24/11/2018
1. Daniele Napolitano,
IBD Nurse
Presso CE.M.A.D, Fondazione Policlinico Gemelli
Italian N-Ecco Rappresentative
Rappresentate Commissione Infermieri Aggei Italia
Membro Tavolo Tecnico Scientifico ANOTE-ANIGEA
“Comunicare efficacemente”
MALATTIE INFIAMMATORIE
INTESTINALI
L’infermiere IBD
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
2. 250,000 persone
in Italia soffrono
di Colite Ulcerosa e Malattia di Crohn*.
*IG-IBD Rimini Meeting Salute 2017
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
3. Dato calcolato sulle esenzione 009 ma si può
essere malati e risultare esenti per altre patologie, per
età, per invalidità o
per reddito!!!
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
4. ALTERAZIONE DELLA PROPRIA VITA!!!!
Le IBD sono malattie SOCIALI
LAVORO
RAPPORTI
SOCIALI
ECONOMICO
ASSENZE
PRESENZA IN
STATO DI
MALESSERE
STATO
PSICHICO
STATO
EMOZIONALE
ESAMI A
PAGAMENTO
VIAGGI PER
CURE
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
5. N-ECCO Consensus statements on the
European nursing roles in caring for patients
with Crohn's disease or ulcerative colitis”
Advanced Ibd NurseFondamental Ibd Nurse
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
7. Il 20 ottobre 2015 sono stati istituiti per la
prima volta in Italia i Percorsi Diagnostico
Terapeutici Assistenziali delle malattie
reumatiche infiammatorie-autoimmuni e delle
malattie infiammatorie croniche dell'intestino
(Malattia di Crohn e Colite Ulcerosa);
I PDTA sono stati messi a punto dalle
Associazioni partendo dal punto di vista
dei cittadini
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
9. In attesa di un riconoscimento…
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
10. UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
12. Esami endoscopici, gestione delle stomie, gestione
dei PICC, ricerca, team multi-disciplinare;
Paure, tensione, rivelazioni, familiari;
Terapie biologiche, modalità di somministrazione, effetti,
rischi, approvvigionamento;
Patologie, interventi, uso dei farmaci di primo livello;
Diritti, associazioni, esenzioni;
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
13. 1 caso
Paziente con ascesso che non ha riferito al medico!!!
IBD NURSE controlla gli esami e si accorge dell’ascesso
Il paziente fortunatamente non inizia la terapia biologica!!
2 caso
Il paziente inizia la terapia biologica, è giovane con lavoro impegnativo!
IBD NURSE gli chiede se ha assunto la terapia medica
Il paziente non conosce nemmeno la forma delle pasticche
di conseguenza non ha aderito alla terapia medica
4 caso
Il paziente pediatrico diventa maggiorenne!
IBD NURSE dopo la visita nota che l’umore è depresso, parla con lui!!
Il paziente non ha apprezzato il trattamento del gastroenterologo
degli adulti, è demotivato a continuare la terapia!!
L’INFERMIERE IBD ALL’OPERA……..
3 caso
Il paziente non conosce i propri diritti legati alla propria invalidità!
IBD NURSE istruisce e da indicazioni sulle esenzioni!!
Il paziente affronta la malattie e le cure con più tanquillità e poche spese!
14. L'infermiere IBD ricopre un ruolo cruciale e
importante
nella cura del paziente IBD:
per il paziente,
per il Team Multidisciplinare e
per l’Assistenza Sanitaria in termini di costi e
qualità!!!!!
In poche parole…
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
15. Per concludere…
NELLE IBD IL GASTROENTEROLOGO DA SOLO NON BASTA
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
16. NELLE IBD LA COLLABORAZIONE MULTIDISCIPLINARE
E’ FONDAMENTALE
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
17. NELLE IBD IL VERO GRUPPO MULTIDISCIPLINARE
HA UNO O PIU’ IBD NURSE!!!!
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
18. Grazie per l’attenzione
UNIVERSITA’ CATTOLICA DEL SACRO CUORE
Facoltà di Medicina e Chirurgia “A. Gemelli”
UOC DI MEDICINA INTERNA E GASTROENTEROLOGIA
direttore Prof. A Gasbarrini
Editor's Notes
Ore 11.15 - 11.35 La disbiosi indotta da antibiotici a breve e a lungo termine: dalla patogenesi al trattamento (Franco Scaldaferri, Roma)