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RISS 인기검색어
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- 저자 : Andrea Anderloni (검색결과 2 건)
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Micro-Biopsy Forceps in the Assessment of Peritoneal Carcinomatosis: A Possible New Indication?
Cecilia Binda,Emanuele Dabizzi,Emanuele Sinagra,Adele Fornelli,Luca Saragoni,Vincenzo Cennamo,Andrea Anderloni,Carlo Fabbri 대한소화기내시경학회 2021 Clinical Endoscopy Vol.54 No.4
Peritoneal carcinomatosis (PC) is defined as a metastatic involvement of the peritoneum by several other primary sites and it ischaracterized by a marked worsening of prognosis, with limited treatment opportunities. Subsequently, PC should be ruled outbefore any invasive treatment is administered. A new through-the-needle micro-biopsy forceps (MF) was recently introduced thatpermits micro-histology cores. In this case series, we evaluated the feasibility of MF in the assessment of PC to complete patientdiagnostic work-ups. Five consecutive patients referred for endoscopic ultrasound staging were sampled using MF. Sampling wasfeasible in all patients with a technical success of 100%. No adverse events were reported in any cases. This technique was feasibleand safe with a technical success rate of 100%. It permitted sampling of peritoneal irregularity, obtained high-quality tissue fragmentsin all cases, and enabled an additional assessment, i.e., immunohistochemical staining.
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Impact of the COVID-19 Outbreak on Anesthesiologist Assistance for Endoscopic Procedures
Calcedonio Calcara,Camilla Ciscato,Arnaldo Amato,Emanuele Sinagra,Costanza Alvisi,Sandro Ardizzone,Andrea Anderloni,Pietro Gambitta 대한소화기내시경학회 2022 Clinical Endoscopy Vol.55 No.1
Background/Aims: The coronavirus disease 2019 (COVID-19) outbreak has modified the activities of endoscopy units worldwide. Herein, we investigated the impact of the COVID-19 outbreak on anesthesiologist assistance for endoscopic procedures in Lombardy,Italy. Methods: A questionnaire concerning anesthesiologist assistance provided from October 26 to December 6, 2020, in comparisonwith the same period in 2019, was sent to endoscopic units in Lombardy. Results: Approximately 54% (34/63) of the units responded. A reduction in the number of all endoscopies (-33.5%; 18792 in2020 vs. 28264 in 2019) and anesthesiologist-assisted endoscopies (-15.3%; 2652 in 2020 vs. 3132 in 2019) was reported. A greaterreduction in anesthesiologist assistance was observed in government community units (-29.5%) than in academic (-14%) andprivate community units (-4.6%). Among all units, 85% reported a reduction in anesthesiologist assistance; 65% observed a delay/cancellation of procedures; 59%, a restricted patient selection; 17%, the need to transfer some patients to other hospitals; and 32%, arelated worsening of procedure quality. Conclusion: The COVID-19 pandemic compromised the anesthesiologist assistance for endoscopic procedures in Lombardy, whichworsened the procedure quality mainly in government community units. The COVID-19 “stress test” suggests a more balancedallocation of anesthesiologic resources in the future.
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