Publications by authors named "A Vitiello"

Article Synopsis
  • A study comparing loop ileostomy reversal to standardized colorectal procedures found significant variations in surgical practices among Italian surgeons, highlighting both the techniques used and adherence to recovery protocols.
  • An online survey involving 219 colorectal surgeons revealed diverse methods for assessing anastomosis integrity, with no clear consensus on the use of prostheses during abdominal wall closure.
  • The survey indicated a high level of compliance with the Enhanced Recovery After Surgery (ERAS) protocol, particularly among colorectal specialists compared to general surgeons, suggesting the need for standardized practices like purse-string closure.
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Obesity is a chronic disease associated with increased morbidity and mortality and reduced quality of life. Pharmacotherapy can be associated with life style changes in increasing and maintaining weight loss and ameliorating obesity-related complications and comorbidities. In patients affected by obesity and uncontrolled obesity-associated complications or high degrees of BMI (> 40 Kg/m), metabolic bariatric surgery can be a valid therapeutic option.

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The 2022 American Society for Metabolic and Bariatric Surgery (ASMBS) and International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO) updated the indications for metabolic and bariatric surgery (MBS), replacing the previous guidelines established by the National Institutes of Health (NIH) over 30 years ago. The evidence supporting these updated guidelines has been strengthened to assist metabolic and bariatric surgeons, nutritionists, and other members of multidisciplinary teams (MDTs), as well as patients. This study aims to assess the level of evidence and the strength of recommendations compared to the previously published criteria.

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Article Synopsis
  • - Cancer is a significant global health issue, leading to ongoing research into effective treatments, particularly focusing on natural compounds from plants that may help in prevention and therapy due to their pharmacological benefits.
  • - The review evaluates the therapeutic potential of five natural compounds—apigenin, quercetin, piperine, curcumin, and resveratrol—highlighting their anticancer mechanisms, roles in personalized cancer care, and advantages like low toxicity and compatibility with standard treatments.
  • - It emphasizes the need for innovative delivery systems and personalized approaches to enhance the effectiveness of these compounds, ultimately supporting a multidisciplinary strategy for improving cancer management and patient outcomes.
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Article Synopsis
  • The ASMBS and IFSO updated the guidelines for Metabolic and Bariatric Surgery in 2022, replacing 30-year-old NIH recommendations.
  • These new guidelines are based on stronger evidence and are designed to support healthcare professionals and patients in making informed decisions about surgery.
  • The study evaluates the quality of evidence and the effectiveness of these updated recommendations compared to the old criteria.
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