Efficacy of hemostatic powders as monotherapy or rescue therapy in gastrointestinal bleeding related to neoplastic or non-neoplastic lesions.

Background: Hemostatic powder (HP) in gastrointestinal bleeding (GIB) is mainly used as rescue therapy after failure of conventional hemostatic procedures (CHP).

Aim: To define the best field of application and the efficacy of HP as first choice monotherapy or rescue therapy.

Methods: We compared the efficacy of HP monotherapy, HP rescue therapy, and CHP in the management of active GIB due to neoplastic and non-neoplastic lesions.

Surgical treatment of isolated lung and adrenal metastasis from colorectal cancer. Case report.

Introduction: Up to 30% of stage I and II colorectal cancers (CRCs) treated with surgical resection alone show disease recurrence, indicating that lymph node (LN) involvement was probably underestimated. Lung is a common site of CRC metastasis, whereas adrenal glands are rarely involved.

Case Report: On July 2004 a 56-year old woman underwent left hemicolectomy for a stage I sigmoid cancer.