Publications by authors named "E Liverani"
Article Synopsis
- Percutaneous ultrasound-guided radiofrequency ablation (RFA) is an effective treatment for liver tumors like hepatocellular carcinoma (HCC) and colorectal liver metastases (CRLMs), with sedation being crucial for a safe procedure.
- A retrospective study involving 35 patients showed that RFA was done without any anesthesia-related complications, using a step-up sedation approach, leading to excellent local tumor-free survival rates within one to six months.
- The findings suggest that performing RFA in a non-operating room anesthesia (NORA) setting is well-tolerated by patients and results in positive postoperative and oncological outcomes.
Post-sleeve gastrectomy fistulas are a rare but possibly severe life-threatening complication. Besides early reoperation and drainage, endoscopy is the main treatment option. According to the clinical setting, endoscopic treatment options comprise stent or clip placement.
View Article and Find Full Text PDFMalignant biliary obstruction (MBO), both distal and hilar, represents an ensemble of different clinical conditions frequently encountered in everyday practice. Given the frequent unresectability of the disease at presentation and the increasing indications for neoadjuvant chemotherapy, endoscopic biliary drainage is generally required during the course of the disease. With the widespread use of interventional endoscopic ultrasound (EUS) and the introduction of dedicated devices, EUS-guided biliary drainage has rapidly gained acceptance, together with transpapillary endoscopic biliary drainage and the percutaneous approach.
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- * Local excision techniques, enhanced by advanced imaging and endoscopic evaluation, offer promising options for treating early rectal cancer.
- * Despite the benefits, many patients still receive total mesorectal excision (TME) instead of local techniques, prompting a review of current practices and future directions in treatment.
Postoperative non variceal upper gastrointestinal haemorrhage may occur early or late and affect a variable percentage of patients-up to about 2%. Most cases of intraluminal bleeding are an indication for urgent Esophagogastroduodenoscopy (EGD) and require endoscopic haemostatic treatment. In addition to the approach usually adopted in non-variceal upper haemorrhages, these cases may be burdened with difficulties in terms of anastomotic tissue, angled positions, and the risk of further complications.
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