Publications by authors named "Gabriele Petracca"
Article Synopsis
- This study compares two surgical methods, Hartmann's procedure (HP) and resection with primary anastomosis (RPA), for treating acute left-sided colonic emergencies among 1215 patients from 204 centers globally.
- Results showed that while HP was the more common treatment (57.3%), RPA was favored for younger patients with fewer health issues and those needing surgery sooner.
- The study concluded that although HP is still widely used, RPA might be the better option, emphasizing the importance of patient characteristics and surgeon experience in determining treatment choice.
Purpose: Pneumatosis intestinalis is a radiological finding with incompletely understood pathogenesis. To date, there are no protocols to guide surgical intervention.
Methods: A systematic review of literature, according to PRISMA criteria, was performed.
Background: The management of recurrent diverticulitis after initial non-operative treatment remains controversial. Recurrences after medical treatment have been described up to 36% but only 3 to 5% develop complicated disease.
Aim: To investigate the effectiveness of conservative treatment during a prolonged follow-up after first episode of complicated diverticulitis.
: The management of complicated diverticulitis in the elderly can be a challenge and initial non-operative treatment remains controversial. In this study, we investigate the effectiveness of conservative treatment in elderly people after the first episode of complicated diverticulitis. : This retrospective single-centre study describes 71 cases of elderly patients with complicated acute colonic diverticulitis treated with conservative management at Parma University Hospital from 1 January 2012 to 31 December 2019.
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- The study investigates the impact of bariatric surgery (BS) on the severity of COVID-19 among patients in Italy during the spring outbreak of 2020.
- Researchers conducted a survey of 594 patients to compare COVID-19 incidence and symptoms between those who underwent BS and candidates waiting for the surgery.
- Results indicated that operated patients experienced fewer COVID-19 symptoms and complications compared to candidates for surgery, suggesting that BS may lead to milder COVID-19 infections among individuals with obesity.
Article Synopsis
- Bariatric surgery (BS) is increasingly used to treat severe obesity, but post-operative neurological complications are becoming more recognized and relevant.
- A study at Parma University involving 61 patients from 2012 to 2015 determined that 11.4% experienced new neurological symptoms like numbness and muscle weakness after surgery, which generally resolved within two years.
- The findings suggest that post-operative neuropathy could be linked to lower levels of certain vitamins, specifically B1, B2, and B12, but showed no significant impact on body mass index or weight loss outcomes; further research with larger groups is needed for confirmation.
The endoscopic inaccessibility of the gastric remnant after Roux-en-Y gastric bypass (RYGBP) for morbid obesity represents an important issue for patients with familiar history of gastric cancer (GC) or affected by premalignant lesions, such as intestinal metaplasia. If a different bariatric procedure is contraindicated, RYGBP with remnant gastrectomy represents a reasonable alternative, significantly reducing the risk of GC but potentially increasing postoperative morbidity. For this reason, only few cases have been reported in the recent Literature and none regarding a super-super obese patient.
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