Luca Gianotti
University of Milano-Bicocca
SurgeryPerioperativeDiabetes mellitusGeneral surgeryMedicine
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Publications 209
#1Alessandro Giani (University of Milano-Bicocca)H-Index: 4
#2Simone Famularo (University of Milano-Bicocca)H-Index: 3
Last. Luca Gianotti (University of Milano-Bicocca)H-Index: 33
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Abstract Purpose Baseline body composition has been associated with dismal outcome in patients undergoing a variety of major abdominal operations. Whether specific anthropometric indexes can predict morbidity after rectal resection is poorly investigated. Methods Computed tomography-derived measures of skeletal muscle and adipose tissue areas of patients operated for rectal cancer between January 2009 and December 2016 were used to calculate population-specific thresholds of sarcopenia, subcutan...
#1Ilaria Trestini (University of Verona)H-Index: 3
#2Salvatore Paiella (University of Verona)H-Index: 11
Last. Daniela Tregnago (University of Verona)H-Index: 1
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#1Luca GianottiH-Index: 33
#2Marta SandiniH-Index: 12
Last. Thilo Hackert (Heidelberg University)H-Index: 36
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PURPOSE OF REVIEW: The aim of this review is to give an overview of recently published articles covering preoperative carbohydrate loading in surgical patients. RECENT FINDINGS: Between January 1, 2017, and December 31, 2019, 26 publications addressing the effect of carbohydrate load were retrieved through a systematic search. Seventeen were randomized clinical trials, three prospective observational studies and six retrospective series with case-control comparison. Most of the studies were unde...
#1Ilaria Trestini (University of Verona)H-Index: 3
#2Salvatore Paiella (University of Verona)H-Index: 11
Last. Clelia Bonaiuto (University of Verona)H-Index: 3
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BACKGROUND: Nutritional derangements are common hallmarks of pancreatic cancer (PC). Their early detection and management are usually overlooked in routine practice. This study aimed to explore preoperative nutritional status and its prognostic value in patients undergoing surgery for PC. METHODS: Data from 73 patients who underwent surgery for PC from November 2015 to January 2018 at the General and Pancreatic Surgery Unit, The Pancreas Institute, University Hospital of Verona Hospital, Verona,...
1 CitationsSource
#1Dileep N. Lobo (NIHR: National Institute for Health Research)H-Index: 56
#2Luca Gianotti (University of Milano-Bicocca)H-Index: 33
Last. Stanislaw Klek (Memorial Hospital of South Bend)H-Index: 21
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Summary Background and aims Malnutrition has been recognized as a major risk factor for adverse postoperative outcomes. The ESPEN Symposium on perioperative nutrition was held in Nottingham, UK, on 14-15 October 2018 and the aims of this document were to highlight the scientific basis for the nutritional and metabolic management of surgical patients. Methods This paper represents the opinion of experts in this multidisciplinary field and those of a patient and caregiver, based on current evidenc...
#1Yi Miao (Nanjing Medical University)H-Index: 25
#2Zipeng Lu (Nanjing Medical University)H-Index: 13
Last. Jens Werner (LMU: Ludwig Maximilian University of Munich)H-Index: 56
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Abstract Background The aim was to evaluate the various operative techniques and outcomes used to manage the pancreatic transection plane (or stump) during a left (distal) pancreatectomy and to develop expert consensus guidelines. Methods Evidence-based, clinically relevant questions were discussed and then were circulated among members of the International Study Group of Pancreatic Surgery. After agreement on the questions and statements, voting in a 9-point Likert scale was used to gauge the l...
#1Ajith K. Siriwardena (Manchester Royal Infirmary)H-Index: 32
#2John A. Windsor (University of Auckland)H-Index: 53
Last. Martin D. SmithH-Index: 30
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Abstract Background The International Study Group for Pancreatic Surgery provides globally accepted definitions for reporting of complications after pancreatic surgery. This International Study Group for Pancreatic Surgery project aims to provide a standardized framework for reporting of the results of operative treatment for chronic pancreatitis. Methods An International Study Group for Pancreatic Surgery project circulation list was created with pre-existing and new members and including gastr...
#2Johann OckengaH-Index: 28
Last. Mary Phillips (Royal Surrey County Hospital)H-Index: 6
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Summary Both acute and chronic pancreatitis are frequent diseases of the pancreas, which, despite being of benign nature, are related to a significant risk of malnutrition and may require nutritional support. Acute necrotizing pancreatitis is encountered in 20% of patients with acute pancreatitis, is associated with increased morbidity and mortality, and may require artificial nutrition by enteral or parenteral route, as well as additional endoscopic, radiological or surgical interventions. Chro...
1 CitationsSource
Background: While perioperative red blood cell transfusion has been widely associated with poor surgical outcomes, few studies have focused specifically on the preoperative transfusional ri...
#1Nicolò TaminiH-Index: 3
#2Alessandro Giani (University of Milan)H-Index: 4
Last. Luca Gianotti (University of Milan)H-Index: 33
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Elderly patients with rectal tumor are often undertreated if compared to younger ones. The reasons for this attitude are not fully clear.The aim of this study was to determine the feasibility of radical treatments for rectal cancer in subjects with an age >/= 75 years (group 1) and to compare short- and long-term outcomes of these patients with patients with an age of less that 75 years (group 2). 311 consecutive patients who underwent radical surgery for rectal cancer were evaluated. A propensi...