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Bariatric and Metabolic Surgery
This book describes the surgical bariatric procedures most frequently performed worldwide and examines their evolution in recent years both within Italy and internationally. For each operation, indications, the surgical technique, potential complications, and the outcomes with respect to weight and obesity-associated comorbidities are presented. In view of the significant failure rate revealed by studies on the long-term results of bariatric surgery, the problem of weight regain and revision surgery are also discussed in detail, covering the different types of revision, conversion to other procedures, and the main outcomes. In addition, individual chapters focus on selected topics of importance. The role of bariatric surgery in the cure of type 2 diabetes (“diabetes surgery”) is discussed and the debate over the significance of gastroesophageal reflux disease and hiatal hernia for choice of procedure is summarized. Finally, the most common endoluminal procedures, which have been gaining in importance, are described and other bariatric operations, outlined.
Surgical Management of Elderly Patients
This volume offers a comprehensive and up-to-date overview of the major surgical procedures performed on elderly patients. With advancing age the conditions that require surgery normally increase in incidence, and today all surgeons around the globe can be considered “geriatric surgeons”. The latest anesthesiological procedures, the technical improvements and an increased medical knowledge of the comorbities impact have brought extraordinary advances in this field, but this should not allow us to forget that a careful assessment of elderly patients is necessary before undertaking surgery, since also the simplest surgical procedures could alter the delicate psychophysical equilibrium of these “frail” patients. Introduced by a demographic panorama and analysis, the book describes the anesthesiological management, the preoperative assessment and preparation, the perioperative care, and hemostasis control connected with the main surgical pathologies: gastrointestinal, endocrine, neoplastic, vascular and hepato-biliary, as well with traumatic and non-traumatic emergencies. It will be an invaluable, easy-to-use resource for clinicians, researchers and trainees alike.
Imaging of Perianal Inflammatory Diseases
This practical volume is intended for all radiologists, gastroenterologists, and surgeons who are responsible for, or interested in, the diagnosis and care of patients with diseases of the anal and perianal region. After an introductory section focusing on surgical, MRI, and US anatomy, up-to-date clinical and therapeutic information is provided on the full range of perianal inflammatory conditions, with special attention to Crohn’s disease, ulcerative colitis, and sexually transmitted diseases. Physical and surgical examination is carefully discussed, with consideration of limitations, results, clinical needs, and the questions likely to be posed of imaging. The subsequent three sections provide detailed information on the different imaging modalities: transanal and transperineal ultrasound, contrast-enhanced MRI, and CT. Techniques, diagnostic accuracy, common and unusual disease patterns, artifacts, and pitfalls are clearly presented.
Gastroenterology
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Pharmacology of Antimuscarinic Agents
The theoretical and practical significance of antimuscarinic drugs is more obvious today than ever before. Antimuscarinics have helped to explore the pathomechanisms of of Alzheimer's disease, and to treat the symptoms of Parkinson's, cardiovascular problems, gastrointestinal diseases, and even nerve gas poisoning. No other drug class can claim as long a history with so many therapeutic applications, yet the most significant developments in this broad chapter of pharmacology come from the discovery of different muscarinic receptor sites in the peripheral and central nervous system and from the availability of many new selective agents, notably antagonists, for these different receptor types. Pharmacology of Antimuscarinic Agents, written by an expert in anesthesiology and drug research, focuses on the basic principles of antimuscarinic drugs, their therapeutic value, how they work, and what versions are now available in the U.S. and abroad. This is the first time in decades an author has reviewed historical and current literature to present a comprehensive, standard reference on the antimuscarinic family.
Imaging of Ulcerative Colitis
During the past decade, the medical and surgical treatment of ulcerative colitis has undergone dramatic advances, including the widespread use of immunomodulators, biological drugs, and restorative proctocolectomy. In order to correctly balance the risks and benefits of medical therapies and surgical procedures, there is a need for improved diagnosis of colonic disease, acute complications, extraintestinal manifestations, and early and delayed postoperative complications. Cross-sectional imaging techniques are therefore playing an increasing role in the assessment of ulcerative colitis and provide an essential complement to clinical data and endoscopy. This practical, illustrated volume on t...
Psicologia delle masse e analisi dell'io
Edizione integrale«Che cos'è un gruppo? Donde gli deriva il potere di esercitare un'influenza tanto decisiva sulla vita psichica dell'individuo? In cosa consistono le modificazioni psichiche che esso gli impone? Il compito della psicologia collettiva teorica è di dar risposta a questi tre interrogativi»: così Freud si accinge a spiegare al lettore cosa avviene nella psiche del singolo quando si trova all'interno di una massa. Pubblicato nel 1921, questo saggio costituisce un contributo essenziale alla comprensione dei meccanismi psicologici delle masse e un valido esempio di applicazione dei concetti della psicoanalisi alla sfera del sociale. Allo studio della dinamica psicologica delle...
L'uomo che volle farsi re e I costruttori di ponti
Introduzione di Francesco BinniTraduzione integrale di Fabio MacherelliAutentico classico della letteratura d'avventura e al tempo stesso penetrante parabola dell'Impero britannico, L'uomo che volle farsi re narra la storia di una coppia di vagabondi che tentano di costruirsi un regno fra le tribù primitive di una fantastica propaggine montagnosa dell'India. In questo racconto, da cui fu tratta una celebre versione cinematografica con Sean Connery e Michael Caine, Kipling si rivela scrittore di complessi registri, ora ironico, ora sentimentale, ora compassionevole e amaro, sempre storico acuto e immaginativo dell'India e di quella cultura britannica che tenta tenacemente di modellare a prop...
Le uova fatali
La storia di un'invasione di rettili giganti in un capolavoro della letteratura fantascientificaEdizione integraleIntroduzione di Rito GiulianiUno scienziato che scopre un raggio rosso dalle qualità straordinarie, una misteriosa e inarrestabile moria di polli, un oscuro funzionario di partito che ottiene l'autorizzazione a usare il raggio su uova di gallina per ripristinare in tempi brevi la pollicoltura, un errore fatale: con questi quattro ingredienti Bulgakov confeziona, nel 1924, un racconto che costituisce un capolavoro della letteratura satirica russa. Attingendo ai procedimenti di vari generi letterari - il genere fantascientifico, l'apolago - Bulgakov dà vita a un'antiutopia dove s...
Le campane
Edizione integraleIntroduzione di Marisa SestitoIl messaggio di amore e di fiducia nell'uomo viene affidato in questo racconto (1844) alla voce delle campane, vecchie compagne dello sparuto, affamato Trotty Veck, perennemente in attesa di messaggi o pacchi da recapitare. Divenute immense spettrali figure, lo guidano attraverso il difficile cammino dell'apprendimento, additando nella sfiducia verso l'umanità la sua colpa. Gli scorrono davanti agli occhi le immagini di un futuro amaro e senza riscatto, in cui gli esseri amati si degradano nella miseria, nella prostituzione, nel crimine. In un incerto equilibrio tra la vita e la morte il racconto consente, sin quasi alla fine, una doppia lettu...
