Le alterazioni del sistema emocoagulativo in corso di nutrizione parenterale totale con lipidi.

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Fat infusion and blood coagulation in patients undergoing surgery for esophageal cancer.

Twenty-six patients with stage III and IV esophageal cancer were randomly studied to evaluate the influence of fat emulsions (Intralipid) infusion on blood coagulation during total parenteral nutrition (TPN). The patients were divided into two groups: the first group (13 patients) received 24h. TPN; in the second group (13 patients) 1000 ml of 10\% Intralipid were added to TPN via a peripheral vein over a period of 12 h. (1.8-2.1 g/kg/day). Primary hemostasis, platelet adhesiveness, alterations in fibrin formation and risk factors were evaluated before treatment (Time 0), after 7 days (Time 1) and after 14 days (Time 2). Statistical analysis of results was also carried out. On the basis of the obtained results it is observed that Intralipid at the administered doses, did not cause any alterations in blood coagulation and particularly in platelet adhesiveness

La nutrizione parenterale totale in corso di pancreatite acuta e cronica

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[Esophageal prostheses by the endoscopic route (technics and results)].

The Authors reviewed their experience with palliative intubation for esophageal cancer. They have treated with endoscopic endoprostheses 197 patients with malignant strictures of the esophagus and/or cardias. Results and complications ore reported

[Peritoneo-jugular shunt with a Denver valve in the treatment of refractory ascites (personal experience)].

The Denver valve peritoneo-jugular shunt has proved to be a valid therapeutic procedure in the treatment of refractory ascites. After briefly outlining the indications and advantages of the Denver valve and explaining how it is applied, the authors report the results obtained in their patient population

Metodologia del trasporto del politraumatizzato.

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