Operative digestive Endoscopy

Unit

Clinical activity

The Operative Digestive Endoscopy Unit deals with the diagnosis and treatment of bilio-pacreatic and digestive system diseases. In collaboration with the Units of General surgeryGastroenterologyMedical Oncology and Radiation Oncology, it guarantees a multidisciplinary approach to bilio-pancreatic and gastrointestinal pathology. Procedures in deep sedation are performed with the support of anaesthesiology specialists, available in all endoscopic rooms.

The main topics of interest:

  • Pancreatic cancer
  • Chronic pancreatitis
  • Cystic and pseudocysts of the pancreas
  • Diseases of the biliary tree
  • Neoplastic or pre-neoplastic lesions of the stomach and colon
  • Bariatric Endoscopy
  • Gastroesophageal reflux disease  and  endoscopic treatment

Diagnostic and therapeutic services are offered in outpatient, day-hospital and hospitalization, in agreement with the National Health Service and privately.  They include:

  • Diagnostic and therapeutic echoendoscopy (EUS) (study of pancreas and biliary tract, mediastinum, submucosal lesions and, rectal pathology)
  • Endoscopic Retrograde Cholangiopancreatography (CPRE) for diseases of the biliary tract and pancreas, such as gallstones, neoplasia of the biliary tract and pancreas,
  • Diagnostic and operative colonoscopy (screening, colon polyps, colon neoplasms, inflammatory diseases). Mucosectomy (EMR), submucosal dissection (ESD) and full thickness resection technique (FTRD) are routinely practiced.
  • Endoscopic sleeve gastroplasty

The organization of health care ensures rapid performance and immediate delivery of the report. The Unit has the latest technology, uses strictly disposable materials and applies re-processing standards for the instruments, according to the most recent international guidelines. Patients are followed up at specialised clinics.

Research fields

  • EUS-guided ablative techniques
  • Neoadjuvant treatment in locally advanced pancreatic cancer tumours
  • Predictors of malignancy in pancreatic cysts
  • Full thickness resection of colonic and duodenal lesions
  • Endoscopic submucosal dissection of colonic lesions

Clinical and research collaboration

  • OVESCO Endoscopy AG, Tübingen, Germany
  • TaeWoong Medical Co.Ltd, South Korea
  • Boston Scientific S.p.A., Milan, Itlay
  • Abbvie, Rome, Italy
  • Soluscope, Aubagne, France
  • Digestive Endoscopy, “Paoli-Calmette” Institute, Marseille (France)
  • Gastroenterology and Digestive Endoscopy, Humanitas Hospital, Rozzano (MI)
  • Department of Gastroenterology, Yokohama City University, Yokohama
  • IHU  Institut de Chirurgie Guidée par l’image, Strasbourg

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