Research Topics
| P A TestoniSummaryAffiliation: San Raffaele Scientific Institute Country: Italy Publications
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Detail Information
Publications
High-definition colonoscopy with i-Scan: better diagnosis for small polyps and flat adenomasPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, Scientific Institute San Raffaele, 20132 Milan, Italy
World J Gastroenterol 18:5231-9. 2012..To investigate if high-definition (HD) colonoscope with i-Scan gave a higher detection rate of mucosal lesions vs standard white-light instruments...
Transoral incisionless fundoplication with EsophyX® for treatment of gastro-oesphageal reflux diseasePier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, San Raffaele Scientific Institute, Milan, Italy
Dig Liver Dis 44:631-5. 2012....
Transoral incisionless fundoplication (TIF 2.0) with EsophyX for gastroesophageal reflux disease: long-term results and findings affecting outcomePier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Via Olgettina 58, 20132, Milan, Italy
Surg Endosc 26:1425-35. 2012..The aim of this study is to assess the long-term effect of TIF in patients with symptomatic GERD...
Main pancreatic duct, common bile duct and sphincter of Oddi structure visualized by optical coherence tomography: An ex vivo study compared with histologyP A Testoni
Division of Gastroenterology, Vita Salute San Raffaele University, IRCCS San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy
Dig Liver Dis 38:409-14. 2006..Up till now, the optical coherence tomography appearance of the common bile duct, main pancreatic duct and sphincter of Oddi wall structure has not yet been defined...
Effect of transoral incisionless fundoplication on symptoms, PPI use, and ph-impedance refluxes of GERD patientsPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Via Olgettina 58, 20132, Milan, Italy
World J Surg 34:750-7. 2010..The objective of the present study was to evaluate the effect of TIF on symptoms, use of proton pump inhibitors (PPI), esophageal motility, and pH-impedance in patients with symptomatic GERD...
Optical coherence tomography for bile and pancreatic duct imagingPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, Scientific Institute San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy
Gastrointest Endosc Clin N Am 19:637-53. 2009....
Pancreatic ductal abnormalities documented by secretin-enhanced MRCP in asymptomatic subjects with chronic pancreatic hyperenzymemiaPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Universita Vita Salute San Raffaele, IRCCS San Raffaele Hospital, Milan, Italy
Am J Gastroenterol 104:1780-6. 2009..The objective of this study was to evaluate pancreatic ductal morphology by secretin-enhanced magnetic resonance cholangiopancreatography (MRCP-S) in subjects with CPH and compare MRCP imaging before and after secretin injection...
Frequency of post-ERCP pancreatitis in a single tertiary referral centre without and with routine prophylaxis with gabexate: a 6-year survey and cost-effectiveness analysisP A Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, IRCCS San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy
Dig Liver Dis 38:588-95. 2006....
Optical coherence tomography compared with histology of the main pancreatic duct structure in normal and pathological conditions: an 'ex vivo study'P A Testoni
Division of Gastroenterology, Vita Salute San Raffaele University, IRCCS San Raffaele Hospital, Milan, Italy
Dig Liver Dis 38:688-95. 2006....
Investigation of Oddi sphincter structure by optical coherence tomography in patients with biliary-type 1 dysfunction: a pilot in vivo studyP A Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy
Dig Liver Dis 41:907-12. 2009..No data exist on the evaluation of sphincter of Oddi fibrosis by optical coherence tomography during ERCP in vivo...
Endoscopic stenting in benign pancreatic diseasesPier Alberto Testoni
Division of Gastroenterology, Vita Salute San Raffaele University, Scientific Institute San Raffaele Milan, Italy
JOP 8:141-50. 2007..The present review aims at updating and discussing techniques, indications and results of endoscopic pancreatic duct stent placement in acute and chronic inflammatory diseases of the pancreas...
Optical coherence tomographyPier Alberto Testoni
Division of Gastroenterology, Vita Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy
ScientificWorldJournal 7:87-108. 2007..OCT imaging of the pancreatic and biliary ductal system could improve the diagnostic accuracy for ductal epithelial changes, and the differential diagnosis between neoplastic and non-neoplastic lesions...
Optical coherence tomography for investigation of the pancreatico-biliary system: still experimental?Pier Alberto Testoni
Department of Gastroenterology and Gastrointestinal Endoscopy, IRCCS Vita Salute San Raffaele University, San Raffaele Hospital Scientific Institute, Milan, Italy
JOP 8:156-65. 2007
Sedation and analgesia in gastrointestinal endoscopy: what's new?Lorella Fanti
World J Gastroenterol 16:2451-7. 2010..Therefore there is an impulse for development of new approaches to endoscopic sedation. This article provides an update on the methods of sedation today available and future directions in endoscopic sedation...
Optical coherence tomography in detection of dysplasia and cancer of the gastrointestinal tract and bilio-pancreatic ductal systemPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, Scientific Institute San Raffaele, Via Olgettina 60, Milan 20132, Italy
World J Gastroenterol 14:6444-52. 2008..OCT imaging of the pancreatic and biliary ductal system could improve the diagnostic accuracy for ductal epithelial changes and the differential diagnosis between neoplastic and non-neoplastic lesions...
Difficult biliary cannulation during ERCP: how to facilitate biliary access and minimize the risk of post-ERCP pancreatitisPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University Scientific Institute San Raffaele, Milan, Italy
Dig Liver Dis 43:596-603. 2011....
Octreotide 24-h prophylaxis in patients at high risk for post-ERCP pancreatitis: results of a multicenter, randomized, controlled trialP A Testoni
University Vita Salute San Raffaele, San Raffaele, Milan, Italy
Aliment Pharmacol Ther 15:965-72. 2001..However, it could be useful and probably cost-effective, in patients at high risk for this complication, where the post-procedure pancreatitis rate is 10% and more...
Simple measures to prevent post-ERCP pancreatitis?Pier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Scientific Institute San Raffaele, Via Olgettina 60, 20132 Milano, Italy
Gut 57:1197-8. 2008
Risk factors for post-ERCP pancreatitis in high- and low-volume centers and among expert and non-expert operators: a prospective multicenter studyPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Universita Vita Salute San Raffaele, IRCCS San Raffaele Hospital, Milan, Italy
Am J Gastroenterol 105:1753-61. 2010..The endoscopist's expertise, case volume, and case mix can all significantly influence the outcome of ERCP procedures, but have been investigated little to date...
Unresolved issues about post-ERCP pancreatitis: an overviewPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, University Vita Salute San Raffaele, IRCCS San Raffaele Hospital, Milan, Italy
JOP 3:156-61. 2002..An attempt to identify criteria for defining post-ERCP pancreatitis has also been carried out, although these proposed criteria have not been widely adopted by all Authors...
Why the incidence of post-ERCP pancreatitis varies considerably? Factors affecting the diagnosis and the incidence of this complicationPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, University Vita Salute San Raffaele, IRCCS San Raffaele Hospital, Milan, Italy
JOP 3:195-201. 2002..9 to 11.7% depending on the criteria adopted...
Preventing post-ERCP pancreatitis: where are we?Pier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, University Vita Salute San Raffaele, IRCCS San Raffaele Hospital, Milan, Italy
JOP 4:22-32. 2003..When either diagnostic or therapeutic ERCP is indicated, these high-risk patients should be informed about their own specific risk of postprocedure pancreatitis...
Precut sphincterotomy, repeated cannulation and post-ERCP pancreatitis in patients with bile duct stone diseasePier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, Scientific Institute San Raffaele, Via Olgettina 60, 20132 Milan, Italy
Dig Liver Dis 43:792-6. 2011..Whether precut alone or repeated attempts at cannulation is the culprit factor in the development of post-ERCP pancreatitis remains controversial...
Diagnostic yield of ERCP and secretin-enhanced MRCP and EUS in patients with acute recurrent pancreatitis of unknown aetiologyA Mariani
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy
Dig Liver Dis 41:753-8. 2009..EUS also serves to identify changes in the pancreatic parenchyma consistent with chronic pancreatitis, at an early stage. However, no studies have compared MRCP-S, EUS-S, and ERCP in the diagnosis of recurrent pancreatitis...
Endoscopic ultrasound-guided application of a new internally gas-cooled radiofrequency ablation probe in the liver and spleen of an animal model: a preliminary studyS Carrara
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy
Endoscopy 40:759-63. 2008..In a previous study, a new flexible bipolar hybrid cryotherm probe was applied with success to the pancreas of a living pig. Here we evaluated feasibility, efficacy, and safety of its application to the porcine liver and spleen...
Prospective multicenter quality assessment of endotherapy of biliary stones: does center volume matter?E Masci
Gastroenterology and Endoscopic Unit, S Raffaele Hospital, Milan, Italy
Endoscopy 39:1076-81. 2007..To study the effectiveness of endoscopic treatment for biliary stones in a large case list of patients treated in units with different experience and different workloads in a region of northern Italy...
EUS-guided methylene blue injection into the pancreatic duct as a guide for pancreatic stenting after ampullectomyS Carrara
Division of Gastroenterology and Gastrointestinal Endoscopy, University Vita-Salute San Raffaele, Scientific Institute San Raffaele, Milan, Italy
Endoscopy 39:E151-2. 2007
Complications of diagnostic and therapeutic ERCP: a prospective multicenter studyE Masci
Gastroenterology and Endoscopic Unit, S. Raffaele Hospital, Milan, Italy
Am J Gastroenterol 96:417-23. 2001..CONCLUSIONS: The results of our study further contribute to the assessment of risk factors for complications related to ERCP/ES. It is crucial to identify high risk patients to reduce complications of the procedures...
Midazolam and pethidine versus propofol and fentanyl patient controlled sedation/analgesia for upper gastrointestinal tract ultrasound endoscopy: a prospective randomized controlled trialM Agostoni
Department of Anaesthesiology, IRCCS H San Raffaele, Vita Salute University of Milano, Milan, Italy
Dig Liver Dis 39:1024-9. 2007..Our primary end-points were patient satisfaction and patient cooperation assessed by endoscopist...
Endoscopic ultrasound-guided application of a new hybrid cryotherm probe in porcine pancreas: a preliminary studyS Carrara
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy
Endoscopy 40:321-6. 2008..We aimed to demonstrate the feasibility of transluminal RF ablation and to evaluate the efficacy and safety of a new flexible bipolar ablation probe combining RF and cryotechnology...
Metal stent migration after chemotherapyB Mangiavillano
Division of Gastroenterology and Gastrointestinal Endoscopy, University Vita-Salute San Raffaele, Scientific Institute San Raffaele, Milan, Italy
Endoscopy 39:E111. 2007
Usefulness of lower gastrointestinal endoscopy on suspicion of an iatrogenic sigmoid perforation caused by an aorto-bifemoral prosthetic bypassB Mangiavillano
Division of Gastroenterology and Gastrointestinal Endoscopy Unit, Vita-Salute San Raffaele University, San Raffaele Scientific Institute, Milan, Italy
Endoscopy 40:E170. 2008
Risk factors for pancreatitis following endoscopic retrograde cholangiopancreatography: a meta-analysisE Masci
Gastroenterology and Endoscopic Unit, S Raffaele Hospital, Milan, Italy
Endoscopy 35:830-4. 2003..The aim of this study was to identify the most important risk factors for post-ERCP pancreatitis...
Complication after endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of rectal lesionG Mezzi
Department of Gastroenterology and Gastrointestinal Endoscopy, IRCCS Vita-Salute University, San Raffaele Scientific Institute, Milan, Italy
Endoscopy 39:E137. 2007
Pain at 24 hours associated with amylase levels greater than 5 times the upper normal limit as the most reliable indicator of post-ERCP pancreatitisP A Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, University Vita-Salute San Raffaele, IRCCS San Raffaele Hospital, Milan, Italy
Gastrointest Endosc 53:33-9. 2001..CONCLUSIONS: Features consistent with clinical pancreatitis were present only among patients with pancreatic-type pain at 24 hours and amylase levels higher than 5 times normal. Additional follow-up is required for these patients...
Helicobacter pylori seroprevalence in Crohn's disease: lack of influence by pharmacological treatmentM Guslandi
Gastroenterology Unit, S Raffaele University Hospital, Milan, Italy
Hepatogastroenterology 49:1296-7. 2002..We investigated Helicobacter pylori seroprevalence in patients with Crohn's disease never treated with sulphasalazine in order to assess the possible role of antibiotic treatment...
Surgical management of acute pancreatitis in Italy: lessons from a prospective multicentre studyPaolo De Rai
Department of Surgery and Emergency Surgery, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico IRCCS Institute for Scientific Care and Treatment Ca Granda Ospedale Maggiore Policlinico, Milan, Italy
HPB (Oxford) 12:597-604. 2010..This study aimed to evaluate the surgical treatment of acute pancreatitis in Italy and to assess compliance with international guidelines...
Is the fluoroscopic image always a true representation of the position of an endoscopically placed device?B Mangiavillano
Division of Gastroenterology and Gastrointestinal Endoscopy, University Vita Salute San Raffaele, Scientific Institute San Raffaele, Milan, Italy
Endoscopy 38:E60. 2006
Long-term follow-up and serologic assessment after triple therapy with omeprazole or lansoprazole of Helicobacter-associated duodenal ulcerL Fanti
Gastroenterology, Unit, University of Milan, IRCCS San Raffaele Hospital, Italy
J Clin Gastroenterol 32:45-8. 2001..Serology is useful for monitoring Hp eradication provided that an appropriate percent reduction in IgG titer is used after more then 6 months after therapy...
Target-controlled infusion during monitored anesthesia care in patients undergoing EUS: propofol alone versus midazolam plus propofol. A prospective double-blind randomised controlled trialL Fanti
Division of Gastroenterology, San Raffaele Scientific Institute, Milan, Italy
Dig Liver Dis 39:81-6. 2007..It has been speculated that midazolam may be effective in reducing the required dose of propofol during sedation...
A pilot trial of Saccharomyces boulardii in ulcerative colitisMario Guslandi
Gastroenterology Unit, S Raffaele University Hosptial, Milan, Italy
Eur J Gastroenterol Hepatol 15:697-8. 2003..The aim of this study was to assess the efficacy of S. boulardii in ulcerative colitis patients...
Comparison of two dosing regimens of gabexate in the prophylaxis of post-ERCP pancreatitisEnzo Masci
Servizio di Gastroenterologia ed Endoscopia Digestiva, Ospedale S. Raffaele, , Milan, Italy
Am J Gastroenterol 98:2182-6. 2003..CONCLUSIONS: These results suggest that a 6.5-h infusion of gabexate (for a total of 500 mg) is not less effective than a 13 h infusion, with evident savings...
In diffuse atrophic gastritis, routine histology underestimates Helicobacter pylori infectionPier Alberto Testoni
Division of Gastroenterology and Gastrointestinal Endoscopy, University Vita Salute San Raffaele, IRCCS San Raffaele Hospital, Milano, Italy
J Clin Gastroenterol 35:234-9. 2002..However, when atrophy occurs, the sensitivity of bacterial detection varies. This study assessed the routine histologic sensitivity for current infection in patients with atrophic gastritis, with and without intestinal metaplasia...
Facts and fiction in the pharmacologic prevention of post-ERCP pancreatitis: a never-ending storyPier Alberto Testoni
Gastrointest Endosc 64:732-4. 2006
Optical coherence tomography to detect epithelial lesions of the main pancreatic duct: an Ex Vivo studyPier Alberto Testoni
Division of Gastroenterology, Vita-Salute-San Raffaele University, IRCCS San Raffaele Hospital, Milan, Italy
Am J Gastroenterol 100:2777-83. 2005..In non-neoplastic conditions, OCT appeared unable to differentiate between normal and abnormal tissues in about half of the cases...
Enteral self-expandable metal stent for malignant luminal obstruction of the upper and lower gastrointestinal tract: a prospective multicentric studyEnzo Masci
Division of Gastroenterology and Gastrointestinal Endoscopy, University Vita Salute San Raffaele, San Raffaele Hospital, Via Olgettina 60, Milan, Italy
J Clin Gastroenterol 42:389-94. 2008..However, the literature offers scant prospective data on the clinical outcome of these patients...
Distal ulcerative colitis refractory to rectal mesalamine: role of transdermal nicotine versus oral mesalamineMario Guslandi
San Raffaele University Hospital, Milan, Italy
Can J Gastroenterol 16:293-6. 2002..Distal ulcerative colitis usually responds to treatment with rectal mesalamine, but the management of refractory cases is poorly defined...
Secretin MRCP and endoscopic pancreatic manometry in the evaluation of sphincter of Oddi function: a comparative pilot study in patients with idiopathic recurrent pancreatitisAlberto Mariani
Division of Gastroenterology and Gastrointestinal Endoscopy, Department of Radiology, University Vita-Salute San Raffaele, IRCCS San Raffaele Hospital, Milan, Italy
Gastrointest Endosc 58:847-52. 2003..8% and 100% (kappa value 0.706). CONCLUSIONS: Secretin MRCP seems to be a useful noninvasive procedure for investigation of pancreatic sphincter of Oddi function, but evaluation in larger series is needed...
Direct detection of Helicobacter pylori mutations associated with macrolide resistance in gastric biopsy material taken from human immunodeficiency virus-infected subjectsPaolo Scarpellini
Infectious Diseases Division, San Raffaele Scientific Institute, Milan, Italy
J Clin Microbiol 40:2234-7. 2002..1%) of 46 and 2 (8.7%) of 23 samples from human immunodeficiency virus-seropositive and -seronegative persons, respectively. The results of the mutational analysis fully correlated with those of the susceptibility tests...
Is acute recurrent pancreatitis a chronic disease?Alberto Mariani
Division of Gastroenterology and Gastrointestinal Endoscopy, Scientific Institute San Raffaele, Via Olgettina 60, Milano 20132, Italy
World J Gastroenterol 14:995-8. 2008....
Endoscopic ultrasonography for evaluating patients with recurrent pancreatitisMaria Chiara Petrone
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy
World J Gastroenterol 14:1016-22. 2008....
Pilot study on the correlation of optical coherence tomography with histology in celiac disease and normal subjectsEnzo Masci
Gastroenterology and Gastrointestinal Endoscopy Unit, Vita Salute San Raffaele University IRCCS San Raffaele Hospital, Milan, Italy
J Gastroenterol Hepatol 22:2256-60. 2007..The aim of the present study was to test the utility of OCT in patients undergoing esophagogastroduodenoscopy (EGD) for histological diagnosis...
Evaluation of rectal sensory and motor function by means of the electronic barostat after stapled hemorrhoidopexyPaola De Nardi
Surgical Department, San Raffaele Scientific Institute, Vita Salute University San Raffaele, Milan, Italy
Dis Colon Rectum 51:1255-60. 2008..Few studies have evaluated rectal function after this procedure. This prospective study was designed to use the electronic barostat to assess whether rectal motor and sensory functions change after stapled hemorrhoidopexy...
MRCP-secretin test-guided management of idiopathic recurrent pancreatitis: long-term outcomesPier Alberto Testoni
Gastroenterology and Gastrointestinal Endoscopy Division, Vita Salute San Raffaele University, Istitutio de Recerca e Cura a Carattere Scientifico, San Raffaele Hospital, Milan, Italy
Gastrointest Endosc 67:1028-34. 2008..However, ERCP and sphincter of Oddi manometry may be nondiagnostic and postprocedure complications may be frequent...
A combination of rectal beclomethasone diproprionate and mesalazine in ulcerative proctitisMario Guslandi
Scand J Gastroenterol 43:639-40. 2008
Recurrent acute pancreatitis: from the editorPier Alberto Testoni
World J Gastroenterol 14:994. 2008
Pharmacological prevention of post-ERCP pancreatitis: the facts and the fictionPier Alberto Testoni
JOP 5:171-8. 2004
Target-controlled propofol infusion during monitored anesthesia in patients undergoing ERCPLorella Fanti
Division of Gastroenterology and Department of Anesthesiology and Intensive Care, Vita e Salute San Raffaele University, San Raffaele Hospital, Via Olgettina 60, 20132 Milan, Italy
Gastrointest Endosc 60:361-6. 2004..Further studies are needed to determine the cost-effectiveness and the safety profile for infusion of propofol with a target-controlled infusion system by a nonanesthesiologist during ERCP...
Rifaximin for active ulcerative colitisMario Guslandi
Inflamm Bowel Dis 12:335. 2006
Double self-expandable total-coated metal stent for gastrojejunal leak after pancreatoduodenectomyEnzo Masci
Division of Gastroenterology and Gastrointestinal Endoscopy, Vita-Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy
Gastrointest Endosc 66:1024-5. 2007
Could EUS be useful for evaluating right renal vein and inferior vena cava thrombosis due to renal cell carcinoma? Report of 3 casesBenedetto Mangiavillano
Division of Gastroenterology and Gastrointestinal Endoscopy, IRCCS Vita Salute San Raffaele University, San Raffaele Hospital Scientific Institute, Milan, Italy
Gastrointest Endosc 66:154-6. 2007..Standard imaging modalities are unable to distinguish the inner structure of a thrombus and whether the vessel wall is invaded...
