Scheda programma d'esame
ADE - TECNICHE DIAGNOSTICHE IN GASTROENTEROLOGIA
NICOLA DE BORTOLI
Anno accademico2023/24
CdSMEDICINA E CHIRURGIA
Codice984ZW
CFU1
PeriodoSecondo semestre
LinguaItaliano

ModuliSettore/iTipoOreDocente/i
ADE - TECNICHE DIAGNOSTICHE IN GASTROENTEROLOGIANNLEZIONI25
NICOLA DE BORTOLI unimap
Obiettivi di apprendimento
Learning outcomes
Conoscenze
Conoscenze

Migliorare la conoscenza di tutte le tecniche diagnostiche disponibili in gastroenterologia includendo le tecniche di endoscopia (superiore ed inferiore) endoscopia capsulare ed enteroscopia. Alle tecniche classiche si aggiungeranno le conoscenze di eco-endoscopia e di endoscopia operativa. Tecniche radiologiche finalizzate alla diagnosi di patologia organica ed in pèarticolare nella malattie infiammatorie croniche intestinali; conoscenza delle tecniche di fisiopatologia superiore ed inferiore (manometria esofagea ed ano-rettale) oltre alle tecniche di monitoring del reflusso gastroesofageo (pH-metria 24-h; pH-metria 96-h wireless; pH-impedenziometria multicanale 24-h); conoscenza ed utilizzo degli esami di laboratorio e dei Breath Test; Approfondimenti sul microbiota intestinale e sull'utilizzo di probiotici.

 

Knowledge
Knowledge

The ADE is focused on improving the know-how on gastrointestinal diagnostic techniques. The major topics are upper and lower gastrointestinal endoscopy (including Capsule endoscopy and entero-endoscopy, ultrasound-endoscopy, operative endoscopy). Role of US, CT, and MRI in diagnosis of inflammatory bowel diseases; Indications and interpretation of esophageal function testing (High Resolution Manometry (esophageal and anorectal manometry), pH-metry 24-h, multichannel impedance and pH monitoring; prolonged wireless pH-metry); role of hydrogen breath test;  Ultrasound in gastroenterology (from liver and biliary tract to large and small bowel); Intestinal and fecal microbiota and the role of probiotics in GI diseases.

 

Modalità di verifica delle conoscenze

Domande aperte agli studenti durante le lezioni questionario a scelta multipla

Assessment criteria of knowledge

Questions and answers to the floor - closed multiple choice questionnaires

Programma (contenuti dell'insegnamento)
  • Ecografia del fegato, vie biliari, pancreas ed ecografia anse intestinali.
  • Manometria intestinale e ano-rettale ed utilizzo in stipsi ed incontinenza rettale
  • Test di Fisiopatologia esofagea. 
  • Monitoring of esophgageal acid exposure time (pH-metria; pH-impedanziometria, capsula BRAVO pH-metria 96 ore)
  • Laboratorio di Gastroenterologia - Breath test all’idrogeno
  • Endoscopia digestiva superiore ed inferiore, Videocapsul
  • Ecoendoscopia ed utilizzo nelle patologie pancreas - endoscopia interventistica
  • Diagnostica radiologica delle M.I.C.I.
  • Microbiota intestinale ed uso di probiotici
Syllabus
  • Liver, biliary tract, pancreatic ed bowel ultrasound.
  • Intestinal and ano-rectal manometry. Diagnostic role in constipation and fecal incontinence.
  • Esophageal function test.
  • Monitoring of esophgageal acid exposure time (pH-metry; pH-impedance monitoring, prolonged wireless pH-metry)
  • Biochemical tests in gastroenterology – Hydrogen Breath test
  • Endoscopy: upper, lower, entero- and capsule-endoscopy
  • Ultrasound-endoscopy in pancreatic diseases - operative endoscopy
  • Radiologic techniques in IBD (CT scan, MRI)
  • Intestinal microbiota and use of probiotics in GI diseases
Bibliografia e materiale didattico

 

 
  • Yao CK, Tuck CJ. The clinical value of breath hydrogen testing. J Gastroenterol Hepatol. 2017 Mar:32 Suppl 1:20-22.
  • Yadlapati R, et al. Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0©. Neurogastroenterol Motil. 2021 Jan;33(1):e14058
  • Savarino E, Frazzoni M, Marabotto E, Zentilin P, Iovino P, Costantini M, Tolone S, Battaglia E, Cicala M, Usai-Satta P, de Bortoli N, Penagini R, Savarino V. A SIGE-SINGEM-AIGO technical review on the clinical use of esophageal reflux monitoring. Dig Liver Dis. 2020 Sep;52(9):966-980.
  • Manta R, Mutignani M, Galloro G, Conigliaro R, Zullo A. Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis with a lumen-apposing metal stent: a systematic review of case series. Eur J Gastroenterol Hepatol. 2018 Jul;30(7):695-698.
  • Panes J, et al. Advances in Use of Endoscopy, Radiology, and Biomarkers to Monitor Inflammatory Bowel Diseases. Gastroenterology. 2017.
  • Savarino E, de Bortoli N, Bellini M, Galeazzi F, Ribolsi M, Salvador R, Savarino V, Penagini R. Practice guidelines on the use of esophageal manometry - A GISMAD-SIGE-AIGO medical position statement. Dig Liver Dis. 2016 Oct;48(10):1124-35
Bibliography
  • Yao CK, Tuck CJ. The clinical value of breath hydrogen testing. J Gastroenterol Hepatol. 2017 Mar:32 Suppl 1:20-22.
  • Yadlapati R, et al. Esophageal motility disorders on high-resolution manometry: Chicago classification version 4.0©. Neurogastroenterol Motil. 2021 Jan;33(1):e14058
  • Savarino E, Frazzoni M, Marabotto E, Zentilin P, Iovino P, Costantini M, Tolone S, Battaglia E, Cicala M, Usai-Satta P, de Bortoli N, Penagini R, Savarino V. A SIGE-SINGEM-AIGO technical review on the clinical use of esophageal reflux monitoring. Dig Liver Dis. 2020 Sep;52(9):966-980.
  • Manta R, Mutignani M, Galloro G, Conigliaro R, Zullo A. Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis with a lumen-apposing metal stent: a systematic review of case series. Eur J Gastroenterol Hepatol. 2018 Jul;30(7):695-698.
  • Panes J, et al. Advances in Use of Endoscopy, Radiology, and Biomarkers to Monitor Inflammatory Bowel Diseases. Gastroenterology. 2017.
  • Savarino E, de Bortoli N, Bellini M, Galeazzi F, Ribolsi M, Salvador R, Savarino V, Penagini R. Practice guidelines on the use of esophageal manometry - A GISMAD-SIGE-AIGO medical position statement. Dig Liver Dis. 2016 Oct;48(10):1124-35
Modalità d'esame

Domande aperte agli studenti durante le lezioni questionario a scelta multipla

Assessment methods

Questions and answers to the floor - closed multiple choice questionnaires

Ultimo aggiornamento 12/12/2023 20:02