:: Il coordinatore Prof. Mario Pescatori
Mario Pescatori
è stato accreditato in Colonproctologia chirurgica dal Board Europeo,
di cui fa parte,dopo essersi laureato nel 1972 ed essersi specializzato
in Chirurgia generale, Chirurgia dell’apparato digerente e endoscopia
digestiva.
Ha lavorato 20 anni al Policlinico Gemelli come Ricercatore e
Aiuto e un anno e mezzo, a più riprese, a Londra al St Mark’s
Hospital come Postgraduate student ,Research fellow e Visiting
professor con Alan Parks , John Nicholls, Peter Hawley (chirurgia,
manometria, emg) Basil Morson, Christopher Williams(endoscopia
e istologia) e Clive Bartram (defecografia, ecografia). Ha frequentato
la Mayo Clinic ( Eric Dozois) e la Cleveland Clinic ( Vic Fazio)
il London Hospital (Norman Williams e David Wingate). Ha dovuto
lasciare con rammarico l’Università dopo un cambio di dirigenza
e un concorso “pilotato”. Dal 1992 lavora quindi solo nel privato
o nel privato-convenzionato. Sono previsti costi-ticket per i
pazienti meno abbienti in un ambulatorio una volta al mese.
Tel 06362061, 063311525, 3387311044.
E-mail : ucpclub@virgilio.it.
Ha effettuato oltre 3000 interventi chirurgici e endoscopici,
specie su colon retto e ano, in varie Cliniche e Ospedali e ha
pubblicato circa 200 articoli scientifici indexati su Medline
, soprattutto su colite ulcerosa, stipsi e rettocele, psicosomatica,
incontinenza e fistole anali, oltre a 4 monografie e a diversi
capitoli su libri Springer.
Vari sono stati i contributi originali. Ha pubblicato per primo,
con diversi capaci collaboratori, la sfinterotomia guidata dalla
manometria nella ragade per ridurre incontinenza e recidive; la
pouch a S prima con ansa efferente breve e poi senza ansa efferente
e con anastomosi lateroterminale, per colite ulcerosa o poliposi;
la pouch ileale con Duhamel per stipsi grave; il rapporto tra
PYY plasmatico e diarrea grave postcolectomia, la pouchgrafia
evacuativa per valutare le disfunzioni del rreservoir ileoanale;
la classificazione endoscopica dinamica in 3 gradi del prolasso
mucoso interno del retto; la elettrostimolazione sacrale midollare
per stipsi cronica, insieme ai neurochirurghi del Gemelli; la
sindrome della tasca rettale dopo PPH e lo schema dell’iceberg
nella ostruita defecazione,insieme a coordinatori di altre UCP;
la valutazione con score 1-10 del test del disegno per psicosomatosi
colorettali, il doppio lembo muco-cutaneo per fistole complesse
e ectropion mucoso; il neosfintere liscio con gracileplastica
dopo amputazione addominoperineale del retto, per evitare la stomia
permanente;lo score 1-6 per incontinenza fecale e infine la mucosectoma
rettale transanale con stapler, base della emorroidopessi con
PPH, meno dolorosa ma meno efficace della emorroidectomia convenzionale
(vedi sotto la bibliografia di questi articoli originali di Pescatori).
Ha l’idoneità a Primario ed è fellow del Royal College of Surgeons
of England, membro dell’American Society of Colon and Rectal Surgeons
e della European Society of Coloproctology. Ha fondato Ucp Club,il
Club delle unità di Colonproctologia (vedi anche sito www.SICCR.org),
è Presidente onorario della Società Italiana di Chirurgia Colo-Rettale
e della Mediterranean Society of Coloproctology,che riunisce iscritti
da 20 Paesi.
E’ Editor di Techniques in Coloproctology della Springer-Verlag,
revisore delle riviste Gut, Lancet, Colorectal Disease, Diseases
of the Colon and Rectum, International Journal of Colorectal Diseases,
Ospedali d’Italia-Chirurgia e Pelviperineologia. E’ Professore
a contratto all’Università di Firenze. Negli ultimi anni si è
battuto, appoggiato da molti,a tutela dei pazienti e del servizio
sanitario, per la chirurgia a basso costo, contro l’eccessivo
interventismo chirurgico, contro l’ingerenza dell’industria nelle
elezioni societarie, contro le pressioni commerciali nella scelta
delle operazioni, per l’eclettismo in colonproctologia, per la
valorizazione dei chirurghi colorettali,ovvero di coloro che dedicano
dal 70 al 100% della loro attività alla colonproctologia, poiché
essi ottengono, come è ovvio,risultati migliori dei non specialisti:
meno complicanze, più brevi degenze, migliore sopravvivenza, meno
reinterventi e meno recidive.
:: Coordinator, Prof. Mario Pescatori
Mario Pescatori is specialized in General Surgery, Digestive Surgery
and Endoscopy, and accredited in Surgical Coloproctology by the
European Board, being a member of it. He spent 20 years at the
Catholic University in Rome and more than one year at St Mark’s
Hospital with Alan Parks, Christopher Williams and Peter Hawley.
He visited the Mayo Clinic, the Cleveland Clinic in US and the
London Hospital in UK. He chaired the Coloproctology Unit at Villa
Flaminia hospital in Rome for 14 years.
He carried out more than 3000 surgical and endoscopic operations
and published about 200 indexed articles, mainly on ulcerative
colitis, rectal prolapse, constipation, fecal incontinence and
anal fistulae. He first described the motor effect of transverse
sigmoid miotomy for diverticular disease (BJS 1978), stapled rectal
mucosectomy, te basis of the modern PPH, the evacuation pouchography
or ileoanal reservoir disfunction), S ileoanal pouch with short
efferent limb (Ann Surg 1985), lateroterminal S ileonal pouch
(DCR 1995), spinal neuromodulation for chronic constipation (G.I.Motility
, ed Wienbeck, Raven Press 1983), double muco-cutaneous flap for
complex fistulae (IJCRD 1997), A1 -C3 validated incontinence score
(DCR 1992), semiopen hemorrhoidectomy (TIC 2004), rectal pocket
syndrome after PPH and iceberg diagram for obstructed defecation
(CRD 2006), 3 degree endoscopicdynamic classification for rectal
internal mucosal prolapse (IJCRD 1998), ileoanal Duhamel pouch
for constipation (Coloproctology 1994), the role of PYY plasma
levels in post-colectomy diarrhoea (Coloproctology 1995), spasm-related
internal sphincterotomy for anal fissure (Coloproctology 1989),
0-10 score for the drawing-the-family test (Pelviperineology 2006).
He edited four textbooks and wrote three chapters in Springer’s
books. He is fellow of the Royal College of Surgeons of England,
member of the American Society of Colon and rectal Surgeons, and
ex-member of its Iternational Cmmittee, honorary President of
the Italian Society of Colo-Rectal Surgery and of the Mediterranean
Society of Coloproctology.
He founded UCP Club and co-founded the European Association of
Coloproctology, is Editor of Techniques in Coloproctology, an
international indexed journal published by the Springer-Verlag,
and reviewer of Gut, Lancet, Colorectal Diseases, International
Journal of Colorectal Disease, Diseases of the Colon and Rectum
and other Italian and international journals. He has a 3-yrs Professorship
at the University of Florence.
In the last years, supported by many members of his Society, he
was against the overuse of surgery for functional constipation
and hemorrhoids, the abuse of new expensive technologies, the
hidden conflict of interest, and in favour of eclecticism and
tailored evidence-based low-cost colorectal surgery.
PESCATORI-PUBLICATIONS IN INDEXED JOURNALS
A prospective evaluation of occult disorders
in obstructed defecation using the 'iceberg diagram'
M. Pescatori*, M. Spyrou* and A. Pulvirenti d'Urso+
Colorectal Disease, 8, 785-789
Complications and recurrence after excision of rectal internal
mucosal prolapse for obstructed defaecation.
Pescatori M, Boffi F, Russo A, Zbar AP
Int J Colorectal Dis. 2006 Mar;21(2):160-5.
Obliteration of the pelvic inlet by prophylene mesh and omentoplasty
for enterocele.
Pescatori M, Spyrou M, Vitelli CE
Tech Coloproctol. 2006 Oct;10(3):273
Systematic review of sacral nerve stimulation for faecal incontinence
and constipation.
Pescatori M.
(Br J Surg 2004; 91: 1559-1569). Br J Surg. 2005 Mar;92(3):379.
Colonic hydrotherapy for obstructed defecation.
Pizzetti D, Annibali R, Bufo A, Pescatori M.
Colorectal Dis. 2005 Jan;7(1):107-8.
Manual vs stapled excision of rectal mucosal prolapse: clinical
and functional results.
Pietroletti R, Nemati Fard M, Vasapollo L, Pescatori M.
Ann Ital Chir. 2004 May-Jun;75(3):331-5.
Rectovaginal fistula after double-stapled transanal rectotomy
(STARR) for obstructed defaecation.
Pescatori M, Dodi G, Salafia C, ZbarAP.
Int J Colorectal Dis. 2005 Jan;20(1):83-5.
The dark side of double- stapled transanal rectal resection.
Binda GA, Pescatori M, Romano G.
Dis Colon Rectum. 2005 Sep;48(9):1830-1
Poor clinical results after surgery for occult rectal prolapse.
Pescatori M.
Colorectal Dis. 2004 Sep;6(5):397-8.
Colporectopexy for obstructed defecation. Do we need anorectal
physiology studies?
Pescatori M.
Dis Colon Rectum. 2003 Jun;46(6):838
Bleeding, incontinence, pain and constipation after STARR transanal
double stapling rectotomy for
obstructed defecation.
Dodi G, Pietroletti R, Milito G, Binda G, Pescatori M.
Tech Coloproctol. 2003 Oct;7(3):148-53.
Colporectopexy for obstructed defecation. Do we need anorectal
physiology studies?
Pescatori M.
Dis Colon Rectum. 2003 Jun;46(6):838
Rectocele: pathogenesis and surgical management.
Zbar AP, Lienemann A, Fritsch H, Beer-Gabel M, Pescatori M.
Int J Colorectal Dis. 2003 Sep;18(5):369-84
Anal continence after rectocele repair.
Ayabaca SM, Zbar AP, PescatoriM.
Dis Colon Rectum. 2002 Jan;45(1):63-9.
Outlet obstruction due to anismus and rectal hyposensation: effect
of biofeedback training.
Peticca L, Pescatori M.
Colorectal Dis. 2002 Jan;4(1):67
Which surgical approach for rectocele? A multicentric report
from Italian coloproctologists.
Boccasanta P, Venturi M, Calabro G, Trompetto M, Ganio E, Tessera
G, Bottini C, Pulvirenti D'Urso A,
Ayabaca S, Pescatori M.
Tech Coloproctol. 2001 Dec;5(3):149-56.
Combined abdominoperineal repair of enterocele and rectocele.
Pescatori M, Pulvirenti d'Urso A, Tagariello G.
Tech Coloproctol. 2001 Aug;5(2):124
Anal continence after rectocele repair.
Ayabaca SM, Zbar AP, Pescatori M.
Dis Colon Rectum. 2002 Jan;45(1):63-9.
A new grading of rectal internal mucosal prolapse and its correlation
with diagnosis and treatment.
Pescatori M, Quondamcarlo C.
Int J Colorectal Dis. 1999 Nov;14(4-5):245-9.
*HEMORRHOIDS *
The rectal pocket syndrome after stapled mucosectomy.
Pescatori M, Spyrou M, Cobellis L, Bottini C, Tessera G.
Colorectal Dis. 2006 Nov;8(9):808-11.
Stapled hemorrhoidectomy: critical observation on state of art
.
Pescatori M, Orsini G, Tegon G, Vasapollo L.
Ann Ital Chir. 2005 Jan-Feb;76(1):71-6.
Reinterventions after complicated or failed stapled hemorrhoidopexy.
Dis Colon Rectum. 2004 Nov;47(11):1846-51.
Brusciano L, Ayabaca SM, Pescatori M, Accarpio GM, Dodi G, Cavallari
F, Ravo B, Annibali R.
Stapled hemorrhoidopexy (se): a consensus paper.
Pescatori M.
Colorectal Dis. 2004 Mar;6(2):132-3.
PPH stapled hemorrhoidectomy-- a cautionary note.
Pescatori M.
Dis Colon Rectum. 2003 Jan;46(1):131
Acute rectal obstruction after PPH stapled haemorrhoidectomy.
Cipriani S, Pescatori M.
Colorectal Dis. 2002 Sep;4(5):367-370
Stapled hemorrhoidectomy: a word of caution.
Pescatori M.
Int J Colorectal Dis. 2002 Sep;17(5):362-3.
Prospective randomized multicentre trial comparing stapled with
open haemorrhoidectomy.
Pescatori M.
Br J Surg. 2002 Jan;89(1):122.
Pain after stapled haemorrhoidectomy.
Pescatori M.
Lancet. 2000 Dec 23-30;356(9248):2188
Stapled rectal prolapsectomy.
Pescatori M.
Dis Colon Rectum. 2000 Jun;43(6):876-8
Management of post-anopexy rectal stricture. Pescatori M.
Tech Coloproctol. 2002 Sep;6(2):125-6.
Two-quadrant semiclosed hemorrhoidectomy. A preliminary report.
Pescatori M.
Tech Coloproctol. 2002 Sep;6(2):105-8
Outcome of delayed hemorrhage following surgical hemorrhoidectomy.
Basso L, Pescatori M.
Dis Colon Rectum. 1994 Mar;37(3):288-9.
Closed vs. open
hemorrhoidectomy: associated sphincterotomy and postoperative
bleeding.
Pescatori M.
Dis Colon Rectum. 2000 Aug;43(8):1174-5.
Urinary retention after anorectal operations.
Pescatori M.
Dis Colon Rectum. 1999 Jul;42(7):964
Anal pressures after hemorrhoidectomy.
Pescatori M, Favetta U, Navarra L.
Int J Colorectal Dis. 1998;13(3):149
Rubber band ligation of hemorrhoids and rectal mucosal prolapse
in constipated patients.
Dis Colon Rectum. 1989 May;32(5):372-5.
Hemorrhoid ligation.
Pescatori M, Mattana C, Maria G.
Dis Colon Rectum. 1987 Dec;30(12):988-9
*ANAL FISSURE *
An evidence-based treatment algorithm for anal fissure.
Lund JN, Nystrom PO, Coremans G, Herold A, Karaitianos I, Spyrou
M, Schouten WR, Sebastian AA, Pescatori M.
Tech Coloproctol. 2006 Oct;10(3):177-80.
Pneumatic balloon dilatation for chronic anal fissure: a prospective,
clinical, endosonographic, and manometric study. Napoletano, V
. Renzi A, Brusciano L, Pescatori M, Izzo D, Napolitano V, Rossetti
G, del Genio G, del Genio A.
Dis Colon Rectum. 2005 Jan;48(1):121-6. Erratum in: Dis Colon
Rectum. 2005 Jul;48(7):1496.
Tailored sphincterotomy or fissurectomy and anoplasty?
Pescatori M, Ayabaca SM, Cafaro D.
Dis Colon Rectum. 2002 Nov;45(11):1563-4
Glyceryl trinitrate for chronic anal fissure--healing or headache?
Results of a multicenter, randomized,
placebo-controled, double-blind trial.
Altomare DF, Rinaldi M, Milito G, Arcana F, Spinelli F, Nardelli
N, Scardigno D, Pulvirenti-D'Urso A, Bottini C,
Pescatori M, Lovreglio R.
Dis Colon Rectum. 2000 Feb;43(2):174-9; discussion 179-81.
Functional outcome following lateral internal anal sphincterotomy
for chronic anal fissure.
Zbar AP, Pescatori M.
Colorectal Dis. 2004 May;6(3):210-1.
Tailored sphincterotomy or fissurectomy and anoplasty?
Pescatori M, Ayabaca SM, Cafaro D.
Dis Colon Rectum. 2002 Nov;45(11):1563-4
Soiling and recurrence after internal sphincterotomy for anal
fissure.
Pescatori M.
Dis Colon Rectum. 1999 May;42(5):687-8
*ANAL FISTULA*
Marsupialization of fistulotomy and fistulectomy wounds improves
healing and decreases bleeding: a randomized controlled trial.
Pescatori M, Ayabaca SM, Cafaro D, Iannello A, Magrini S.
Colorectal Dis. 2006 Jan;8(1):11-4.
Internal anal sphincter preservation with seton rerouting in
high transsphincteric anal fistula.
Zbar AP, Pescatori M.
Dis Colon Rectum. 2005 Aug;48(8):1666-7
Can anal manometry predict anal incontinence after fistulectomy
in males?
Pescatori M, Ayabaca S, Caputo D.
Colorectal Dis. 2004 Mar;6(2):97-102.
Conventional cutting vs. internal anal sphincter-preserving seton
for high trans-sphincteric
fistula: a prospective randomized manometric and clinical trial.
Zbar AP, Ramesh J, Beer-Gabel M, Salazar R, Pescatori M.
Tech Coloproctol. 2003 Jul;7(2):89-94.
Double flap repair of transsphincteric fistulas.
Pescatori M.
Dis Colon Rectum. 2002 Aug;45(8):1122-4
Double flap technique to reconstruct the anal canal after concurrent
surgery for fistulae,
abscesses and haemorrhoids.
Pescatori M, Interisano A, Mascagni D, Bottini C.
Int J Colorectal Dis. 1995;10(1):19-21.
Combined seton-double flap procedure for complex high anal fistula.
Pescatori M, Mungo M, Guarino E.
Tech Coloproctol. 2002 Apr;6(1):71
*LOW ANTERIOR RESECTION *
Low anterior intersphincteric resection, total mesorectal excision,
coloplasty and coloanal anastomosis with neoanal smooth muscle
encirclement for low rectal cancer.
Pescatori M, Spyrou M, Bilali S, Spinelli F, Orsini S.
Tech Coloproctol. 2005 Jul;9(2):185.
The Grasping Tie: a novel device to avoid the purse string and
to facilitate low colorectal
stapled anastomoses.
Picardi N, Pescatori M.
Tech Coloproctol. 2004 Mar;8(1):65
*PERIRECTAL TUMORS *
A novel approach for perirectal tumours: the perianal intersphincteric
excision.
Pescatori M, Brusciano L, Binda GA, Serventi A.
Int J Colorectal Dis. 2005 Jan;20(1):72-5
*PROCTALGIA FUGAX *
Anal pain? Explore the brain!
Pescatori M.
Dis Colon Rectum. 2002 Feb
Psychologic aspects in proctalgia. Renzi C, Pescatori M.
Dis Colon Rectum. 2000 Apr;43(4):535-9.
Use and abuse of new technologies in colorectal surgery.
Pescatori M, Seow-Choen F.
Tech Coloproctol. 2003 Apr;7(1):1-2
Reconstructive perineoplasty in the management of non-healing
wounds after anorectal surgery.
Bernardi C, Pescatori M.
Tech Coloproctol. 2001 Apr;5(1):27-32.
*RECTAL PROLAPSE *
Delorme's operation and sphincteroplasty for rectal prolapse
and fecal incontinence.
Pescatori M, Interisano A, Stolfi VM, Zoffoli M.
Int J Colorectal Dis. 1998;13(5-6):223-7.
*SPHINCTER *
Internal sphincter at anal manometry and ultrasound.
Favetta U, Pescatori M.
Dis Colon Rectum. 1998 Aug;41(8):1072
Clinical, manometric and sonographic assessment of the anal sphincters.
A comparative prospective study.
Favetta U, Amato A, Interisano A, Pescatori M.
Int J Colorectal Dis. 1996;11(4):163-6.
*ELECTRICAL STIMULATION FOR
INCONTINENCE.*
Rubber band ligation of hemorrhoids and rectal mucosal prolapse
in constipated patients.
Mattana C, Maria G, Pescatori M.
Dis Colon Rectum. 1989 May;32(5):372-5.
Diagnostic anorectal functional studies. Manometry, sphincter
electromyography, and defecography.
Pescatori M, Ravo B.
Surg Clin North Am. 1988 Dec;68(6):1231-48.
Spinal cord stimulation for constipated patients.
Pescatori M.
Dis Colon Rectum. 2009 Jun;52(6):1196. No abstract available.
The "draw-the-family test" in the preoperative assessment
of patients with anorectal diseases and psychological distress:
a prospective controlled study.
Miliacca C, Gagliardi G, Pescatori M.
Colorectal Dis. 2009 Jun 30. [Epub ahead of print]
Surgery for internal rectal prolapse: a word of caution.
Pescatori M.
Colorectal Dis. 2009 May;11(4):430. No abstract available.
Long-term outcome of Altemeier's procedure for rectal prolapse.
Altomare DF, Binda G, Ganio E, De Nardi P, Giamundo P, Pescatori
M; Rectal Prolapse Study Group.
Dis Colon Rectum. 2009 Apr;52(4):698-703.
Long-term follow-up of simultaneous abdominoperineal repair of
enterorectocele and internal mucosal prolapse.Pescatori M.
Dis Colon Rectum. 2009 Feb;52(2):327-35.
Surgery for internal rectal prolapse: a word of caution.
Pescatori M.
Colorectal Dis. 2009 Feb 7. [Epub ahead of print] No abstract
available.
Complications and reinterventions after surgery for obstructed
defecation.
Pescatori M, Milito G, Fiorino M, Cadeddu F.
Int J Colorectal Dis. 2009 Aug;24(8):951-9. Epub 2009 Jan 23.
Rectal and small-bowel endometriosis.
Tapia H, Palazzi A, Pescatori M.
Tech Coloproctol. 2008 Dec;12(4):391. No abstract available.
Reinterventions after complicated or failed STARR procedure.
Pescatori M, Zbar AP.
Int J Colorectal Dis. 2009 Jan;24(1):87-95. Epub 2008 Aug 12.
Anorectal morphology and function: analysis of the Shafik legacy.
Zbar AP, Guo M, Pescatori M.
Tech Coloproctol. 2008 Sep;12(3):191-200. Epub 2008 Aug 5. Review.
Tailored surgery for internal and external rectal prolapse: functional
results of 268 patients operated upon by a single surgeon over
a 21-year period*.
Pescatori M, Zbar AP.
Colorectal Dis. 2009 May;11(4):410-9. Epub 2008 Jul 15.
Postoperative complications after procedure for prolapsed hemorrhoids
(PPH) and stapled transanal rectal resection (STARR) procedures.
Pescatori M, Gagliardi G.
Tech Coloproctol. 2008 Mar;12(1):7-19. Epub 2008 May 30. Review.
Carbon-coated microbeads anal injection in outpatient treatment
of minor fecal incontinence.
Altomare DF, La Torre F, Rinaldi M, Binda GA, Pescatori M.
Dis Colon Rectum. 2008 Apr;51(4):432-5. Epub 2008 Jan 19.
Results, outcome predictors, and complications after stapled
transanal rectal resection for obstructed defecation.
Gagliardi G, Pescatori M, Altomare DF, Binda GA, Bottini C, Dodi
G, Filingeri V, Milito G, Rinaldi M, Romano G, Spazzafumo L, Trompetto
M; Italian Society of Colo-Rectal Surgery (SICCR).
Dis Colon Rectum. 2008 Feb;51(2):186-95; discussion 195. Epub
2007 Dec 22.
Proctalgia in a patient with staples retained in the puborectalis
muscle after STARR operation.
De Nardi P, Bottini C, Faticanti Scucchi L, Palazzi A, Pescatori
M.
Tech Coloproctol. 2007 Dec;11(4):353-6. Epub 2007 Nov 30.
Consensus conference on faecal incontinence.
Baeten C, Bartolo DC, Lehur PA, Matzel K, Pescatori M, Roche B,
Williams NS.
Tech Coloproctol. 2007 Sep;11(3):225-33. Epub 2007 Aug 3. No abstract
available.
A prospective evaluation of occult disorders in obstructed defecation
using the 'iceberg diagram'.
Pescatori M, Spyrou M, Pulvirenti d'Urso A.
Colorectal Dis. 2007 Jun;9(5):452-6.
Stapled transanal rectal mucosectomy ten years after.
Pescatori M, Aigner F.
Tech Coloproctol. 2007 Mar;11(1):1-6. Epub 2007 Feb 16. Review.
Ultrasonographic patterns in patients with obstructed defaecation.
Brusciano L, Limongelli P, Pescatori M, Napolitano V, Gagliardi
G, Maffettone V, Rossetti G, del Genio G, Russo G, Pizza F, del
Genio A.
Int J Colorectal Dis. 2007 Aug;22(8):969-77. Epub 2007 Jan 10
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