2020/2021

2023/2024

DM270

MED/18 (GENERAL SURGERY)

DEPARTMENT OF INTERNAL MEDICINE AND THERAPEUTICS

MEDICINE AND SURGERY

PERCORSO COMUNE

4°

2nd semester (26/02/2024 - 24/05/2024)

2

16 lesson hours

Italian

ORAL TEST

MERIGGI FRANCESCO - 2 ECTS

Basic knowledge of normal human anatomy, physiology, general pathology, surgical semiotics.

a) Provide the anatomical-surgical, anatomical-pathological and pathophysiological elements necessary for the understanding of the main surgical pathologies of gastroenterological pertinence;
b) Provide the cultural tools to build the diagnostic and diagnostic-differential paths of the main surgical pathologies of gastroenterological pertinence;
c) Illustrate the rationale and technical bases for the curative or palliative surgical treatment of the main gastroenterological pathologies.

- Semeiology and physical examination in diseases of the digestive system.
- Acute and chronic abdominal pain (pathophysiological, semiological and clinical approach).
- Surgical acute abdomen (peritonitic, occlusive, vascular).
- Acute appendicitis.
- Acute pseudoabdomen (medical).
- Abdominal parietal hernias. The hernia strangulation.
- Congenital and acquired diaphragmatic hernias.
- The megaesophagus. The esophageal diverticula.
- Benign and malignant tumors of the esophagus.
- Benign and malignant tumors of the stomach. Gastric precancerosis.
- Inflammatory and tumoral pathology of the small mesentery.
- Chronic inflammatory bowel disease (rectum - ulcerative colitis, Crohn's disease).
- Intestinal precancerosis. Intestinal polyps. Polyposis.
- Diverticulosis of the colon.
- Megacolon (congenital, acquired, toxic).
- Colorectal cancer.
- Acute and chronic inflammatory pathology of the pancreas.
- Benign and malignant tumors of the pancreas.
- APUDome. Carcinoids. Multiple endocrine adenomatoses of surgical relevance. Paraneoplastic endocrine syndromes.
- Surgical splenopathies.
- Benign and malignant tumors of the liver (focal liver lesions).
- The cirrhotic patient candidate for surgery.
- Surgical jaundice. General framework and etiopathogenetic aspects.
- Inflammatory pathology of the bile ducts.
- Malformations and tumors of the biliary tract.
- Gallstone disease.
- Portal hypertension.
- Diseases of the anus of surgical interest (fissure, abscess, fistula, haemorrhoidal varices, cancer).
- Abdominal masses (intraperitoneal, retroperitoneal).
- Stem cells and surgery.
- Organ transplants.

Frontal lessons in the classroom with ppt presentations.

- Townsend C.M. Jr et al.: Sabiston Textbook of Surgery. The Biological Basis of Modern
Surgical Practice. Saunders Ed., Philadelphia, 2017, 20th edition.

- Feldman M. et al.: Sleisenger and Fordtran’s Gastrointestinal and Liver Disease.
Pathophysiology/Diagnosis/Management. Saunders Ed., Philadelphia, 2020, 11th edition,
Vol. I e II.

- Gasbarrini G. et al.: Gastroenterologia. Ed. Minerva Medica, Torino, 2001.

- Unigastro: Malattie dell'apparato digerente. Editrice Gastroenterologica Italiana, Roma,
2019, 9° Edizione.

- Gershon M.D.: Il secondo cervello. Gli straordinari poteri dell'intestino. UTET, Milano, 2017.

- D'Amico D.F.: Manuale di Chirurgia Generale. Piccin Ed., Padova, 2018, 2° Edizione, Vol. I e II .

- Minni F. : Chirurgia Generale. CEA Ed., Rozzano, 2019 (e-book).

- Minni F.: Chirurgia Specialistica. CEA Ed., Rozzano, 2022 (e-book).

Oral exam with evaluation vote expressed in thirtieths.