Principle of diagnosis and treatment of benign and malignant pathologies of oesophagus, upper GI, pancreas, extrahepatic biliary tract and gallbladder, lower GI and proctology.

Course Syllabus

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5th year

The final exam consist of two part: written test consisting of 30 multiple choice question (4 answers, only 1 correct) regarding course topics and topics included in the syllabus and oral exam with questions on course topics and topics included in the syllabus. Passing the written test is an indispensable condition for moving to the oral exam. The written test is considered passed if no less than 18 answers are correct.
Written and oral exams will take place in person in compliance with safety and distancing rules. Any other changes regarding the COVID pandemic situation will be properly communicated to the students by the competent educational facilities.

Upon appointment to be scheduled through email (flavia.neri@unimib.it)

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The course aims to provide students the tools and the necessary knowledge for performing a correct clinical diagnosis of the various pathologies of surgical interest, formulating an adequate differential diagnosis between the various pathologies, and identifying the proper surgical indication and surgical procedure. The knowledge and skills provided during the course will give the student the skills to understand the surgical pathologies, also by means of the physical examination, history-taking and the study of challenge clinical cases.
The clinical internship will gradually provides the student the skills to perform invasive and practical procedures in the basic management of the surgical patient.

Principle of diagnosis and treatment of benign and malignant pathologies of oesophagus, upper GI, pancreas, extrahepatic biliary tract and gallbladder, lower GI and proctology.

  1. OESOPHAGEAL PATHOLOGY

Evaluate the different investigative studies and identify the proper diagnostic technique: esophagoscopy, esophagography, esophageal manometry, esophagus-gastric pHmetry, echo-endoscopy, CT.
Recognize the clinical pictures and complications, provide indications for surgical treatment and describe the general aspects of the main surgical interventions in relation to the following pathologies: Hiatal hernia and peptic esophagitis; Esophageal achalasia (and DMA); caustic esophageal injury; esophageal diverticula (Zenker, mediothoracic and epiphrenic); esophageal neoplasms (benign and malignant).

  1. UPPER GI PATHOLOGY
    Evaluate the different investigative studies and identify the proper diagnostic technique: gastroduodenoscopy, digestive tract x-ray, echo-endoscopy, ultrasound, scintigraphy, CT. Recognize the clinical pictures and complications, provide indications for surgical treatment and describe the general aspects of the main surgical interventions in relation to the following pathologies: gastric ulcer; duodenal ulcer; acute erosive gastritis; gastric precancerous conditions; gastric neoplasms (benign and malignant).

  2. SMALL BOWEL, COLON AND RECTUM-ANUS
    Evaluate the different investigative studies and identify the proper diagnostic technique: rectoscopy, rectosigmoidoscopy, colonoscopy, x-ray digestive tract, contrast enema, defecography, intestinal transit time, anorectal manometry, endoscopy, ultrasound, CT, MRI. Recognize the clinical pictures and complications, provide indications for surgical treatment and describe the general aspects of the main surgical interventions in relation to the following pathologies: enteritis; Crohn's disease and IBD; intestinal diverticulosis; neoplasms of the colon, rectum, anus; polyposis; rectal prolapse; benign anorectal pathology (anal fistulas, hemorrhoids, fissures, pilonidal cysts).

  3. BILIARY TRACT AND PANCREAS PATHOLOGY
    Evaluate the different investigative studies and identify the proper diagnostic technique: endoscopy, ultrasound, echo-endoscopy; cholangiography, CT, MRI.
    Recognize the clinical pictures and complications, provide indications for surgical treatment and describe the general aspects of the main surgical interventions in relation to the following pathologies: Cholelithiasis; choledocholithiasis; Vater papilla stenosis; pancreatic neoplasms; pancreatic cysts; neuroendocrine tumors of the pancreas.

Knowledge of the preparatory courses as indicated in the regulations of the degree course in Medicine and Surgery.

Frontal lessons, mutidisciplinary lessons in presence and will be held in english

Lessons on power point slides with references to national and international guidelines

Sabiston. Textbook of Surgery. Saunders
F. Minni. Chirurgia Generale. Zanichelli
F. D’Amico. Manuale di Chirurgia Generale. Piccin
References available on the scientific biomedical resource Pubmed

II semester

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Key information

Field of research
MED/18
ECTS
1
Term
Second semester
Activity type
Mandatory
Course Length (Hours)
8
Degree Course Type
6-year single cycle Master Degree
Language
English

Staff

    Teacher

  • FN
    Flavia Neri

Enrolment methods

Manual enrolments
Self enrolment (Student)

Sustainable Development Goals

QUALITY EDUCATION - Ensure inclusive and equitable quality education and promote lifelong learning opportunities for all