37314 - CHIRURGIA GASTROENTEROLOGICA ED ENDOCRINOLOGIA

Learning outcomes

The module builds upon the knowledge of surgical anatomy and applied pathophysiology acquired during the previous years of the degree programme. At the end of the course, students will be able to recognize the main surgical diseases of the gastrointestinal tract and endocrine organs, understand the appropriate diagnostic work-up and staging, identify the indications for surgical treatment, and describe the general principles of the most common surgical procedures. Students will also be able to understand the role of the multidisciplinary approach in the management of surgical diseases and apply clinical reasoning to the assessment of patients requiring surgical treatment.

Course contents

The module covers the main surgical diseases of the gastrointestinal tract and endocrine organs. For each topic, the essential aspects of epidemiology, pathophysiology and clinical presentation, the appropriate diagnostic work-up and staging, the indications for surgical treatment, the general principles of the main surgical procedures, and the role of the multidisciplinary approach in therapeutic decision-making will be discussed. The aim is to provide students with the knowledge required for the appropriate assessment of the surgical patient and for understanding the clinical reasoning leading to surgical indication, without addressing the technical details of advanced surgical procedures.

Metabolic and Bariatric Surgery
Indications, main surgical techniques, outcomes, and complications

Gastroesophageal Reflux Disease and Hiatal Hernias
Surgical aspects, indications, and corrective techniques

Gastrointestinal Stromal Tumors (GISTs)
Diagnosis, staging, surgical and medical treatment

Inflammatory Bowel Diseases (IBD)
Clinical features and surgical indications in Crohn’s Disease and Ulcerative Colitis

Retroperitoneal Sarcomas
Principles of diagnosis and surgical management

Thyroid Nodule and Tumors of the Thyroid and Parathyroid Glands
Staging, surgical indications, and operative strategies

Intestinal Resections and Anastomoses – Types of Stomas
Technical principles, indications, and management

Colorectal Cancer
Clinical presentation, staging, and basic surgical principles

Diverticular Disease of the Colon
Classification, diagnosis, and therapeutic principles

Adrenal Glands: Anatomy, Pathophysiology, and Surgical Pathologies
Cushing’s syndrome, pheochromocytoma, primary hyperaldosteronism, adrenal incidentalomas

Readings/Bibliography

1) Slides

2) Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice

Teaching methods

Teaching consists of face-to-face lectures supported by multimedia presentations, focusing on the diagnostic work-up, indications for surgery and the general principles of surgical management of the diseases covered in the course.

Assessment methods

The final examination is oral, consisting of at least 1–2 questions on topics covered during the lectures. The final grade will be the average of the marks obtained for answers to questions from the subjects included in the Integrated Course.

Teaching tools

All materials presented during the lectures will be made available to students.

Office hours

See the website of Leonardo Solaini