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Author Edoardo Savarino

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Question Prompt List as a Communication Tool for Adults with Gastroesophageal Reflux Disease Incorporation of Patients' Perspectives.

Afrin Kamal, Edgar Achkar, Dustin Carlson, John Clarke, Ronnie Fass, Chandra Prakash Gyawali, David A Katzka, Dhyanesh Patel, Roberto Penagini, Ali Rezaie, Sabine Roman, Edoardo Savarino, Nicholas J Shaheen, George Triadafilopoulos,

<h4>Background</h4>Question prompt lists (QPLs) are structured sets of disease-specific questions intended for patient use, enhancing the patient-physician communication by encouraging patients to ask relevant questions during a consultation. Recently, a preliminary 78 question gastroesophageal reflux disease (GERD) specific QPL was created by 12 esophageal experts through a modified Delphi (RAND/University ... Read more >>

J Clin Gastroenterol (Journal of clinical gastroenterology)
[2021, :]

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ECCO Guidelines on Therapeutics in Ulcerative Colitis: Surgical Treatment.

Antonino Spinelli, Stefanos Bonovas, Johan Burisch, Torsten Kucharzik, Michel Adamina, Vito Annese, Oliver Bachmann, Dominik Bettenworth, Maria Chaparro-Sanchez, Wladyslawa Czuber-Dochan, Piotr Eder, Pierre Ellul, Catarina Fidalgo, Gionata Fiorino, Paolo Gionchetti, Javier P Gisbert, Hannah Gordon, Charlotte Hedin, Stefan Holubar, Marietta Iacucci, Konstantinos Karmiris, Konstantinos Katsanos, Uri Kopylov, Peter Lakatos, Theodore Lytras, Ivan Lyutakov, Nurulamin Noor, Gianluca Pellino, Daniele Piovani, Edoardo Savarino, Francesco Selvaggi, Bram Verstockt, Glen Doherty, Tim Raine, Yves Panis,

This is the second of a series of two articles reporting the European Crohn's and Colitis Organisation [ECCO] evidence-based consensus on the management of adult patients with ulcerative colitis [UC]. The first article is focused on medical management and the present article addresses medical treatment of acute severe ulcerative colitis ... Read more >>

J Crohns Colitis (Journal of Crohn's & colitis)
[2021, :]

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Letter: is wireless oesophageal pH monitoring the best technique to evaluate night-time reflux?

Mentore Ribolsi, Edoardo Savarino,

Aliment Pharmacol Ther (Alimentary pharmacology & therapeutics)
[2021, 54(7):974-975]

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The tapestry of reflux syndromes: translating new insight into clinical practice.

Peter J Kahrilas, Edoardo Savarino, Foteini Anastasiou, Albert J Bredenoord, Maura Corsetti, Jesper Lagergren, Juan Mendive, Sophie Nelson, Sabine Roman, Frank Zerbib, Pali Hungin,

Br J Gen Pract (The British journal of general practice : the journal of the Royal College of General Practitioners)
[2021, 71(711):470-473]

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An update of pharmacology, efficacy, and safety of vonoprazan in acid-related disorders.

Vincenzo Savarino, Luca Antonioli, Matteo Fornai, Elisa Marabotto, Maria Giulia Demarzo, Fabiana Zingone, Matteo Ghisa, Brigida Barberio, Patrizia Zentilin, Mentore Ribolsi, Edoardo Savarino,

<h4>Introduction</h4>Patients with acid-related disorders (ARDs) of the upper digestive tract remain highly prevalent and need to be continuously investigated to improve their management.<h4>Areas covered</h4>This review provides a summary of the most recent advancements in the treatment of ARDs with particular focus on the new drugs available to overcome the unmet ... Read more >>

Expert Rev Gastroenterol Hepatol (Expert review of gastroenterology & hepatology)
[2021, :1-10]

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ECCO Guidelines on Therapeutics in Ulcerative Colitis: Medical Treatment.

Tim Raine, Stefanos Bonovas, Johan Burisch, Torsten Kucharzik, Michel Adamina, Vito Annese, Oliver Bachmann, Dominik Bettenworth, Maria Chaparro-Sanchez, Wladyslawa Czuber-Dochan, Piotr Eder, Pierre Ellul, Catarina Fidalgo, Gionata Fiorino, Paolo Gionchetti, Javier P Gisbert, Hannah Gordon, Charlotte Hedin, Stefan Holubar, Marietta Iacucci, Konstantinos Karmiris, Konstantinos Katsanos, Uri Kopylov, Peter Lakatos, Theodore Lytras, Ivan Lyutakov, Nurulamin Noor, Gianluca Pellino, Daniele Piovani, Edoardo Savarino, Francesco Selvaggi, Bram Verstockt, Antonino Spinelli, Yves Panis, Glen Doherty,

J Crohns Colitis (Journal of Crohn's & colitis)
[2021, :]

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Serum Levels of PCSK9 Are Increased in Patients With Active Ulcerative Colitis Representing a Potential Biomarker of Disease Activity: A Cross-sectional Study.

Carla Marinelli, Fabiana Zingone, Maria Giovanna Lupo, Raffaella Marin, Renata D'Incà, Alessandro Gubbiotti, Davide Massimi, Cesare Casadei, Brigida Barberio, Nicola Ferri, Edoardo Savarino,

<h4>Background/goal</h4>Ulcerative colitis (UC) is characterized by chronic inflammation and progressive course, with potential extraintestinal complications including cardiovascular mortality. Serum proprotein convertase subtilisin/kexin type 9 (PCSK9) levels have been recently recognized as biomarkers of low-grade inflammation and cardiovascular disease. The aim of our study was to evaluate PCSK9 levels in patients ... Read more >>

J Clin Gastroenterol (Journal of clinical gastroenterology)
[2021, :]

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Patients With Definite and Inconclusive Evidence of Reflux According to Lyon Consensus Display Similar Motility and Esophagogastric Junction Characteristics.

Mentore Ribolsi, Edoardo Savarino, Benjamin Rogers, Arvind Rengarajan, Marco Della Coletta, Matteo Ghisa, Michele Cicala, C Prakash Gyawali,

<h4>Background/aims</h4>The role of esophageal high-resolution manometry (HRM) within Lyon consensus phenotypes, especially patients with inconclusive gastroesophageal reflux disease (GERD) evidence, has not been fully investigated. In this multicenter, observational study we aim to compare HRM parameters in patients with GERD stratified according to the Lyon consensus.<h4>Methods</h4>Clinical and endoscopic data, HRM ... Read more >>

J Neurogastroenterol Motil (Journal of neurogastroenterology and motility)
[2021, 27(4):565-573]

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Molecular Landscapes of Gastric Pre-Neoplastic and Pre-Invasive Lesions.

Gianluca Businello, Valentina Angerilli, Paola Parente, Stefano Realdon, Edoardo Savarino, Fabio Farinati, Federica Grillo, Alessandro Vanoli, Francesca Galuppini, Silvia Paccagnella, Gianmaria Pennelli, Luca Mastracci, Luca Saragoni, Matteo Fassan,

Gastric carcinoma (GC) represents one of the most common and most lethal malignancies worldwide. The histopathological characterization of GC precursor lesions has provided great knowledge about gastric carcinogenesis, with the consequent introduction of effective strategies of primary and secondary prevention. In recent years, a large amount of data about the ... Read more >>

Int J Mol Sci (International journal of molecular sciences)
[2021, 22(18):]

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How a modified Nissen procedure works: a mechanistic study using intraoperative esophageal high-resolution manometry.

Romeo Bardini, Silvia Battaglia, Marco Scarpa, Edoardo Savarino,

<h4>Objective</h4>We aimed at demonstrating how a modified Nissen procedure works by analyzing intraoperatively the variations of the low esophageal sphincter pressure values using high resolution manometry.<h4>Methods</h4>This study included 15 patients with documented gastroesophageal reflux disease who underwent a laparoscopic modified Nissen procedure. Data regarding the changes in the pressure values ... Read more >>

Langenbecks Arch Surg (Langenbeck's archives of surgery)
[2021, :]

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Epstein-Barr virus associated gastric dysplasia: a new rare entity?

Valentina Angerilli, Francesca Galuppini, Gianmaria Pennelli, Giuseppe Nicolo' Fanelli, Emanuele S G d'Amore, Mauro Michelotto, Pierluigi Pilati, Gaya Spolverato, Salvatore Pucciarelli, Marco Scarpa, Fabio Farinati, Edoardo Savarino, Stefano Realdon, Sara Lonardi, Francesca Bergamo, Fotios Loupakis, Angelo Paolo Dei Tos, Alessandro Vanoli, Matteo Fassan,

Epstein-Barr virus (EBV) infection characterizes a portion of gastric adenocarcinomas. However, since there is lack of evidence of EBV presence in pre-neoplastic lesions of gastric mucosa, the etiologic role of EBV in gastric carcinogenesis is still debated. We report an unusual case of an EBV-associated foveolar gastric dysplasia associated with ... Read more >>

Virchows Arch (Virchows Archiv : an international journal of pathology)
[2021, :]

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Endoscopic tissue sampling - Part 1: Upper gastrointestinal and hepatopancreatobiliary tracts. European Society of Gastrointestinal Endoscopy (ESGE) Guideline.

Roos E Pouw, Maximilien Barret, Katharina Biermann, Raf Bisschops, László Czakó, Krisztina B Gecse, Gert de Hertogh, Tomas Hucl, Marietta Iacucci, Marnix Jansen, Matthew Rutter, Edoardo Savarino, Manon C W Spaander, Peter T Schmidt, Michael Vieth, Mário Dinis-Ribeiro, Jeanin E van Hooft,

1: ESGE recommends that, where there is a suspicion of eosinophilic esophagitis, at least six biopsies should be taken, two to four biopsies from the distal esophagus and two to four biopsies from the proximal esophagus, targeting areas with endoscopic mucosal abnormalities. Distal and proximal biopsies should be placed in ... Read more >>

Endoscopy (Endoscopy)
[2021, :]

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Exploring the association between esophageal mucosal inflammation, impaired motility, and GERD severity.

Mentore Ribolsi, Edoardo Savarino,

Neurogastroenterol Motil (Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society)
[2021, 33(10):e14211]

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United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) consensus on functional dyspepsia.

Lucas Wauters, Ram Dickman, Vasile Drug, Agata Mulak, Jordi Serra, Paul Enck, Jan Tack, , Anna Accarino, Giovanni Barbara, Serhat Bor, Benoit Coffin, Maura Corsetti, Heiko De Schepper, Dan Dumitrascu, Adam Farmer, Guillaume Gourcerol, Goran Hauser, Trygve Hausken, George Karamanolis, Daniel Keszthelyi, Carolin Malagelada, Tomislav Milosavljevic, Jean Muris, Colm O'Morain, Athanassos Papathanasopoulos, Daniel Pohl, Diana Rumyantseva, Giovanni Sarnelli, Edoardo Savarino, Jolien Schol, Arkady Sheptulin, Annemieke Smet, Andreas Stengel, Olga Storonova, Martin Storr, Hans Törnblom, Tim Vanuytsel, Monica Velosa, Marek Waluga, Natalia Zarate, Frank Zerbib,

<h4>Background</h4>Functional dyspepsia (FD) is one of the most common conditions in clinical practice. In spite of its prevalence, FD is associated with major uncertainties in terms of its definition, underlying pathophysiology, diagnosis, treatment, and prognosis.<h4>Methods</h4>A Delphi consensus was initiated with 41 experts from 22 European countries who conducted a literature ... Read more >>

Neurogastroenterol Motil (Neurogastroenterology and motility : the official journal of the European Gastrointestinal Motility Society)
[2021, 33(9):e14238]

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Prevalence of Primary Sclerosing Cholangitis in Patients With Inflammatory Bowel Disease: A Systematic Review and Meta-analysis.

Brigida Barberio, Davide Massimi, Nora Cazzagon, Fabiana Zingone, Alexander C Ford, Edoardo V Savarino,

<h4>Background & aims</h4>Although the association between inflammatory bowel disease (IBD) and primary sclerosing cholangitis (PSC) is well recognized, uncertainties remain about the magnitude of this problem. We conducted a systematic review and meta-analysis assessing prevalence of PSC in IBD to investigate whether type of IBD, how presence of PSC was ... Read more >>

Gastroenterology (Gastroenterology)
[2021, :]

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Placebo Response Rates in Trials of Licensed Drugs for Irritable Bowel Syndrome With Constipation or Diarrhea: Meta-analysis.

Brigida Barberio, Edoardo V Savarino, Christopher J Black, Alexander C Ford,

<h4>Background & aims</h4>There are several licensed drugs for irritable bowel syndrome (IBS) that have proven efficacy in randomized controlled trials (RCTs), but placebo response rates are high. We conducted a systematic review and meta-analysis of licensed drugs to estimate magnitude of placebo response rate according to Food and Drug Administration ... Read more >>

Clin Gastroenterol Hepatol (Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association)
[2021, :]

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Application of Lyon Consensus criteria for GORD diagnosis: evaluation of conventional and new impedance-pH parameters.

Leonardo Frazzoni, Marzio Frazzoni, Nicola De Bortoli, Mentore Ribolsi, Salvatore Tolone, Salvatore Russo, Rita Luisa Conigliaro, Roberto Penagini, Lorenzo Fuccio, Rocco Maurizio Zagari, Edoardo Savarino,

<h4>Objective</h4>To validate Lyon Consensus criteria for diagnosing gastro-oesophageal reflux disease (GORD) by reflux monitoring.<h4>Design</h4>Manual review of impedance-pH tracings from patients with proton pump inhibitor (PPI)-dependent heartburn, evaluated off PPI. Acid exposure time (AET) thresholds defined by the Lyon Consensus and impedance parameters were investigated, namely, total refluxes (TRs), postreflux swallow-induced ... Read more >>

Gut (Gut)
[2021, :]

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Eosinophilic Esophagitis and Achalasia: Are We Putting All the Pieces Together?

Matteo Ghisa, Brigida Barberio, Andrea Buda, Edoardo Savarino,

Am J Gastroenterol (The American journal of gastroenterology)
[2021, 116(8):1759]

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Therapeutic drug monitoring in Crohn's disease patients treated with anti-TNF: a comparison of two techniques.

Giorgia Bodini, Maria Giulia Demarzo, Afscin Djahandideh, Sebastiano Ziola, Paolo Risso, Lorenzo Bertani, Isabella Baldissarro, Tommaso Testa, Santino Marchi, Edoardo Savarino, Edoardo Giovanni Giannini,

<h4>Background</h4>Therapeutic drug monitoring is a useful clinical decision aid in managing patients with inflammatory bowel disease treated with anti-tumor necrosis factor (anti-TNF). Various techniques are available to evaluate drug trough levels, and among these a point-of-care (POC) method has been proposed to overcome the limitations inherent to other methodologies. In ... Read more >>

Eur J Gastroenterol Hepatol (European journal of gastroenterology & hepatology)
[2021, :]

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Bariatric Surgery and Esophageal Function: An Eternal Impasse?

Giorgia Gualtieri, Edoardo Savarino, Brigida Barberio, Salvatore Tolone,

Am J Gastroenterol (The American journal of gastroenterology)
[2021, 116(8):1754-1755]

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Sarcopenia, severe anxiety and increased C-reactive protein are associated with severe fatigue in patients with inflammatory bowel diseases.

Laura Tasson, Fabiana Zingone, Brigida Barberio, Romina Valentini, Pamela Ballotta, Alexander C Ford, Marco Scarpa, Imerio Angriman, Matteo Fassan, Edoardo Savarino,

Patients with inflammatory bowel disease (IBD) report fatigue more frequently than healthy population, but the precise mechanisms underlying its presence are unknown. This study aimed to evaluate the prevalence of fatigue in IBD and its relation with potential causative factors. A survey on fatigue, depression, anxiety, sleep disorders, and the ... Read more >>

Sci Rep (Scientific reports)
[2021, 11(1):15251]

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Incidence comparison of adverse events in patients with inflammatory bowel disease receiving different biologic agents: retrospective long-term evaluation.

Brigida Barberio, Edoardo Vincenzo Savarino, Timothy Card, Cristina Canova, Francesco Baldisser, Alessandro Gubbiotti, Davide Massimi, Matteo Ghisa, Fabiana Zingone,

<h4>Background/aims</h4>Current literature is lacking in studies comparing the incidence of adverse events (AEs) in patients with inflammatory bowel diseases (IBD) treated with adalimumab (ADA) or vedolizumab (VDZ) in a real-life scenario. Therefore, our primary aim was to compare the AEs occurring in patients taking ADA to those of patients taking ... Read more >>

Intest Res (Intestinal research)
[2021, :]

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Editorial: inconclusive diagnosis of GERD: are new parameters in impedance-pHmetry ready for clinical use? Authors' reply.

Mentore Ribolsi, Marzio Frazzoni, Elisa Marabotto, Michele Cicala, Edoardo Savarino,

Aliment Pharmacol Ther (Alimentary pharmacology & therapeutics)
[2021, 54(4):498-499]

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Hospitalisation for Drug Infusion Did Not Increase Levels of Anxiety and the Risk of Disease Relapse in Patients with Inflammatory Bowel Disease during COVID-19 Outbreak.

Lorenzo Bertani, Brigida Barberio, Domenico Tricò, Federico Zanzi, Daria Maniero, Linda Ceccarelli, Ilaria Marsilio, Francesca Coppini, Greta Lorenzon, Maria Gloria Mumolo, Fabiana Zingone, Francesco Costa, Edoardo Vincenzo Savarino,

During the coronavirus disease 2019 (COVID-19) pandemic, immunomodulatory therapies and hospital admission were suspected to increase the risk of infection. Nevertheless, patients with inflammatory bowel diseases (IBD) treated with intravenous (i.v.) biologics had to move to hospitals for drug infusion. We investigated the impact of hospitalisation in patients with IBD. ... Read more >>

J Clin Med (Journal of clinical medicine)
[2021, 10(15):]

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Value of pH Impedance Monitoring While on Twice-Daily Proton Pump Inhibitor Therapy to Identify Need for Escalation of Reflux Management.

C Prakash Gyawali, Radu Tutuian, Frank Zerbib, Benjamin D Rogers, Marzio Frazzoni, Sabine Roman, Edoardo Savarino, Nicola de Bortoli, Marcelo F Vela, Daniel Sifrim,

<h4>Background and aims</h4>Acid exposure time (AET) and reflux episode thresholds from the Lyon Consensus may not apply for pH impedance studies performed while on proton pump inhibitor (PPI) therapy. We aimed to determine metrics from "on PPI" pH impedance studies predicting need for escalation of therapy.<h4>Methods</h4>De-identified pH impedance studies performed ... Read more >>

Gastroenterology (Gastroenterology)
[2021, :]

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