Angelo Bruni
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View article: Clinical, Radiological, and Endoscopic Features of Pancreatic Pseudocyst and Walled-Off Necrosis: How to Diagnose and How to Drain Them
Clinical, Radiological, and Endoscopic Features of Pancreatic Pseudocyst and Walled-Off Necrosis: How to Diagnose and How to Drain Them Open
Pancreatic pseudocysts (PPs) and walled-off necrosis (WON) are two distinct sequelae of acute and chronic pancreatitis, requiring accurate differentiation to guide appropriate management. Computed tomography (CT) and magnetic resonance ima…
View article: Stents and Emerging Alternatives in Upper Gastrointestinal Endoscopy: A Comprehensive Review
Stents and Emerging Alternatives in Upper Gastrointestinal Endoscopy: A Comprehensive Review Open
Endoscopy has revolutionized the management of gastrointestinal (GI) conditions, enabling less invasive treatments for cases that once required surgery. Among these innovations, endoscopically placed stents have played a crucial role in th…
View article: Underwater traction-assisted endoscopic submucosal dissection of a neuroendocrine tumor in the duodenal bulb
Underwater traction-assisted endoscopic submucosal dissection of a neuroendocrine tumor in the duodenal bulb Open
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View article: Microbial Landscapes of the Gut–Biliary Axis: Implications for Benign and Malignant Biliary Tract Diseases
Microbial Landscapes of the Gut–Biliary Axis: Implications for Benign and Malignant Biliary Tract Diseases Open
Next-generation sequencing has overturned the dogma of biliary sterility, revealing low-biomass microbiota along the gut–biliary axis with metabolic and immunologic effects. This review synthesizes evidence on composition, function, and ro…
View article: Nutritional Management in Chronic Pancreatitis: From Exocrine Pancreatic Insufficiency to Precision Therapy
Nutritional Management in Chronic Pancreatitis: From Exocrine Pancreatic Insufficiency to Precision Therapy Open
Chronic pancreatitis (CP) precipitates complex malnutrition through synergistic mechanisms: exocrine pancreatic insufficiency–driven maldigestion, duodenal or pancreatobiliary strictures limiting nutrient flow, cholestasis impairing micell…
View article: Current status and further directions of endoscopic ultrasound-directed transgastric ERCP and endoscopic ultrasound-directed transenteric ERCP in the management of pancreaticobiliary diseases in surgically altered anatomy: a comprehensive review
Current status and further directions of endoscopic ultrasound-directed transgastric ERCP and endoscopic ultrasound-directed transenteric ERCP in the management of pancreaticobiliary diseases in surgically altered anatomy: a comprehensive review Open
Endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE) and endoscopic ultrasound-directed transenteric endoscopic retrograde cholangiopancreatography (EDEE) are innovative endoscopic techniques de…
View article: Metastatic leiomyosarcoma manifesting as a gastric erosion: an uncommon clinical presentation
Metastatic leiomyosarcoma manifesting as a gastric erosion: an uncommon clinical presentation Open
A 75-year-old man presented with profound fatigue, hypoxia, and life-threatening anemia (hemoglobin, 4 g/dL), requiring multiple red blood cell transfusions. Contrast-enhanced chest computed tomography demonstrated segmental pulmonary embo…
View article: Risk Factors for Common Bile Duct Stones in Patients with Previous Cholecystectomy: A Multicenter Prospective Proof-of-Concept Study
Risk Factors for Common Bile Duct Stones in Patients with Previous Cholecystectomy: A Multicenter Prospective Proof-of-Concept Study Open
Objectives: Most studies assess risk factors for common bile duct (CBD) stones in patients with gallbladder in situ. We aimed to assess risk factors for CBD stones in patients with previous cholecystectomy in a proof-of-concept study. Meth…
View article: Sedation in endoscopy: Current practices and future innovations
Sedation in endoscopy: Current practices and future innovations Open
Sedation practices in gastrointestinal endoscopy have evolved considerably, driven by patient demand for comfort and the need to minimize cardiopulmonary complications. Recent guidelines emphasize personalized sedation strategies, risk ass…
View article: Endoscopic Ultrasound-Guided Pancreatic Cystic Fluid Biochemical and Genetic Analysis for the Differentiation Between Mucinous and Non-Mucinous Pancreatic Cystic Lesions
Endoscopic Ultrasound-Guided Pancreatic Cystic Fluid Biochemical and Genetic Analysis for the Differentiation Between Mucinous and Non-Mucinous Pancreatic Cystic Lesions Open
Pancreatic cystic lesions (PCLs) are increasingly identified via computerized tomography (CT) and magnetic resonance (MR), with a prevalence of 2–45%. Distinguishing mucinous PCLs (M-PCLs), which include intraductal papillary mucinous neop…
View article: The Role of Microbiota in Upper Gastrointestinal Cancers
The Role of Microbiota in Upper Gastrointestinal Cancers Open
The gut microbiota significantly impacts the development and progression of upper gastrointestinal (GI) cancers, including esophageal and gastric cancers. Microbial dysbiosis contributes to carcinogenesis through mechanisms such as inflamm…
View article: Incidence and Clinical Significance of Recompensation After HCV Cure
Incidence and Clinical Significance of Recompensation After HCV Cure Open
Recompensation after HCV cure is associated with substantially decreased risks of (liver-related) mortality and PVT, but not of HCC.
View article: Advances in Endo-Hepatology: The Role of Endoscopic Ultrasound in the Management of Portal Hypertension
Advances in Endo-Hepatology: The Role of Endoscopic Ultrasound in the Management of Portal Hypertension Open
Portal hypertension (PH) is a complication of advanced liver diseases, including cirrhosis and hepatocellular carcinoma, often leading to unfavorable outcomes. Endo-hepatology, particularly endoscopic ultrasound (EUS) has revolutionized th…
View article: New practice guidelines on risk stratification and management of portal hypertension: towards a personalized multidisciplinary approach
New practice guidelines on risk stratification and management of portal hypertension: towards a personalized multidisciplinary approach Open
The American Association for the Study of Liver Diseases (AASLD) has recently released the practice guidance on portal hypertension (PH) and varices in cirrhosis, offering a comprehensive framework for management of PH in chronic liver dis…
View article: The Endoscopic Management of Anastomotic Strictures After Esophagogastric Surgery: A Comprehensive Review of Emerging Approaches Beyond Endoscopic Dilation
The Endoscopic Management of Anastomotic Strictures After Esophagogastric Surgery: A Comprehensive Review of Emerging Approaches Beyond Endoscopic Dilation Open
Anastomotic strictures are a common complication following esophagogastric surgery, with prevalence varying depending on the type of surgery and anatomical site. These strictures can lead to debilitating symptoms such as dysphagia, pain, a…
View article: Intracystic Glucose Measurement for On-Site Differentiation Between Mucinous and Non-Mucinous Pancreatic Cystic Lesions
Intracystic Glucose Measurement for On-Site Differentiation Between Mucinous and Non-Mucinous Pancreatic Cystic Lesions Open
Background: Pancreatic cystic lesions (PCLs) are frequently detected incidentally and vary from benign to malignant. Accurate differentiation between mucinous (M-PCLs) and non-mucinous PCLs (NM-PCLs) is essential for appropriate management…
View article: Insights into Probiotic Prescription among Gastroenterologists and Other Healthcare Professionals: Evidence from an Italian Survey
Insights into Probiotic Prescription among Gastroenterologists and Other Healthcare Professionals: Evidence from an Italian Survey Open
Background: Probiotics, which are live microorganisms that provide health benefits, have been extensively studied for their various clinical applications. However, despite their potential, high-quality data supporting their use in several …
View article: Diagnostic Approach to Elevated Liver Function Tests during Pregnancy: A Pragmatic Narrative Review
Diagnostic Approach to Elevated Liver Function Tests during Pregnancy: A Pragmatic Narrative Review Open
Liver disease is not uncommon during pregnancy and is associated with increased maternal and fetal/neonatal morbidity and mortality. Physiological changes during pregnancy, including a hyperestrogenic state, increase in circulating plasma …
View article: The Effects of 12-Week Beta-Hydroxy-Beta-Methylbutyrate Supplementation in Patients with Liver Cirrhosis: Results from a Randomized Controlled Single-Blind Pilot Study
The Effects of 12-Week Beta-Hydroxy-Beta-Methylbutyrate Supplementation in Patients with Liver Cirrhosis: Results from a Randomized Controlled Single-Blind Pilot Study Open
Background and Aim: Sarcopenia is considered an important risk factor for morbidity and mortality in liver cirrhosis. Beta-hydroxy-beta-methylbutyrate (HMB) has the potential to increase muscle mass and performance by stimulating protein s…
View article: Effect of supplementing sunflower cake in dairy cow diet on milk production and composition
Effect of supplementing sunflower cake in dairy cow diet on milk production and composition Open
SBM).In questa ricerca è stata verificata la possibilità di sostituire una quota di SBM con SFC nella dieta delle bovine, stimando gli effetti sulla produzione e su alcune caratteristiche del latte.Materiali e metodi.l'esperimento è stato …