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Caprio GG, Picascia D, Dallio M, Vitiello PP, Giunta EF, De Falco V, Abenavoli L, Procopio AC, Famiglietti V, Martinelli E, Gravina AG, Federico A, Ciardiello F, Loguercio C, Ciardiello D. Light Alcohol Drinking and the Risk of Cancer Development: A Controversial Relationship. Rev Recent Clin Trials 2021; 15:164-177. [PMID: 32598271 DOI: 10.2174/1574887115666200628143015] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2020] [Revised: 05/14/2020] [Accepted: 05/29/2020] [Indexed: 02/07/2023]
Abstract
BACKGROUND In accordance with the scientific literature heavy alcohol consumption (>50g per day) represents a risk factor for several diseases development, including cancer. However, the oncogenic role of light alcohol drinking (<12.5g per day) is still unknown. OBJECTIVE To assess the scientific knowledge about light alcohol consumption and the risk of malignancy onset. METHODS To collect the scientific evidences regarding this topic the keywords "light alcohol drinking", "light alcohol consumption" and "cancer", were used. Papers published during the last 15 years were analyzed, in order to select the most recent evidence. Meta-analyses with well-defined levels of alcohol intake were included in the present review. Other studies that focused on biochemical, molecular and genetic aspects, as well as duplicate articles, were excluded. RESULTS Twenty-nine large, meta-analyses were included in this review. Light alcohol drinking was not associated with an increased risk of cancer occurrence, with the exception of breast and prostate cancer and melanoma. Furthermore, a possible protective role of light alcohol consumption on the development of bladder, kidney and ovarian cancer and Non Hodgkin Lymphoma was observed. CONCLUSION Light alcohol drinking was not associated with the development of several malignancies, except for a light increase of melanoma, breast cancer in women and prostate cancer in men.
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Affiliation(s)
- Giuseppe G Caprio
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Desiree Picascia
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Marcello Dallio
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Pietro P Vitiello
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Emilio F Giunta
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Vincenzo De Falco
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Ludovico Abenavoli
- Department of Health Sciences, University Magna Graecia, Catanzaro, Italy
| | - Anna C Procopio
- Department of Health Sciences, University Magna Graecia, Catanzaro, Italy
| | - Vincenzo Famiglietti
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Erika Martinelli
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Antonietta G Gravina
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Alessandro Federico
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Fortunato Ciardiello
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Carmelina Loguercio
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
| | - Davide Ciardiello
- Department of Precision Medicine, University of Campania Luigi Vanvitelli, NA, Italy
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De Luca M, Addario L, Lombardi A, Imparato M, Fontanella L, Addario M, Picascia D, Di Costanzo GG, Ascione A. Adipopenia Is the Rapid Screening Tool that Best Predicts Mortality in Patients with Decompensated Cirrhosis: Results of a Prospective Study. J Gastrointestin Liver Dis 2021; 30:94-102. [PMID: 33548124 DOI: 10.15403/jgld-3071] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
BACKGROUND AND AIMS Patients with liver cirrhosis (LC) often have malnutrition (MN), which can be associated with decompensation, infection, and death. The aims were to determine: the prevalence of MN in patients with LC and ascites, its impact on mortality, and the relationship between MN and spontaneous bacterial peritonitis (SBP). METHODS Nutritional status (NS) was analysed in cirrhotic patients, experiencing their first episode of ascites, who were consecutively admitted at two clinical liver centres between November 2014 and October 2016. The participants underwent diagnostic paracentesis and were followed up to assess their outcomes. RESULTS 110 participants underwent NS assessment in addition to routine clinical procedures. The prevalence of MN was 30.9% according to corrected body mass index, 67.3% according to upper mid-arm muscle area (UMA) and 40% according to upper mid-arm fat area (UFA). The percentages of the participants remaining alive were 68.1% at 3 months, 59.3% at 6 months, 45.1% at 12 months and 24.2% at the end of the study. Univariate analysis showed that SBP, model for end-stage liver disease (MELD), UFA, UMA and age were significantly associated with mortality. Multivariate analysis showed that only SBP, MELD and UFA (hazard ratio 2.2) were independently associated with mortality. There was a correlation between adipopenia, but not sarcopenia, and SBP. CONCLUSIONS Adipopenia, as assessed by UFA, was present in 40% of the cirrhotic patients, and it was independently associated with mortality.
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Affiliation(s)
| | | | | | - Michele Imparato
- Centre for Liver Disease, Buon Consiglio - Fatebenefratelli Hospital, Napoli, Italy.
| | - Luca Fontanella
- Centre for Liver Disease, Buon Consiglio - Fatebenefratelli Hospital, Napoli, Italy.
| | - Marco Addario
- Centre for Liver Disease, Buon Consiglio - Fatebenefratelli Hospital, Napoli, Italy.
| | - Desiree Picascia
- Hepato-Gastroenterology Unit, Department of Precision Medicine, L. Vanvitelli University, Napoli, Italy.
| | | | - Antonio Ascione
- Centre for Liver Disease, Buon Consiglio - Fatebenefratelli Hospital, Napoli, Italy.
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3
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Martino A, Bennato R, Oliva G, Pontarelli A, Picascia D, Romano L, Lombardi G. Primary aortogastric fistula: an extraordinary rare endoscopic finding in the setting of upper gastrointestinal bleeding. Endoscopy 2021; 53:E60-E61. [PMID: 32559781 DOI: 10.1055/a-1180-7701] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/10/2022]
Affiliation(s)
- Alberto Martino
- Department of Gastroenterology and Digestive Endoscopy, AORN "Antonio Cardarelli", Napoli, Italy
| | - Raffaele Bennato
- Department of Gastroenterology and Digestive Endoscopy, AORN "Antonio Cardarelli", Napoli, Italy
| | - Gaspare Oliva
- Department of General and Emergency Radiology, AORN "Antonio Cardarelli", Napoli, Italy
| | - Armando Pontarelli
- Department of Vascular Surgery, AORN "Antonio Cardarelli", Napoli, Italy
| | - Desiree Picascia
- Department of Gastroenterology and Digestive Endoscopy, AORN "Antonio Cardarelli", Napoli, Italy
| | - Luigia Romano
- Department of General and Emergency Radiology, AORN "Antonio Cardarelli", Napoli, Italy
| | - Giovanni Lombardi
- Department of Gastroenterology and Digestive Endoscopy, AORN "Antonio Cardarelli", Napoli, Italy
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4
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Manes G, Saibeni S, Pellegrini L, Picascia D, Pace F, Schettino M, Bezzio C, de Nucci G, Hassan C, Repici A. Improvement in appropriateness and diagnostic yield of fast-track endoscopy during the COVID-19 pandemic in Northern Italy. Endoscopy 2021; 53:162-165. [PMID: 32942316 PMCID: PMC7869040 DOI: 10.1055/a-1265-3315] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
BACKGROUND During the COVID-19 outbreak in Italy, only fast-track endoscopic procedures have been performed; nevertheless, a significant drop in their number has been reported. We evaluated whether the pandemic has impacted the appropriateness and diagnostic yield of fast-track endoscopic procedures compared with those performed in 2019. METHODS This retrospective study involved endoscopy services in Northern Italy. We compared data regarding endoscopic procedures performed in March and April 2020 with those performed during the same period in 2019. RESULTS In 2020, there was a 53.6 % reduction in the number of fast-track endoscopic procedures compared with 2019. Patients undergoing endoscopy in 2020 were younger than in 2019. Both appropriate referral and diagnostic yield increased in 2020 for both upper and lower endoscopy. A higher rate of cancer was diagnosed in 2020 by upper endoscopy (3.6 % vs. 6.6 %; P = 0.04). CONCLUSIONS The high level of inappropriate endoscopy referrals registered in 2019 significantly improved during the COVID-19 outbreak of 2020, with an increase in the diagnostic yield.
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Affiliation(s)
- Gianpiero Manes
- ASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy,ASST Rhodense, Gastroenterology and Endoscopy Unit, Rho, Milan, Italy
| | - Simone Saibeni
- ASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy,ASST Rhodense, Gastroenterology and Endoscopy Unit, Rho, Milan, Italy
| | - Lucienne Pellegrini
- ASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy,ASST Rhodense, Gastroenterology and Endoscopy Unit, Rho, Milan, Italy
| | - Desiree Picascia
- ASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy,ASST Rhodense, Gastroenterology and Endoscopy Unit, Rho, Milan, Italy
| | - Fabio Pace
- Bolognini Hospital, Gastroenterology Unit, Seriate, Italy
| | - Mario Schettino
- ASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy,ASST Rhodense, Gastroenterology and Endoscopy Unit, Rho, Milan, Italy
| | - Cristina Bezzio
- ASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy,ASST Rhodense, Gastroenterology and Endoscopy Unit, Rho, Milan, Italy
| | - Germana de Nucci
- ASST Rhodense, Gastroenterology and Endoscopy Unit, Garbagnate Milanese, Milan, Italy,ASST Rhodense, Gastroenterology and Endoscopy Unit, Rho, Milan, Italy
| | - Cesare Hassan
- Gastroenterology Unit, Nuovo Regina Margherita Hospital, Rome, Italy
| | - Alessandro Repici
- Humanitas University, Department of Biomedical Sciences, Rozzano, Milan, Italy
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5
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Nucci GD, Imperatore N, Picascia D, Mandelli ED, Bezzio C, Arena I, Omazzi B, Larghi A, Manes G. Endoscopic ultrasound-guided gallbladder drainage in pancreatic cancer and cholangitis: A case report. World J Gastrointest Endosc 2020; 12:488-492. [PMID: 33269057 PMCID: PMC7677881 DOI: 10.4253/wjge.v12.i11.488] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2020] [Revised: 09/15/2020] [Accepted: 10/09/2020] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Head pancreatic cancers often present with clinical challenges requiring biliary drainage for chemotherapy or palliative scope. If usual endoscopic modalities fail or if percutaneous approach is not feasible, endoscopic ultrasound (EUS) guided biliary drainage can be considered. Here we describe and discuss an interesting clinical case in which EUS-guided gallbladder drainage (EUS-GBD) was chosen to treat acute severe cholangitis in a patient with advanced pancreatic cancer.
CASE SUMMARY An 84-year-old female with a previous EUS-biopsy proven diagnosis of head pancreatic cancer presented with clinical signs of acute cholangitis. In September 2018 she had positioned a biliary and duodenal stent to relieve jaundice and an initial duodenal substenosis. In the emergency ward, an abdominal computed tomography scan showed proximal biliary stent occlusion due to neoplastic progression, but endoscopic retrograde cholangiopancreatography was impossible because of worsening duodenal stenosis and the absence of a chance to reach the Vater’s papilla area. EUS-guided choledocoduodenostomy was not technically feasible but because the cystic duct was free of neoplastic infiltration, an EUS-GBD using an Axios™ stent was successfully performed. The patient started to feed after 48 h and was discharged 1 wk later. No other hospitalizations due to cholangitis or symptoms of Axios™ stent occlusion/dysfunction were observed up until her death 6 mo later due to underlying disease.
CONCLUSION This case demonstrated how different EUS therapeutic approaches could have a key role to treat critical and seemingly unsolvable situations and that they could play a more fundamental role in the next future.
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Affiliation(s)
- Germana de Nucci
- Department of Gastroenterology, Garbagnate Milanese Hospital, ASST Rhodense, Milan 20024, Italy
| | - Nicola Imperatore
- Department of Gastroenterology, Cardarelli Hospital, Naples 80131, Italy
| | - Desiree Picascia
- Department of Gastroenterology, Federico II University, Naples 80100, Italy
| | - Enzo Domenico Mandelli
- Department of Gastroenterology, Garbagnate Milanese Hospital, ASST Rhodense, Milan 20024, Italy
| | - Cristina Bezzio
- Department of Gastroenterology, Garbagnate Milanese Hospital, ASST Rhodense, Milan 20024, Italy
| | - Ilaria Arena
- Department of Gastroenterology, Garbagnate Milanese Hospital, ASST Rhodense, Milan 20024, Italy
| | - Barbara Omazzi
- Department of Gastroenterology, Garbagnate Milanese Hospital, ASST Rhodense, Milan 20024, Italy
| | - Alberto Larghi
- Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Roma 00168, Italy
| | - Gianpiero Manes
- Department of Gastroenterology, Garbagnate Milanese Hospital, ASST Rhodense, Milan 20024, Italy
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6
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Bongiovanni M, De Lauretis A, Manes G, Marra AM, Bodini BD, Pellegrini L, Berra SA, Picascia D, Schettino M, Bini F. Clinical characteristics and outcome of COVID-19 pneumonia in elderly subjects. J Infect 2020; 82:e33-e34. [PMID: 32827588 PMCID: PMC7437568 DOI: 10.1016/j.jinf.2020.08.023] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Accepted: 08/17/2020] [Indexed: 12/15/2022]
Affiliation(s)
- Marco Bongiovanni
- Internal Medicine Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy.
| | - Angelo De Lauretis
- Pneumology Unit, Department of Medicine, Ospedale Salvini Garbagnate Milanese, ASST Rhodense, Milan, Italy
| | - Giampiero Manes
- Gastroenterology Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy
| | - Alessandro Maria Marra
- Internal Medicine Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy
| | - Bruno Dino Bodini
- Pneumology Unit, Department of Medicine, Ospedale Salvini Garbagnate Milanese, ASST Rhodense, Milan, Italy
| | - Lucienne Pellegrini
- Gastroenterology Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy
| | - Sergio Antonio Berra
- Internal Medicine Unit, Department of Medicine, Ospedale Salvini Garbagnate Milanese, ASST Rhodense, Milan, Italy
| | - Desiree Picascia
- Gastroenterology Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy
| | - Mario Schettino
- Gastroenterology Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy
| | - Francesco Bini
- Pneumology Unit, Department of Medicine, Ospedale Salvini Garbagnate Milanese, ASST Rhodense, Milan, Italy
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7
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Bongiovanni M, Vignati M, Giuliani G, Manes G, Arienti S, Pelucchi L, Cattaneo N, Bodini BD, Clerici D, Rosa F, Pellegrini L, Schettino M, Picascia D, Bini F. The dilemma of COVID-19 recurrence after clinical recovery. J Infect 2020; 81:979-997. [PMID: 32810521 PMCID: PMC7428731 DOI: 10.1016/j.jinf.2020.08.019] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 08/12/2020] [Indexed: 11/24/2022]
Affiliation(s)
- Marco Bongiovanni
- Internal Medicine Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy.
| | - Marco Vignati
- RSA Sandro Pertini, ASST Rhodense, Garbagnate Milanese, Milan, Italy
| | | | - Giampiero Manes
- Gastroenterology Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy
| | - Stefania Arienti
- RSA Sandro Pertini, ASST Rhodense, Garbagnate Milanese, Milan, Italy
| | - Loris Pelucchi
- RSA Sandro Pertini, ASST Rhodense, Garbagnate Milanese, Milan, Italy
| | | | - Bruno Dino Bodini
- Pneumology Unit, Department of Medicine, Ospedale Salvini Garbagnate Milanese, ASST Rhodense, Milan, Italy
| | - Danila Clerici
- RSA Sandro Pertini, ASST Rhodense, Garbagnate Milanese, Milan, Italy
| | - Fabio Rosa
- RSA Sandro Pertini, ASST Rhodense, Garbagnate Milanese, Milan, Italy
| | - Lucienne Pellegrini
- Gastroenterology Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy
| | - Mario Schettino
- Gastroenterology Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy
| | - Desiree Picascia
- Gastroenterology Unit, Department of Medicine, Ospedale di Circolo di Rho, ASST Rhodense, Milan, Italy
| | - Francesco Bini
- Pneumology Unit, Department of Medicine, Ospedale Salvini Garbagnate Milanese, ASST Rhodense, Milan, Italy
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8
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Miranda A, De Musis C, Sgambato D, De Mauro D, Picascia D, Avallone L, Romano L, D'Armiento FP, Romano M. Cryptosporidiosis in a patient with Crohn's disease under anti-TNF treatment. Acta Gastroenterol Belg 2019; 82:447-448. [PMID: 31566337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
- A Miranda
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - C De Musis
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - D Sgambato
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - D De Mauro
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - D Picascia
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - L Avallone
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - L Romano
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - F P D'Armiento
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - M Romano
- Pathology Unit, University Federico II, Naples, Italy
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9
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Miranda A, De Musis C, Sgambato D, De Mauro D, Picascia D, Avallone L, Romano L, D'Armiento FP, Romano M. Cryptosporidiosis in a patient with Crohn's disease under anti-TNF treatment. Acta Gastroenterol Belg 2019; 82:447-448. [PMID: 31566337] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/22/2024]
Affiliation(s)
- A Miranda
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - C De Musis
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - D Sgambato
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - D De Mauro
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - D Picascia
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - L Avallone
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - L Romano
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - F P D'Armiento
- Department of Precision Medicine, Division of Gastroenterology and Digestive Endoscopy, University of Campania "Luigi Vanvitelli", Naples, Italy
| | - M Romano
- Pathology Unit, University Federico II, Naples, Italy
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