E C Lauritano

Emergency Medicine, Azienda Ospedaliera Nazionale Santi Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.

34 publications 2004 – 2025

What does E C Lauritano research?

E C Lauritano studies small intestinal bacterial overgrowth (SIBO), a condition where excessive bacteria grow in the small intestine, leading to various gastrointestinal issues. Their research specifically investigates how often SIBO returns after patients receive antibiotic treatment. They look at factors that can increase the chance of recurrence, such as age, previous surgeries like appendectomy, and the use of medications that lower stomach acid. This work helps inform both patients and healthcare providers about managing SIBO effectively.

Key findings

  • 12.6% of patients tested positive for SIBO again at 3 months after antibiotic therapy.
  • 43.7% of patients tested positive for SIBO at 9 months post-treatment.
  • Older age was linked to a higher likelihood of SIBO recurrence.
  • Patients who had an appendectomy showed a greater chance of SIBO coming back.
  • Use of proton pump inhibitors was associated with returning gastrointestinal symptoms.

Frequently asked questions

Does Dr. Lauritano study small intestinal bacterial overgrowth (SIBO)?
Yes, Dr. Lauritano specializes in researching SIBO and its recurrence after antibiotic treatment.
What factors affect the recurrence of SIBO?
Factors include older age, previous appendectomy, and the use of acid-reducing medications like proton pump inhibitors.
Is Dr. Lauritano's research relevant for patients with gastrointestinal issues?
Yes, their research provides valuable insights for managing SIBO and associated gastrointestinal symptoms.

Publications in plain English

WITHDRAWN: Diagnosis and Acute Treatment of Ischemic Stroke.

2025

Reviews on recent clinical trials

Lauritano EC, Sepe FN, Mascolo MC, Boverio R, Ruiz L

Plain English
This study was supposed to focus on how to diagnose and treat ischemic strokes quickly and effectively. However, the research has been withdrawn because the authors did not communicate properly with the editors. As a result, there are no findings or data to share. Who this helps: This situation affects researchers and medical professionals looking for reliable information on stroke treatment.

PubMed

Identification of COVID-19 patients at risk of hospital admission and mortality: a European multicentre retrospective analysis of mid-regional pro-adrenomedullin.

2022

Respiratory research

Sozio E, Moore NA, Fabris M, Ripoli A, Rumbolo F +34 more

Plain English
This study looked at a biomarker called Mid-Regional pro-Adrenomedullin (MR-proADM) to see if it could help identify COVID-19 patients who might need to be hospitalized or are at risk of dying. Researchers analyzed data from 1,861 patients across Europe and found that a low MR-proADM level (≤ 1.02 nmol/L) along with certain age and CRP levels could indicate that a patient could safely go home instead of being admitted to the hospital. Conversely, higher levels of MR-proADM combined with other factors showed an increased risk of death. Who this helps: This helps doctors make better decisions about COVID-19 patient treatment.

PubMed

SARS-CoV-2 infection as a trigger of autoimmune response.

2021

Clinical and translational science

Sacchi MC, Tamiazzo S, Stobbione P, Agatea L, De Gaspari P +6 more

Plain English
This study looked at how COVID-19 might trigger the immune system to produce autoantibodies, which can lead to autoimmune diseases. Researchers examined 40 patients with COVID-19 and found that those with higher levels of inflammatory markers and specific autoantibodies had worse outcomes. Specifically, 50% of patients showed signs of autoimmune responses like antinuclear antibodies. This is important because it suggests that doctors should check COVID-19 patients for autoimmune markers, especially when deciding on their treatment options. Who this helps: This helps doctors and patients with COVID-19, particularly those at risk of developing autoimmune issues.

PubMed

High levels of mid-regional proadrenomedullin in ARDS COVID-19 patients: the experience of a single, Italian Center.

2021

European review for medical and pharmacological sciences

Benedetti I, Spinelli D, Callegari T, Bonometti R, Molinaro E +6 more

Plain English
This study looked at a marker called mid-regional proadrenomedullin (MR-proADM) to see how well it can predict the severity and risk of death in COVID-19 patients suffering from severe lung issues called ARDS. Researchers found that patients who did not survive had much higher MR-proADM levels (3.5 nmol/L) at the start compared to survivors (1.1 nmol/L), and the overall death rate was 52.4%. MR-proADM performed similarly to standard clinical scoring systems in predicting outcomes, which means it could be a helpful tool for doctors in treating these patients. Who this helps: This helps doctors and healthcare providers treat COVID-19 patients with severe respiratory issues.

PubMed

Severe acute dried gangrene in COVID-19 infection: a case report.

2020

European review for medical and pharmacological sciences

Novara E, Molinaro E, Benedetti I, Bonometti R, Lauritano EC +1 more

Plain English
This study looked at a 78-year-old woman who developed severe complications from COVID-19, including dried gangrene in her nose, hands, and feet within three days of hospitalization. Despite receiving treatment, her condition worsened, leading to coma and death. This case highlights how COVID-19 can cause serious blood-related problems, even in patients without pre-existing vascular issues, indicating that those with COVID-19 may face rapid and life-threatening complications. Who this helps: This information helps doctors and medical staff recognize potential severe complications in COVID-19 patients.

PubMed

The first case of systemic lupus erythematosus (SLE) triggered by COVID-19 infection.

2020

European review for medical and pharmacological sciences

Bonometti R, Sacchi MC, Stobbione P, Lauritano EC, Tamiazzo S +7 more

Plain English
This study looks at a patient who developed a condition called systemic lupus erythematosus (SLE) after getting COVID-19. The patient showed signs of autoimmune antibodies long after the virus was gone, which likely contributed to their ongoing health issues. This is important because it highlights that COVID-19 may trigger chronic autoimmune diseases like SLE, which could affect how doctors treat patients recovering from the virus. Who this helps: This helps patients who have had COVID-19 and may experience long-term autoimmune symptoms.

PubMed

Isolated immune thrombocytopenic purpura in a young adult Covid-19 patient.

2020

European review for medical and pharmacological sciences

Molinaro E, Novara E, Bonometti R, Sacchi MC, Stobbione P +2 more

Plain English
This study examined a young woman with severe low platelet counts (thrombocytopenia) as a unique symptom of her Covid-19 infection, even though she displayed no respiratory or other typical Covid-19 symptoms. The researchers ruled out other potential causes for her condition and found that she had isolated immune thrombocytopenic purpura, which involves the immune system mistakenly attacking her platelets. The findings highlight that Covid-19 can trigger a wide range of immune responses, affecting patients in unexpected ways. Who this helps: This helps doctors understand how Covid-19 may affect blood health in young adults, potentially leading to better diagnosis and treatment.

PubMed

Case report of COVID-19 in an elderly patient: could SARS-CoV2 trigger myositis?

2020

European review for medical and pharmacological sciences

Sacchi MC, Tamiazzo S, Lauritano EC, Bonometti R

Plain English
This study looked at an older patient who had COVID-19 and later showed signs of a muscle-related autoimmune disease called myositis. Initially, the patient tested negative for autoimmune diseases but developed positive test results for myositis-specific antibodies two months after recovering from COVID-19, along with persistent muscle weakness. This finding matters because it raises the possibility that COVID-19 may trigger lasting autoimmune conditions, which could affect long-term recovery and management for similar patients. Who this helps: This helps patients recovering from COVID-19 and their doctors.

PubMed

Incidence, clinical features and management of acute allergic reactions: the experience of a single, Italian Emergency Department.

2013

European review for medical and pharmacological sciences

Lauritano EC, Novi A, Santoro MC, Casagranda I

Plain English
This study looked at acute allergic reactions in patients visiting an Emergency Department in Alessandria, Italy, during 2009-2010. Out of 390 cases, the most common triggers were drugs (27%), insects (15%), and foods (9%), with skin symptoms being the most frequently noted. While most patients (93%) were treated and discharged, about 7% were admitted to the hospital, highlighting the importance of proper management for these reactions. Who this helps: This research benefits patients experiencing allergic reactions and the healthcare providers treating them.

PubMed

The role of small intestinal bacterial overgrowth in Parkinson's disease.

2013

Movement disorders : official journal of the Movement Disorder Society

Fasano A, Bove F, Gabrielli M, Petracca M, Zocco MA +13 more

Plain English
This study looked at whether an overgrowth of bacteria in the small intestine affects motor symptoms in Parkinson's disease. The researchers found that 54.5% of Parkinson's patients had this bacterial overgrowth, compared to only 20% of healthy people. Those with the condition experienced much worse motor fluctuations—nearly 88% of them had unpredictable movements, while only 8.3% of those without infections did. Treating the bacterial overgrowth improved their motor symptoms, though about 43% experienced a relapse within six months. Who this helps: This helps Parkinson’s patients who struggle with motor fluctuations.

PubMed

Prevalence of small intestinal bacterial overgrowth in Parkinson's disease.

2011

Movement disorders : official journal of the Movement Disorder Society

Gabrielli M, Bonazzi P, Scarpellini E, Bendia E, Lauritano EC +7 more

Plain English
Researchers studied the occurrence of small intestinal bacterial overgrowth (SIBO) in people with Parkinson's disease (PD) compared to those without it. They found that 54.17% of PD patients had SIBO, while only 8.33% of the control group had it, indicating that PD patients are significantly more likely to experience this condition. This matters because understanding the high prevalence of SIBO in PD can lead to better treatments and management of gastrointestinal issues in these patients. Who this helps: This helps patients with Parkinson's disease and their doctors.

PubMed

Diagnostic and prognostic significance of high sensitive troponin in chest pain.

2011

European review for medical and pharmacological sciences

Casagranda I, Lauritano EC

Plain English
This study looked at how high sensitive troponin tests can help doctors diagnose heart attacks in patients who come to the Emergency Department with chest pain. The research found that about 25% of these patients actually have acute coronary syndrome, and using high sensitive troponin tests allows for quicker and more accurate identification of heart issues compared to older tests. This is important because it helps ensure patients receive the right treatment faster, potentially saving lives. Who this helps: Patients with chest pain and doctors treating them.

PubMed

Intestinal permeability in cirrhotic patients with and without spontaneous bacterial peritonitis: is the ring closed?

2010

The American journal of gastroenterology

Scarpellini E, Valenza V, Gabrielli M, Lauritano EC, Perotti G +7 more

Plain English
This study looked at how well the intestines of patients with liver cirrhosis are working compared to healthy individuals. Researchers found that 45% of the cirrhosis patients had poor intestinal permeability (IP), while only 4% of healthy controls had the same issue. This matters because poor IP is linked to more severe liver disease and complications like spontaneous bacterial peritonitis, which can significantly harm these patients’ health. Who this helps: This helps patients with liver cirrhosis and their doctors by identifying risk factors for serious complications.

PubMed

The role of methane in intestinal diseases.

2010

The American journal of gastroenterology

Roccarina D, Lauritano EC, Gabrielli M, Franceschi F, Ojetti V +1 more

Plain English
This study looked at how methane gas in the intestines affects gut health. It found that about one-third of healthy adults produce methane, which can be linked to various intestinal diseases. Understanding this relationship is important because it could lead to better treatments for people suffering from bowel disorders. Who this helps: Patients with intestinal diseases.

PubMed

The effect of oral supplementation with Lactobacillus reuteri or tilactase in lactose intolerant patients: randomized trial.

2010

European review for medical and pharmacological sciences

Ojetti V, Gigante G, Gabrielli M, Ainora ME, Mannocci A +3 more

Plain English
This study looked at how effective two treatments—tilactase and Lactobacillus reuteri—are for people who are lactose intolerant. Out of 60 participants, those taking tilactase had a much higher success rate in normalizing hydrogen breath test results compared to those on a placebo (with a significant p value of <0.01), and they also reported fewer gastrointestinal symptoms. This matters because effective treatments can help lactose intolerant individuals enjoy dairy products without discomfort. Who this helps: Patients with lactose intolerance.

PubMed

Small intestinal bacterial overgrowth and intestinal permeability.

2010

Scandinavian journal of gastroenterology

Lauritano EC, Valenza V, Sparano L, Scarpellini E, Gabrielli M +3 more

PubMed

The role of emergency ultrasound in the diagnosis of acute non-traumatic epigastric pain.

2010

Internal and emergency medicine

Testa A, Lauritano EC, Giannuzzi R, Pignataro G, Casagranda I +1 more

Plain English
This study looked at how using ultrasound in emergency rooms can help diagnose sudden stomach pain that isn't caused by injury. Researchers found that having a clear ultrasound protocol can speed up diagnosis and reduce the need for more complex tests, leading to quicker and safer care for patients. Specifically, using ultrasound as a first step saves time and resources, making emergency care more efficient. Who this helps: This benefits patients experiencing stomach pain and emergency room doctors.

PubMed

Gut microbiota and obesity.

2010

Internal and emergency medicine

Scarpellini E, Campanale M, Leone D, Purchiaroni F, Vitale G +2 more

Plain English
This study looked at the relationship between gut bacteria and obesity. Researchers found that changes in the composition of gut bacteria can affect how our bodies absorb nutrients and manage energy. They noted that treatments like antibiotics, prebiotics, and probiotics show promise in helping prevent and treat obesity and related health issues. Who this helps: This helps patients struggling with obesity and healthcare providers looking for effective treatments.

PubMed

Bacillus clausii as a treatment of small intestinal bacterial overgrowth.

2009

The American journal of gastroenterology

Gabrielli M, Lauritano EC, Scarpellini E, Lupascu A, Ojetti V +3 more

PubMed

Rifaximin pharmacology and clinical implications.

2009

Expert opinion on drug metabolism & toxicology

Ojetti V, Lauritano EC, Barbaro F, Migneco A, Ainora ME +3 more

Plain English
This study examined the antibiotic rifaximin, which is effective against a wide range of bacteria and is mainly used to treat gastrointestinal issues without being absorbed into the bloodstream. The research found that rifaximin can help restore balance in gut bacteria and is safe for all patients, including children. This is important because it offers an effective treatment option for various gut-related diseases, with minimal side effects and low risk of antibiotic resistance. Who this helps: Patients with gastrointestinal diseases, including children.

PubMed

Antibiotic therapy in small intestinal bacterial overgrowth: rifaximin versus metronidazole.

2009

European review for medical and pharmacological sciences

Lauritano EC, Gabrielli M, Scarpellini E, Ojetti V, Roccarina D +8 more

Plain English
This study compared two antibiotics, rifaximin and metronidazole, for treating small intestinal bacterial overgrowth (SIBO) in 142 patients. Rifaximin was more effective, normalizing breath tests in 63.4% of patients compared to 43.7% for metronidazole, and it caused fewer side effects. These findings suggest that rifaximin is a better and safer option for managing SIBO. Who this helps: Patients suffering from small intestinal bacterial overgrowth.

PubMed

Prevalence of small intestinal bacterial overgrowth in children with irritable bowel syndrome: a case-control study.

2009

The Journal of pediatrics

Scarpellini E, Giorgio V, Gabrielli M, Lauritano EC, Pantanella A +2 more

Plain English
This study looked at how common small intestinal bacterial overgrowth (SIBO) is in children with irritable bowel syndrome (IBS). Among the 43 children with IBS, 65% had signs of SIBO, compared to just 7% of the 56 healthy kids. These findings are important because they show a strong link between SIBO and IBS in children, suggesting that treating SIBO could help improve their symptoms. Who this helps: This research benefits children suffering from IBS and their families.

PubMed

The interaction between small intestinal bacterial overgrowth and warfarin treatment.

2009

The American journal of gastroenterology

Scarpellini E, Gabrielli M, Za T, Lauritano EC, Santoliquido A +5 more

PubMed

Portal vein tumor thrombosis revascularization during sorafenib treatment for hepatocellular carcinoma.

2009

The American journal of gastroenterology

Novi M, Lauritano EC, Piscaglia AC, Barbaro B, Zocco MA +2 more

PubMed

New insights into the pathophysiology of IBS: intestinal microflora, gas production and gut motility.

2008

European review for medical and pharmacological sciences

Gasbarrini A, Lauritano EC, Garcovich M, Sparano L, Gasbarrini G

Plain English
This study looked at irritable bowel syndrome (IBS), a condition that causes abdominal pain and changes in bowel habits. Researchers found that factors like brain-gut communication issues, infections, and changes in gut bacteria play a significant role in IBS symptoms. Understanding these different aspects is crucial for developing new treatments for IBS. Who this helps: This helps patients with IBS seeking better management of their symptoms.

PubMed

Small intestinal bacterial overgrowth recurrence after antibiotic therapy.

2008

The American journal of gastroenterology

Lauritano EC, Gabrielli M, Scarpellini E, Lupascu A, Novi M +7 more

Plain English
This study looked at how often small intestinal bacterial overgrowth (SIBO) comes back after patients are treated with antibiotics. It found that after treatment, 12.6% of patients tested positive for SIBO again at 3 months, rising to 43.7% by 9 months. Older age, having had an appendectomy, and using acid-reducing medications called proton pump inhibitors were linked to a higher chance of SIBO coming back, and those patients also experienced a return of gastrointestinal symptoms. Who this helps: This information benefits patients who have SIBO, as well as their doctors in managing their treatment.

PubMed

Association between hypothyroidism and small intestinal bacterial overgrowth.

2007

The Journal of clinical endocrinology and metabolism

Lauritano EC, Bilotta AL, Gabrielli M, Scarpellini E, Lupascu A +8 more

Plain English
This research studied the link between hypothyroidism and a condition called small intestinal bacterial overgrowth (SIBO) in 50 patients with hypothyroidism caused by autoimmune thyroiditis. It found that 54% of these patients had SIBO, significantly higher than the 5% in a control group. While treating SIBO improved gastrointestinal symptoms like bloating and discomfort, it did not affect thyroid hormone levels, which means the extra bacteria can cause digestive issues but don't interfere with thyroid function. Who this helps: This research helps patients with hypothyroidism who are experiencing gastrointestinal issues.

PubMed

Small intestinal bacterial overgrowth: diagnosis and treatment.

2007

Digestive diseases (Basel, Switzerland)

Gasbarrini A, Lauritano EC, Gabrielli M, Scarpellini E, Lupascu A +2 more

Plain English
This study focuses on small intestinal bacterial overgrowth (SIBO), a condition where too many bacteria grow in the small intestine, leading to symptoms like diarrhea and bloating. It found that breath tests are effective and affordable ways to diagnose SIBO, and that antibiotics are the main treatment for this condition, even though there are not many studies guiding their use. Understanding SIBO better is important because it helps address these uncomfortable symptoms and improve patients' quality of life. Who this helps: This helps patients suffering from digestive issues like SIBO or irritable bowel syndrome.

PubMed

Rifaximin-based regimens for eradication of Helicobacter pylori: a pilot study.

2006

Digestive diseases (Basel, Switzerland)

Gasbarrini A, Lauritano EC, Nista EC, Candelli M, Gabrielli M +7 more

Plain English
This study looked at using rifaximin, an antibiotic that isn't absorbed well, to treat Helicobacter pylori infections, which commonly affect people's stomachs. Among 48 patients, the treatment successfully eliminated the bacteria in 58% of those who received one regimen and 42% in another, but neither was as effective as traditional treatments which typically succeed in 70 to 85% of cases. This matters because improving treatment options could help overcome issues of patient non-compliance and antibiotic resistance. Who this helps: This helps patients with Helicobacter pylori infections.

PubMed

Abnormal breath tests to lactose, fructose and sorbitol in irritable bowel syndrome may be explained by small intestinal bacterial overgrowth.

2005

Alimentary pharmacology & therapeutics

Nucera G, Gabrielli M, Lupascu A, Lauritano EC, Santoliquido A +6 more

Plain English
Researchers studied patients with irritable bowel syndrome (IBS) to see if a condition called small intestinal bacterial overgrowth (SIBO) affected the results of breath tests used to diagnose sugar malabsorption. They found that 65% of the 98 patients had SIBO, and those patients had significantly higher abnormal results in the lactose, fructose, and sorbitol breath tests compared to those without SIBO. After treating SIBO with antibiotics, the negative breath test results increased dramatically, indicating that treating SIBO can correct these misleading test results. Who this helps: This helps IBS patients who may benefit from proper diagnosis and treatment of sugar malabsorption related to SIBO.

PubMed

Rifaximin dose-finding study for the treatment of small intestinal bacterial overgrowth.

2005

Alimentary pharmacology & therapeutics

Lauritano EC, Gabrielli M, Lupascu A, Santoliquido A, Nucera G +7 more

Plain English
This study examined how different doses of the antibiotic rifaximin affect the treatment of small intestinal bacterial overgrowth (SIBO) in 90 patients. The researchers found that taking 1,200 mg of rifaximin per day led to a normalization of breath tests in 60% of patients, compared to only 17% with 600 mg and 27% with 800 mg. This means that higher doses of rifaximin are more effective at treating SIBO without causing more side effects. Who this helps: This helps patients suffering from small intestinal bacterial overgrowth.

PubMed

Hydrogen glucose breath test to detect small intestinal bacterial overgrowth: a prevalence case-control study in irritable bowel syndrome.

2005

Alimentary pharmacology & therapeutics

Lupascu A, Gabrielli M, Lauritano EC, Scarpellini E, Santoliquido A +6 more

Plain English
This study looked at how common small intestinal bacterial overgrowth (SIBO) is in people with irritable bowel syndrome (IBS) compared to healthy individuals. The researchers found that 31% of IBS patients tested positive for SIBO using a breath test, while only 4% of healthy controls had the same result, indicating that IBS patients are more likely to have SIBO. Understanding this connection is important because it may lead to better treatment options for people with IBS. Who this helps: Patients with irritable bowel syndrome.

PubMed

Helicobacter pylori test-and-treat strategy in the management of dyspepsia in primary care: an overview.

2004

Scandinavian journal of gastroenterology

Di Caro S, Cremonini F, Franceschi F, Gasbarrini G, Delgado-Aros S +2 more

PubMed

Sacroileitis and peripheral arthropathy associated with ulcerative colitis: effect of infliximab on both articular and intestinal symptoms.

2004

Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver

Lupascu A, Armuzzi A, De Pascalis B, Carloni E, Lauritano EC +3 more

Plain English
This study looked at the effects of infliximab, a medication often used for inflammatory diseases, on joint and gut symptoms in a patient with ulcerative colitis, who also had inflammation in the sacroiliac joint and other joints. The patient showed significant improvement and was able to maintain remission after receiving infliximab treatment. This finding is important because it shows that infliximab can effectively help manage both joint and intestinal symptoms in people with ulcerative colitis. Who this helps: Patients with ulcerative colitis experiencing joint pain and inflammation.

PubMed

Publication data sourced from PubMed . Plain-English summaries generated by AI. Not medical advice.