Sandro Ardizzone

Endoscopy Unit, Gastroenterology Department, Humanitas San Pio X Hospital IRCCS, 20089 Rozzano, Italy.

50 publications 2020 – 2025 ORCID

What does Sandro Ardizzone research?

Dr. Ardizzone studies various aspects of inflammatory bowel disease (IBD), which includes conditions like ulcerative colitis and Crohn's disease. He is particularly interested in how certain abnormalities, such as sessile serrated lesions, can increase the risk of colorectal cancer in IBD patients. He also investigates the effectiveness of specific medications like tofacitinib, which may help patients with severe IBD who haven’t responded to other treatments. Additionally, his research looks at the impact of treatments on health risks, such as those associated with COVID-19.

Key findings

  • In a study of 58 patients with anti-TNF refractory ulcerative colitis, only 6 (10.3%) required colectomy after 52 weeks of tofacitinib treatment, with 53.4% achieving clinical remission.
  • During the first COVID-19 wave, 27.8% of IBD patients developed pneumonia and 5.5% died; these figures decreased to 11.7% and 1.8%, respectively, by the second wave.
  • In the SCOTCH study of 687 Crohn's disease patients, 15 years post-surgery, 44% of those who had total colectomy experienced disease recurrence compared to 27% of those who had segmental colectomy.
  • About one-third of patients maintained continuous clinical remission (CCR) on various biologic drugs for ulcerative colitis after one year; the percentages were 33% for adalimumab, 37% for infliximab biosimilar, and 37% for vedolizumab.
  • In IBD patients treated with medications, none showed increased risks related to COVID-19 severity, and some treatments reduced the chances of pneumonia and hospitalization.

Frequently asked questions

Does Dr. Ardizzone study inflammatory bowel disease?
Yes, Dr. Ardizzone focuses exclusively on inflammatory bowel disease, including ulcerative colitis and Crohn's disease.
What treatments has Dr. Ardizzone researched for ulcerative colitis?
He has researched tofacitinib and various biologic drugs, examining their effectiveness in helping patients manage symptoms and avoid surgery.
Is Dr. Ardizzone's work relevant to patients with Crohn's disease?
Absolutely, his research includes key findings about treatments and surgical options that directly impact patients with Crohn's disease.
How does Dr. Ardizzone's research help patients with COVID-19 and IBD?
His studies indicate that IBD medications do not worsen COVID-19 outcomes and can even protect against severe complications.
What are sessile serrated lesions and why are they important in IBD?
Sessile serrated lesions are growths that can be linked to an increased cancer risk in IBD patients. Dr. Ardizzone's research highlights their significance in cancer detection.

Publications in plain English

Targeting of the IGFBP3/TMEM219 pathway restores intestinal stem cells capability of healing mucosa in gastrointestinal autoimmune disorders.

2025

Pharmacological research

Amabile G, D'Addio F, Maestroni A, Zangarini M, Porzio S +20 more

Plain English
This study focused on a new treatment approach for autoimmune intestinal diseases by targeting a specific signaling pathway involving IGFBP3 and TMEM219. Researchers developed a human antibody, named Ent001, that effectively protected intestinal stem cells and improved gut healing in lab tests. In experiments with mini-guts from Crohn's disease patients, Ent001 not only promoted growth but also reduced harmful factors linked to cell death, and it showed promising results in animal models by improving symptoms and preventing cancer. Who this helps: This research benefits patients with autoimmune intestinal disorders, particularly those affected by conditions like Crohn's disease.

PubMed

TMEM219 signaling promotes intestinal stem cell death and exacerbates colitis.

2025

The Journal of clinical investigation

D'Addio F, Amabile G, Assi E, Maestroni A, Petrazzuolo A +27 more

Plain English
This study looked at how a protein called TMEM219 affects stem cells in the intestines of people with Crohn's disease, a serious inflammatory bowel condition. The researchers found that high levels of TMEM219 lead to increased death of these stem cells, which makes it harder for the intestines to heal, especially in patients who do not respond to standard treatments. When they blocked TMEM219 in lab-grown intestinal tissues, the cell's ability to renew itself improved, showing that stopping TMEM219 could help heal the intestines in patients with Crohn’s disease. Who this helps: This research benefits patients with Crohn's disease and their doctors by offering new insights into potential treatments.

PubMed

Esophageal Squamous Papilloma and Papillomatosis: Current Evidence of HPV Involvement and Malignant Potential.

2025

Cancers

Mercurio M, de Sire R, Campagnoli P, Fante MD, Fazzini L +6 more

Plain English
This research paper looks at how the human papillomavirus (HPV) may be linked to rare growths in the esophagus called esophageal squamous papilloma and papillomatosis. The findings indicate that while these growths usually aren’t cancerous, they can be associated with high-risk types of HPV and a possible chance of turning into cancer, especially in cases with multiple lesions or positive HPV results. Understanding these links is crucial for developing better ways to detect, monitor, and treat these conditions effectively. Who this helps: This benefits patients with esophageal lesions and their doctors by providing clearer guidelines for monitoring and treatment options.

PubMed

Sessile Serrated Lesions in Inflammatory Bowel Disease: Hidden Players in Colitis-Associated Colorectal Cancer?

2025

Journal of clinical medicine

de Sire R, De Deo D, Mercurio M, Franchellucci G, Calabrese G +9 more

Plain English
This paper studied sessile serrated lesions (SSLs), which are linked to colorectal cancer, in patients with inflammatory bowel disease (IBD). The review found that these lesions are increasingly recognized during surveillance, especially in those with ulcerative colitis, but their cancer risk varies; while most SSLs pose little threat, those with dysplasia have a significantly higher risk of cancer. Understanding SSLs in IBD is crucial as it may help improve cancer detection strategies for these patients. Who this helps: Patients with inflammatory bowel disease and their doctors.

PubMed

IDH1-mutated Crohn's disease-associated small bowel adenocarcinomas: Distinctive pathological features and association with MGMT methylation and serrated-type dysplasia.

2024

Histopathology

Guerini C, Furlan D, Ferrario G, Grillo F, Libera L +16 more

Plain English
This study looked at a type of cancer that can develop in the small intestine of patients with Crohn's disease and found that 20% of these cancers had a mutation in a specific gene called IDH1. Cancers with this mutation showed different characteristics, such as lower levels of a protein called cytokeratin 7 and higher levels of another protein called p53. This finding is important because it helps identify a specific subtype of cancer that may respond differently to treatments, giving doctors better tools for managing these cases. Who this helps: This helps patients with Crohn's disease by providing insights for their doctors on potential cancer risks and treatment options.

PubMed

Immune-Mediated Inflammatory Diseases and Cancer - a dangerous liaison.

2024

Frontiers in immunology

Maier JA, Castiglioni S, Petrelli A, Cannatelli R, Ferretti F +4 more

Plain English
This paper studied the link between immune-related inflammatory diseases (like arthritis or lupus) and cancer, noting that patients with these conditions are at higher risk for developing cancer. It highlighted that chronic inflammation and the treatments for these diseases weaken the immune system, which can contribute to cancer; even though the exact reasons aren’t fully understood, environmental factors and genetics play a role. This research matters because it identifies important areas needing further exploration to better protect these patients from cancer. Who this helps: This helps patients with immune-mediated inflammatory diseases and their doctors.

PubMed

Accuracy of optical diagnosis with narrow band imaging in the surveillance of ulcerative colitis: a prospective study comparing Kudo, Kudo-IBD and NICE classifications.

2024

International journal of colorectal disease

Cassinotti A, Duca P, Maconi G, Beretta E, Sampietro GM +3 more

Plain English
This study looked at how well a special imaging technique called Narrow Band Imaging (NBI) can identify different types of lesions in patients with ulcerative colitis (UC), using three classification systems. They examined 394 lesions and found that the modified Kudo classification was the most accurate, correctly identifying 86% of neoplastic lesions, compared to 71% for the original Kudo and 76% for the NICE classification. This matters because it could improve how doctors monitor and treat patients with ulcerative colitis, reducing the risk of missing important changes in their condition. Who this helps: Patients with ulcerative colitis and their doctors.

PubMed

Factors correlated with transmural healing in patients with Crohn's disease in long-term clinical remission on anti-TNF medication.

2024

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

Maconi G, Lepore F, Saleh A, Saibeni S, Bezzio C +8 more

Plain English
This study looked at factors related to a specific type of healing in patients with Crohn's disease who have been stable on anti-TNF medications for over a year. Out of 68 patients, 38% achieved full healing of their bowel walls, while more than half had low drug levels, which negatively affected healing. The findings suggest that maintaining proper medication levels and addressing other health conditions can improve healing and outcomes for Crohn's patients. Who this helps: This helps Crohn's disease patients and their doctors by identifying ways to improve treatment effectiveness.

PubMed

Timing of proper introduction, optimization and maintenance of anti-TNF therapy in IBD: Results from a Delphi consensus.

2024

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

Ardizzone S, Armuzzi A, Caprioli F, Castiglione F, Danese S +6 more

Plain English
This study looked at the best timing for starting, adjusting, and continuing anti-TNF therapy for patients with inflammatory bowel disease (IBD), which includes conditions like Crohn's disease and ulcerative colitis. Experts reviewed their opinions and reached a consensus on twelve key recommendations, emphasizing that starting anti-TNF treatment early is often best for patients. This is important because using biosimilars, which are more affordable versions of these drugs, can help more patients access effective treatment. Who this helps: This benefits patients with inflammatory bowel diseases by improving their treatment options.

PubMed

Effect of Tofacitinib on One-Year Colectomy Risk in Anti-TNF Refractory Ulcerative Colitis: A Prospective Multicenter Italian Study.

2024

Digestive diseases and sciences

Carvalhas Gabrielli AM, Ferretti F, Monico CM, Tombetti E, Maconi G +13 more

Plain English
This study looked at how well tofacitinib, a medication for ulcerative colitis (UC), worked in patients who did not respond to previous treatments with anti-TNF drugs. Out of 58 patients, only 6 (10.3%) needed surgery to remove their colon, and many showed improvement in their symptoms after 52 weeks: 53.4% achieved clinical remission, and 50% showed improvement in their colon's condition during follow-up checks. These results are important because they suggest tofacitinib can effectively help patients avoid surgery and manage their UC symptoms. Who this helps: This helps patients with ulcerative colitis who have not responded to anti-TNF treatments.

PubMed

European Crohn's and Colitis Guidelines on Sexuality, Fertility, Pregnancy, and Lactation.

2023

Journal of Crohn's & colitis

Torres J, Chaparro M, Julsgaard M, Katsanos K, Zelinkova Z +21 more

PubMed

Therapeutic Management of Adults with Inflammatory Bowel Disease and Malignancies: A Clinical Challenge.

2023

Cancers

Ferretti F, Cannatelli R, Maconi G, Ardizzone S

Plain English
This study looked at how to treat adults with inflammatory bowel diseases (IBD), like Crohn's disease and ulcerative colitis, who also have cancer. It found that current guidelines often recommend stopping immunosuppressive medications for 2-5 years after cancer treatment, but new treatments like vedolizumab and ustekinumab might be safer options for these patients. This research is important because it offers insight into managing IBD in cancer patients, potentially improving their quality of life. Who this helps: This helps patients with inflammatory bowel disease and a history of cancer.

PubMed

Ultrasonographic and Functional Features of Symptomatic Uncomplicated Diverticular Disease.

2023

Clinical and translational gastroenterology

Maconi G, Dell'Era A, Flor N, De Silvestri A, Lavazza A +2 more

Plain English
This study looked at how well intestinal ultrasound (IUS) can identify symptomatic uncomplicated diverticular disease (SUDD) in patients with stomach issues, comparing them to those with irritable bowel syndrome (IBS) and other symptoms. It involved 40 patients with SUDD, and the findings revealed that they had thicker muscle layers in the intestines (2.25 mm) compared to those with IBS (1.66 mm). Importantly, IUS proved to be very accurate in detecting SUDD, with a sensitivity of 96% and specificity of 98.5%. Who this helps: This research benefits doctors and patients with abdominal symptoms, aiding in accurate diagnosis and treatment.

PubMed

Comment on "Ustekinumab and vedolizumab for the prevention of postoperative recurrence of Crohn's disease: Results from the ENEIDA registry".

2023

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

Ridolfo S, Toppeta A, Dell'Era A, Ardizzone S

PubMed

Echo-Endoscopy Combined with Virtual Reality: A Whole Perspective of Laparoscopic Common Bile Duct Exploration in Children.

2023

Children (Basel, Switzerland)

Destro F, Salerno R, Calcaterra V, Ardizzone S, Meroni M +8 more

Plain English
This study explored how using echo-endoscopy and virtual reality can improve the way doctors perform surgery on children's bile ducts, particularly in cases with complex conditions. Over three years, 12 children were treated, and using echo-endoscopy helped clarify their specific conditions, with successful surgeries performed on seven patients. This approach allows for more precise planning and execution of surgeries, which is crucial because children's anatomy differs from adults. Who this helps: This benefits pediatric patients with bile duct issues and their doctors by enabling more effective and less invasive treatment options.

PubMed

Severe chronic diarrhoea caused by hereditary transthyretin amyloidosis.

2023

BMJ case reports

Toppeta A, Dell'Era A, Molteni P, Ardizzone S

Plain English
This study focused on a man in his 60s who suffered from severe chronic diarrhea due to a rare condition called hereditary transthyretin amyloidosis (ATTRv). The research found that, besides his gastrointestinal issues, he also faced problems with his heart and nervous system, and the diagnosis was confirmed through tests that showed amyloid deposits in his body. Early diagnosis of this condition is crucial because new treatments can help prevent lasting damage to organs. Who this helps: This helps patients with hereditary transthyretin amyloidosis and their doctors.

PubMed

Relevance of sonographic parameters for inflammatory bowel disease in children.

2023

Journal of ultrasound

Dell'Era A, Cannatelli R, Ferretti F, Manzotti C, Dilillo D +4 more

Plain English
This study looked at the effectiveness of using intestinal ultrasound (IUS) to diagnose inflammatory bowel disease (IBD) in children. Researchers evaluated 113 kids ages 2 to 18 who showed symptoms but didn't have any known diseases. They discovered that signs like thicker bowel walls (more than 3 mm), changes in bowel patterns, and enlarged lymph nodes were good indicators of IBD, with the combined tests being very accurate—achieving 100% specificity, meaning that if the tests were positive, it was nearly certain they had the disease. Who this helps: This benefits children with suspected IBD and their doctors by providing a reliable diagnostic tool.

PubMed

SARS-CoV-2 infection in patients with inflammatory bowel disease: comparison between the first and second pandemic waves.

2023

BMC gastroenterology

Bezzio C, Vernero M, Costa S, Armuzzi A, Fiorino G +30 more

Plain English
This study looked at how patients with inflammatory bowel disease (IBD) were affected by COVID-19 during two different waves of the pandemic in Italy. It found that during the first wave, 27.8% of these patients developed pneumonia and 5.5% died from the virus, compared to 11.7% and 1.8% in the second wave. These findings are important because they suggest that IBD patients faced more severe health risks during the first wave, likely due to various factors like age and underlying health conditions. Who this helps: This helps patients with inflammatory bowel disease and their doctors understand the risks associated with COVID-19 over time.

PubMed

Personalize, participate, predict, and prevent: 4Ps in inflammatory bowel disease.

2023

Frontiers in medicine

Lenti MV, Scribano ML, Biancone L, Ciccocioppo R, Pugliese D +17 more

Plain English
This study focuses on improving how we manage inflammatory bowel disease (IBD), which includes conditions like Crohn's disease and ulcerative colitis. Researchers explored a framework called the 4Ps—personalization, prediction, prevention, and participation—to better tailor treatment for patients. Their findings highlight the importance of considering both biological factors and social circumstances in managing IBD effectively. Who this helps: This research helps patients with inflammatory bowel disease by enhancing their treatment and care.

PubMed

Prevalence and significance of mesentery thickening and lymph nodes enlargement in Crohn's disease.

2022

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

Sampietro GM, Maconi G, Colombo F, Dilillo D, Fiorina P +9 more

Plain English
Researchers looked at how thickening of the mesentery (a tissue that supports the intestines) and enlarged lymph nodes affect people with Crohn's disease after surgery. Out of 1,272 patients, those with these changes didn't experience more complications or longer surgeries, and their 20-year chances of disease recurrence were similar to those without mesentery or lymph node issues. However, having enlarged lymph nodes was linked to poorer nutrition when the disease returned, and factors like age and disease location were more indicative of future surgery risks than the mesentery changes. Who this helps: This study helps doctors better understand Crohn's disease outcomes in patients after surgery.

PubMed

Poorly Cohesive Carcinoma of the Nonampullary Small Intestine: A Distinct Histologic Subtype With Prognostic Significance.

2022

The American journal of surgical pathology

Vanoli A, Guerini C, Grillo F, Klersy C, Fassan M +17 more

Plain English
This study looked at a specific type of cancer in the small intestine called poorly cohesive carcinoma (SB-PCC), comparing it to other types of small bowel cancers. Researchers found that 67% of SB-PCC cases contained very few signet-ring cells and were often diagnosed in younger patients and those with Crohn's disease. Patients with SB-PCC had a significantly worse chance of surviving their cancer compared to those with other types of small bowel cancer, as indicated by a hazard ratio of 3.81, meaning they were nearly four times more likely to die from the disease. Who this helps: This helps patients with poorly cohesive carcinoma and their doctors by providing crucial information on prognosis and treatment approaches.

PubMed

Repeated surgery for recurrent Crohn's disease: does the outcome keep worsening operation after operation? A comparative study of 1224 consecutive procedures.

2022

Updates in surgery

Colombo F, Frontali A, Baldi C, Cigognini M, Lamperti G +5 more

Plain English
This study looked at 1,224 surgeries performed on patients with Crohn's disease over 26 years to see if repeated surgeries led to worse outcomes for patients. It found that the chance of needing more surgery increased significantly with each operation; for instance, 48% of patients with multiple surgeries faced more recurrence within 10 years compared to 18% in those who had their first surgery. This is important because it highlights the challenges and increased risks patients face with repetitive surgeries, including a higher chance of shorter bowel syndrome and complications from surgery. Who this helps: This helps patients with Crohn's disease and their doctors by providing insight into the potential risks of repeated surgeries.

PubMed

Risk of adverse events and reported clinical relapse after COVID-19 vaccination in patients with IBD.

2022

Gut

Cannatelli R, Ferretti F, Carmagnola S, Bergna IMB, Monico MC +2 more

PubMed

Impact of the COVID-19 Outbreak on Anesthesiologist Assistance for Endoscopic Procedures.

2022

Clinical endoscopy

Calcara C, Ciscato C, Amato A, Sinagra E, Alvisi C +3 more

Plain English
This study looked at how the COVID-19 pandemic affected the role of anesthesiologists during endoscopic procedures in Lombardy, Italy. Researchers found that the total number of endoscopies dropped by 33.5% from 28,264 in 2019 to 18,792 in 2020, and anesthesiologist-assisted endoscopies fell by 15.3%, from 3,132 to 2,652. The findings highlight that the pandemic significantly reduced anesthesiologist support, especially in government hospitals, leading to delays, cancellations, and lower quality of care for patients. Who this helps: This helps patients needing endoscopic procedures by highlighting the need for better anesthesiologist support.

PubMed

Stem Cell Injection for Complex Refractory Perianal Fistulas in Crohn's Disease: A Single Center Initial Experience.

2022

Frontiers in surgery

Colombo F, Cammarata F, Baldi C, Rizzetto F, Bondurri A +5 more

Plain English
This study looked at the use of a stem cell treatment called darvadstrocel (Alofisel) in three patients with complicated perianal fistulas due to Crohn's disease, which are difficult to treat. After six months, two of the patients showed improvement in their symptoms, although the scans still showed the fistulas were present; the third patient had a recurrence of the fistula. This matters because it suggests that stem cell therapy could be a safe option that helps some patients with a tough condition, although more research is needed to understand its long-term effects. Who this helps: Patients with Crohn's disease experiencing perianal fistulas.

PubMed

Has the Removing of the Mesentery during Ileo-Colic Resection an Impact on Post-Operative Complications and Recurrence in Crohn's Disease? Results from the Resection of the Mesentery Study (Remedy).

2022

Journal of clinical medicine

Mineccia M, Maconi G, Daperno M, Cigognini M, Cherubini V +7 more

Plain English
This study looked at whether removing the mesentery (the tissue that attaches the intestines to the abdominal wall) during surgery for Crohn's Disease affects complications and chances of the disease coming back. It involved 326 patients, with 62% having their mesentery removed. The findings showed no significant differences in recurrence rates between those who had the mesentery removed and those who did not—44.6% and 46.7% had endoscopic recurrences, respectively, and the five-year recurrence rates were the same for both groups. Who this helps: This research helps doctors understand that removing the mesentery during surgery may not improve outcomes for Crohn's Disease patients.

PubMed

An Update on Current Pharmacotherapeutic Options for the Treatment of Ulcerative Colitis.

2022

Journal of clinical medicine

Ferretti F, Cannatelli R, Monico MC, Maconi G, Ardizzone S

Plain English
This paper looks at the different treatment options for Ulcerative Colitis (UC), a chronic inflammatory bowel disease. Researchers found that while there isn’t a cure yet, there are many effective therapies available, including new biologic treatments and small molecules, alongside established conventional drugs. This is important because it helps improve the quality of life for patients and aims to prevent serious complications like cancer. Who this helps: Patients with Ulcerative Colitis.

PubMed

Endoscopic management of recurrent cholangitis following EUS-guided choledochoduodenostomy.

2022

VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy

Salerno R, Mezzina N, Carmagnola S, Ardizzone S

Plain English
This study looked at how effective endoscopic treatment is for patients who experience repeated bile duct infections (known as cholangitis) after a specific procedure called EUS-guided choledochoduodenostomy, which helps drain bile. The researchers found that endoscopic methods successfully resolved the infections in 80% of the cases studied, providing significant relief for these patients. This matters because effective management of recurrent infections can greatly improve patients' quality of life and reduce the need for more invasive procedures. Who this helps: Patients suffering from recurrent cholangitis after bile duct procedures.

PubMed

Pathophysiology and therapeutic management of anemia in gastrointestinal disorders.

2022

Expert review of gastroenterology & hepatology

Bergamaschi G, Caprioli F, Lenti MV, Elli L, Radaelli F +7 more

Plain English
This study looked at how anemia affects people with gastrointestinal (GI) disorders, finding that up to 60% of patients with celiac disease and inflammatory bowel disease experience it. The main cause of anemia in these cases is often iron deficiency, but chronic inflammation and low vitamin B12 levels also contribute. Understanding and managing anemia is crucial because it helps improve patients' overall health and quality of life. Who this helps: This helps patients with gastrointestinal disorders.

PubMed

Gastrointestinal tuberculosis presenting as acute abdomen: a case report.

2022

Journal of surgical case reports

Ridolfo S, Cammarata F, Bonomi AM, Troci A, Crespi M +4 more

Plain English
This study examined a case of intestinal tuberculosis (ITB) in a 29-year-old woman who showed symptoms like severe abdominal pain, fever, and weight loss. Her condition worsened despite receiving medical treatment, leading to emergency surgery where doctors confirmed ITB through tests. The finding underscores how ITB can act quickly and be mistaken for other diseases, highlighting the need for better diagnostic methods, particularly through targeted biopsies. Who this helps: This benefits doctors and patients by improving awareness and diagnosis of gastrointestinal tuberculosis.

PubMed

The impact of biologic therapies on extra-intestinal manifestations in inflammatory bowel disease: A multicenter study.

2022

Frontiers in medicine

Ferretti F, Monico MC, Cannatelli R, Carmagnola S, Lenti MV +10 more

Plain English
This study looked at how different biologic treatments impact extra-intestinal manifestations (EIMs) in patients with inflammatory bowel disease (IBD). Out of 1,182 patients, 4.1% developed new EIMs, with those on Vedolizumab (VDZ) experiencing a higher risk of 6.6%, compared to 3.5% for those on other treatments. This matters because it highlights that while VDZ might be linked to a higher chance of EIMs, both treatments lead to similar outcomes overall. Who this helps: Patients with IBD and their healthcare providers.

PubMed

Risk Prediction and Comparative Efficacy of Anti-TNF vs Thiopurines, for Preventing Postoperative Recurrence in Crohn's Disease: A Pooled Analysis of 6 Trials.

2022

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Beelen EMJ, Nieboer D, Arkenbosch JHC, Regueiro MD, Satsangi J +6 more

Plain English
This study looked at how well two types of medications—anti-TNF-α agents and thiopurines—can prevent Crohn's disease from coming back after surgery. Researchers analyzed data from 645 patients across six studies and found that anti-TNF-α agents were significantly more effective, reducing the risk of the disease returning by half compared to thiopurines. This is important because it offers clearer guidance for doctors on which treatment can better help patients avoid relapsing after surgery. Who this helps: Patients recovering from surgery for Crohn's disease.

PubMed

Continuous clinical remission with biologics in ulcerative colitis: the 'AURORA' comparison study.

2022

European journal of gastroenterology & hepatology

Cassinotti A, Mezzina N, De Silvestri A, Di Paolo D, Lenti MV +26 more

Plain English
This study looked at the effectiveness of four biologic drugs for treating ulcerative colitis (UC) over a year, specifically in helping patients maintain continuous clinical remission (CCR). The researchers found that about one-third of patients using adalimumab, infliximab biosimilar, or vedolizumab achieved CCR, with rates of 33%, 37%, and 37% respectively, while golimumab had a slightly lower rate at 28%. Importantly, for patients who had previously failed treatment with anti-TNF drugs, switching to vedolizumab was more effective than trying another anti-TNF. Who this helps: This research benefits patients with ulcerative colitis and their doctors by guiding treatment decisions.

PubMed

Segmental Versus Total Colectomy for Crohn's Disease in the Biologic Era: Results From The SCOTCH International, Multicentric Study.

2022

Journal of Crohn's & colitis

Pellino G, Rottoli M, Mineccia M, Frontali A, Celentano V +9 more

Plain English
This study compared two types of surgeries for patients with Crohn's disease affecting the colon: segmental colectomy (removing part of the colon) and total colectomy (removing the entire colon). Researchers followed 687 patients and found that 15 years after surgery, 44% of those who had total colectomy experienced a return of disease, compared to only 27% of those who had segmental colectomy. This matters because segmental colectomy is associated with fewer complications, such as having to wear a colostomy bag, and shows a better chance of avoiding long-term disease recurrence when biological therapy is used. Who this helps: This helps patients with Crohn's disease, especially those at risk for complications.

PubMed

Dermatological Manifestations in Inflammatory Bowel Diseases.

2021

Journal of clinical medicine

Antonelli E, Bassotti G, Tramontana M, Hansel K, Stingeni L +4 more

Plain English
This study looked at skin-related issues that people with inflammatory bowel diseases (IBD) often experience. Researchers found various skin conditions associated with IBD, including specific rashes and sores that can complicate the patient's health. For example, some problems stem from the disease itself, while others arise from treatments or poor nutrition, making careful skin checks important for effective care, especially in those receiving biologic therapies. Who this helps: Patients with inflammatory bowel diseases and their healthcare providers.

PubMed

Risk of COVID 19 in patients with inflammatory bowel diseases compared to a control population.

2021

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

Maconi G, Bosetti C, De Monti A, Boyapati RK, Shelton E +19 more

Plain English
This study looked at whether patients with inflammatory bowel disease (IBD) are at a higher risk for COVID-19 compared to people without IBD. Researchers found that only 3.8% of IBD patients showed likely COVID-19 symptoms compared to 6.3% of the control group, and only 0.2% of IBD patients tested positive for COVID-19, compared to 1.2% of the controls. This is important because it shows that IBD patients do not have a higher risk of getting COVID-19 or experiencing severe disease than others with gastrointestinal issues. Who this helps: This helps patients with inflammatory bowel disease and their healthcare providers.

PubMed

Vaccination against SARS-CoV-2 in patients with rheumatic diseases: doubts and perspectives.

2021

Clinical and experimental rheumatology

Benucci M, Infantino M, Marotto D, Ardizzone S, Manfredi M +1 more

Plain English
This study looked at how COVID-19 vaccines affect patients with rheumatic diseases, who have a higher risk of severe illness from the virus. The researchers explored the interaction between vaccines, the immune system, and treatments for these patients to determine how well the vaccines work and their safety. Understanding this is crucial because it helps ensure that patients with rheumatic diseases can receive effective protection against COVID-19. Who this helps: This helps patients with rheumatic diseases and their healthcare providers.

PubMed

Strictureplasties performed by laparoscopic approach for complicated Crohn's disease. A prospective, observational, cohort study.

2021

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

Sampietro GM, Colombo F, Frontali A, Baldi C, Conti L +10 more

Plain English
This study looked at the effectiveness and safety of two types of surgical procedures—strictureplasties (SP and NCSP)—done using a laparoscopic approach for patients with complicated Crohn's disease. Researchers followed 331 patients who had these procedures and found that those using laparoscopy had fewer complications, shorter hospital stays, and shorter surgeries compared to a control group of 227 patients who had traditional surgery. This is important because it shows that laparoscopic strictureplasties are a safe and beneficial option for treating Crohn's disease, allowing for better recovery outcomes. Who this helps: Patients with complicated Crohn's disease.

PubMed

Budesonide MMX in the Treatment of Ulcerative Colitis: Current Perspectives on Efficacy and Safety.

2021

Therapeutics and clinical risk management

Maconi G, Camatta D, Cannatelli R, Ferretti F, Carvalhas Gabrielli A +1 more

Plain English
This study looked at a medication called budesonide MMX, which is used to treat ulcerative colitis, a condition that causes inflammation in the intestines. The research found that after 8 weeks, more people treated with budesonide MMX achieved remission compared to those who received a placebo: specifically, it worked best for patients with certain types of the condition. This matters because it provides another effective treatment option for patients who don’t respond to standard medications. Who this helps: This helps patients with mild to moderate ulcerative colitis who are not responding to other treatments.

PubMed

How to Manage COVID-19 Vaccination in Immune-Mediated Inflammatory Diseases: An Expert Opinion by IMIDs Study Group.

2021

Frontiers in immunology

Ferretti F, Cannatelli R, Benucci M, Carmagnola S, Clementi E +22 more

Plain English
This paper discusses how to manage COVID-19 vaccinations for people with immune-mediated inflammatory diseases (IMIDs). The authors note that while vaccines like Pfizer, Moderna, and AstraZeneca have been shown to work well in the general population, there's limited information about their safety and effectiveness for people with IMIDs. The study emphasizes the need to prioritize certain high-risk groups for vaccination based on their specific diseases and ongoing treatments. Who this helps: This information is valuable for patients with immune-mediated inflammatory diseases and their healthcare providers.

PubMed

Ultrasonographic Evaluation of Intestinal Fibrosis and Inflammation in Crohn's Disease. The State of the Art.

2021

Frontiers in pharmacology

Ferretti F, Cannatelli R, Ardizzone S, Maier JA, Maconi G

Plain English
This study looked at how ultrasound can be used to evaluate inflammation and fibrosis in the intestines of people with Crohn's disease. It found that different ultrasound techniques can accurately assess the severity of these conditions, which is crucial for determining the best treatment and predicting disease progression. Using ultrasound may help avoid more invasive methods like tissue biopsies. Who this helps: This benefits doctors and patients with Crohn's disease by guiding treatment decisions.

PubMed

Lower incidence of COVID-19 in patients with inflammatory bowel disease treated with non-gut selective biologic therapy.

2021

Journal of gastroenterology and hepatology

Ardizzone S, Ferretti F, Monico MC, Carvalhas Gabrielli AM, Carmagnola S +19 more

Plain English
This study looked at how COVID-19 affected patients with inflammatory bowel disease (IBD) who were receiving biologic therapies in Italy. They found that out of 1,816 patients, only 3.9 developed COVID-19, which is significantly lower than the general population's rate of 8.5 per 1,000. Patients on non-gut selective biologic therapies had fewer symptoms and lower hospitalization rates, indicating that these treatments do not increase the risk of COVID-19 and should be continued. Who this helps: This helps IBD patients and their doctors in making informed treatment decisions.

PubMed

Anti-tumour necrosis factor α antibodies and circulating lymphocyte phenotypes in inflammatory bowel disease.

2021

International immunopharmacology

Defendenti C, Tarkowski M, Borille S, Cassinotti A, Massari A +4 more

Plain English
This study looked at two types of immune cells, T cells and B cells, in 91 patients with inflammatory bowel disease (IBD) to see how treatment with anti-TNFα medications, like infliximab or adalimumab, affects them. Researchers found that while treated patients had more overall T cells, they had significantly fewer CD70+ T cells, which suggests the treatment helps reduce inflammation. Understanding these cell changes can provide important insights into how IBD progresses and improve treatment strategies. Who this helps: This helps patients with inflammatory bowel disease.

PubMed

Circulating Fibroblast Activation Protein as Potential Biomarker in Patients With Inflammatory Bowel Disease.

2021

Frontiers in medicine

Corsi F, Sorrentino L, Albasini S, Colombo F, Cigognini M +7 more

Plain English
This study looked at a new blood test for people with Inflammatory Bowel Disease (IBD) that measures a protein called circulating fibroblast activation protein (cFAP). Researchers found that cFAP levels were lower in IBD patients compared to healthy individuals, with a sensitivity of 70% and specificity of 84% in identifying the disease. This is important because it offers a potential non-invasive way to diagnose and monitor IBD, particularly after surgery for Crohn's disease, helping doctors manage patient care more effectively. Who this helps: This helps patients with Inflammatory Bowel Disease and their doctors.

PubMed

Noninvasive Monitoring After Azathioprine Withdrawal in Patients With Inflammatory Bowel Disease in Deep Remission.

2021

Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association

Cassinotti A, Corona A, Duca P, Nebuloni M, Maconi G +2 more

Plain English
This study looked at what happens to patients with inflammatory bowel disease (IBD) after they stop taking azathioprine (AZA), a medication used to manage their condition. Out of 57 patients who stopped taking AZA after being symptom-free for a long time, 26 relapsed within about 15 months, with a higher relapse risk for those who showed elevated levels of fecal calprotectin (FC). Specifically, if FC was positive, the risk of relapse was more than three times higher for ulcerative colitis and 4.5 times higher for Crohn's disease. Who this helps: This information is useful for patients and doctors managing IBD, as it identifies patients at risk of relapse and helps in adjusting treatment plans accordingly.

PubMed

Therapies for inflammatory bowel disease do not pose additional risks for adverse outcomes of SARS-CoV-2 infection: an IG-IBD study.

2021

Alimentary pharmacology & therapeutics

Bezzio C, Armuzzi A, Furfaro F, Ardizzone S, Milla M +21 more

Plain English
This study looked at how inflammatory bowel disease (IBD) medications affect the outcomes of COVID-19 in patients with the condition. Among 937 patients, 13.7% had no symptoms despite being infected with the virus, while 15.5% experienced moderate or severe illness. It found that patients with active disease or other health issues had a higher risk of severe outcomes, but medications for IBD did not increase those risks and some treatments actually lowered the chances of pneumonia and hospitalization. Who this helps: This research benefits patients with inflammatory bowel disease and their doctors.

PubMed

Prognostic relevance and putative histogenetic role of cytokeratin 7 and MUC5AC expression in Crohn's disease-associated small bowel carcinoma.

2021

Virchows Archiv : an international journal of pathology

Arpa G, Vanoli A, Grillo F, Fiocca R, Klersy C +24 more

Plain English
This study looked at small bowel cancers linked to Crohn's disease to understand their development and what factors might predict how patients will do. Researchers found that about half of the tumors had specific changes in protein markers (cytokeratin 7 and MUC5AC) that were linked to more severe disease and worse survival rates. Specifically, tumors with cytokeratin 7 or MUC5AC expressions had a poorer prognosis, suggesting that these markers could help doctors predict patient outcomes. Who this helps: This research benefits patients with Crohn's disease and healthcare providers treating them.

PubMed

Abdominal Symptoms and Colonic Diverticula in Marfan's Syndrome: A Clinical and Ultrasonographic Case Control Study.

2020

Journal of clinical medicine

Maconi G, Pini A, Pasqualone E, Ardizzone S, Bassotti G

Plain English
This study looked at how common intestinal problems, specifically diverticula, are in people with Marfan's syndrome, a genetic condition. Researchers found that 12.3% of patients with Marfan's had diverticula, compared to only 3.3% of healthy individuals. However, patients with Marfan's reported fewer stomach issues, such as constipation or bloating, than the general population. Who this helps: This research benefits patients with Marfan's syndrome and their doctors by providing insights into their gastrointestinal health.

PubMed

Small Bowel Adenocarcinomas Featuring Special AT-Rich Sequence-Binding Protein 2 (SATB2) Expression and a Colorectal Cancer-Like Immunophenotype: A Potential Diagnostic Pitfall.

2020

Cancers

Neri G, Arpa G, Guerini C, Grillo F, Lenti MV +23 more

Plain English
This study examined small bowel adenocarcinomas (SBAs) to understand the expression of a protein called SATB2 and its relationship with other markers in 100 patients, including those with Crohn's disease and celiac disease. The researchers found that 20% of the SBAs expressed SATB2, but it was less common in those associated with Crohn's disease (12%) compared to celiac disease (25%) and sporadic cases (24%). A specific group of SBAs even resembled colorectal cancer, which could complicate diagnosis. This is important because it highlights that certain SBAs may behave similarly to colorectal cancer, potentially impacting how doctors diagnose and treat these patients. Who this helps: This helps doctors improve diagnosis and treatment strategies for patients with small bowel adenocarcinomas.

PubMed

Modified Kudo classification can improve accuracy of virtual chromoendoscopy with FICE in endoscopic surveillance of ulcerative colitis.

2020

Endoscopy international open

Cassinotti A, Fociani P, Duca P, Nebuloni M, Davies SEC +5 more

Plain English
Researchers studied two methods for examining the colon in patients with ulcerative colitis: a new technology called Virtual Chromoendoscopy with Fuji Intelligent Color Enhancement (FICE) and the traditional White Light Endoscopy (WLE). They found that FICE was significantly better at identifying potentially cancerous lesions, achieving an accuracy rate of 93% for sensitivity compared to just 64% with WLE. FICE also had a higher specificity of 97% versus 86% for WLE, making it a more reliable tool for doctors in monitoring patients with ulcerative colitis. Who this helps: This benefits patients with ulcerative colitis by improving the detection of serious lesions.

PubMed

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