Publications by authors named "B Omazzi"

Background: An excessive inflammatory response and a hypercoagulable state are not infrequent in patients with coronavirus disease-2019 (COVID-19) and are associated with adverse clinical outcomes. However, the optimal treatment strategy for COVID-19 patients managed in the out-of-hospital setting is still uncertain.

Design: The CONVINCE (NCT04516941) is an investigator-initiated, open-label, blinded-endpoint, 2 × 2 factorial design randomized trial aimed at assessing two independently tested hypotheses (anticoagulation and anti-inflammatory ones) in COVID-19 patients.

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Background: The COVID-19 pandemic has placed a huge strain on the health care system globally. The metropolitan area of Milan, Italy, was one of the regions most impacted by the COVID-19 pandemic worldwide. Risk prediction models developed by combining administrative databases and basic clinical data are needed to stratify individual patient risk for public health purposes.

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Article Synopsis
  • Obeticholic acid (OCA) is an effective second-line treatment for primary biliary cholangitis (PBC) patients who do not respond well to ursodeoxycholic acid.
  • A study involving 191 patients showed significant reductions in liver enzyme levels after 12 months of OCA treatment, though patients with cirrhosis had lower response rates and a higher discontinuation rate due to adverse effects.
  • Overall, the real-world effectiveness and safety of OCA align with earlier clinical trials, indicating potential benefits for certain patient subgroups, including those with overlap PBC-AIH.
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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.

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