Publications by authors named "Festa S"

Background: Bioaugmentation is considered a sustainable and cost-effective methodology to recover contaminated environments, but its outcome is highly variable. Predation is a key top-down control mechanism affecting inoculum establishment, however, its effects on this process have received little attention. This study focused on the impact of trophic interactions on bioaugmentation success in two soils with different pollution exposure histories.

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Background: Data regarding the clinical outcome of patients with immune checkpoint inhibitor (ICI)-induced colitis are scant. We aimed to describe the 12-month clinical outcome of patients with ICI-induced colitis.

Materials And Methods: This was a retrospective, European, multicentre study.

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Microbial communities from freshwater sediments are involved in biogeochemical cycles and they can be modified by physical and chemical changes in the environment. Linking the microbial community structure (MCS) with physicochemistry of freshwater courses allows a better understanding of its ecology and can be useful to assess the ecological impact generated by human activity. The MCS of tributary channels from La Plata River affected by oil refinery (C, D, and E) and one also by urban discharges (C) was studied.

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Infectious aortitis is a rare entity with high mortality and should be considered in the presence of persistent bacteremia, especially in the absence of endocarditis. We present the clinical case of a woman who developed aortitis due to methicillin-sensitive , complicated with mycotic aneurysm and recurrent bacteremia, even under appropriate treatment. Given the concomitant probable diagnosis of malignant pancreatic neoplasia, the hypothesis of a possible relationship or contribution to bacteremia is raised.

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Background: Few data are available addressing the impact of post-operative management of Crohn's disease (CD) on long-term clinical course.

Aim: To assess the evolution of post-operative management strategies over the last 40 years and their impact on the re-operation rate of CD.

Methods: We included 657 patients with CD who had undergone their first radical ileo-caecal resection between 1980 and 2020.

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(1) : Inflammatory bowel disease (IBD) is frequently associated to other immune-mediated inflammatory diseases (IMIDs). This study aims at assessing physicians' awareness of the issue and the current status of IMID management. (2) : A web-based survey was distributed to all 567 physicians affiliated to IG-IBD.

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Spondyloarthritis (SpA) is the most frequent extraintestinal manifestation in patients with inflammatory bowel diseases (IBD). When IBD and spondyloarthritis coexist, musculoskeletal and intestinal disease features should be considered when planning a therapeutic strategy. Treatment options for IBD and SpA have expanded enormously over the last few years, but randomized controlled trials with specific endpoints focused on SpA are not available in the IBD setting.

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Approaches to rapidly collecting global biodiversity data are increasingly important, but biodiversity blind spots persist. We organized a three-day Datathon event to improve the openness of local biodiversity data and facilitate data reuse by local researchers. The first Datathon, organized among microbial ecologists in Uruguay and Argentina assembled the largest microbiome dataset in the region to date and formed collaborative consortia for microbiome data synthesis.

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Introduction: Patients with ulcerative colitis (UC) receiving immunosuppressive drugs are at substantial risk of colectomy. We aimed to assess the risk of postoperative complications of tofacitinib exposure before colectomy in comparison with biologics.

Methods: A multicenter, retrospective, observational study was conducted in patients with UC who underwent total colectomy for medically refractory disease, exposed to tofacitinib or a biologic before surgery.

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Background/aims: Endoscopic stenting for stricturing Crohn's disease (CD) is an emerging treatment that achieves more persistent dilatation of the stricture over time than endoscopic balloon dilatation (EBD). We aimed to explore the efficacy and safety of stenting for the treatment of CD strictures.

Methods: A systematic electronic literature search was performed (PROSPERO; no.

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Background: The administration of biological drugs in inflammatory bowel diseases (IBD) is increasingly moving from intravenous to subcutaneous formulations.

Aims: To evaluate the efficacy and safety of vedolizumab subcutaneous administration after switching from intravenous administration in ulcerative colitis (UC) patients in corticosteroid-free clinical remission.

Methods: An observational, multicentre, prospective study was conducted by the Italian Group for the study of IBD (IG-IBD).

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Background: In Italy, the incidence of SARS-CoV-2 infection peaked in April and November 2020, defining two pandemic waves of coronavirus disease 2019 (COVID-19). This study compared the characteristics and outcomes of patients with inflammatory bowel disease (IBD) and SARS-CoV-2 infections between pandemic waves.

Methods: Observational longitudinal study of IBD patients with SARS-CoV-2 infection.

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Article Synopsis
  • - The treatment options for Crohn's disease (CD) are growing quickly, especially with the introduction of biologic therapies like infliximab and adalimumab.
  • - There is a lot of variation in how doctors are treating CD, which highlights the need for standardized guidelines.
  • - This review analyzed current research on biologic treatments for adults with CD and aims to create clinical recommendations based on high-quality evidence.
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Article Synopsis
  • There is currently no cure for Crohn's disease (CD), so patients require ongoing treatment to manage inflammation.
  • Several biological drugs have been approved for CD, including monoclonal antibodies like infliximab and adalimumab, aimed at different inflammation pathways, as well as darvadstrocel for specific complications.
  • The Italian Group for the Study of Inflammatory Bowel Disease has developed new guidelines using GRADE methodology to improve the management of CD, providing 19 evidence-based recommendations across various clinical situations.
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Inflammatory bowel diseases (IBD) are chronic, progressive and relapsing inflammatory disorders of unknown etiology that may cause disability over time. Data from epidemiologic studies indicate that diet may play a role in the risk of developing and the course of IBD. It is known that the group of beneficial bacteria was reduced in the IBD and that the Mediterranean diet (MD)-which is defined as eating habits characterized by high consumption of plant foods, mainly cereals, vegetables, fruit as well as olive oil, and small portions of dairy products, sweets, sugar and meat products-affects gut microbiota, enriching beneficial bacteria, which support gut barrier function and reduce inflammation.

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Polycyclic Aromatic Hydrocarbons (PAHs) impose adverse effects on the environment and human life. The use of synthetic microbial consortia is promising in bioremediation of contaminated sites with these pollutants. However, the design of consortia taking advantage of natural interactions has been poorly explored.

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Article Synopsis
  • - Recent advances in ulcerative colitis treatment include the approval of several new medications, notably biological drugs like infliximab, adalimumab, and more, along with small molecules like tofacitinib, expanding therapy options significantly.
  • - The choice of treatment now considers various factors such as patient profile, age, co-morbidities, and previous treatments to effectively induce and maintain remission.
  • - The Italian Group for the Study of Inflammatory Bowel Disease has created updated clinical guidelines using GRADE methodology, featuring 20 key statements on the application of these new therapies for managing active ulcerative colitis and maintaining remission.
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Article Synopsis
  • Advances in understanding the biological mechanisms of ulcerative colitis (UC) have significantly improved drug development, leading to new therapeutic options.
  • Several biologics and small-molecule drugs, such as infliximab and ustekinumab, have been approved, creating challenges for physicians in optimizing patient care.
  • This review utilized the GRADE methodology to systematically analyze the evidence and develop clear clinical recommendations for using these therapies in adult UC patients.
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Colorectal cancer (CRC) risk is increased in Inflammatory Bowel Disease (IBD) and surveillance needs to be tailored according to individual risk. The open issues include the role of the characteristics of IBD and CRC in determining the long-term outcome. These issues were assessed in our multicenter study, including a cohort of 56 IBD patients with incident CRC.

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Background: Gastroenteropancreatic neuroendocrine neoplasms [GEP-NENs] have rarely been reported in association with inflammatory bowel diseases [IBDs].

Methods: An ECCO COllaborative Network For Exceptionally Rare case reports project [ECCO-CONFER] collects cases of GEP-NENs diagnosed in patients with IBD.

Results: GEP-NEN was diagnosed in 100 IBD patients; 61% female, 55% Crohn's disease, median age 48 years (interquartile range [IQR] 38-59]).

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Background: Older age and comorbidities are the main risk factors for adverse COVID-19 outcomes in patients with inflammatory bowel disease (IBD). The impact of IBD medications is still under investigation.

Aims: To assess risk factors for adverse outcomes of COVID-19 in IBD patients and use the identified risk factors to build risk indices.

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Article Synopsis
  • Hypogammaglobulinaemia is a condition marked by low immunoglobulin levels and has similar gastrointestinal symptoms to inflammatory bowel disease (IBD), making diagnosis challenging.
  • A study involving 27 patients found that most had Crohn's disease-like features, with hypogammaglobulinaemia often diagnosed first, but sometimes after IBD-like symptoms developed.
  • Treatment included antibiotics and intravenous immunoglobulin, with 77% of patients achieving clinical remission after about 44 months of follow-up.
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The peak of incidence of inflammatory bowel disease (IBD) overlaps with the peak of reproductive age. Moreover, women affected by IBD are often concerned with the possible negative effects of their disease and medications on pregnancy and birth outcomes. From a physician point of view, managing IBD in pregnancy is challenging.

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