Guido Costamagna

ORCID: 0000-0002-8100-2731
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About
Contact & Profiles
Research Areas
  • Esophageal and GI Pathology
  • Gallbladder and Bile Duct Disorders
  • Pancreatic and Hepatic Oncology Research
  • Gastric Cancer Management and Outcomes
  • Gastrointestinal disorders and treatments
  • Pediatric Hepatobiliary Diseases and Treatments
  • Pancreatitis Pathology and Treatment
  • Gastrointestinal Bleeding Diagnosis and Treatment
  • Gastrointestinal Tumor Research and Treatment
  • Biliary and Gastrointestinal Fistulas
  • Colorectal Cancer Screening and Detection
  • Gastroesophageal reflux and treatments
  • Cholangiocarcinoma and Gallbladder Cancer Studies
  • Bariatric Surgery and Outcomes
  • Dysphagia Assessment and Management
  • Metastasis and carcinoma case studies
  • Diverticular Disease and Complications
  • Esophageal Cancer Research and Treatment
  • Neuroendocrine Tumor Research Advances
  • Colorectal Cancer Surgical Treatments
  • Tracheal and airway disorders
  • Helicobacter pylori-related gastroenterology studies
  • Body Contouring and Surgery
  • Eosinophilic Esophagitis
  • Organ Transplantation Techniques and Outcomes

Agostino Gemelli University Polyclinic
2016-2025

Istituti di Ricovero e Cura a Carattere Scientifico
2010-2025

Università Cattolica del Sacro Cuore
2015-2024

Fondazione Poliambulanza Istituto Ospedaliero
2018-2024

Fatebenefratelli Hospital
2024

Catholic University of America
2008-2023

Hochschule Düsseldorf University of Applied Sciences
2013-2023

Stanford University
2007-2023

University of Rome Tor Vergata
2023

University of Lausanne
2023

Main Recommendations ESGE recommends against routine preoperative biliary drainage in patients with malignant extrahepatic obstruction; should be reserved for cholangitis, severe symptomatic jaundice (e. g., intense pruritus), or delayed surgery, before neoadjuvant chemotherapy jaundiced patients. Strong recommendation, moderate quality evidence. the endoscopic placement of a 10-mm diameter self-expandable metal stent (SEMS) obstruction. SEMS insertion palliative high uncovered obstruction...

10.1055/a-0659-9864 article EN Endoscopy 2018-08-07

Summary Background Faecal microbiota transplantation ( FMT ) from healthy donors is considered an effective treatment against recurrent Clostridium difficile infection. Aim To study the effect of via colonoscopy in patients with C. infection compared to standard vancomycin regimen. Methods In open‐label, randomised clinical trial, we assigned subjects receive: , short regimen (125 mg four times a day for 3 days), followed by one or more infusions faeces colonoscopy; 125 daily 10 days,...

10.1111/apt.13144 article EN Alimentary Pharmacology & Therapeutics 2015-03-01

This Guideline is an official statement of the European Society Gastrointestinal Endoscopy (ESGE). It provides practical advice on how to achieve successful cannulation and sphincterotomy at minimum risk patient. The Grading Recommendations Assessment, Development, Evaluation (GRADE) system was adopted define strength recommendations quality evidence. <b>Main recommendations</b> <b>1 </b>ESGE suggests that difficult biliary defined by presence one or more following: than 5 contacts with...

10.1055/s-0042-108641 article EN Endoscopy 2016-06-14

This article is part of a combined publication that expresses the current view European Society Gastrointestinal Endoscopy about endoscopic biliary stenting. The present Clinical Guideline describes short-term and long-term results stenting depending on indications stent models; it makes recommendations when, how, with which to perform drainage in most common clinical settings, including patients potentially resectable malignant obstruction those who require palliative bile duct or hilar...

10.1055/s-0031-1291633 article EN Endoscopy 2012-02-01

An ingestible capsule consisting of an endoscope equipped with a video camera at both ends was designed to explore the colon. This study compared endoscopy optical colonoscopy for detection colorectal polyps and cancer.We performed prospective, multicenter comparing (the standard comparison) in cohort patients known or suspected colonic disease cancer. Patients underwent adapted colon preparation, cleanliness graded from poor excellent. We computed sensitivity specificity polyps, advanced...

10.1056/nejmoa0806347 article EN New England Journal of Medicine 2009-07-15

<h3>Importance</h3> Case series suggest favorable results of peroral endoscopic myotomy (POEM) for treatment patients with achalasia. Data comparing POEM pneumatic dilation, the standard achalasia, are lacking. <h3>Objective</h3> To compare effects vs dilation as initial treatment-naive <h3>Design, Setting, and Participants</h3> This randomized multicenter clinical trial was conducted at 6 hospitals in Netherlands, Germany, Italy, Hong Kong, United States. Adult newly diagnosed achalasia an...

10.1001/jama.2019.8859 article EN JAMA 2019-07-09

Achalasia is a relatively rare primary motor esophageal disorder, characterized by absence of relaxations the lower sphincter and peristalsis along body. As result, patients typically present with dysphagia, regurgitation occasionally chest pain, pulmonary complication malnutrition. New diagnostic methodologies therapeutic techniques have been recently added to armamentarium for treating achalasia. With aim offer clinicians an up-to-date framework making informed decisions on management this...

10.1093/dote/doy071 article EN Diseases of the Esophagus 2018-08-30

PillCam colon capsule endoscopy (CCE) is an innovative noninvasive, and painless ingestible technique that allows exploration of the without need for sedation gas insufflation. Although it already available in European other countries, clinical indications CCE as well reporting work-up detected findings have not yet been standardized. The aim this evidence-based consensus-based guideline, commissioned by Society Gastrointestinal Endoscopy (ESGE) to furnish healthcare providers with a...

10.1055/s-0031-1291717 article EN Endoscopy 2012-03-02

These recommendations on video capsule endoscopy, an emerging technology with impact the practice of were developed by European Society Gastrointestinal Endoscopy (ESGE) Guidelines Committee. The first draft each section was prepared one or two members writing team, who selected as experts content that basis their published work. They used evidence-based methodology, performing MEDLINE and PubMed literature searches to identify relevant clinical studies. Abstracts from scientific meetings...

10.1055/s-0029-1243968 article EN Endoscopy 2010-03-01

The recently developed technique for peroral endoscopic myotomy (POEM) has been shown to be effective in several short-term studies. Longer term outcome data are largely non-existent.To systematically report clinical with a minimum post-POEM follow-up of 2 years.All patients treated consecutively by POEM achalasia at three centres were retrospectively analysed, years. main was the rate failures (Eckardt score >3) related time.Of 85 treated, five (5.9%) cases excluded due protocol violation...

10.1136/gutjnl-2014-308649 article EN Gut 2015-04-30

Objective: To develop a deep learning model to automatically segment hepatocystic anatomy and assess the criteria defining critical view of safety (CVS) in laparoscopic cholecystectomy (LC). Background: Poor implementation subjective interpretation CVS contributes stable rates bile duct injuries LC. As is assessed visually, this task can be automated by using computer vision, an area artificial intelligence aimed at interpreting images. Methods: Still images from LC videos were annotated...

10.1097/sla.0000000000004351 article EN Annals of Surgery 2020-11-16

Abstract Background and study aims The variables associated with gastroesophageal reflux (GER) after peroral endoscopic myotomy (POEM) are largely unknown. This aimed to: 1) identify the prevalence of esophagitis asymptomatic GER in patients who underwent POEM, 2) evaluate patient intraprocedural post-POEM GER. Patients methods All POEM subsequent objective testing for (pH or without upper gastrointestinal [GI] endoscopy) at seven tertiary academic centers (one Asian, two US, four European)...

10.1055/s-0043-105485 article EN Endoscopy 2017-05-04

The duodenum has become a metabolic treatment target through bariatric surgery learnings and the specific observation that bypassing, excluding or altering duodenal nutrient exposure elicits favourable changes. Duodenal mucosal resurfacing (DMR) is novel endoscopic procedure been shown to improve glycaemic control in people with type 2 diabetes mellitus (T2D) irrespective of body mass index (BMI) DMR involves catheter-based circumferential lifting followed by hydrothermal ablation mucosa....

10.1136/gutjnl-2019-318349 article EN cc-by-nc Gut 2019-07-22

Dominant pancreatic duct strictures located in the head of pancreas patients with severe chronic pancreatitis are often managed by endoscopic placement a single plastic stent. Patients refractory after prolonged stenting require repeated stent replacement or surgical pancreaticojejunostomy. Placement multiple stents has proved effective managing postoperative biliary strictures. The aim this study was to investigate feasibility, efficacy, and long-term results pancreatitis.19 (16 men, three...

10.1055/s-2005-921069 article EN Endoscopy 2006-03-10
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