Andrea Costantino

M.D., PhD, Gastroenterologist at @PoliclinicoMi Interested in DGBI (e.g., IBS, bloating, dyspepsia) & bowel ultrasound. Proud European Citizen. Views are my own

[Andrea Costantino @Andrew_Costant]

My favorite Olympic pins? The Peace and Ukraine ones! 🕊️🇺🇦
#Olympics #MilanoCortina2026 #Peace #Ukraine #Pins #Olimpiadi @milanocortina26

[Andrea Costantino @Andrew_Costant]

@CarloCalenda C’ero e gli applausi per i coraggiosi ucraini sono stati forti, lunghi e sentiti. Emozionante. W l’Europa, W l’Ucraina!

[Andrea Costantino @Andrew_Costant]

@StefaniaBattis4 @Corriere Politica estera del M5S è pro Cina, Russia, Iran, Venezuela... Non è che le 5 stelle sono quella della bandiera del Partito Comunista Cinese?

[Léon Chaland 🇪🇺 @LeonChaland]

This is my flag.

It stands for unity, freedom, peace, democracy, equality, civilization, diversity, rule of law, science, beauty and strength.

There is nothing more important to fight for.

[Andrea Costantino @Andrew_Costant]

@john_damianosMD Is it time to use non-deceptive placebos in patients with DGBI in daily clinical practice? Can the disease explanation focusing on hypervigilance/hypersensitivity, neuromotility and abdominophrenic dyssynergia function as a good form of therapy if associated to honest placebos?

[Andrea Costantino @Andrew_Costant]

@john_damianosMD @oliver1953 @AmCollegeGastro Bile acid malabsorption was investigated only in patients with persistent diarrhea or symptoms despite the GFD or in every celiac patients?

[Andrea Costantino @Andrew_Costant]

@RoVannacci Dateci Vesper Lynd che almeno è brava a dissimulare!

[Rome PsychoGastroenterology @RomeGastroPsych]

🧘‍♀️ Yoga shows real promise for IBS relief
Latest systematic review found yoga improved #IBS symptoms, anxiety, and quality of life with moderate–large effects (Cohen’s d 0.37–3.6) versus controls
➡️ Mind–body therapy targeting both gut and brain
🔓https://t.co/BajTFNzQAC

[Andrea Costantino @Andrew_Costant]

@RomeGastroPsych @DrElyseThakur @Rajan___Singh @KewinSiah @umfoodoc @RomeFoundation @ANMSociety @INMAssociation @IBS_Maastricht Following the Mediterranean diet, patients with IBS will also live longer, at least according to Ancel Keys!
A longer life with some IBS is better than a shorter without it! 😉

[Andrea Costantino @Andrew_Costant]

In patients with #irritablebowelsyndrome, #Yoga improves #gastrointestinal #symptoms, decreases #anxiety and #depression, and enhances quality of life compared to standard of care!
Read more about our new review https://t.co/g37ME6HjoP
#DGBI #IBS @APSPhysiology @WileyBiomedical

[Andrea Costantino @Andrew_Costant]

A 25-year-old woman with severe undernutrition presented with diffuse postprandial abdominal pain.
CT showed marked gastrectasia with an ectatic stomach extending from the diaphragm to above the pubic symphysis...
Keep reading to find out about the case!
https://t.co/JgS1xawajM

[Andrea Costantino @Andrew_Costant]

Many #IBD patients follow #avoiding & #restrictive #diets to control #symptoms. #Lactose-free (21.3%UC, 17.4%CD) and #gluten-free diets (23.4%UC, 13.4%CD) are common. #Fibre avoidance is very high (CD52%, UC45%). However, there isn't EBM to support them!
https://t.co/UA4lEUlI5Z

[Nutrients MDPI @Nutrients_MDPI]

#mdpinutrients 🔥🔥#HighlyViewedArticles
📚"The Ten Dietary Commandments for Patients with Irritable Bowel Syndrome: A Narrative Review with Pragmatic Indications"
by Nicola Siragusa et al
Link: https://t.co/5uD2FvLznr

[Kewin Siah @KewinSiah]

This review presents 10 pragmatic 'dietary commandments'—from low FODMAP and gluten-free to Mediterranean and fiber-rich diets. No one-size-fits-all, but a personalized, flexible approach is key to better symptom control and QoL. #IBS #GItwitter https://t.co/kb8nz6LdqM

[Andrea Costantino @Andrew_Costant]

The Ten Dietary Commandments for Patients with Irritable Bowel Syndrome: A Narrative Review with Pragmatic Indications
https://t.co/6Gzdw3NyzV via @Nutrients_MDPI
#IBS #diet #FODMAP #DGBI #irritablebowelsyndrome
10 simple and pragmatic recommendations for healthcare providers

[Andrea Costantino @Andrew_Costant]

@BrunoGherl10428 @Cartabellotta Sì, assolutamente sì, piacere di conoscerla.

[Andrea Costantino @Andrew_Costant]

@NGMJournal @ANMSociety @esnm_eu @maura_corsetti @IBS_Maastricht @LinChangMD @NehaSantucciMD @DharJahnvi @john_damianosMD @LumirKunovsky @BMoshiree @karagm2009 @Rajan___Singh These patients with nausea may benefit more from mirtazapine than from amitriptyline.
I have noticed that often some patients with predominant nausea also have an eating disorder and they might refuse this treatment with mirtazapine due to the possibility of weight gain!

[Andrea Costantino @Andrew_Costant]

@UniLUISS @dorae_h Beh, se li forma Orsini in politica….

[Andrea Costantino @Andrew_Costant]

@ilario82 In Italia hanno già 3/4 dei giornalisti, comprati a suon di gasrubli