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Your search keyword '"Alberca de Las Parras, Fernando"' showing total 4 results
Start Over Author "Alberca de Las Parras, Fernando" Topic endoscopic mucosal resection
4 results on '"Alberca de Las Parras, Fernando"'

1. Clinical guidelines for endoscopic mucosal resection of non-pedunculated colorectal lesions.

Author

Albéniz E, Pellisé M, Gimeno-García AZ, Lucendo AJ, Alonso-Aguirre PA, Herreros de Tejada A, Álvarez MA, Fraile M, Herráiz Bayod M, López Rosés L, Martínez Ares D, Ono A, Parra Blanco A, Redondo E, Sánchez-Yagüe A, Soto S, Díaz-Tasende J, Montes Díaz M, Rodríguez-Téllez M, García O, Zuñiga Ripa A, Hernández Conde M, Alberca de Las Parras F, Gargallo CJ, Saperas E, Muñoz Navas M, Gordillo J, Ramos Zabala F, Echevarría JM, Bustamante M, González-Haba M, González-Huix F, González-Suárez B, Vila Costas JJ, Guarner Argente C, Múgica F, Cobián J, Rodríguez Sánchez J, López Viedma B, Pin N, Marín Gabriel JC, Nogales Ó, de la Peña J, Navajas León FJ, León Brito H, Remedios D, Esteban JM, Barquero D, Martínez Cara JG, Martínez Alcalá F, Fernández-Urién I, and Valdivielso E

Subjects
Colonic Diseases surgery, Colorectal Surgery standards, Endoscopic Mucosal Resection standards, Endoscopy, Gastrointestinal standards, Humans, Rectal Diseases surgery, Colorectal Neoplasms surgery, Colorectal Surgery methods, Endoscopic Mucosal Resection methods, Endoscopy, Gastrointestinal methods, Intestinal Mucosa surgery
Abstract

This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions.

Published
2018
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2. A Scoring System to Determine Risk of Delayed Bleeding After Endoscopic Mucosal Resection of Large Colorectal Lesions.

Author

Albéniz E, Fraile M, Ibáñez B, Alonso-Aguirre P, Martínez-Ares D, Soto S, Gargallo CJ, Ramos Zabala F, Álvarez MA, Rodríguez-Sánchez J, Múgica F, Nogales Ó, Herreros de Tejada A, Redondo E, Pin N, León-Brito H, Pardeiro R, López-Roses L, Rodríguez-Téllez M, Jiménez A, Martínez-Alcalá F, García O, de la Peña J, Ono A, Alberca de Las Parras F, Pellisé M, Rivero L, Saperas E, Pérez-Roldán F, Pueyo Royo A, Eguaras Ros J, Zúñiga Ripa A, Concepción-Martín M, Huelin-Álvarez P, Colán-Hernández J, Cubiella J, Remedios D, Bessa I Caserras X, López-Viedma B, Cobian J, González-Haba M, Santiago J, Martínez-Cara JG, Valdivielso E, and Guarner-Argente C

Subjects
Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Prospective Studies, Risk Assessment, Spain, Young Adult, Decision Support Techniques, Endoscopic Mucosal Resection adverse effects, Gastrointestinal Hemorrhage diagnosis, Gastrointestinal Hemorrhage pathology
Abstract

Background & Aims: After endoscopic mucosal resection (EMR) of colorectal lesions, delayed bleeding is the most common serious complication, but there are no guidelines for its prevention. We aimed to identify risk factors associated with delayed bleeding that required medical attention after discharge until day 15 and develop a scoring system to identify patients at risk., Methods: We performed a prospective study of 1214 consecutive patients with nonpedunculated colorectal lesions 20 mm or larger treated by EMR (n = 1255) at 23 hospitals in Spain, from February 2013 through February 2015. Patients were examined 15 days after the procedure, and medical data were collected. We used the data to create a delayed bleeding scoring system, and assigned a weight to each risk factor based on the β parameter from multivariate logistic regression analysis. Patients were classified as being at low, average, or high risk for delayed bleeding., Results: Delayed bleeding occurred in 46 cases (3.7%, 95% confidence interval, 2.7%-4.9%). In multivariate analysis, factors associated with delayed bleeding included age ≥75 years (odds ratio [OR], 2.36; P < .01), American Society of Anesthesiologist classification scores of III or IV (OR, 1.90; P ≤ .05), aspirin use during EMR (OR, 3.16; P < .05), right-sided lesions (OR, 4.86; P < .01), lesion size ≥40 mm (OR, 1.91; P ≤ .05), and a mucosal gap not closed by hemoclips (OR, 3.63; P ≤ .01). We developed a risk scoring system based on these 6 variables that assigned patients to the low-risk (score, 0-3), average-risk (score, 4-7), or high-risk (score, 8-10) categories with a receiver operating characteristic curve of 0.77 (95% confidence interval, 0.70-0.83). In these groups, the probabilities of delayed bleeding were 0.6%, 5.5%, and 40%, respectively., Conclusions: The risk of delayed bleeding after EMR of large colorectal lesions is 3.7%. We developed a risk scoring system based on 6 factors that determined the risk for delayed bleeding (receiver operating characteristic curve, 0.77). The factors most strongly associated with delayed bleeding were right-sided lesions, aspirin use, and mucosal defects not closed by hemoclips. Patients considered to be high risk (score, 8-10) had a 40% probability of delayed bleeding., (Copyright © 2016 AGA Institute. Published by Elsevier Inc. All rights reserved.)

Published
2016
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3. Guía clínica para la resección mucosa endoscópica de lesiones colorrectales no pediculadas

Author

Albéniz, Eduardo, Pellisé, María, Gimeno García, Antonio Z, Lucendo, Alfredo José, Alonso Aguirre, Pedro A, Herreros de Tejada, Alberto, Álvarez, Marco Antonio, Fraile, María, Herráiz Bayod, Maite, López Rosés, Leopoldo, Martínez Ares, David, Ono, Akiko, Parra Blanco, Adolfo, Redondo, Eduardo, Sánchez Yagüe, Andrés, Soto, Santiago, Díaz Tasende, José, Montes Díaz, Marta, Téllez, Manuel Rodríguez, García, Orlando, Zuñiga Ripa, Alba, Hernández Conde, Marta, Alberca de Las Parras, Fernando, Gargallo, Carla, Saperas, Esteban, Navas, Miguel Muñoz, Gordillo, Javier, Ramos Zabala, Felipe, Echevarría, José Manuel, Bustamante, Marco, González Haba, Mariano, González Huix, Ferrán, González Suárez, Begoña, Vila Costas, Juan José, Guarner Argente, Carlos, Múgica, Fernando, Cobián, Julyssa, Rodríguez Sánchez, Joaquín, López Viedma, Bartolomé, Pin, Noel, Marín Gabriel, José Carlos, Nogales, Óscar, de la Peña, Joaquín, Navajas León, Francisco Javier, León Brito, Helena, Remedios, David, Esteban, José Miguel, Barquero, David, Martínez Cara, Juan Gabriel, Martínez Alcalá, Felipe, Fernández Urién, Ignacio, Valdivielso, Eduardo, and en nombre del Grupo Español de Resección Endoscópica de la Sociedad Española de Endoscopia Digestiva

Subjects
Endoscopic Mucosal Resection, Resección mucosa endoscópica, Humans, Colorectal Neoplasms
Abstract

This document summarizes the contents of the Clinical Guidelines for the Endoscopic Mucosal Resection of Non-Pedunculated Colorectal Lesions that was developed by the working group of the Spanish Society of Digestive Endoscopy (GSEED of Endoscopic Resection). This document presents recommendations for the endoscopic management of superficial colorectal neoplastic lesions.

Published
2018

4. A Scoring System to Determine Risk of Delayed Bleeding After Endoscopic Mucosal Resection of Large Colorectal Lesions

Author

Albéniz, Eduardo, Fraile, María, Ibáñez, Berta, Alonso-Aguirre, Pedro, Martínez-Ares, David, Soto, Santiago, Gargallo, Carla Jerusalén, Ramos Zabala, Felipe, Álvarez, Marco Antonio, Rodríguez-Sánchez, Joaquín, Múgica, Fernando, Nogales, Óscar, Herreros de Tejada, Alberto, Redondo, Eduardo, Pin, Noel, León-Brito, Helena, Pardeiro, Remedios, López-Roses, Leopoldo, Rodríguez-Téllez, Manuel, Jiménez, Alejandra, Martínez-Alcalá, Felipe, García, Orlando, de la Peña, Joaquín, Ono, Akiko, Alberca de Las Parras, Fernando, Pellisé, María, Rivero, Liseth, Saperas, Esteban, Pérez-Roldán, Francisco, Pueyo Royo, Antonio, Eguaras Ros, Javier, Zúñiga Ripa, Alba, Concepción-Martín, Mar, Huelin-Álvarez, Patricia, Colán-Hernández, Juan, Cubiella, Joaquín, Remedios, David, Bessa I Caserras, Xavier, López-Viedma, Bartolomé, Cobian, Julyssa, González-Haba, Mariano, Santiago, José, Martínez-Cara, Juan Gabriel, Valdivielso, Eduardo, Guarner-Argente, Carlos, and Endoscopic Mucosal Resection Endoscopic Spanish Society Group

Subjects
Adult, Male, medicine.medical_specialty, ASA, Mucosectomy, Endoscopic Mucosal Resection, Endoscopic mucosal resection, Gastroenterology, Risk Assessment, Decision Support Techniques, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Internal medicine, medicine, Humans, Prospective Studies, Risk factor, Prospective cohort study, Aged, Aged, 80 and over, Aspirin, Hepatology, Receiver operating characteristic, Colon Cancer, business.industry, Prognostic Factor, Odds ratio, Middle Aged, Confidence interval, Surgery, Spain, 030220 oncology & carcinogenesis, 030211 gastroenterology & hepatology, Female, business, Risk assessment, Gastrointestinal Hemorrhage, medicine.drug
Abstract

BACKGROUND & AIMS: After endoscopic mucosal resection (EMR) of colorectal lesions, delayed bleeding is the most common serious complication, but there are no guidelines for its prevention. We aimed to identify risk factors associated with delayed bleeding that required medical attention after discharge until day 15 and develop a scoring system to identify patients at risk. METHODS: We performed a prospective study of 1214 consecutive patients with nonpedunculated colorectal lesions 20 mm or larger treated by EMR (n = 1255) at 23 hospitals in Spain, from February 2013 through February 2015. Patients were examined 15 days after the procedure, and medical data were collected. We used the data to create a delayed bleeding scoring system, and assigned a weight to each risk factor based on the beta parameter from multivariate logistic regression analysis. Patients were classified as being at low, average, or high risk for delayed bleeding. RESULTS: Delayed bleeding occurred in 46 cases (3.7%, 95% confidence interval, 2.7%-4.9%). In multivariate analysis, factors associated with delayed bleeding included age >= 75 years (odds ratio [OR], 2.36; P= 40 mm (OR, 1.91; P

Published
2015

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