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1. Location, morphology and invasiveness of lateral spreading tumors in the colorectum differ between two large cohorts from an eastern and western country

Author

Guarner-Argente, Carlos, Ikematsu, Hiroaki, Osera, Shozo, Fraile, Maria, Ibañez, Berta, Marra-López, Carlos, Jerusalén-Gargallo, Carla, Alonso Aguirre, Pedro A., Martinez-Ares, David, Soto, Santiago, Ramos Zabala, Felipe, Alvarez-Gonzalez, Marco Antonio, Rodriguez Sánchez, Joaquin, Múgica, Fernando, Nogales Rincon, Oscar, Herreros de Tejada, Alberto, Redondo-Cerezo, Eduardo, Martínez-Cara, Juan, López-Rosés, Leopoldo, Rodriguez-Tellez, Manuel, Garcia-Bosch, Orlando, de la Peña, Joaquín, Pellisé, María, Rivero-Sanchez, Liseth, Saperas, Esteve, Pérez-Roldán, Francisco, Lopez Viedma, Bartolome, González-Santiago, Jesús M., Álvarez Delgado, Alberto, Cobian, Carol, Pardeiro, Remedios, Valdivielso Cortázar, Eduardo, Colan-Hernandez, Juan, Gordillo, Jordi, Kaneko, Kazuhiro, and Albéniz, Eduardo

Published
2022
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2. Clinical validation of risk scoring systems to predict risk of delayed bleeding after EMR of large colorectal lesions

Author

Albéniz, Eduardo, Gimeno-García, Antonio Zebenzuy, Fraile, María, Ibáñez, Berta, Guarner-Argente, Carlos, Alonso-Aguirre, Pedro, Álvarez, Marco Antonio, Gargallo, Carla Jerusalén, Pellisé, María, Ramos Zabala, Felipe, Herreros de Tejada, Alberto, Nogales, Óscar, Martínez-Ares, David, Múgica, Fernando, de la Peña, Joaquín, Espinós, Jorge, Huerta, Alain, Álvarez, Alberto, Gonzalez-Santiago, Jesús M., Navajas, Francisco, Martínez-Cara, Juan Gabriel, Redondo-Cerezo, Eduardo, Merlo Mas, Josep, Sábado, Fernando, Rivero, Liseth, Saperas, Esteban, Soto, Santiago, Rodríguez-Sánchez, Joaquín, López-Roses, Leopoldo, Rodríguez-Téllez, Manuel, Rullán Iriarte, María, Elosua González, Alfonso, Pardeiro, Remedios, Valdivielso Cortázar, Eduardo, Concepción-Martín, Mar, Huelin Álvarez, Patricia, Colán Hernández, Juan, Cobian, Julyssa, Santiago, José, Jiménez, Alejandra, Remedios, David, López-Viedma, Bartolomé, García, Orlando, Martínez-Alcalá, Felipe, Pérez-Roldán, Francisco, Carbó, Jorge, and Enguita, Mónica

Published
2020
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3. Clinical guidelines for endoscopic mucosal resection of non-pedunculated colorectal lesions

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, Rodríguez Téllez, Manuel, García, Orlando, Zuñiga Ripa, Alba, Hernández Conde, Marta, Alberca de las Parras, Fernando, Gargallo, Carla, Saperas, Esteban, Muñoz Navas, Miguel, 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, and Valdivielso, Eduardo

Published
2018
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4. 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, and Valdivielso, Eduardo

Published
2018
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5. Clinical validation of risk scoring systems to predict risk of delayed bleeding after EMR of large colorectal lesions

Author

La Caixa, Caja Navarra, Albéniz, Eduardo, Gimeno-Garcia, Antonio Z., Fraile, María, Ibáñez Beroiz, Berta, Guarner-Argente, Carlos, Alonso-Aguirre, Pedro, Álvarez, Marco Antonio, Jerusalén Gargallo, Carla, Pellisé, María, Ramos-Zabala, Felipe, Herreros de Tejada, Alberto, Nogales, Oscar, Martínez-Ares, David, Múgica, Fernando, Peña, Joaquín de la, Espinós, Jorge C., Huerta, Alain, Álvarez, Alberto, Gonzalez-Santiago, Jesús M., Navajas, Francisco, Martínez-Cara, Juan Gabriel, Redondo-Cerezo, Eduardo, Merlo Mas, Josep, Sábado, Fernando, Rivero, Liseth, Saperas, Esteban, Soto, Santiago, Rodríguez-Sánchez, Joaquín, López-Roses, Leopoldo, Rodríguez-Téllez, Manuel, Rullán Iriarte, María, Elosua, Alfonso, Pardeiro, Remedios, Valdivielso Cortázar, Eduardo, Concepción-Martín, Mar, Huelin Álvarez, Patricia, Colán Hernández, Juan, Cobian, Julyssa, Santiago, José, Jiménez, Alejandra, Remedios, David, López-Viedma, Bartolomé, García, Orlando, Martínez-Alcalá, Felipe, Pérez-Roldán, Francisco, Carbó, Jorge, Enguita-Germán, Mónica, La Caixa, Caja Navarra, Albéniz, Eduardo, Gimeno-Garcia, Antonio Z., Fraile, María, Ibáñez Beroiz, Berta, Guarner-Argente, Carlos, Alonso-Aguirre, Pedro, Álvarez, Marco Antonio, Jerusalén Gargallo, Carla, Pellisé, María, Ramos-Zabala, Felipe, Herreros de Tejada, Alberto, Nogales, Oscar, Martínez-Ares, David, Múgica, Fernando, Peña, Joaquín de la, Espinós, Jorge C., Huerta, Alain, Álvarez, Alberto, Gonzalez-Santiago, Jesús M., Navajas, Francisco, Martínez-Cara, Juan Gabriel, Redondo-Cerezo, Eduardo, Merlo Mas, Josep, Sábado, Fernando, Rivero, Liseth, Saperas, Esteban, Soto, Santiago, Rodríguez-Sánchez, Joaquín, López-Roses, Leopoldo, Rodríguez-Téllez, Manuel, Rullán Iriarte, María, Elosua, Alfonso, Pardeiro, Remedios, Valdivielso Cortázar, Eduardo, Concepción-Martín, Mar, Huelin Álvarez, Patricia, Colán Hernández, Juan, Cobian, Julyssa, Santiago, José, Jiménez, Alejandra, Remedios, David, López-Viedma, Bartolomé, García, Orlando, Martínez-Alcalá, Felipe, Pérez-Roldán, Francisco, Carbó, Jorge, and Enguita-Germán, Mónica

Abstract

[Background and Aims]: The Endoscopic Resection Group of the Spanish Society of Endoscopy (GSEED-RE) model and the Australian Colonic Endoscopic Resection (ACER) model were proposed to predict delayed bleeding (DB) after EMR of large superficial colorectal lesions, but neither has been validated. We validated and updated these models., [Methods]: A multicenter cohort study was performed in patients with nonpedunculated lesions ≥20 mm removed by EMR. We assessed the discrimination and calibration of the GSEED-RE and ACER models. Difficulty performing EMR was subjectively categorized as low, medium, or high. We created a new model, including factors associated with DB in 3 cohort studies., [Results]: DB occurred in 45 of 1034 EMRs (4.5%); it was associated with proximal location (odds ratio [OR], 2.84; 95% confidence interval [CI], 1.31-6.16), antiplatelet agents (OR, 2.51; 95% CI, .99-6.34) or anticoagulants (OR, 4.54; 95% CI, 2.14-9.63), difficulty of EMR (OR, 3.23; 95% CI, 1.41-7.40), and comorbidity (OR, 2.11; 95% CI, .99-4.47). The GSEED-RE and ACER models did not accurately predict DB. Re-estimation and recalibration yielded acceptable results (GSEED-RE area under the curve [AUC], .64 [95% CI, .54-.74]; ACER AUC, .65 [95% CI, .57-.73]). We used lesion size, proximal location, comorbidity, and antiplatelet or anticoagulant therapy to generate a new model, the GSEED-RE2, which achieved higher AUC values (.69-.73; 95% CI, .59-.80) and exhibited lower susceptibility to changes among datasets., [Conclusions]: The updated GSEED-RE and ACER models achieved acceptable prediction levels of DB. The GSEED-RE2 model may achieve better prediction results and could be used to guide the management of patients after validation by other external groups. (Clinical trial registration number: NCT 03050333.)

Published
2020

6. ANÁLISIS DEL USO DE UNA SONDA ELECTROMAGNÉTICA PARA EL DIAGNÓSTICO DE CÁNCER COLORRECTAL. RESULTADOS PRELIMINARES

Author

Serrano Dueñas, Maite, primary, Sobrino López, Ana María, additional, Ramírez Esteso, Fernando, additional, Rodríguez González, María, additional, Úbeda Muñoz, Margarita, additional, López Viedma, Bartolomé, additional, Olmedo Camacho, José, additional, Rodríguez Sánchez-Migallón, Joaquín, additional, and Domper Bardají, Francisco, additional

Published
2019
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7. Short and long-term outcomes of underwater EMR compared to the traditional procedure in the real clinical practice

Author

Rodríguez Sánchez, Joaquín, primary, Uchima Koecklin, Hugo, additional, González López, Lucía, additional, Cuatrecasas, Miriam, additional, de la Santa Belda, Eva, additional, Olivencia Palomar, Pilar, additional, Sánchez García, Carlos, additional, Sánchez Alonso, Mónica, additional, Muñoz Rodríguez, José Ramón, additional, Gómez Romero, Francisco Javier, additional, López Viedma, Bartolomé, additional, Agarrabeitia, Ana Belén, additional, Olmedo Camacho, José, additional, and Albéniz Arbizu, Eduardo, additional

Published
2019
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8. Detection and characterization of colorectal polyps using high‐definition white light and i‐Scan: Evidence‐based consensus recommendations using a modified Delphi process

Author

Bhandari, Pradeep, primary, Thayalasekaran, Sreedhari, additional, Keisslich, Ralf, additional, Bisschops, Raf, additional, Hoffmann, Arthur, additional, Haidry, Rehan, additional, Esteban, Jose, additional, López Viedma, Bartolomé, additional, Godzhello, Elina, additional, Almadi, Majid, additional, Neumann, Helmut, additional, and Sanduleanu, Silvia, additional

Published
2018
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12. ESTUDIO HISTOLÓGICO Y DEL ARTEFACTO DE ELECTROCOAGULACIÓN DE UNDERWATER EMR FRENTE EMR TRADICIONAL EN LESIONES COLORRECTALES

Author

Sánchez Alonso Alonso, Mónica, primary, González López, Lucía, additional, Serrano Dueñas, Maite, additional, Sobrino López, Ana M., additional, López Viedma, Bartolomé, additional, de la Santa Belda, Eva, additional, Olivencia Palomar, Pilar, additional, Cuatrecasas, Míriam, additional, Olmedo Camacho, José, additional, and Rodríguez Sánchez, Joaquín, additional

Published
2018
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13. Clinical guidelines for endoscopic mucosal resection of non-pedunculated colorectal lesions

Author

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

Published
2018
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14. Endoscopic Ultrasound for the Detection of Left Atrial Appendage Thrombus: A Useful Technique in Patients with Transesophageal Echocardiography Contraindication

Author

Marina-Breysse, Manuel, Jurado-Román, Alfonso, López-Viedma, Bartolomé, Piqueras-Flores, Jesús, and López-Lluva, María T.

Subjects
Article Subject, cardiovascular system, cardiovascular diseases
Abstract

Endoscopic ultrasound is a diagnostic and therapeutic technique used in specialized centers for patients that have undergone digestive procedures. This technique enables highly precise real-time imaging of the digestive tract wall and surrounding organs. Endoscopic ultrasound is also useful in patients with cardiovascular diseases such as atrial fibrillation. In patients with contraindication for transesophageal echocardiography due to high risk of esophageal bleeding or complications that may require immediate intervention, endoscopic ultrasound may be a safer option for visualizing atrial chambers to rule out the presence of left atrial appendage thrombi before cardioversion.

Published
2016
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15. 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

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

Author

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

Published
2016
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17. Effectiveness of serological markers of eosinophil activity in monitoring eosinophilic esophagitis

Author

Rodríguez-Sánchez, Joaquín, Gómez-Torrijos, Elisa, Santa-Belda, Eva de-la, López-Viedma, Bartolomé, Martín-Dávila, Francisco, Pilkington-Woll, John Patrick, Donado-Palencia, Paloma, Sánchez-Miranda, Pilar, and Olmedo-Camacho, José

Subjects
Esofagitis eosinofílica, Biomarcadores, Eosinophilic esophagitis, Total serum IgE, Proteína catiónica del eosinófilo, Eosinophil cationic protein, IgE sérica total, Biomarkers
Abstract

Background: it is necessary to find serological markers accessible in clinical practice to prevent the need to perform repeated endoscopies. Objective: to assess the efficacy of eosinophil activity markers in monitoring eosinophilic esophagitis (EoE). Material and methods: thirty patients were included prospectively, all under dietary treatment -diets excluding 6 foods, and allergy test based diet (skin prick test and specific IgE). The variables assessed were demographic parameters, eosinophil cationic protein (ECP) levels (μg/mL), total IgE (KU/L), peripheral blood eosinophils (PBE) (U/mm³), and the maximum peak of eosinophils/hpf in esophageal biopsies. The variation found between these figures was assessed in line with response to dietary treatment. Results: thirty patients (66.7 % males; mean age 33.43 years) were included in the study, 22 responders and 8 non-responders. Ninety percent presented a personal history of atopy. No significant decrease was detected in serum total IgE and ECP after diet in responder and nonresponders. However, the PBE decreased significantly in responders but not in nonresponders, PBE in responders (pre-diet. 397.27 vs. post-diet 276.81, p = 0.024) and non-responders PBE (pre-diet. 460 vs. post-diet 317.5, p = 0.23). Conclusion: serum total IgE and ECP do not act as markers for EoE activity. However PBE may play a role in this regard, bearing in mind that this parameter may be influenced by concomitant atopic conditions. Introducción: resulta necesario encontrar marcadores serológicos de actividad en esofagitis eosinofílica (EoE) accesibles en la práctica clínica que eviten la realización de endoscopias repetidas a los pacientes. Objetivo: evaluar la eficacia de los marcadores de actividad del eosinófilo en la monitorización de la EoE. Material y métodos: se reclutaron de forma prospectiva, pacientes con EoE tratados con dietas (dieta de exclusión de 6 alimentos y dieta dirigida en base a los test de alergia). Se analizaron parámetros demográficos, valor sérico de proteína catiónica eosinofílica (PCE) (μg/ml), IgE sérica total (KU/l), eosinófilos en sangre periférica (ESP) (U/mm³), así como pico máximo de eosinófilos/campo de gran aumento en las biopsias esofágicas. Se analizó la variación encontrada en estos valores de acuerdo con la respuesta a las dietas. Resultados: 30 pacientes (66,7 % varones; edad media 33,43 años) fueron incluidos, 22 respondedores y 8 no respondedores. El 90 % de los pacientes presentaba antecedentes personales de atopia. No se detectó descenso significativo de IgE sérica total ni PCE tras la dieta en respondedores y no respondedores. Sin embargo los ESP descendieron significativamente en los pacientes respondedores (ESP pre-dieta 397,27 vs. post-dieta 276,81; p = 0,024) pero no así en los no respondedores (ESP pre-dieta 460 vs. post-dieta 317,5; p = 0,23). Conclusión: la IgE sérica total y PCE no se comportan como marcadores de actividad de la EoE. Sin embargo los ESP podrían desempeñar una función en este sentido, aunque considerando que este parámetro puede verse influenciado por las enfermedades atópicas concomitantes.

Published
2013

19. ¿Son útiles los Antisecretores en el manejo de la Hemorragia Digestiva Alta no varicosa?

Author

Rodríguez Sánchez-Migallón, Joaquín, López Viedma, Bartolomé, Galván Fernández, Mª Dolores, Alonso Lablanca, María, Cabanillas Casafranca, Manuel, and Rodríguez Sánchez, Eduardo

Subjects
Peptic Ulcer, Proton Pump Inhibitors, Gastrointestinal Hemorrhage, Úlcera Péptica, Inhibidores de la Bomba de Protones, Hemorragia Gastrointestinal
Abstract

La hemorragia digestiva alta no varicosa supone la causa más importante de sangrado digestivo, siendo una consulta frecuente en los servicios de urgencias hospitalarios. El tratamiento médico basado en el uso de inhibidores de la bomba de protones (IBP), junto con el tratamiento endoscópico, ha demostrado disminuir de manera significativa las tasas de resangrado, mejorando la supervivencia de estos pacientes. Después de dos décadas desde la comercialización de los (IBP), a día de hoy sigue existiendo controversia en cuanto a su dosificación y forma de administración en los pacientes con hemorragia digestiva de origen péptico. Non-variceal upper gastrointestinal hamorrhage, is the most frequent cause of gastrointestinal bleeding and is a common presentation in emergency departments. Medical treatment based on the use of proton pump inhibitors (PPIs), together with endoscopic therapy has been shown to significantly lower rates of rebleeding and improve survival in these patients. Two decades after the marketing of PPIs there is still controversy as to dosage and method of administration for patients with gastrointestinal bleeding of peptic origin.

Published
2009

21. Automated image analysis in the study of lymphocyte subpopulation in eosinophilic oesophagitis

Author

García-Rojo, Marcial, primary, Sánchez, Joaquín Rodríguez, additional, de la Santa, Eva, additional, Durán, Elena, additional, Ruiz, José Luis, additional, Silva, Antonio, additional, Rubio, Francisco Javier, additional, Rodríguez, Antonio M, additional, Meléndez, Blas, additional, González, Lucía, additional, and López-Viedma, Bartolomé, additional

Published
2014
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27. Colaboradores

Author

Alexander, Jeffrey A., Arias-Arias, Ángel, Dellon, Evan S., Dias, Jorge Amil, Furuta, Glenn T., Gupta, Sandeep K., López-Viedma, Bartolomé, Menard-Katcher, Paul, Rodríguez-Sánchez, Joaquín, Straumann, Alex, and Trindade, Eunice

Published
2016
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28. Actinomyces infection as a complication of a post-radiotherapy rectal ulcer.

Author

Martos Plasencia C, Olivencia Palomar P, Patón Arenas R, Verdejo Gil C, Salmoral Luque R, Peña Gómez M, De la Santa Belda E, López Viedma B, and Olmedo Camacho J

Subjects
Actinomycosis pathology, Actinomycosis surgery, Adenocarcinoma complications, Adenocarcinoma radiotherapy, Aged, Colostomy, Humans, Male, Prostatic Neoplasms complications, Prostatic Neoplasms radiotherapy, Rectal Diseases pathology, Rectal Diseases surgery, Ulcer pathology, Ulcer surgery, Actinomycosis etiology, Radiotherapy adverse effects, Rectal Diseases etiology, Ulcer etiology
Abstract

Introduction: Pelvic radiotherapy is associated with early and late local complication. Actinomyces bacterium is part of the saprophyte flora, although some infection underlying factors are known , the pathophysiology of the disease is still unexplained. Frequently it is involved in oral, gastrointestinal and respiratory infections., Case Report: We present the description of a clinical case supported with images. So that we have developed a bibliographical research in Pubmed data base including the following key words: Ulcer, rectum, brachitherapy and Actinomyces. The most recent original articles published in the last teen years, related with the pathology observed in the patient of the case, were selected., Discussion: Brachitherapy over pelvic beds ( prostate, cervix and uterus) could be associated with digestive complications specially in the rectum. Those complications might oscillate from mild inflammatory changes in the mucosa to serious damages as ulcers and lack of tissue. This situation increase the risk of opportunistic infections which could endanger the clinical improve of our patients. We suggest to remember those germen in the diagnosis process in other to achieve an early diagnosis and to use a targeted treatment.

Published
2016

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