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2. Poor agreement between biopsies and Endoscopic Submucosal Dissection (ESD) specimens on upper GI lesions: results from the Spanish registry

Author

Fernández-Esparrach, M. G., additional, De Tejada, A. Herreros, additional, Marín-Gabriel, J. C., additional, Albéniz, E., additional, Santiago, J., additional, Rincón, O. Nogales, additional, Rosón, P., additional, Goikoetxea, U., additional, Miranda, P., additional, De Santiago, E. Rodriguez, additional, Uchima, H., additional, Sánchez, J. Rodríguez, additional, Peñas, B., additional, Del Pozo, A., additional, Parejo, S., additional, Terán, Á., additional, de Frutos, D., additional, Daniel, P., additional, Pallares, P. De Maria, additional, Díaz-Tasende, J., additional, Mangas-Sanjuan, C., additional, Alvarez, A., additional, Fraile-Lopez, M., additional, Guarner-Argente, C., additional, Amoros Tenorio, A., additional, Rivero-Sánchez, L., additional, and Ortiz, O., additional

Published
2024
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6. Endoscopic vacuum therapy for the treatment of upper gastrointestinal defects. Results of a Spanish multicenter registry

Author

Sendino, O. Garcia, additional, Momblan, D., additional, Busquets, D., additional, Gimeno-Garcia, A., additional, Juzgado, D., additional, García-Lledó, J., additional, Ferrero, E., additional, Tejedor, J., additional, Junquera, F., additional, Díaz-Tasende, J., additional, Moris, M., additional, Gornals, J. B., additional, Garrido, C., additional, Gonzalez, S., additional, Guarner-Argente, C., additional, Repiso, A., additional, Esteban, J. M., additional, Loras, C., additional, Seoane, A., additional, Cardenas, A., additional, Cordova, H., additional, Fernandez-Simon, A., additional, Morales, X., additional, Ibarzabal, A., additional, Llach, J., additional, and De Lacy, A. M., additional

Published
2023
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8. VALIDATION OF PRIORITY CRITERIA FOR RESTARTING ENDOSCOPIC ACTIVITY AFTER THE FIRST WAVE OF COVID19 PANDEMIC IN SPAIN. THE ENDOPRIOR STUDY

Author

Rivero Sánchez, L., additional, García-Rodríguez, A., additional, Castillo, J., additional, Diez-Redondo, P., additional, Nuñez Rodriguez, H., additional, Ponce, M., additional, San Juan, M., additional, Seoane, A., additional, Albert Carrasco, M., additional, Zaffalon, D., additional, Guarner, C., additional, Murzi, M., additional, Jover, R., additional, Medina Prado, L., additional, Aspuru Rubio, K., additional, García Zafra, B., additional, Joao Matias, D., additional, Cárdenas, A., additional, Gonzalez Suarez, B., additional, Sendino, O., additional, Cordoba, H., additional, Fernández-Simón, A., additional, Araujo, I., additional, Ginés, A., additional, Llach, J., additional, Fernández-Esparrach, G., additional, Pellisé, M., additional, and Balaguer, F., additional

Published
2022
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10. OVERALL SURVIVAL RATES AFTER ENDOSCOPIC SUBMUCOSAL DISSECTION (ESD) FOR EARLY GASTRIC CANCER IN SPANISH ELDERLY PATIENTS

Author

Marín-Gabriel, J.C., additional, Herreros de Tejada, A., additional, Fernández-Esparrach, G., additional, Goikoetxea-Rodero, U., additional, Albéniz-Arbizu, E., additional, Nogales-Rincón, Ó., additional, del Pozo-García, A.J., additional, Uchima-Koecklin, H., additional, Miranda-García, P., additional, Terán-Lantarón, Á., additional, Álvarez-Delgado, A., additional, Rosón-Rodríguez, P.J., additional, de María-Pallarés, P., additional, Rodríguez-de Santiago, E., additional, Díaz-Tasende, J., additional, Rodríguez Sánchez-Migallón, J., additional, Pérez, D., additional, Cortés-Pérez, H., additional, Guarner-Argente, C., additional, Huerta-Madrigal, A., additional, Parejo-Carbonell, S., additional, Peñas-García, B., additional, Sánchez-Yagüe, A., additional, Ramos-Zabala, F., additional, Amorós-Tenorio, A., additional, González-Haba, M., additional, Dolz-Abadía, C., additional, García-Romero, D., additional, Puig, I., additional, Burgos-García, A., additional, and Rivero-Sánchez, L., additional

Published
2022
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11. IMPACT OF DOUBLE-PIGTAIL PLASTIC STENTS IN THE ADVERSE EVENT RATE OF PANCREATIC FLUID COLLECTIONS, GALLBLADDER DRAINAGES AND CHOLEDOCHAL DRAINAGES USING LUMEN-APPOSING METAL STENTS

Author

Bazaga, S., additional, Garcia-Alonso, F.-J., additional, Aparicio Tormo, J.R., additional, Martínez-Moreno, B., additional, Sanchiz, V., additional, Suria, C., additional, Garcia-Sumalla, A., additional, Gornals, J.B, additional, Chavarría, C., additional, Loras, C., additional, García-Fernandez, F.J., additional, Terán, Á., additional, Vazquez-Sequeiros, E., additional, Pedraza Sanz, R., additional, Pérez-Carazo, L., additional, Subtil, J.C., additional, Pérez-Millán, A., additional, Uceda Porta, F., additional, Busto Bea, V., additional, de la Serna-Higuera, C., additional, Pinto Garcia, I., additional, Colán-Hernández, J., additional, Huertas, C., additional, Vilella Martorell, A., additional, Guardiola-Arevalo, A., additional, Castro Urda, J.L., additional, Nuñez-Otero, J., additional, Sánchez-Hernández, E., additional, Gonzalez-Huix, F., additional, de la Morena, F., additional, Villanueva Pavón, R., additional, Couto-Worner, I., additional, Guarner-Argente, C., additional, and Perez-Miranda, M., additional

Published
2022
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12. PLASTIC STENT VS LUMEN APPOSING METAL STENTS IN ENDOSCOPIC ULTRASOUND-GUIDED DRAINAGE OF WALLED-OFF PANCREATIC NECROSIS: A MULTICENTRE RANDOMISED TRIAL (THE PROMETHEUS STUDY)

Author

Velasquez-Rodriguez, J.G, additional, Bas-Cutrina, F., additional, Vazquez-Sequeiros, E., additional, Esteban Lopez-Jamar, J.M., additional, Teran-Lantaron, A., additional, Gonzalez-Huix, F., additional, Perez-Miranda, M., additional, Guarner-Argente, C., additional, Vila-Costas, J.J, additional, Garcia-Sumalla, A., additional, Garcia Garcia De Paredes, A., additional, Fisac-Vazquez, J., additional, Moris, M., additional, Miquel Salas, I., additional, De La Serna Higuera, C., additional, Murzi, M., additional, Salord, S., additional, Foruny, J.R., additional, Ruiz-Osuna, S., additional, Pelaez-Serra, N., additional, Sanllorente, M., additional, Tebe Cordomi, C., additional, Hereu, P., additional, and Gornals, J.B, additional

Published
2022
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13. SAFETY AND FEASIBILITY OF LUMEN-APOSSING METAL STENTS REMOVALS. RESULTS FROM A PROSPECTIVE NATIONWIDE REGISTRY

Author

Bazaga, S., additional, Garcia-Alonso, F.J., additional, Aparicio Tormo, J.R., additional, Martinez Moreno, B., additional, Sanchiz, V., additional, Suria, C., additional, Garcia-Sumalla, A., additional, Gornals, J.B, additional, Loras, C., additional, Chavarría, C., additional, García-Fernandez, F.J., additional, Terán, Á., additional, Vazquez-Sequeiros, E., additional, Pedraza Sanz, R., additional, Pérez-Carazo, L., additional, Súbtil, J.C., additional, Pérez-Millan, A., additional, Uceda Porta, F., additional, Busto Bea, V., additional, de la Serna-Higuera, C., additional, Pinto García, I., additional, Colán-Hernández, J., additional, Huertas, C., additional, Vilella Martorell, A., additional, Guardiola-Arévalo, A., additional, Castro Urda, J.L., additional, Nuñez-Otero, J., additional, Sánchez-Hernández, E., additional, Gonzalez-Huix, F., additional, de la Morena, F., additional, Villanueva Pavón, R., additional, Couto-Worner, I., additional, Guarner-Argente, C., additional, and Perez-Miranda, M., additional

Published
2022
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14. ENDOSCOPIC VACUUM THERAPY (EVT) FOR THE CLOSURE OF UPPER GASTROINTESTINAL DEFECTS: PRELIMINARY RESULTS FROM THE SPANISH EVT REGISTRY

Author

Sendino, O., additional, Fernandez-Simon, A., additional, Busquets, D., additional, Zebenzuy, A., additional, García-Lledó, J., additional, Tejedor-Tejada, J., additional, Rodríguez de Santiago, E., additional, Junquera, F., additional, Moris, M., additional, Juzgado, D., additional, Ferrero, E., additional, Garrido, C., additional, Gornals, J., additional, Guarner-Argente, C., additional, Repiso, A., additional, Esteban, J.M., additional, González, S., additional, Seoane, A., additional, Cordova, H., additional, Cardenas, A., additional, Gonzalez-Suarez, B., additional, Momblan, D., additional, and de Lacy, A., additional

Published
2022
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15. Endoscopic Band Ligation Without Resection Of Small-Sized Subepithelial Tumours: Results In Long-Term Follow Up Of A Multicentre Prospective Study (Banding-Set)

Author

Bas-Cutrina, F, additional, Loras, C, additional, Pardo, A, additional, Ballester-Clau, R, additional, Huertas, C, additional, Guarner-Argente, C, additional, Colán-Hernández, J, additional, Consiglieri, CF, additional, Andujar, X, additional, Vilanova-Serra, M, additional, González-Huix, F, additional, Pardo-Grau, L, additional, Maisterra, S, additional, Ruiz-Ramírez, P, additional, Garcia-Sumalla, A, additional, and Gornals, JB, additional

Published
2021
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16. LUMEN APPOSING METAL STENTS RELATED ADVERSE EVENTS. RESULTS FROM A NATIONWIDE PROSPECTIVE REGISTRY

Author

Bazaga, S, additional, Aparicio, JR, additional, Sanchiz, V, additional, Gornals, J, additional, Loras, C, additional, Pedraza, R, additional, Terán, A, additional, Vazquez-Sequeiros, E, additional, Vila, J, additional, Guardiola, A, additional, Guarner, C, additional, Huertas, C, additional, Garcia-Fernandez, F, additional, Bernad, B, additional, Perez, A, additional, Villanueva, R, additional, Gonzalez-Huix, F, additional, Pinto, I, additional, Vilella, A, additional, Castro, JL, additional, Colán, J, additional, Nuñez-Otero, J, additional, Subtil, JC, additional, Pérez-Carazo, L, additional, Couto, I, additional, Sanchez, E, additional, Uceda, F, additional, Martinez, B, additional, Garcia-Alonso, FJ, additional, de la Serna, C, additional, and Perez-Miranda, M, additional

Published
2020
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17. Somatostatin for prevention of post-ERCP pancreatitis: a randomized, double-blind trial

Author

S. Sáinz, Mar Concepción-Martín, C. Villanueva, Carlos Guarner, Xavier Díez, Carlos Guarner-Argente, Xavier Torras, Ana Juanes, Antoni Farré, Cristina Gómez-Oliva, and Daniel Prieto-Alhambra

Subjects
Male, Abdominal pain, Placebo, Severity of Illness Index, law.invention, Double-Blind Method, Randomized controlled trial, law, medicine, Humans, Aged, Hyperamylasemia, Aged, 80 and over, Cholangiopancreatography, Endoscopic Retrograde, Endoscopic retrograde cholangiopancreatography, Intention-to-treat analysis, medicine.diagnostic_test, business.industry, Gastroenterology, Middle Aged, medicine.disease, Hormones, Abdominal Pain, Intention to Treat Analysis, Somatostatin, Pancreatitis, Anesthesia, Acute pancreatitis, Female, medicine.symptom, business
Abstract

Background and study aims: Meta-analyses suggest that an intravenous bolus or a high dose continuous infusion of somatostatin reduces the incidence of acute pancreatitis after endoscopic retrograde cholangiopancreatography (ERCP). Clinical guidelines, however, do not recommend this prophylaxis. The aim of this randomized, double-blind clinical trial was to evaluate the effect of somatostatin on the incidence of post-ERCP pancreatitis. Patients and methods: Patients undergoing ERCP at a single center were randomized to either intravenous bolus of somatostatin followed by a short (4-hour) continuous infusion, or to a similar placebo regimen. The primary outcome was post-ERCP pancreatitis, defined as abdominal pain with an amylase level at least three times higher than the upper limit of normality 24 hours after the ERCP and requiring admission for at least 2 days. Results: A total of 510 patients were enrolled (255 patients per group) and all completed follow-up. The main indications for ERCP were choledocholithiasis (62 %), and biliary malignant stricture (31 %). Post-ERCP pancreatitis occurred in 19 patients (7.5 %) in the somatostatin group and 17 patients (6.7 %) in the placebo group (relative risk [RR] 1.12, 95 % confidence interval [95 %CI] 0.59 – 2.1; P = 0.73). The number of cases of moderate or severe acute pancreatitis was similar in the somatostatin (2.4 %) and the placebo (3.5 %) groups (RR 0.67, 95 %CI 0.24 – 1.85, P = 0.43). No side effects were observed related to the use of somatostatin. Conclusions: Administration of an intravenous bolus of somatostatin followed by a short continuous infusion does not reduce the incidence of post-ERCP pancreatitis. Clinical Trials.gov number: NCT01060826.

Published
2014
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20. ENCUESTA NACIONAL ESPAÑOLA SOBRE PANCREATITIS AGUDA POST-CPRE (PAP): RESULTADOS Y GRADO DE CUMPLIMIENTO DE LAS GUÍAS CLÍNICAS

Author

F. Gonzalez Huix, J García Cano, A Álvarez Delgado, JM Riesco López, J. Gornals Soler, M Pérez Miranda, C Guarner Argente, A. Naranjo Rodríguez, F Pérez Roldán, and L López Rosés

Subjects
Gynecology, medicine.medical_specialty, business.industry, Gastroenterology, Medicine, business
Abstract

Introduccion: La pancreatitis aguda post-CPRE (PAP) es la complicacion grave mas frecuente asociada a este procedimiento. Las guias clinicas ofrecen diferentes recomendaciones para reducir la incidencia y gravedad de PAP. Objetivo y metodos: Conocer el grado de cumplimiento en hospitales espanoles de 7 recomendaciones publicadas por ASGE/ESGE para evitar PAP (R1-R7) y su efectividad. Disenamos una encuesta con 16 items en el GSEED de via biliar y pancreas y fue remitida a todos los socios. Resultados: 40 hospitales contestaron la encuesta (tasa respuesta: 61%), total: 15.757 CPREs/ano. Volumen CPREs/centro: > 100/ano un 92,5% y 65% > 200/ano. Esfinterotomias/endoscopista: 95% > 1/semana; tasa canulacion biliar > 90% un 75%, 60 segundos (R5). El 77,5% utilizaban rutinariamente precorte si fallaba la canulacion convencional (45% hacian fistulotomia) (R6). Un 10% de las CPREs fueron ambulatorias y ningun endoscopista solicitaba amilasa/lipasa rutinaria 2 – 6 horas tras la prueba (R7). Conclusion: El grado de cumplimiento de las recomendaciones publicadas para evitar PAP fue elevado en la encuesta nacional espanola (incluyendo tasas de colocacion profilactica de protesis pancreaticas superiores a las reportadas previamente), asi como los criterios de calidad generales aconsejados en CPRE. Solamente en las recomendaciones con menor evidencia cientifica el grado de cumplimento fue inferior (R5-R7). Nuestra encuesta ademas proporciona evidencia sobre la efectividad del cumplimiento de las medidas recomendadas para evitar PAP.

Published
2016
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22. Replacement of the same lumen-apposing metallic stent for multiple necrosectomy sessions

Author

Carlos Guarner, Mar Concepción-Martín, Miguel Martínez-Guillen, Germán Soriano, Juan Colán-Hernández, S. Sáinz, and Carlos Guarner-Argente

Subjects
medicine.medical_specialty, Pancreatitis, Alcoholic, medicine.diagnostic_test, Pancreatitis, Acute Necrotizing, business.industry, medicine.medical_treatment, Gastroenterology, Prosthesis Implantation, Lumen (anatomy), Stent, Middle Aged, medicine.disease, Endoscopy, Surgery, Device removal, Metals, medicine, Humans, Pancreatitis, Stents, Endoscopy, Digestive System, business, Device Removal
Published
2015
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25. MODELO PREDICTIVO DE RIESGO DE HEMORRAGIA DIFERIDA TRAS RESECCIÓN ENDOSCÓPICA MUCOSA DE LESIONES COLORRECTALES DE GRAN TAMAÑO. GRUPO ESPAÑOL DE REM DE LA SEED

Author

A Herreros De Tejada, D. Martínez Ares, M Rodríguez Téllez, E Redondo Cerezo, P Alonso Aguirre, E Albéniz Arbizu, O Nogales Rincón, C Guarner Argente, Mirta Alvarez, F Múgica Aguinaga, F Ramos Zabala, S Soto Iglesias, M Fraile González, J Rodríguez Sánchez, and CJ Gargallo Puyuelo

Subjects
Gynecology, medicine.medical_specialty, business.industry, Gastroenterology, medicine, business
Published
2015
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34. RESULTADOS DE LA RESECCIÓN ENDOSCÓPICA MUCOSA EN LESIONES COLORRECTALES DE GRAN TAMAÑO: RESULTADOS DEL ESTUDIO MULTICÉNTRICO ESPAÑOL

Author

Martínez-Ares, D, primary, Albéniz-Arbizu, E, additional, Fraile González, M, additional, Guarner Argente, C, additional, Pardeiro Pértega, R, additional, Alvarez, MA, additional, Cobián, J, additional, Nogales Rincón, Ó, additional, Gargallo Puyuelo, CJ, additional, and Martínez Cara, JG, additional

Published
2016
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38. EVOLUCIÓN POST-OPERATORIA DESPUÉS DE UNA PERITONEOSCOPIA NOTES UTILIZANDO DIFERENTES VÍAS DE ACCESO (TRANSGÁSTRICA, TRANSRECTAL Y TRANSVAGINAL) VERSUS LAPAROSCOPIA. ESTUDIOALEATORIAZADO EN UN MODELO PORCINO DE SUPERVIVENCIA

Author

Graciela Martínez-Pallí, María Antonia Fregenal Martínez, Joan Llach, Gloria Fernández-Esparrach, Carlos Guarner-Argente, A Rodríguez D'Jesús, Jaume Comas, Oriol Sendino, Ricard Navarro-Ripoll, Josep M. Bordas, Henry Córdova, Antonio M. Lacy, Angels Ginès, Mireia Beltrán, Maria Pellise, C Rodríguez de Miguel, Begoña González-Suárez, and Christopher C. Thompson

Subjects
Gynecology, medicine.medical_specialty, business.industry, Gastroenterology, Medicine, business
Published
2010
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39. ESTUDIO COMPARATIVO DE LA REPERCUSIÓN HEMODINÁMICA Y RESPIRATORIA DE LA PERITONEOSCOPIA POR NOTES VERSUS LAPAROSCOPIA EN UN MODELO PORCINO

Author

Graciela Martínez-Pallí, Maria Pellise, Carlos Guarner-Argente, Oriol Sendino, Josep M. Bordas, Salvadora Delgado, Christopher C. Thompson, A Rodríguez D'Jesús, Angels Ginès, María Antonia Fregenal Martínez, Joan Llach, Mireia Beltrán, Henry Córdova, C Rodríguez de Miguel, Begoña González-Suárez, Antonio M. Lacy, Jaume Comas, Ricard Navarro-Ripoll, and Gloria Fernández-Esparrach

Subjects
business.industry, Gastroenterology, Medicine, business, Humanities
Published
2010
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40. EL VACIAMIENTO GÁSTRICO ESTÁ ENLENTECIDO EN LA NOTES TRANSGÁSTRICA COMPARADO CON OTROS ACCESOS DE LA NOTES Y LAPAROSCOPIA: ESTUDIO ALEATORIZADO EN UN MODELO PORCINO DE SUPERVIVENCIA

Author

Jaume Comas, Gloria Fernández-Esparrach, Antonio M. Lacy, Graciela Martínez-Pallí, Carlos Guarner-Argente, Christopher C. Thompson, C Rodríguez de Miguel, Salvadora Delgado, Ricard Navarro-Ripoll, Henry Córdova, Mireia Beltrán, A Rodríguez D'Jesús, María Antonia Fregenal Martínez, and Joan Llach

Subjects
business.industry, Gastroenterology, Medicine, business, Humanities
Published
2010
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41. The role of a computed tomography-based image registered navigation system for natural orifice transluminal endoscopic surgery: a comparative study in a porcine model

Author

Graciela Martínez-Pallí, J. R. Ayuso-Colella, Joan Llach, Maria Pellise, Angels Ginès, R. San Jose Estepar, Christopher C. Thompson, Carlos Guarner-Argente, L Donoso, Kirby G. Vosburgh, Henry Córdova, R. Navarro, C Rodríguez de Miguel, Antonio M. Lacy, and Gloria Fernández-Esparrach

Subjects
Natural Orifice Endoscopic Surgery, Radiography, Abdominal, medicine.medical_specialty, Endoscope, Swine, Radiography, Article, Stomach surgery, Motion, Peritoneoscopy, Abdomen, medicine, Image Processing, Computer-Assisted, Animals, Laparoscopy, medicine.diagnostic_test, business.industry, Stomach, Gastroenterology, Rectum, medicine.anatomical_structure, Surgery, Computer-Assisted, Models, Animal, Female, Tomography, Radiology, business, Tomography, X-Ray Computed
Abstract

Background and study aims Most natural orifice transluminal endoscopic surgery (NOTES) procedures have been performed in animal models through the anterior stomach wall, but this approach does not provide efficient access to all anatomic areas of interest. Moreover, injury of the adjacent structures has been reported when using a blind access. The aim of the current study was to assess the utility of a CT-based (CT: computed tomography) image registered navigation system in identifying safe gastrointestinal access sites for NOTES and identifying intraperitoneal structures. Methods A total of 30 access procedures were performed in 30 pigs: anterior gastric wall (n = 10), posterior gastric wall (n = 10), and anterior rectal wall (n = 10). Of these, 15 procedures used image registered guidance (IR-NOTES) and 15 procedures used a blind access (NOTES only). Timed abdominal exploration was performed with identification of 11 organs. The location of the endoscopic tip was tracked using an electromagnetic tracking system and was recorded for each case. Necropsy was performed immediately after the procedure. The primary outcome was the rate of complications; secondary outcome variables were number of organs identified and kinematic measurements. Results A total of 30 animals weighting a mean (± SD) of 30.2 ± 6.8 kg were included in the study. The incision point was correctly placed in 11 out of 15 animals in each group (73.3 %). The mean peritoneoscopy time and the number of properly identified organs were equivalent in the two groups. There were eight minor complications (26.7 %), two (13.3 %) in the IR-NOTES group and six (40.0 %) in the NOTES only group ( P = n. s.). Characteristics of the endoscope tip path showed a statistically significant improvement in trajectory smoothness of motion for all organs in the IR-NOTES group. Conclusion The image registered system appears to be feasible in NOTES procedures and results from this study suggest that image registered guidance might be useful for supporting navigation with an increased smoothness of motion.

Published
2010

42. MODELO PREDICTIVO DE RIESGO DE HEMORRAGIA DIFERIDA TRAS RESECCIÓN ENDOSCÓPICA MUCOSA DE LESIONES COLORRECTALES DE GRAN TAMAÑO. GRUPO ESPAÑOL DE REM DE LA SEED

Author

Albéniz Arbizu, E, primary, Fraile González, M, additional, Martínez Ares, D, additional, Alonso Aguirre, P, additional, Guarner Argente, C, additional, Gargallo Puyuelo, CJ, additional, Ramos Zabala, F, additional, Rodríguez Sánchez, J, additional, Múgica Aguinaga, F, additional, Nogales Rincón, O, additional, Redondo Cerezo, E, additional, Herreros De Tejada, A, additional, Álvarez, MA, additional, Soto Iglesias, S, additional, and Rodríguez Téllez, M, additional

Published
2015
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46. CARACTERÍSTICAS MORFOLÓGICAS E HISTOLÓGICAS DE LAS LESIONES COLÓNICAS DE EXTENSIÓN LATERAL. ESTUDIO COMPARATIVO ORIENTE/OCCIDENTE: NATIONAL CANCER CENTER HOSPITAL EAST Y GRUPO REM DE LA SEED

Author

Albéniz, E, primary, Fraile, M, additional, Kaneko, K, additional, Ikematsu, H, additional, Pin, N, additional, Alonso, P, additional, Martínez, D, additional, Guarner, C, additional, Gargallo, CJ, additional, Ramos, F, additional, and Soto, S, additional

Published
2014
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48. Wireless capsule video endoscopy: a new diagnostic method for aortoduodenal fissure

Author

J. Palmer, B. Gonzalez-Suarez, Carlos Guarner, E. Viver, J. R. Escudero, and Joaquín Balanzó

Subjects
Male, Vascular Fistula, medicine.medical_specialty, Video endoscopy, Diagnostic methods, business.industry, Fissure, Gastroenterology, Aortic Diseases, Capsule, Endoscopy, Gastrointestinal, Blood Vessel Prosthesis, medicine.anatomical_structure, medicine, Intestinal Fistula, Wireless, Humans, Radiology, Duodenal Diseases, business, Aged
Published
2002

49. Injection Therapy of Bleeding Peptic Ulcer. A Prospective, Randomized Trial using Epinephrine and Thrombin

Author

Jorge C. Espinós, S. Sáinz, Joaquín Balanzó, C. Villanueva, Carlos Guarner, C. Méndez, and F Vilardell

Subjects
Male, medicine.medical_specialty, Epinephrine, Peptic, medicine.medical_treatment, Group B, law.invention, Thrombin, Randomized controlled trial, law, Sclerotherapy, medicine, Humans, Prospective Studies, Stomach Ulcer, Aged, Chemotherapy, medicine.diagnostic_test, business.industry, Gastroenterology, Middle Aged, Surgery, Endoscopy, Peptic Ulcer Hemorrhage, Duodenal Ulcer, Hemostasis, Anesthesia, Drug Therapy, Combination, Female, business, medicine.drug
Abstract

A prospective randomized trial involving 64 patients with bleeding peptic ulcers was performed to assess the efficacy of two modalities of injection therapy. The inclusion criterion was the presence of active bleeding or a visible vessel at emergency endoscopy. Thirty-two patients were treated with epinephrine (Group A) and 32 with epinephrine plus thrombin (Group B). Permanent hemostasis was achieved in 81.3% Group A, and 84.4% Group B patients, and therapy failures occurred in 18.6% and 15.6%, respectively. Mortality was nil in both groups. There were no differences in the requirement for emergency surgery, or in the number of transfusions in the two groups. A second elective endoscopy was performed in 49 patients between the 3rd and the 5th day after admission, proceeding to a second injection therapy if a visible vessel was still seen. There were no failures among re-injected patients. With one exception, none of the failures occurred in patients in whom a second endoscopy was done. Our results suggest that injection therapy, which is a simple technique, should be considered as the initial treatment of choice in bleeding peptic ulcer. The addition of thrombin to epinephrine does not improve the results of the method. An early second endoscopy and local therapy if a visible vessel is still present, may further improve the results.

Published
1990
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50. FACTORES PREDICTORES DE HEMORRAGIA DIFERIDA TRAS RESECCIÓN MUCOSA ENDOSCÓPICA DE 341 LESIONES COLÓNICAS DE GRAN TAMAÑO. ESTUDIO MULTICÉNTRICO NACIONAL

Author

Albéniz Arbizu, E, primary, Albéniz Arbizu, E, additional, Fraile González, M, additional, Guarner, C, additional, Huelin, P, additional, Pin Vieito, N, additional, Alonso Aguirre, P, additional, Martínez-Alcalá, F, additional, Rodríguez, J, additional, López Rosés, L, additional, and De La Peña García, J, additional

Published
2013
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