Risk of thromboembolic events in relation to the management of anticoagulant and antiagregant therapy in patients subjected to endoscopic retrograde cholangiopancreatography.

Background And Objectives: The main clinical practice guidelines recommend adequate periprocedural withdrawal and reintroduction of antithrombotic drugs in case of invasive techniques. The main objective of this study was to assess whether, in patients receiving anticoagulant or antiplatelet therapy, the suppression or reduction of the pharmacological dose for the performance of endoscopic retrograde cholangiopancreatography (ERCP) implies a greater risk of thromboembolic events.

Patients And Methods: A prospective observational study was carried out, which included 644ERCP performed with therapeutic intention during 2019 at the Reina Sofía University Hospital with follow-up during the 30days after the endoscopic intervention.

Endoscopic findings unrelated to portal hypertension in patients with liver cirrhosis undergoing a varicose vein screening programme.

Aim: To determine the prevalence of endoscopic lesions unrelated with portal hypertension in patients with cirrhosis.

Patients And Methods: Cross-sectional study including a consecutive cohort of patients with liver cirrhosis enrolled in a screening program of oesophageal varices who underwent an upper gastrointestinal endoscopy from November, 2013, to November, 2018. Clinical predictors of endoscopic lesions unrelated to portal hypertension were analyzed by univariate and multivariate logistic regression.

Post-colonoscopy colorectal cancer: Characteristics and predictive factors.

Introduction And Aims: A high quality colonoscopy is key in preventing colorectal cancer, but the risk of colorectal cancer (CRC) exists. The aims of the study were to investigate the incidence, characteristics and predictive factors of post-colonoscopy colorectal cancer (PCCRC).

Material And Method: A retrospective and prospective observational study was designed.

Prevalence of Primary Resistance of Helicobacter pylori to Clarithromycin and Levofloxacin in Southern Spain.

Background: The eradication of Helicobacter pylori (HP) using clarithromycin (CLA)-based triple therapy depends on the resistance of HP to antibiotics. The Maastricht III conference recommends the implementation of locoregional surveillance programmes for primary resistance of HP to CLA. In Andalusia, there are no previous data in this respect.

[Endoscopic retrograde cholangiopancreatography in patients with anatomic abnormalities of the stomach due to surgery].

Introduction: In patients who have undergone partial gastric resections, the difficulty of performing endoscopic retrograde cholangiopancreatography (ERCP) is increased due to the resulting anatomic abnormality.

Aim: To review our experience of ERCP in patients with Billroth II gastrectomy and other types of gastrectomy (Billroth I and indeterminate) in our center.

Material And Methods: We included all patients with Billroth II gastrectomy or other types of gastrectomy undergoing ERCP in a 19-year period.

[Pneumatic dilation in the treatment of achalasia].

Introduction: Pneumatic dilation and surgical myotomy are currently the procedures of choice to treat achalasia. The selection of one or other treatment depends on the experience of each center and patient preferences.

Background And Aims: To review the experience of pneumatic dilation in patients with achalasia in our center.

[Esophageal perforation following a biopsy in a patient with eosinophilic esophagitis].

Eosinophilic esophagitis is an underdiagnosed disease that should be suspected in all patients with dysphagia and food impaction. Although these are the leading symptoms, the clinical and endoscopic spectrum is highly varied. Clinicians should be aware of the risk of endoscopy-related complications in this disorder.

Radio induced cancer risk during ERCP. Is it a real clinical problem?

Background: in recent years many factors have been shown to influence dose received by the patient during ERCP. Therefore it is necessary to update radio induced cancer risk.

Objectives: to calculate lifetime attributable risk of cancer during ERCP.

[Characteristics of patients with familial adenomatous polyposis in Spain. First results of the Spanish Registry of Familial Adenomatous Polyposis].

Background And Objectives: Familial adenomatous polyposis is an inherited disorder characterized by the presence of multiple colorectal adenomas (more than 100 in the classic form and between 10 and 100 in the attenuated one), with a high risk of colorectal cancer development. To improve the diagnostic and therapeutic management of these patients, the Spanish Registry of Familial Adenomatous Polyposis was created in 2007.We aimed to evaluate the clinicopathological characteristics of patients with familial adenomatous polyposis in Spain.

[Usefulness of ultrathin transnasal endoscopy for the placement of nasoenteric feeding tubes].

Background: Placement of nasoenteral feeding tubes can require endoscopic support.

Aim: To analyze the usefulness of transnasal ultrathin endoscopy in the placement of nasoenteral feeding tubes.

Patients And Methods: We performed an ambispective study of all patients who underwent nasoenteral feeding (4.

[Endoscopic retrograde cholangiopancreatography in patients aged less than 18 years old: our experience].

Background: There is scant information on the use of endoscopic retrograde cholangiopancreatography (ERCP) in patients under 18.

Objective: To analyze our experience in all patients under 18 who underwent ERCP.

Patients And Methods: We performed a retrospective study of all ERCP conducted in patients under 18 between 1993 and 2006.

ERCP in patients 90 years of age and older.

Background: Biliary diseases represent particular diagnostic and therapeutic problems in elderly patients.

Methods: Patients 90 years of age or older who underwent ERCP from January 1993 to September 2001 were studied retrospectively.

Results: A total of 126 patients underwent 147 ERCP procedures (range 1-5 per patient).