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6篇 您的检索式:作者名="Fabrizio Parente"
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1Outcome of non-variceal acute upper gastrointestinal bleeding in relation to the time of endoscopy and the experience of the endoscopist: A two-year survey显示文摘AIM: To prospectively assess the impact of time of endoscopy and endoscopist's experience on the outcome of non-variceal acute upper gastrointestinal (GI) bleeding patients in a large teaching hospital.METHODS: All patients admitted for non-variceal acute upper GI bleeding for over a 2-year period were potentially eligible for this study. They were managed by a team of seven endoscopists on 24-h call whose experience was categorized into two levels (high and low) according to the number of endoscopic hemostatic procedures undertaken before the study. Endoscopic treatment was standardized according to Forrest classification of lesions as well as the subsequent medical therapy. Time of endoscopy was subdivided into two time periods: routine (8 a.m.-5 p.m.) and on-call (5 p.m.-8 a.m.). For each category of experience and time periods rebleeding rate, transfusion requirement, need for surgery, length of hospital stay and mortality we compared. Multivariate analysis was used to discriminate the impact of different variables on the outcomes that were considered.RESULTS: Study population consisted of 272 patients (mean age 67.3 years) with endoscopic stigmata of hemorrhage. The patients were equally distributed among the endoscopists, whereas only 19% of procedures were done out of working hours. Rockall score and Forrest classification at admission did not differ between time periods and degree of experience.Univariate analysis showed that higher endoscopist's experience was associated with significant reduction in rebleeding rate (14% vs 37%), transfusion requirements (1.8±0.6 vs 3.0±1.7 units) as well as surgery (4% vs 10%), but not associated with the length of hospital stay nor mortality. By contrast, outcomes did not significantly differ between the two time periods of endoscopy.On multivariate analysis, endoscopist's experience was independently associated with rebleeding rate and transfusion requirements. Odds ratios for low experienced endoscopist were 4.47 for rebleeding and 6.90 for need of transfusion after the endoscopy.CONCLUSION: Endoscopist's experience is an important independent prognostic factor for non-variceal acute upper GI bleeding. Urgent endoscopy should be undertaken preferentially by a skilled endoscopist as less expert staff tends to underestimate some risk lesions with a negative influence on hemostasis.Fabrizio Parente Andrea Anderloni Stefano Bargiggia Venerina Imbesi Emilio Trabucchi Cinzia Baratti Silvano Gallus Gabriele Bianchi Porro 2005World Journal of Gastroenterology2005,11,45:4
2Consensus guidelines for the use of bowel preparation prior to colonic diagnostic procedures: colonoscopy and small bowel video capsule endoscopy显示文摘Elisabeth Mathus-Vliegen Maria Pellisé Denis Heresbach Wolfgang Fischbach Tricia Dixon Jonathan Belsey Fabrizio Parente Ricardo Rio-Tinto Alistair Brown Ervin Toth Cristiano Crosta Peter Layer Owen Epstein Christian Boustiere 2013Current Medical Research & Opinion2013,,8:2
3A combination of faecal tests for the detection of colon cancer: a new strategy for an appropriate selection of referrals to colonoscopy? A prospective multicentre Italian study显示文摘Fabrizio Parente Barbara Marino Antonina Ilardo Pierluigi Fracasso Angelo Zullo Casare Hassan Roberto Moretti Marco Cremaschini Antonio Ardizzoia Ilaria Saracino Federico Perna Dino Vaira 2012European Journal of Gastroenterology & Hepatology2012,,10:1
4Imaging inflammatory bowel disease using bowel ultrasound显示文摘Fabrizio Parente Salvatore Greco Mirko Molteni Andrea Anderloni Gabriele Bianchi Porro 2005European Journal of Gastroenterology & Hepatology2005,,:1
5Sonographic Prevalence of Liver Steatosis and Biliary Tract Stones in Patients with Inflammatory Bowel Disease: Study of 511 Subjects at a Single Center显示文摘Stefano Bargiggia Giovanni Maconi Marco Elli Paola Molteni Sandro Ardizzone Fabrizio Parente Ivan Todaro Salvatore Greco Guendalina Manzionna Gabriele Bianchi Porro 2003Journal of Clinical Gastroenterology2003,,5:1
6Meta-analysis: efficacy of small bowel preparation for small bowel video capsule endoscopy显示文摘Jonathan Belsey Cristiano Crosta Owen Epstein Wolfgang Fischbach Peter Layer Fabrizio Parente Marc Halphen 2012Current Medical Research & Opinion2012,,12:1
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