维普中文期刊产品整合服务
5篇 您的检索式:作者名="Silvano Gallus"
    题名 作者 年代 出处 被引量
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
2Coffee Reduces Risk for Hepatocellular Carcinoma: An Updated Meta-Analysis显示文摘Francesca Bravi Cristina Bosetti Alessandra Tavani Silvano Gallus Carlo La Vecchia 2013Clinical Gastroenterology and Hepatology2013,,:3
3Prevalence of Pancreatic Insufficiency in Inflammatory Bowel Diseases. Assessment by Fecal Elastase-1显示文摘Giovanni Maconi Roberto Dominici Mirko Molteni Sandro Ardizzone Matteo Bosani Elisa Ferrara Silvano Gallus Mauro Panteghini Gabriele Bianchi Porro 2008Digestive Diseases and Sciences2008,,1:1
4Lung cancer mortality in European women: Trends and predictions显示文摘Cristina Bosetti Matteo Malvezzi Tiziana Rosso Paola Bertuccio Silvano Gallus Liliane Chatenoud Fabio Levi Eva Negri Carlo La Vecchia 2012Lung Cancer2012,,3:1
5Prevalence of Pancreatic Insufficiency in Inflammatory Bowel Diseases. Assessment by Fecal Elastase-1显示文摘Giovanni Maconi Roberto Dominici Mirko Molteni Sandro Ardizzone Matteo Bosani Elisa Ferrara Silvano Gallus Mauro Panteghini Gabriele Bianchi Porro 2008Digestive Diseases and Sciences2008,,:1
返回顶部 每页显示:
共1页 首页 上一页 第1页 下一页 末页 /1 跳转

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1 渝公网安备 50019002500403号 违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费