Cristina Sánchez–Fortún

Hospital General Universitario de Alicante Doctor Balmis

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Rodrigo Jover

Hospital General Universitario de Alicante Doctor Balmis

Lucía Pérez–Carbonell

Universitat Jaume I

José Luís Soto

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana

Miguel Pérez‐Mateo

Hospital General Universitario de Alicante Doctor Balmis

Inmaculada López‐Font

Instituto de Neurociencias

Artemio Payá

Hospital General Universitario de Alicante Doctor Balmis

Carla Guarinós

Centro Andaluz de Biología Molecular y Medicina Regenerativa

Cristina Alenda

Hospital General Universitario de Alicante Doctor Balmis

Luís Bujanda

Biogipuzkoa Health Research Institute

Enrique de‐Madaria

Universitat de Miguel Hernández d'Elx

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Hospital General Universitario de Alicante Doctor Balmis

Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas

Instituto de investigación sanitaria y biomédica de Alicante

Complexo Hospitalario Universitario A Coruña

Bellvitge University Hospital

Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana

Centro de Investigación Biomédica en Red

Universitat de Barcelona

Hospital Arnau de Vilanova

Instituto de Salud Carlos III

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Update of the Atlanta Classification of Severity of Acute Pancreatitis: Should a Moderate Category Be Included?

Pancreatology (2010)

Enrique de‐Madaria Gema Soler-Sala Inmaculada López‐Font Pedro Zapater José Navarro-Martínez

10.1159/000308795

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Citations (45)

Clinical Subtypes and Molecular Characteristics of Serrated Polyposis Syndrome

Clinical Gastroenterology and Hepatology (2013)

Carla Guarinós Cristina Sánchez–Fortún María Rodríguez‐Soler Lucía Pérez–Carbonell Cecilia Egoavil

Microsatellite Instability

10.1016/j.cgh.2012.12.045

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Citations (34)

UTILIDAD DE LA CLÍNICA DE ALTO RIESGO DE CÁNCER DIGESTIVO COMO INSTRUMENTO ASISTENCIAL

Gastroenterología y Hepatología (2009)

Cristina Sánchez–Fortún Rodrigo Jover

10.1016/j.gastrohep.2009.01.125

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Influence of Fluid Therapy on the Prognosis of Acute Pancreatitis: A Prospective Cohort Study

The American Journal of Gastroenterology (2011)

Enrique de‐Madaria Gema Soler-Sala José Sánchez‐Payá Inmaculada López‐Font Juan Martínez

OBJECTIVES: Although aggressive fluid therapy during the first days of hospitalization is recommended by most guidelines and reviews on acute pancreatitis (AP), this recommendation is not supported by any direct evidence. We aimed to evaluate the association between the amount of fluid administered during the initial 24 h of hospitalization and the incidence of organ failure (OF), local complications, and mortality. METHODS: This was a prospective cohort study. We included consecutive adult patients admitted with AP. Local complications and OF were defined according to the Atlanta Classification. Persistent OF was defined as OF of >48-h duration. Patients were divided into three groups according to the amount of fluid administered during the initial 24 h: group A: <3.1 l (less than the first quartile), group B: 3.1–4.1 l (between the first and third quartiles), and group C: >4.1 l (more than the third quartile). RESULTS: A total of 247 patients were analyzed. Administration of >4.1 l during the initial 24 h was significantly and independently associated with persistent OF, acute collections, respiratory insufficiency, and renal insufficiency. Administration of <3.1 l during the initial 24 h was not associated with OF, local complications, or mortality. Patients who received between 3.1 and 4.1 l during the initial 24 h had an excellent outcome. CONCLUSIONS: In our study, administration of a small amount of fluid during the initial 24 h was not associated with a poor outcome. The need for a great amount of fluid during the initial 24 h was associated with a poor outcome; therefore, this group of patients must be carefully monitored.

Quartile

10.1038/ajg.2011.236

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Citations (195)

PRONÓSTICO AL INGRESO POR PANCREATITIS AGUDA MEDIANTE UN SISTEMA CLÍNICO DE FÁCIL CÁLCULO: BISAP

Gastroenterología y Hepatología (2009)

G. Soler Enrique de‐Madaria Inmaculada López‐Font Laura Sempere Cristina Sánchez–Fortún

10.1016/j.gastrohep.2009.01.132

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S1993 Comparison Between Routine Immunohistochemistry for Mismatch Repair Proteins Versus Revised Bethesda Guidelines in the Diagnosis of Lynch Syndrome in a Non-Selected Population of Colorectal Cancer Patients

Gastroenterology (2010)