Estadísticas

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      "titulo" => "Novedades en el cáncer colorrectal hereditario"
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    "titulo" => "Colonoscopia en el cribado, seguimiento y tratamiento del cáncer colorrectal y sus lesiones precursoras"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La polipectom&#237;a endosc&#243;pica permite disminuir la incidencia y la mortalidad por c&#225;ncer colorrectal&#46; El c&#225;ncer de intervalo es el marcador por excelencia de la eficacia y calidad de los programas de cribado y vigilancia&#46; Este se define como el c&#225;ncer colorrectal que aparece despu&#233;s de una prueba de cribado o vigilancia &#40;ya sea colonoscopia u otra&#41; negativa para c&#225;ncer colorrectal y antes de la fecha recomendada para la siguiente prueba de cribado&#46; Se ha estimado que el c&#225;ncer colorrectal de intervalo puede ser secundario a una mala t&#233;cnica endosc&#243;pica en hasta el 75&#37; de los casos&#46; Por ello&#44; para conseguir disminuir la mortalidad por c&#225;ncer colorrectal es imprescindible que la colonoscopia diagn&#243;stica y terap&#233;utica se realice con altos est&#225;ndares de calidad&#46; En el presente congreso se han presentado trabajos encaminados a estudiar el c&#225;ncer de intervalo y sus posibles causas&#44; as&#237; como a evaluar t&#233;cnicas endosc&#243;picas que permitir&#237;an mejorar la detecci&#243;n de p&#243;lipos u optimizar su resecci&#243;n completa&#46; Asimismo se han empezado a evaluar estrategias que permitan racionalizar los esfuerzos y recursos para lograr cribar el m&#225;ximo n&#250;mero de individuos&#44; con altos est&#225;ndares de calidad&#44; pero sin quedar totalmente abrumados por la sobrecarga asistencial&#46; Finalmente se ha dedicado un espacio importante al manejo de las complicaciones pospolipectom&#237;a y al manejo de los p&#243;lipos de gran tama&#241;o&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Endoscopic polypectomy reduces the incidence of colorectal cancer and mortality due to this disease&#46; Interval cancer is the marker <span class="elsevierStyleItalic">par excellence</span> of the effectiveness and quality of screening and surveillance programs&#46; Interval cancer is defined as colorectal cancer appearing after a negative screening or surveillance test &#40;whether colonoscopy or another type of test&#41; for colorectal cancer and before the recommended date of the following screening test&#46; It has been estimated that up to 75&#37; of interval colorectal cancers may be due to poor endoscopic technique&#46; Therefore&#44; to reduce mortality from this disease&#44; diagnostic and therapeutic colonoscopy must be carried out with high quality standards&#46; In the latest congress of the American Gastroenterological Association&#44; presentations were given on studies designed to analyse interval cancer and its possible causes&#44; as well as to evaluate endoscopic techniques that could improve detection of polyps or optimize their complete resection&#46; Likewise&#44; strategies have begun to be evaluated that would allow rationalization of efforts and resources to achieve screening of the maximum number of individuals&#44; with high quality standards&#44; but without completely overloading the healthcare system&#46; Finally&#44; the congress also devoted substantial space to presentations on the management of post-polypectomy complications and large polyps&#46;</p></span>"
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