Rómulo Vargas

ORCID: 0000-0001-5660-6229
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About
Contact & Profiles
Research Areas
  • Esophageal and GI Pathology
  • Gallbladder and Bile Duct Disorders
  • Pancreatic and Hepatic Oncology Research
  • Pancreatitis Pathology and Treatment
  • Gastrointestinal disorders and treatments
  • Eosinophilic Esophagitis
  • Gastroesophageal reflux and treatments
  • Pediatric Hepatobiliary Diseases and Treatments
  • Helicobacter pylori-related gastroenterology studies
  • Biliary and Gastrointestinal Fistulas
  • Inflammatory Bowel Disease
  • Gastric Cancer Management and Outcomes
  • Genetic factors in colorectal cancer
  • Cholangiocarcinoma and Gallbladder Cancer Studies
  • Gastrointestinal Tumor Research and Treatment
  • Microscopic Colitis
  • Fungal Infections and Studies
  • Esophageal Cancer Research and Treatment
  • Colorectal Cancer Surgical Treatments
  • Gastrointestinal Bleeding Diagnosis and Treatment
  • Dysphagia Assessment and Management
  • Colorectal Cancer Screening and Detection
  • Intestinal and Peritoneal Adhesions
  • Appendicitis Diagnosis and Management
  • COVID-19 Clinical Research Studies

Hospital Universitario San Ignacio
2013-2025

Pontificia Universidad Javeriana
2020-2025

Asociación Colombiana de Diabetes
2022

Asociación Colombiana de Gastroenterología
2010

Catholic University of Santa María
2000

Objective This study aimed to develop and validate a patient-reported outcome measure (PROM) in acute pancreatitis (AP) as an endpoint centred on the patient. Design A PROM instrument (PAtieNt-rePoRted OutcoMe scale pancreatItis, international proSpEctive cohort study, PAN-PROMISE scale) was designed based opinion of patients, professionals expert panel. The validated multicentre prospective describing severity AP quality life at 15 days after discharge main variables for validation. COSMIN...

10.1136/gutjnl-2020-320729 article EN Gut 2020-04-03

Gastric cancer remains a leading cause of cancer-related mortality, requiring the urgent development innovative diagnostic tools for early detection. This study presents an integrated infrared spectroscopic electronic nose system, novel device that combines (IR) spectroscopy and (eNose) concepts analyzing volatile organic compounds (VOCs) in exhaled breath. system was calibrated using relevant gas mixtures then tested during feasibility involving 26 gastric patients 32 healthy controls...

10.1021/acssensors.4c02725 article EN cc-by ACS Sensors 2025-01-08

Objetivo: Generar recomendaciones basadas en la evidencia, para prevención primaria y secundaria, el tratamiento de las lesiones preneoplásicas diagnóstico temprano del cáncer gástrico población adulta, con propósito reducir carga enfermedad.
 Materiales métodos: El grupo desarrollador estuvo integrado por profesionales salud tomadores decisiones. Se construyeron preguntas clínicas contestables se realizó graduación los desenlaces. elaboró busqueda información MEDLINE; EMBASE CENTRAL,...

10.35509/01239015.754 article ES Revista Colombiana de Cancerología 2022-03-30

Abstract Background and aims Single-operator cholangioscopy (SOC) offer a diagnostic therapeutic alternative with an improved optical resolution over conventional techniques; however, there are no standardized clinical practice guidelines for this technology. This evidence-based guideline from the Colombian Association of Digestive Endoscopy (ACED) intends to support patients, clinicians, others in decisions about using adults SOC compared endoscopic retrograde cholangiopancreatography...

10.1007/s00464-023-10569-x article EN cc-by Surgical Endoscopy 2023-12-26

Abstract Background and study aims Both Heller myotomy (HM) per-oral endoscopic (POEM) are efficacious therapies for achalasia. The efficacy safety of POEM vs HM in Latin America specifically patients with Chagas disease is unknown. Patients methods Consecutive undergoing either or achalasia were included from nine American centers a prospective registry over 5 years. Technical success was defined as successful myotomy. Clinical achieving an Eckardt score < 3. Data on demographics,...

10.1055/a-1223-1521 article EN cc-by-nc-nd Endoscopy International Open 2020-09-22

Con la introducción de manometría esofágica alta resolución se revelaron patrones no identificados previamente función esofágica. De igual forma, este metodo diagnóstico adiciona presión topográfica esofágica, lo que lleva al desarrollo nuevas herramientas para el análisis y clasificación desórdenes motores esofágicos. En actualidad Chicago3.0 herramienta los diferentes trastornos Colombia, cada día ve crecimiento en realización estudio. El artículo propone hacer una revisión cómo realizar e...

10.22516/25007440.181 article ES cc-by-nc-nd Revista Colombiana de Gastroenterología 2017-12-19

Peroral endoscopic myotomy (POEM) has been increasingly used for achalasia in Latin America, where Chagas disease is prevalent, and this makes POEM more challenging. The aim of study was to determine the learning curve America.Patients undergoing America with a single operator were included from prospective registry over 4 years. Non-linear regression cumulative sum control chart (CUSUM) analyses conducted curve.A total 125 patients (52% male; mean age, 59 years), which 80 had type II (64%),...

10.5946/ce.2020.290 article EN cc-by-nc Clinical Endoscopy 2021-06-03

El cáncer de recto es el tercer en frecuencia Colombia, y constituye un reto diagnóstico terapéutico para gastroenterólogos, cirujanos oncólogos. La evaluación diagnóstica estudio su extensión locorregional sistémica se han modificado por nuevos métodos imagen, que permiten una visualización precisa estructuras anatómicas antes no podían evaluar fácilmente. disponibilidad estas nuevas herramientas la estadificación enfermedad ha tenido gran impacto las decisiones terapéuticas escogencia ruta...

10.22516/25007440.828 article ES cc-by-nc-nd Revista Colombiana de Gastroenterología 2022-03-15

Background: Narrow-Band imaging International Colorectal Endoscopic (NICE) could reduce histopathology study requirements in colorectal polyp evaluation. Local and regional studies are required to validate its utility. Objectives: To evaluate concordance between NICE classification histopathology. Design: Prospective analytic performed the Hospital Universitario San Ignacio, Bogotá (Colombia) 2021 2022. Methods: Concordance I, II III [Hyperplastic Polyp (HP), adenoma deep submucosal invasive...

10.1177/26317745241231102 article EN cc-by-nc Therapeutic Advances in Gastrointestinal Endoscopy 2024-01-01

Aims To evaluate factors associated with the development of Difficult biliary stone (DBS) based on a cohort patients treated in reference hospital Colombia.

10.1055/s-0044-1783208 article EN Endoscopy 2024-04-01

Objetivo: describir los desenlaces clínicos a dos años de un programa atención enfermedad Crohn (EC) en hospital referencia Colombia. Materiales y métodos: estudio longitudinal basado una serie casos pacientes atendidos por especializado EC Colombia entre 2013 2023. Se presentan las características clínicas, la actividad al momento del ingreso (Crohn Disease Activity Index [CDAI]), ajustes tratamiento cambios CDAI controles subsecuentes (6, 12, 18, 24 30 meses). Resultados: se incluyeron 22...

10.22516/25007440.1260 article ES cc-by-nc-nd Revista Colombiana de Gastroenterología 2024-12-23

ABSTRACT Background This paper aims to determine factors associated with difficult biliary cannulation (DBC) that are identifiable before procedures. Methods is a nested case-control study within historical cohort in adult patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) from 2015-2019 the Hospital Universitario San Ignacio, Colombia. assessed associations among variables could be identified or at beginning of procedures and probability DBC. These were evaluated...

10.1590/s0004-2803.202200001-06 article EN cc-by-nc Arquivos de Gastroenterologia 2022-03-01

El megaesófago se presenta entre el 5 % y 20 de pacientes con acalasia, un trastorno motor esofágico primario reconocido hace más 300 años, a considerarse en todo paciente disfagia no explicada por proceso obstructivo o inflamatorio luego estudio endoscópico detallado. Se caso progresiva, quien documentó como complicación una acalasia largo tiempo evolución, tratada. descartó la enfermedad Chagas mediante enzimoinmunoensayo (ELISA) e inmunofluorescencia indirecta (IFI), tal recomiendan las...

10.22516/25007440.460 article ES Revista Colombiana de Gastroenterología 2020-12-21

Objetivo: Determinar el grado de acuerdo entre la colangiopancreatografia por resonancia magnetica (CPRM) y los hallazgos endoscopica retrograda (CPRE) en pacientes hospitalizados enfermedad biliar litiasica un periodo tiempo hospital referencia. Material metodos: Tipo estudio evaluacion prueba diagnostica retrospectivo, tipo muestra no probabilistico conveniencia, calculo tamano fue calculado a partir datos obtenidos piloto 320 pacientes. Se recolectaron 354 cuales se sometieron ambos...

10.47892/rgp.2015.353.108 article ES Revista de Gastroenterología del Perú 2015-01-07

Eosinophilic gastroenteritis (EG) is a rare entity. We report 55-year-old man had no previous atopy or allergic history, who presented abdominal pain and vomiting. Abdominal computed tomography endoscopy ultrasonography demostrated gastric wall thickening with of the superior duodenum, without defined mass fluid collection. Gastrointestinal confirmed prepyloric folds duodenum luminal stenosis. Parcial gastrectomy was performed due to absence definitive diagnosis suspicion possible malignancy...

10.47892/rgp.2020.402.1086 article EN cc-by-nc-sa Revista de Gastroenterología del Perú 2020-06-30

Intraductal papillary neoplasm of the bile duct (IPNB) is a rare premalignant condition, defined as an epithelial with exophytic growth that can develop in any segment biliary tree. This pathology, highest prevalence Asia, has been associated presence hepatolithiasis and eastern liver infection (clonorchiasis). The diagnosis will depend on clinical suspicion against findings evidenced different diagnostic supports (invasive non-invasive). Curative resection negative margins treatment choice...

10.47892/rgp.2020.403.1130 article EN cc-by-nc-sa Revista de Gastroenterología del Perú 2020-11-21
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