A5102709915- Microscopic Colitis
- Inflammatory Bowel Disease
- Gallbladder and Bile Duct Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Esophageal and GI Pathology
- Biliary and Gastrointestinal Fistulas
- Pancreatitis Pathology and Treatment
- Celiac Disease Research and Management
- Diagnosis and treatment of tuberculosis
- Anorectal Disease Treatments and Outcomes
- Dysphagia Assessment and Management
- Hidradenitis Suppurativa and Treatments
- Folate and B Vitamins Research
- Congenital Diaphragmatic Hernia Studies
- Foreign Body Medical Cases
- Viral gastroenteritis research and epidemiology
- Minerals Flotation and Separation Techniques
- Tracheal and airway disorders
- Gastroesophageal reflux and treatments
- Gastrointestinal Tumor Research and Treatment
- Acute Lymphoblastic Leukemia research
- Liver Disease Diagnosis and Treatment
- Immunodeficiency and Autoimmune Disorders
- Abdominal vascular conditions and treatments
- Pregnancy and Medication Impact
Hospital Universitario Rey Juan Carlos
2016-2024
Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública
2019
Universidad Autónoma de Madrid
2019
Hospital Universitario de La Princesa
2011-2014
Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas
2014
Centro de Investigación Biomédica en Red
2012
The aims of this study were to assess the risk relapse after discontinuation anti-tumor necrosis factor (anti-TNF) drugs in patients with inflammatory bowel disease (IBD), identify factors associated relapse, and evaluate overcome retreatment same anti-TNF those who relapsed.This was a retrospective, observational, multicenter study. IBD had been treated anti-TNFs whom these discontinued clinical remission achieved included.A total 1,055 included. incidence rate 19% 17% per patient-year...
(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe main epidemiological and clinical characteristics at diagnosis evolution disease, explore use drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 Spain were included followed-up for 1 year. (3) Results: We identified 3611 incident cases during 108 hospitals...
Data regarding the effectiveness of adalimumab (ADA) in treatment perianal fistula patients with Crohn's disease (CD) naive to antitumor necrosis factor (TNF) therapy are scarce.: To assess ADA fistulas CD anti-TNF therapy.A retrospective multicenter study was designed. The Fistula Drainage Assessment Index used clinical response, and Van Assche Ng indexes classify radiologic response (magnetic resonance imaging).A total 46 (83% women, 83% complex fistula) were included. At 6 months, 72%...
Microscopic colitis is a form of chronic and recurrent inflammatory bowel disease characterized by non-bloody, watery diarrhea, macroscopically normal colonic mucosa, characteristic histopathological findings. Some drugs have been described as triggers inflammation in predisposed individuals, while others may exacerbate microscopic that evolves on its own. We present the case patient diagnosed with active relation to taking fluoxetine at high doses.
Abstract Background Obesity rates in patients with IBD reach up to 40%. Several authors suggest that obese have worse response treatments. The aim of the study is determine whether body mass index (BMI) influences biological therapies IBD. Secondly, other risk factors will be analyzed, and different treatments compared. Methods A retrospective cohort on biologic drugs under treatment between February 2013 September 2022 presented. Patients were recruited from consultation a tertiary center...
A 68-year-old male presented to the Emergency Department with a one-month history of intermittent epigastrium pain. Laboratory tests revealed leukocytosis and elevated lipase (4129 UI/l), normal liver function, so he was admitted for its first episode acute pancreatitis. Abdominal ultrasound showed steatosis, without cholelithiasis or bile duct dilatation. thoraco-abdominal computed tomography performed, revealing pedunculated gastric polyp in lesser curvature measuring 64x38mm no evidence...
Abstract Text An 86-year-old female with acute lithiasic cholecystitis unfit for surgery underwent EUS-guided gallbladder drainage (EUS-GBD) using a lumen apposing-metal stent (LAMS). Two months later she was readmitted new episode of cholecystitis. Computed tomography scan showed obstruction the LAMS and two large lithiasis, one them adjacent to cystic duct. During procedure we identified that embedded so repermeabilized it, performed direct cholecystoscopy standard gastroscope through...
Abstract Text A 74-year-old female underwent EUS-guided cholecystogastrostomy using a lumen apposing metal stent for distal biliary obstruction secondary to unresectable pancreatic cancer. After five months she was admitted acute cholangitis. Computed tomography scan showed of the cholecystogastric fistula. Endoscopic repermeabilization cholecystoenteric fistula and gallbladder cleansing performed. Subsequently, we attempted complete drainage by transcystic rendezvous ERCP, as well...
Abstract Text A 51-year-old female with liver cirrhosis and recurrent alcohol-induced pancreatitis was admitted for abdominal pain vomiting. An MRI confirmed a large pancreatic pseudocyst. EUS-guided drainage using lumen-apposing metal stent (LAMS) performed. Due to LAMS complete misdeployment during the procedure, second placed, retrieval inside pseudocyst delayed. After seven days, removed endoscopically.
Abstract Text A 71-year-old female was admitted for painless jaundice. Computed tomography scan showed resectable-borderline pancreatic head tumor with dilation of the biliary tree. Biliary drainage by ERCP failed. So, we performed an EUS-guided choledochoduodenostomy (EUS-CDS) using a lumen-apposing metal stent electrocautery-enhanced delivery system (EC-LAMS). During procedure there LAMS misdeployment choledochoduodenal perforation. This adverse event treated gallbladder (EUS-GBD)...
Bacterial peritonitis with loculated ascites in patients liver cirrhosis can be a therapeutic challenge. We present the case of patient undergoing pre-transplant evaluation, diagnosed bacterial secondary to urgent surgical intervention Imaging studies identified markedly ascites, poor response despite broad-spectrum antibiotic therapy. The use intraabdominal urokinase was safe and effective adjuvant treatment for resolution this complication.
P365 Effectiveness of adalimumab in the treatment perianal fistulas patients with Crohn’s disease naive to anti-TNF: A multicenter study C. Castano-Milla1 *, M. Chaparro1, Saro Gismera2, Barreiro-de Acosta3, A.M. Garcia-Albert4, L. Bujanda5, M.D. Martin Arranz6, D. Carpio7, F. Munoz8, N. Mancenido Marcos9, E. Garcia-Planella10, Piqueras11, X. Calvet Calvo12, J.L. Cabriada13, B. Botella14, J.P. Gisbert1. 1Hospital De La Princesa, IP, Gastroenterology and CIBEREHD, Madrid, Spain, 2Hospital...
Atrial fibrillation is a major cause of death and disability due to stroke. Vitamin K antagonist drugs are effective for prevention, but they have narrow therapeutic range multiple pharmacological interactions. In recent years, new alternatives been searched minimize complications. The main objective evaluate the risk gastrointestinal bleeding in anticoagulated patients compare classic treatment with anticoagulants.We conducted retrospective cohort study determine treated...
We present the case of a 67-year-old female with recent cholecystectomy for symptomatic cholelithiasis. She was admitted to our hospital right upper quadrant abdominal pain and vomiting. Laboratory analysis revealed hyperbilirubinemia cytolysis cholestasis. Abdominal ultrasound choledocholithiasis 8 mm. Endoscopic retrograde cholangiopancreatography (ERCP) scheduled. With duodenoscope, after reduction maneuver from second duodenal portion face major papilla, perforation approximately 18 mm...