A5058702000- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Pancreatitis Pathology and Treatment
- Gastrointestinal disorders and treatments
- Esophageal and GI Pathology
- Pediatric Hepatobiliary Diseases and Treatments
- Gastric Cancer Management and Outcomes
- Biliary and Gastrointestinal Fistulas
- Tracheal and airway disorders
- Gastrointestinal Bleeding Diagnosis and Treatment
- Gastrointestinal Tumor Research and Treatment
- Metastasis and carcinoma case studies
- Colorectal Cancer Screening and Detection
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Gastroesophageal reflux and treatments
- Diverticular Disease and Complications
- Dysphagia Assessment and Management
- Liver Disease and Transplantation
- Organ Transplantation Techniques and Outcomes
- Foreign Body Medical Cases
- Colorectal Cancer Surgical Treatments
- Intestinal Malrotation and Obstruction Disorders
- Clinical Nutrition and Gastroenterology
- Helicobacter pylori-related gastroenterology studies
- Colorectal and Anal Carcinomas
Complejo Hospitalario de Navarra
2016-2025
Universidad de Navarra
2008-2025
Hospital Universitari i Politècnic La Fe
2007-2022
Navarrabiomed
2022
Universidad Publica de Navarra
2022
Hospital Universitario 12 De Octubre
2021
Navarre Institute of Health Research
2020-2021
Weatherford College
2020
University of Central Florida
2019
Sociedad Española de Patología Digestiva
2019
Background and Aim Endoscopic ultrasonography‐guided biliary drainage ( EUS ‐ BD ) using expandable metal stents has emerged as an acceptable alternative in patients with failed endoscopic retrograde cholangiopancreatography for malignant obstruction. However, there is no consensus over the preferred access route (transhepatic or extrahepatic), direction of stent insertion (antegrade retrograde) (transluminal transpapillary) potentially suitable multiple methods. The present study compares...
There is a lack of consensus on how endoscopic ultrasound (EUS)-guided pseudocyst drainage and necrosectomy should be performed. This survey was carried out amongst members the EUS Journal Editorial Board to describe their practices in performing this procedure. worldwide multi-institutional May 2017. The responses 22-question with respect practice EUS-guided were obtained. Twenty-two endoscopists responded questionnaire as follows: 72.7% (16/22) opinion that lumen-apposing metal stents...
Objective Despite significant progresses in imaging and pathological evaluation, early differentiation between benign malignant biliary strictures remains challenging. Endoscopic retrograde cholangiopancreatography (ERCP) is used to investigate strictures, enabling the collection of bile. We tested diagnostic potential next-generation sequencing (NGS) mutational analysis bile cell-free DNA (cfDNA). Design A prospective cohort patients with suspicious (n=68) was studied. The performance...
The aim of this study is to contribute our experience the knowledge anatomic variations hepatic arterial supply. surgical anatomy extrahepatic vascularization was investigated prospectively in 1,081 donor cadaveric livers, transplanted at La Fe University Hospital from January 1991 August 2004. vascular grafts classified according Michels description (Am J Surg 1966;112:337-347) plus 2 variations. Anatomical variants classical pattern were detected 30% livers (n=320). most common variant a...
EUS-guided biliary drainage (EUS-BD) was shown to be useful for malignant obstruction (MBO). However, there is lack of consensus on how EUS-BD should performed.This a worldwide multi-institutional survey among members the International Society EUS conducted in February 2018. The consisted 10 questions related practice EUS-BD.Forty-six endoscopists them completed survey. majority felt that could replace percutaneous transhepatic after failure ERCP. Among all methods, rendezvous stenting...
The timing of the development specific adaptive immunity after natural SARS-CoV-2 infection, and its relevance in clinical outcome, has not been characterized depth. Description long-term maintenance both cellular humoral responses elicited by real-world anti-SARS-CoV-2 vaccination is still scarce. Here we aimed to understand optimal protective infection vaccination. We performed an early, longitudinal study S1-, M- N-specific IFN-γ IL-2 T cell anti-S total neutralizing antibodies 88 mild,...
Cholangiocarcinoma (CCA) and pancreatic adenocarcinoma (PDAC) may lead to the development of extrahepatic obstructive cholestasis. However, biliary stenoses can also be caused by benign conditions, identification their etiology still remains a clinical challenge. We performed metabolomic proteomic analyses bile from patients with (n = 36) malignant CCA or PDAC 57), undergoing endoscopic retrograde cholangiopancreatography aim characterizing composition in biliopancreatic disease identifying...
Objectives: The objective of guideline was to provide clear and relevant consensus statements form a practical for clinicians on the indications, optimal technique, safety efficacy endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). Methods: Six important clinical questions were determined regarding EUS-CPN. Following detailed literature review, 6 proposed attempting answer those questions. A group expert endosonographers convened in Chicago, United States (May 2016), where...
Objectives. To evaluate the diagnostic yield of endoscopic ultrasonography (EUS) in patients with idiopathic acute pancreatitis (IAP), find factors predictive a positive EUS finding these and investigate whether etiological findings are maintained during follow-up. Material methods. We performed IAP between July 2004 August 2007. recorded epidemiological data, number severity previous bouts gallbladder status. Results. A total 44 were included study. was normal seven (16%). In remaining 37...
Abstract Background and Aim This study aimed to determine safety risk factors for adverse events (AEs) of endoscopic ultrasound‐guided gallbladder drainage (EUS‐GBD) with long‐term indwell lumen‐apposing metal stents (LAMS). Methods is a multicenter prospective observational on consecutive high surgical‐risk patients requiring who underwent EUS‐GBD LAMS over 12 months. Centralized telephone follow‐up interviews were conducted every 3 months 1 year. Patients censored at removal,...
A 73-year-old woman presented with a pancreas divisum was admitted for acute pancreatitis. Abdominal CT performed due to torpid evolution fever and oral intolerance, demonstrating necrosis ductal disruption in the pancreatic neck. An ERCP attempted, however, minor papilla (MP) could not be identified because of presence edematous duodenal folds. EUS revealed duct punctured using 22G needle at level body-tail junction (<2 mm). Then, rendez-vous completed by cannulating MP rail technique stent...