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Revista Española de Enfermedades Digestivas
Tipo de obra :
Autre
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Oeuvre
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Documentos disponibles con este título uniforme (8)
Clasificado(s) por (Año de edición descendente) Refinar búsquedaEndoscopic ultrasound-guided ethanol ablation for the management of a symptomatic pancreatic insulinoma / Gabriel Alonso Mosquera Klinger ; Jhon Jaime Carvajal Gutiérrez
Título : Endoscopic ultrasound-guided ethanol ablation for the management of a symptomatic pancreatic insulinoma Tipo de documento : documento electrónico Autores : Gabriel Alonso Mosquera Klinger, ; Jhon Jaime Carvajal Gutiérrez, Fecha de publicación : 2021 Títulos uniformes : Revista Española de Enfermedades Digestivas Idioma : Inglés (eng) Palabras clave : Insulinoma Endosonography Interventional ultrasonography Ablation techniques Resumen : Introduction: pancreatic insulinoma is a sporadic, usually benign, frequently solitary tumor that is smaller than 20 mm. When it is functioning, patients present with symptoms of hypoglycemia secondary to insulin hypersecretion. The diagnosis is clinical, with biochemical and radiological confirmation. Surgery is the management of choice, although endoscopic ultrasound-guided ablation is currently being developed. Material and methods: we present a prospective case series of pancreatic insulinoma patients with symptoms of severe hypoglycemia, who were treated with endoscopic ultrasound-guided ethanol ablation as an alternative to surgical management. Results: technical and clinical success was achieved in all cases and there were no complications associated with the procedure. Conclusion: the treatment of symptomatic insulinoma by endoscopic ultrasound-guided ethanol ablation could be a safe and effective alternative to surgical management in non-surgical patients or those who refuse surgery. Mención de responsabilidad : Gabriel Mosquera-Klinger, Jhon Jaime Carvajal Referencia : Rev Esp Enferm Dig. 2021 Jan;113(1):48-51. DOI (Digital Object Identifier) : 10.17235/reed.2020.7109/2020 PMID : 33226258 En línea : https://www.reed.es/Insulinoma-pancreatico-sintomatico-tratamiento-ablativo-medi [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5168 Endoscopic ultrasound-guided ethanol ablation for the management of a symptomatic pancreatic insulinoma [documento electrónico] / Gabriel Alonso Mosquera Klinger, ; Jhon Jaime Carvajal Gutiérrez, . - 2021.
Obra : Revista Española de Enfermedades Digestivas
Idioma : Inglés (eng)
Palabras clave : Insulinoma Endosonography Interventional ultrasonography Ablation techniques Resumen : Introduction: pancreatic insulinoma is a sporadic, usually benign, frequently solitary tumor that is smaller than 20 mm. When it is functioning, patients present with symptoms of hypoglycemia secondary to insulin hypersecretion. The diagnosis is clinical, with biochemical and radiological confirmation. Surgery is the management of choice, although endoscopic ultrasound-guided ablation is currently being developed. Material and methods: we present a prospective case series of pancreatic insulinoma patients with symptoms of severe hypoglycemia, who were treated with endoscopic ultrasound-guided ethanol ablation as an alternative to surgical management. Results: technical and clinical success was achieved in all cases and there were no complications associated with the procedure. Conclusion: the treatment of symptomatic insulinoma by endoscopic ultrasound-guided ethanol ablation could be a safe and effective alternative to surgical management in non-surgical patients or those who refuse surgery. Mención de responsabilidad : Gabriel Mosquera-Klinger, Jhon Jaime Carvajal Referencia : Rev Esp Enferm Dig. 2021 Jan;113(1):48-51. DOI (Digital Object Identifier) : 10.17235/reed.2020.7109/2020 PMID : 33226258 En línea : https://www.reed.es/Insulinoma-pancreatico-sintomatico-tratamiento-ablativo-medi [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5168 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001652 AC-2020-107 Archivo digital Producción Científica Artículos científicos Disponible
Título : Obliteration of gastric varices guided by eco-endoscopy with coils insertion coated with expandable hidrogel polymers Tipo de documento : documento electrónico Autores : Gabriel Alonso Mosquera Klinger, Fecha de publicación : 2021 Títulos uniformes : Revista Española de Enfermedades Digestivas Idioma : Inglés (eng) Palabras clave : Endoscopic ultrasound therapeutic endoscopy gastrointestinal hemorrhage gastric varices Resumen : Introduction: Gastric varices haemorrhage is a severe complication of portal hypertension, with few management alternatives, especially when there is a contraindication to TIPS. The usual therapeutic options are the injection of cyanoacrylate, the insertion of coils or both. The Hydrocoil™, are used in neurovascular interventionism, allowing a rapid occlusion of the vessel forming a mesh that favours the local formation of thrombus and the development of a neointima on the gel cover. We consider the EUS-guided hydrocoil insertion in gastric varices, without using cyanoacrylate. Objective: The aim of this study is to evaluate the safety and effectivity of the application of USE-guided hydrocoils in patients with gastric varices haemorrhage with TIPS contraindication. Material and methods: Retrospective series of cases including four patients with TIPS contraindication after evaluation form an interventional radiologist. We used linear echoendoscopes, fluoroscopy, 19G needles and hydrocoils (AZUR, Terumo)TM, ProgreatTM 3Fr microcatheters. The procedures were advised by an expert interventional radiologist. The varix obliteration is confirmed by endoscopic ultrasound. Results: Technical and clinical success was reached in all 4 patients included. There were no adverse effects related to the procedure or endoscopic equipment damage. Conclusions: The application of USE-guided Hydrocoils can be a safe and effective method in gastric varices bleeding in patients not candidates for TIPS. It could also ensure a complete obliteration of the vascular lumen and thus dispense with the use of cyanoacrylate. Longer studies are needed to corroborate these preliminary results. Mención de responsabilidad : Gabriel Mosquera-Klinger, Carlos de la Serna , Sergio Bazaga, Javier García-Alonso, Hermogenes Calero-Aguilar , Marina De Benito , Ramón Sánchez-Ocaña Hernández, Manuel Perez-Miranda Referencia : Rev Esp Enferm Dig. 2021 May;113(5):352-355. DOI (Digital Object Identifier) : 10.17235/reed.2020.7340/2020 PMID : 33244977 En línea : https://www.reed.es/OBLITERATION-OF-GASTRIC-VARICES-GUIDED-BY-ECO-ENDOSCOPY-WITH [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5169 Obliteration of gastric varices guided by eco-endoscopy with coils insertion coated with expandable hidrogel polymers [documento electrónico] / Gabriel Alonso Mosquera Klinger, . - 2021.
Obra : Revista Española de Enfermedades Digestivas
Idioma : Inglés (eng)
Palabras clave : Endoscopic ultrasound therapeutic endoscopy gastrointestinal hemorrhage gastric varices Resumen : Introduction: Gastric varices haemorrhage is a severe complication of portal hypertension, with few management alternatives, especially when there is a contraindication to TIPS. The usual therapeutic options are the injection of cyanoacrylate, the insertion of coils or both. The Hydrocoil™, are used in neurovascular interventionism, allowing a rapid occlusion of the vessel forming a mesh that favours the local formation of thrombus and the development of a neointima on the gel cover. We consider the EUS-guided hydrocoil insertion in gastric varices, without using cyanoacrylate. Objective: The aim of this study is to evaluate the safety and effectivity of the application of USE-guided hydrocoils in patients with gastric varices haemorrhage with TIPS contraindication. Material and methods: Retrospective series of cases including four patients with TIPS contraindication after evaluation form an interventional radiologist. We used linear echoendoscopes, fluoroscopy, 19G needles and hydrocoils (AZUR, Terumo)TM, ProgreatTM 3Fr microcatheters. The procedures were advised by an expert interventional radiologist. The varix obliteration is confirmed by endoscopic ultrasound. Results: Technical and clinical success was reached in all 4 patients included. There were no adverse effects related to the procedure or endoscopic equipment damage. Conclusions: The application of USE-guided Hydrocoils can be a safe and effective method in gastric varices bleeding in patients not candidates for TIPS. It could also ensure a complete obliteration of the vascular lumen and thus dispense with the use of cyanoacrylate. Longer studies are needed to corroborate these preliminary results. Mención de responsabilidad : Gabriel Mosquera-Klinger, Carlos de la Serna , Sergio Bazaga, Javier García-Alonso, Hermogenes Calero-Aguilar , Marina De Benito , Ramón Sánchez-Ocaña Hernández, Manuel Perez-Miranda Referencia : Rev Esp Enferm Dig. 2021 May;113(5):352-355. DOI (Digital Object Identifier) : 10.17235/reed.2020.7340/2020 PMID : 33244977 En línea : https://www.reed.es/OBLITERATION-OF-GASTRIC-VARICES-GUIDED-BY-ECO-ENDOSCOPY-WITH [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5169 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001653 AC-2020-108 Archivo digital Producción Científica Artículos científicos Disponible
Accompagne Réplica: “Las punciones esplénicas ecodirigidas por vía percutánea o guiadas por ecoendoscopia son procedimientos seguros y con un elevado rendimiento diagnóstico” / Gabriel Alonso Mosquera Klinger
Título : Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Splenomegaly and Focal Splenic Lesion: Is It Safe, Effective and Necessary? Tipo de documento : documento electrónico Autores : Gabriel Alonso Mosquera Klinger, Fecha de publicación : 2020 Títulos uniformes : Revista Española de Enfermedades Digestivas Idioma : Inglés (eng) Resumen : Introduction: splenomegaly and/or focal splenic lesions (FSL) have limited histopathologic studies due to the risk posed by splenic punctures. Percutaneous biopsies with a fine needle are difficult, especially due to interposition of gases, ascites, obesity or a history of abdominal surgery. On the other hand, endoscopic ultrasound (EUS) takes advantage of the proximity of the gastric wall to the spleen in order to puncture and visualize the needle and its movements in real time. Objective: to describe the initial experience and results obtained with EUS-FNA in patients with splenomegaly or FSL. Materials and methods: this was a descriptive observational study. EUS-FNA of the spleen was performed with a slow-pull technique, which avoided fanning with an average of 3 needle passes. Biopsies were sent in Cytorich RedTM solution for analysis by cytology and cell block. Results: punctures were performed in 15 patients (9 females) and the median age was 67 years (range 44-86). Patients studied due to an enlarged spleen or splenic FSL, in the context of fever of an unknown origin, adenopathies and abnormal weight loss were included. A conclusive diagnosis was achieved by EUS-FNA in 10 patients (66.7 %), 4 were large cell type B non-Hodgkin's lymphoma and one Hodgkin's lymphoma. There were no immediate or delayed complications related to the procedure. Conclusions: EUS-guided splenic punctures appear to be safe, effective and may be necessary in some clinical settings in order to complete the etiologic filiation of splenomegaly of an uncertain origin or FSL and to rule out malignancy. Mención de responsabilidad : Gabriel Mosquera-Klinger, Carlos de la Serna Higuera, Sergio Bazaga, Francisco Javier García-Alonso, Ramón Sánchez Ocaña, Beatriz Antolín Melero, Marina de Benito Sanz, Beatriz Madrigal, Ángeles Torres, Manuel Pérez-Miranda Referencia : Rev Esp Enferm Dig. 2020 May;112(5):355-359. DOI (Digital Object Identifier) : 10.17235/reed.2020.6667/2019 PMID : 32338025 En línea : https://online.reed.es/DOI/PDF/ArticuloDOI_6667.pdf Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5098 Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Splenomegaly and Focal Splenic Lesion: Is It Safe, Effective and Necessary? [documento electrónico] / Gabriel Alonso Mosquera Klinger, . - 2020.
Accompagne Réplica: “Las punciones esplénicas ecodirigidas por vía percutánea o guiadas por ecoendoscopia son procedimientos seguros y con un elevado rendimiento diagnóstico” / Gabriel Alonso Mosquera Klinger
Obra : Revista Española de Enfermedades Digestivas
Idioma : Inglés (eng)
Resumen : Introduction: splenomegaly and/or focal splenic lesions (FSL) have limited histopathologic studies due to the risk posed by splenic punctures. Percutaneous biopsies with a fine needle are difficult, especially due to interposition of gases, ascites, obesity or a history of abdominal surgery. On the other hand, endoscopic ultrasound (EUS) takes advantage of the proximity of the gastric wall to the spleen in order to puncture and visualize the needle and its movements in real time. Objective: to describe the initial experience and results obtained with EUS-FNA in patients with splenomegaly or FSL. Materials and methods: this was a descriptive observational study. EUS-FNA of the spleen was performed with a slow-pull technique, which avoided fanning with an average of 3 needle passes. Biopsies were sent in Cytorich RedTM solution for analysis by cytology and cell block. Results: punctures were performed in 15 patients (9 females) and the median age was 67 years (range 44-86). Patients studied due to an enlarged spleen or splenic FSL, in the context of fever of an unknown origin, adenopathies and abnormal weight loss were included. A conclusive diagnosis was achieved by EUS-FNA in 10 patients (66.7 %), 4 were large cell type B non-Hodgkin's lymphoma and one Hodgkin's lymphoma. There were no immediate or delayed complications related to the procedure. Conclusions: EUS-guided splenic punctures appear to be safe, effective and may be necessary in some clinical settings in order to complete the etiologic filiation of splenomegaly of an uncertain origin or FSL and to rule out malignancy. Mención de responsabilidad : Gabriel Mosquera-Klinger, Carlos de la Serna Higuera, Sergio Bazaga, Francisco Javier García-Alonso, Ramón Sánchez Ocaña, Beatriz Antolín Melero, Marina de Benito Sanz, Beatriz Madrigal, Ángeles Torres, Manuel Pérez-Miranda Referencia : Rev Esp Enferm Dig. 2020 May;112(5):355-359. DOI (Digital Object Identifier) : 10.17235/reed.2020.6667/2019 PMID : 32338025 En línea : https://online.reed.es/DOI/PDF/ArticuloDOI_6667.pdf Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5098 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001328 AC-2020-032 Archivo digital Producción Científica Artículos científicos Disponible
en Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Splenomegaly and Focal Splenic Lesion: Is It Safe, Effective and Necessary? / Gabriel Alonso Mosquera Klinger
Título : Réplica: “Las punciones esplénicas ecodirigidas por vía percutánea o guiadas por ecoendoscopia son procedimientos seguros y con un elevado rendimiento diagnóstico” Otros títulos : Reply: “Percutaneously guided or ultrasound-guided splenic punctures are safe procedures with a high diagnostic performance” Tipo de documento : documento electrónico Autores : Gabriel Alonso Mosquera Klinger, Fecha de publicación : 2020 Títulos uniformes : Revista Española de Enfermedades Digestivas Idioma : Español (spa) Mención de responsabilidad : Gabriel Mosquera-Klinger, Carlos de la Serna Referencia : Rev Esp Enferm Dig. 2020 Oct;112(10):817-818. DOI (Digital Object Identifier) : 10.17235/REED.2020.7419/2020 PMID : 32954774 En línea : https://www.reed.es/replica-%E2%80%9Clas-punciones-esplenicas-ecodirigidas-por-v [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5149 Réplica: “Las punciones esplénicas ecodirigidas por vía percutánea o guiadas por ecoendoscopia son procedimientos seguros y con un elevado rendimiento diagnóstico” = Reply: “Percutaneously guided or ultrasound-guided splenic punctures are safe procedures with a high diagnostic performance” [documento electrónico] / Gabriel Alonso Mosquera Klinger, . - 2020.
en Endoscopic Ultrasound-Guided Fine-Needle Aspiration for Splenomegaly and Focal Splenic Lesion: Is It Safe, Effective and Necessary? / Gabriel Alonso Mosquera Klinger
Obra : Revista Española de Enfermedades Digestivas
Idioma : Español (spa)
Mención de responsabilidad : Gabriel Mosquera-Klinger, Carlos de la Serna Referencia : Rev Esp Enferm Dig. 2020 Oct;112(10):817-818. DOI (Digital Object Identifier) : 10.17235/REED.2020.7419/2020 PMID : 32954774 En línea : https://www.reed.es/replica-%E2%80%9Clas-punciones-esplenicas-ecodirigidas-por-v [...] Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5149 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001580 AC-2020-087 Archivo digital Producción Científica Artículos científicos Disponible 
Título : Síndrome de sumidero secundario a colédoco-duodenostomía USE-guiada mediante prótesis de aposición luminal Otros títulos : Endoscopic sump syndrome secondary to EUS-guided choledocho-duodenostomy with a lumen-apposing metal stent Tipo de documento : documento electrónico Autores : Gabriel Alonso Mosquera Klinger, Fecha de publicación : 2019 Títulos uniformes : Revista Española de Enfermedades Digestivas Idioma : Español (spa) Palabras clave : Neoplasias pancreáticas ictericia obstructiva stents metálicos autoexpandibles prótesis de aposición luminal coledocoduodenostomía Resumen : El síndrome de sumidero se asocia a disfunción de una colédoco-duodenostomía quirúrgica por acúmulo de detritus, barro biliar y restos alimentarios en el colédoco distal suprapapilar. La prevalencia de este tras colédoco-duodenostomías laparoscópicas es baja. En la actualidad, el drenaje mediante ecoendoscopia con prótesis metálica de aposición luminal (PMAL) constituye una nueva alternativa mínimamente invasiva para la estenosis biliar en pacientes en los que la colangiopancreatografía retrógrada endoscópica (CPRE) no resulta factible. La creciente realización de colédoco-duodenostomías mediante prótesis de aposición luminal por ecoendoscopia convierte al síndrome de sumidero en una potencial complicación hasta ahora no reportada. Mención de responsabilidad : Gabriel Mosquera-Klinger, Carlos de la Serna Higuera, Manuel Pérez-Miranda Referencia : Rev Esp Enferm Dig 2019;111(1):74-76. DOI (Digital Object Identifier) : 10.17235/reed.2018.5815/2018 PMID : 30421959 Derechos de uso : CC BY-ND En línea : https://www.reed.es/ArticuloFicha.aspx?id=3540&hst=0&idR=68&tp=1 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4170 Síndrome de sumidero secundario a colédoco-duodenostomía USE-guiada mediante prótesis de aposición luminal = Endoscopic sump syndrome secondary to EUS-guided choledocho-duodenostomy with a lumen-apposing metal stent [documento electrónico] / Gabriel Alonso Mosquera Klinger, . - 2019.
Obra : Revista Española de Enfermedades Digestivas
Idioma : Español (spa)
Palabras clave : Neoplasias pancreáticas ictericia obstructiva stents metálicos autoexpandibles prótesis de aposición luminal coledocoduodenostomía Resumen : El síndrome de sumidero se asocia a disfunción de una colédoco-duodenostomía quirúrgica por acúmulo de detritus, barro biliar y restos alimentarios en el colédoco distal suprapapilar. La prevalencia de este tras colédoco-duodenostomías laparoscópicas es baja. En la actualidad, el drenaje mediante ecoendoscopia con prótesis metálica de aposición luminal (PMAL) constituye una nueva alternativa mínimamente invasiva para la estenosis biliar en pacientes en los que la colangiopancreatografía retrógrada endoscópica (CPRE) no resulta factible. La creciente realización de colédoco-duodenostomías mediante prótesis de aposición luminal por ecoendoscopia convierte al síndrome de sumidero en una potencial complicación hasta ahora no reportada. Mención de responsabilidad : Gabriel Mosquera-Klinger, Carlos de la Serna Higuera, Manuel Pérez-Miranda Referencia : Rev Esp Enferm Dig 2019;111(1):74-76. DOI (Digital Object Identifier) : 10.17235/reed.2018.5815/2018 PMID : 30421959 Derechos de uso : CC BY-ND En línea : https://www.reed.es/ArticuloFicha.aspx?id=3540&hst=0&idR=68&tp=1 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4170 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000784 AC-2018-071 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2018-071.pdfAdobe Acrobat PDF
