9 results on '"Rafael Ruiz Zorrilla"'
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2. EUS-guided drainage of postsurgical pelvic abscesses using lumen-apposing metal stents
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Rafael Ruiz Zorrilla, Aránzazu Álvarez Álvarez, Cristóbal de la Coba Ortiz, María Curieses Luengo, and Eduardo López Fernández
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Endoscopic ultrasound ,Male ,medicine.medical_specialty ,Percutaneous ,Abdominal Abscess ,Lumen (anatomy) ,Endosonography ,03 medical and health sciences ,0302 clinical medicine ,Postoperative Complications ,medicine ,Humans ,Drainage ,Aged ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,General Medicine ,Middle Aged ,bacterial infections and mycoses ,body regions ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Female ,Stents ,Radiology ,business ,Eus guided drainage - Abstract
Endoscopic ultrasound (EUS) guided drainage of pelvic collections is an alternative to percutaneous or surgical drainage. We present our experience using lumen-apposing metal stents (LAMS) for the drainage of postoperative pelvic abscesses.
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- 2019
3. Ovesco system for treatment of postpolypectomy bleeding after failure of conventional treatment
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Irene Penas-Herrero, Noelia Alcaide, Lorena Sancho-del-Val, Rafael Ruiz-Zorrilla, Manuel Perez-Miranda, and Jesús Barrio
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medicine.medical_specialty ,Colonic Polyps ,Postoperative Hemorrhage ,Hemorragia gastrointestinal ,Endoscopy, Gastrointestinal ,Mechanical compression ,Hemostasia ,Humans ,Medicine ,lcsh:RC799-869 ,Gastrointestinal bleeding ,Aged ,Hemostasis ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,Conventional treatment ,General Medicine ,Surgical Instruments ,Surgery ,Endoscopy ,Nitinol clip ,Female ,lcsh:Diseases of the digestive system. Gastroenterology ,business ,Endoscopic treatment ,Clip de nitinol ,Ovesco - Abstract
The clip Ovesco (Ovesco, Tübingen, Germany) is a novel endoscopic method for mechanical compression of tissue in the gastrointestinal tract. The indications for treatment are closure of perforations and fistulas and control of bleeding in which the conventional endoscopic treatment has failed. We report two cases about the use of an Ovesco (over-the-scope clip, OTSC) system to control persistent bleeding postpolypectomy after failure of usual treatment.
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- 2014
4. The utility of faecal calprotectin to predict post-operative recurrence in Crohńs disease
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Maria Teresa Herranz Bachiller, Lorena Sancho Del Val, Ramón Atienza Sánchez, Luis Fernández Salazar, Jesús Barrio Andrés, and Rafael Ruiz-Zorrilla
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Adult ,Male ,medicine.medical_specialty ,Colonoscopy ,Disease ,Gastroenterology ,Sensitivity and Specificity ,03 medical and health sciences ,Feces ,fluids and secretions ,0302 clinical medicine ,Crohn Disease ,Ileum ,Recurrence ,Internal medicine ,Statistical significance ,Area under curve ,medicine ,Humans ,Post operative ,Colectomy ,Retrospective Studies ,medicine.diagnostic_test ,business.industry ,digestive, oral, and skin physiology ,Middle Aged ,Faecal calprotectin ,Surgery ,Ileocolic resection ,Cross-Sectional Studies ,030220 oncology & carcinogenesis ,Diagnostic validity ,030211 gastroenterology & hepatology ,Female ,business ,Leukocyte L1 Antigen Complex ,Biomarkers - Abstract
Endoscopic recurrence in Crohńs disease occurs in up to 80% of patients during the first year after surgery. Due to this, these patients need close monitoring. Faecal calprotectin has been proposed to be used as a non-invasive marker to monitor inflammatory activity. Up to now the use of faecal markers in endoscopic recurrence has been scarcely studied and with contradictory results.This was a cross-sectional observational study of diagnostic validity. It included all patients with Crohńs disease (CD) and ileocolic resection retrospectively who had had an ileocolonoscopy and a determination of faecal calprotectin before this colonoscopy, from 2007 to 2015.Ninety-seven patients were included. We observed that the mean value of faecal calprotectin increased as the Rutgeerts score increased. The variable of that most statistical significance obtained in bivariate analysis was faecal calprotectin (p 0.0001). Area under curve (AUC) of faecal calprotectin in endoscopic recurrence was 0.74 (95% CI: 0.644-0.842), and an optimal cut-off of 60 mcrgr/gr, obtained a score of 0.45 using Youden test. This indicated that calprotectin would have 88% Sensitivity and 58% Specificity in detecting any recurrence, the NPV was approximately 83,9%. None of the other variables studied had a significant correlation.Faecal calprotectin predicts endoscopic recurrence in CD patients who have gone through surgery, however the cut-off point is still a problem so we cannot recommend calprotectin as a substitute of colonoscopy for CD monitoring and treatment adjustment.
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- 2016
5. Clipping for endoscopic perforations: initial success but late complication requiring surgery
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Baltasar Perez-Saborido, Enrique Asensio, José L. Marcos, Rafael Ruiz-Zorrilla, Ruth Martinez, Jose C. Sarmentero, Rosalía Velasco, José Ignacio Blanco, Mario Rodriguez Lopez, Fernando Labarga, Marta Gonzalo, and Sara Mambrilla
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Male ,medicine.medical_specialty ,Conservative management ,business.industry ,Colon ,Fistula ,medicine.medical_treatment ,Late complication ,Clipping (medicine) ,Colonoscopy ,medicine.disease ,Surgery ,Nonoperative treatment ,Intestinal Perforation ,Medicine ,Endoscopic clipping ,Humans ,Female ,CLIPS ,business ,computer ,Abdominal surgery ,computer.programming_language - Abstract
This response discusses the article by Kim and colleagues entitled "endoscopic clip closure versus surgery for the treatment of iatrogenic colon perforations developed during diagnostic colonoscopy: a review of 115,285 patients". Iatrogenic colonoscopic perforation, although uncommon, implies serious management problems for endoscopists and surgeons. Nonoperative treatment currently is recommended under certain conditions, and endoscopic clips can primarily close iatrogenic perforations, helping to avoid surgery. Of the 27 colonoscopic perforation cases presented in the article by Kim and colleagues, 16 were managed by endoscopic clipping closure and 11 by primary surgery. Conservative treatment failed for three patients. Only perforation size obtained statistical significance among the nine variables contrasted between the 11 cases with primary surgery and the 13 cases with successful endoscopic clipping. The results for the three patients whose endoscopic closure failed are not reported. The authors of this letter think it would have been interesting if these three patients had been included in the analysis due to the high importance of discovering factors that can predict failure of endoscopic clipping for perforations. To call attention to possible late complications requiring surgery even when initial conservative management of endoscopic perforation succeeds, the authors of this letter present a case of a colocutaneous (actually, sigmoid-scrotal) fistula in a patient 2 weeks after an apparently successful closure of colonoscopic perforation with an “over-the-scope” clip.
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- 2013
6. EUS-guided transenteric gallbladder drainage with a new fistula-forming, lumen-apposing metal stent
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Paula Gil-Simon, Rafael Ruiz-Zorrilla, Lorena Sancho Del Val, Pilar Diez-Redondo, Henar Nuñez-Rodriguez, Carlos de la Serna-Higuera, Noelia Alcaide, and Manuel Perez-Miranda
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Male ,medicine.medical_specialty ,Duodenum ,medicine.medical_treatment ,Fistula ,Cholecystitis, Acute ,Lumen (anatomy) ,Pilot Projects ,Endosonography ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Endoscopy, Digestive System ,Drainage ,Ultrasonography, Interventional ,Aged ,Retrospective Studies ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Gallbladder ,Gastroenterology ,Follow up studies ,Stent ,Middle Aged ,medicine.disease ,Endoscopy ,medicine.anatomical_structure ,Treatment Outcome ,Cholecystitis ,Female ,Stents ,Radiology ,business ,Follow-Up Studies - Published
- 2012
7. Cutaneous mucormycosis infection by Absidia in two consecutive liver transplant patients
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B. Madrigal Rubiales, Henar Nuñez-Rodriguez, A Vargas García, Félix García-Pajares, C. Almohalla Alvárez, Rafael Ruiz-Zorrilla, Gloria Sánchez-Antolín, I Peñas Herrero, A. Gómez-Nieto, A. Barrera, L Sancho del Val, and Agustín Caro-Patón
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Male ,medicine.medical_specialty ,Antifungal Agents ,Orthotopic liver transplantation ,medicine.medical_treatment ,Liver transplantation ,Absidia ,Amphotericin B ,medicine ,Dermatomycoses ,Humans ,Mucormycosis ,In patient ,Transplantation ,Cutaneous mucormycosis ,biology ,business.industry ,Middle Aged ,medicine.disease ,biology.organism_classification ,Combined Modality Therapy ,Surgery ,Liver Transplantation ,surgical procedures, operative ,Treatment Outcome ,Debridement ,Transplant patient ,Female ,business - Abstract
Mucormycosis, although an infrequent fungal infection, has a high mortality in patients undergoing orthotopic liver transplantation. We present two cases of cutaneous Absidia mucormycosis in two successive patients undergoing liver transplantation in our hospital. In our literature search, we encountered only one published case of Absidia infection in liver transplantation.
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- 2012
8. EUS-guided drainage of liver abscess by using a lumen-apposing metal stent (with video)
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Alba Luz Vargas-Garcia, Carlos de la Serna-Higuera, Noelia Alcaide, Lorena Sancho Del Val, Manuel Perez-Miranda, and Rafael Ruiz-Zorrilla
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Aged, 80 and over ,Cholangiopancreatography, Endoscopic Retrograde ,Male ,medicine.medical_specialty ,Cholangitis ,business.industry ,medicine.medical_treatment ,Liver Abscess ,Gastroenterology ,Lumen (anatomy) ,Stent ,Staphylococcal Infections ,medicine.disease ,Endosonography ,Surgery ,Drainage ,Humans ,Medicine ,Stents ,Radiology, Nuclear Medicine and imaging ,Radiology ,business ,Ultrasonography, Interventional ,Eus guided drainage ,Liver abscess - Published
- 2013
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9. European Registry on Helicobacter pylori management (Hp-EuReg): patterns and trends in first-line empirical eradication prescription and outcomes of 5 years and 21 533 patients
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Nyssen OP, Bordin D, Tepes B, Pérez-Aisa Á, Vaira D, Caldas M, Bujanda L, Castro-Fernandez M, Lerang F, Leja M, Rodrigo L, Rokkas T, Kupcinskas L, Pérez- Lasala J, Jonaitis L, Shvets O, Gasbarrini A, Simsek H, Axon ATR, Buzás G, Machado JC, Niv Y, Boyanova L, Goldis A, Lamy V, Tonkic A, Przytulski K, Beglinger C, Venerito M, Bytzer P, Capelle L, Milosavljević T, Milivojevic V, Veijola L, Molina-Infante J, Vologzhanina L, Fadeenko G, Ariño I, Fiorini G, Garre A, Garrido J, F Pérez C, Puig I, Heluwaert F, Megraud F, O'Morain C, Gisbert JP, Romano M, Universidad Autónoma de Madrid (UAM), AS Loginov Moscow Clinical Scientific Center [Moscow, Russian Federation], A.I. Yevdokimov Moscow State University of Medicine and Dentistry [Moscow, Russian Federation], AM DC Rogaska [Rogaska Slatina, Slovenia], Red de Investigación en Servicios de Salud en Enfermedades Crónicas (REDISSEC), University of Bologna/Università di Bologna, Universidad del Pais Vasco / Euskal Herriko Unibertsitatea [Espagne] (UPV/EHU), Centro de Investigación Biomédica en Red en el Área temática de Enfermedades Hepáticas y Digestivas (CIBERehd), Liver Unit, Clínica Universitaria, CIBER-EHD, Østfold Hospital, University of Latvia (LU), Universidad de Oviedo [Oviedo], Henry Dunant Hospital [Athens, Greece], Lithuanian University of Health Sciences [Kaunas, Lithuania], Hospital Universitario HM Sanchinarro [Madrid, Spain], Università cattolica del Sacro Cuore = Catholic University of the Sacred Heart [Roma] (Unicatt), Faculty of Medicine [Hacettepe University], Hacettepe University = Hacettepe Üniversitesi, Leeds General Infirmary (LGI), Leeds Teaching Hospitals NHS Trust, Ferencváros Health Centre [Budapest, Hungary], Faculdade de Medicina da Universidade do Porto (FMUP), Universidade do Porto = University of Porto, Tel Aviv University (TAU), Medical University of Sofia [Bulgarie], Timisoara Hospital [Timisoara, Romania], Centre Hospitalier Universitaire de Charleroi, University of Split, Medical Centre for Postgraduate Education [Warsaw, Poland], University Hospital Basel [Basel], Otto-von-Guericke-Universität Magdeburg = Otto-von-Guericke University [Magdeburg] (OVGU), Copenhagen University Hospital, Meander Medical Center [Amersfoort, Netherlands], University of Belgrade [Belgrade], Herttoniemi Hospital [Helsinki, Finland], San Pedro de Alcantara Hospital [Cáceres, Espagne], Gastrocentr [Perm, Russian Federation], Digestive Ukrainian Academy of Medical Sciences [Kyiv, Ukraine], Hospital Clínico Universitario 'Lozano Blesa' [Zaragoza, Spain], Althaia Xarxa Assistencial Universitària de Manresa [Manresa, Spain], Universitat de Vic-Universitat Central de Catalunya [Manresa, Spain] (UVicUCC), Complejo Hospitalario Universitario de Santiago de Compostela [Saint-Jacques-de-Compostelle, Espagne] (CHUS), Centre Hospitalier Annecy-Genevois [Saint-Julien-en-Genevois], Physiopathologie du cancer du foie, Université Bordeaux Segalen - Bordeaux 2-Institut National de la Santé et de la Recherche Médicale (INSERM), Hôpital Pellegrin, CHU Bordeaux [Bordeaux]-Groupe hospitalier Pellegrin, Trinity College Dublin, Hp-EuReg Investigators: Jen Hinojosa, Inmaculada Santaella, Nuria Fernandez Moreno, Ilaria Maria Saracino, Horacio Alonso Galán, Almudena Durán, Jennifer Fernandez Pacheco, Miroslav Vujasinovic, Rinaldo Pellicano Molinette, Zdenko Kikec, Pedro-Luis Gonzalez Cordero, Maia Donday, Polona Lampic, Vid Leban, Aleksander Gruncic Krajnc, Natasa Brglez Jurecic, Galyna Dmytrivna Fadieienko, Lorena Lee, Irene V Barbado, Alfredo José Lucendo, Alfredo José Lucendo, Jesus Barrio RIo Hortega, Tatiana Alekseevna Ilchishina, Irina Voynovan, Luis Ignacio Fernández-Salazar, Jose María Huguet, Pilar Canelles, Aiman Silkanovna Sarsenbaeva, Ines Modolell Consorci, Pedro Almela, Marina Roldán Lafuente, Josep Maria Botargues, Miguel Areia, Luís Elvas, Susana Isabel Alves, Daniel Brito, Ana Teresa Cadime, Sandra Lúcia Madeira Saraiva, Charalampos Tzathas, Vassiliki Ntouli, Alicia C Marin, Cem Simsek, Alba Rocco, Juan Antonio Ortuño, Tommaso Di Maira, Sotirios D Georgopoulos, Stephan Brackmann, Vendel Kristensen Lovisenberg, Blas Jose Gomez-Rodriguez, Perminder Singh Phull, Sergey Alekseyevich, Monica Perona, Rustam Abdulkhakov, Deirdre McNamara, Sinead M Smith, Denise Elizabeth Brennan, Marina Fedorovna Osipenko, Cristobal de la Coba, Pilar Varela, Maria Anatolyevna Livzan, Oleg V Zaytsev, Vladislav Vladimirovich Tsukanov, Alexander Viktorovich Vasyutin, Olga Sergeevna Amelchugova, Spiros Michopoulus, Sergey Gennadievich Burkov, Dan Dumitrascu, Bogdan Ianosi, Ingrid Prytz Berset, Rafael Ruiz-Zorrilla Lopez, Charo Antón, Anne Courillon-Mallet, Natasa Brglez Jurecic, Judith Gomez-Camarero, Manuel Jimenez-Moreno, Ahmet Uygun, Ian Leonard Phillip Beales, Alain Huerta-Madrigal, Javier Alcedo, Mercè Barenys, Francesco Franceschi, Jean-Charles Delchier, Liliana Silvia Pozzati, Monika Augustyn, Maja Seruga, Miriam Hiestand, Patric Mosler, Zaza Beniashvili, Doron Boltin, Hubert Louis, Ramon Pajares, Natalia Valerievna Zakharova, Natalia Nikolaevna Dekhnich, Victor Asparuhov Kamburov, Maria Pina Dore, Lorena Sancho, Oscar Núñez, Katrine Dvergsnes Sørlandet, Peter Malfertheiner, Ana Campillo, Miguel Fernandez-Bermejo, Manuel Domínguez-Cajal, José Luis Domínguez Jiménez, Alicia Algaba, Fernando Bermejo, Borislav Vladimirov, László Czakó, Teresa Angueira, Eduardo Iyo, Ekaterina Yuryevna, Larissa Tarasova, Ludmila Grigorieva, Judith Millastre, Aldis Pukitis, Valeriy Kryvy, Roald Torp, Albert Tomàs, Edurne Amorena, Fermin Estremera, Rossen Nikolov, Asghar Quasim, Yury Aleksandrovich Kucheryavyy, Natalia Baryshnikova, Xavier Calvet, Ariadna Figuerola, Marco Romano, Antonietta Gerarda Gravina, Oscar Núñez, Fazia Mana, Pilar Sánchez-Pobre, Zoya Spassova, Jesús M González-Santiago, Ricardo Marcos-Pinto, F Wolfhagen, Svetlana Cui, Ivonne Leeuwenburgh, Driffa Moussata, Adi Lahat-Zok, Sergii Hryhorovych, Rasmus Goll, Tatyana Vasilyevna, Juris Pokrotnieks, Philippe Émile, Nadiya Byelyayeva, Marta Lozano, Mette Wildner-Christensen, Bengt Odman, Yana Valerieva, Alenka Forte, Antonio Cuadrado, Patrice Pienkowski, Ilze Kikuste, Dag Arne Lihaug Hoff, Jane Moeller Hansen, Konrads Funka, Alla Kononova, Sergey Kolbasnikov, Michael Selgrad, Jolanta Sumskiene, Jonathan Hirsch, Francisco Javier Zozaya Larequi, Alain C Burette, Nora Dancs Petz-Aladar, Janne Rajala Herttoniemi, Christina Reimer, Diogo Libanio, Pedro Pimentel-Nunes, Ivailo Evstatiev, Juozas Kupcinskas, Mikhail Butov, Peter Mensink, T Tang, Andrey Yurevich Baranovsky, Natalya Marchenko, Boris Bastens, Lyudmila Mateva, Dominique Lamarque, Leonardo Henry, Mario Ribeiro, M Ter Borg, Alexander C Ford, Enrique Medina, Manuel Rodriguez-Tellez, Francisco José Rancel, Elisa Martin, Carolina Torres Gonzalez, Lissa Maria Franco, Angel Lanas, Pilar Canelles, Noelia Alcaide, Bruno Richard-Molard, Megraud, Francis, Nyssen O.P., Bordin D., Tepes B., Perez-Aisa A., Vaira D., Caldas M., Bujanda L., Castro-Fernandez M., Lerang F., Leja M., Rodrigo L., Rokkas T., Kupcinskas L., Perez-Lasala J., Jonaitis L., Shvets O., Gasbarrini A., Simsek H., Axon A.T.R., Buzas G., Machado J.C., Niv Y., Boyanova L., Goldis A., Lamy V., Tonkic A., Przytulski K., Beglinger C., Venerito M., Bytzer P., Capelle L., Milosavljevic T., Milivojevic V., Veijola L., Molina-Infante J., Vologzhanina L., Fadeenko G., Arino I., Fiorini G., Garre A., Garrido J., F Perez C., Puig I., Heluwaert F., Megraud F., O'Morain C., Gisbert J.P., Universidad Autonoma de Madrid (UAM), University of Bologna, Università cattolica del Sacro Cuore [Roma] (Unicatt), Universidade do Porto, Tel Aviv University [Tel Aviv], Otto-von-Guericke University [Magdeburg] (OVGU), Nyssen, Op, Bordin, D, Tepes, B, Pérez-Aisa, Á, Vaira, D, Caldas, M, Bujanda, L, Castro-Fernandez, M, Lerang, F, Leja, M, Rodrigo, L, Rokkas, T, Kupcinskas, L, Pérez- Lasala, J, Jonaitis, L, Shvets, O, Gasbarrini, A, Simsek, H, Axon, Atr, Buzás, G, Machado, Jc, Niv, Y, Boyanova, L, Goldis, A, Lamy, V, Tonkic, A, Przytulski, K, Beglinger, C, Venerito, M, Bytzer, P, Capelle, L, Milosavljević, T, Milivojevic, V, Veijola, L, Molina-Infante, J, Vologzhanina, L, Fadeenko, G, Ariño, I, Fiorini, G, Garre, A, Garrido, J, F Pérez, C, Puig, I, Heluwaert, F, Megraud, F, O'Morain, C, Gisbert, Jp, and Romano, M
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Male ,Registrie ,Proton Pump Inhibitor ,Practice Patterns ,0302 clinical medicine ,Clarithromycin ,Prospective Studies ,Registries ,Practice Patterns, Physicians' ,[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology ,biology ,Gastroenterology ,Middle Aged ,Anti-Bacterial Agents ,3. Good health ,Europe ,030220 oncology & carcinogenesis ,Combination ,030211 gastroenterology & hepatology ,Drug Therapy, Combination ,Female ,medicine.drug ,Human ,Adult ,medicine.medical_specialty ,TRIPLE THERAPY ,QUADRUPLE THERAPY ,CONSENSUS ,INFECTION ,METAANALYSIS ,CLARITHROMYCIN ,GUIDELINES ,RESISTANCE ,ARTICLE ,Settore MED/12 - GASTROENTEROLOGIA ,First line ,Helicobacter Infections ,03 medical and health sciences ,Drug Therapy ,Internal medicine ,Anti-Bacterial Agent ,medicine ,Humans ,Medical prescription ,Adverse effect ,Aged ,Physicians' ,Helicobacter pylori ,business.industry ,helicobacter pylori - treatment ,Proton Pump Inhibitors ,Amoxicillin ,biology.organism_classification ,Metronidazole ,Prospective Studie ,Concomitant ,helicobacter pylori ,business ,Helicobacter Infection ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology - Abstract
ObjectiveThe best approach for Helicobacter pylori management remains unclear. An audit process is essential to ensure clinical practice is aligned with best standards of care.DesignInternational multicentre prospective non-interventional registry starting in 2013 aimed to evaluate the decisions and outcomes in H. pylori management by European gastroenterologists. Patients were registered in an e-CRF by AEG-REDCap. Variables included demographics, previous eradication attempts, prescribed treatment, adverse events and outcomes. Data monitoring was performed to ensure data quality. Time-trend and geographical analyses were performed.Results30 394 patients from 27 European countries were evaluated and 21 533 (78%) first-line empirical H. pylori treatments were included for analysis. Pretreatment resistance rates were 23% to clarithromycin, 32% to metronidazole and 13% to both. Triple therapy with amoxicillin and clarithromycin was most commonly prescribed (39%), achieving 81.5% modified intention-to-treat eradication rate. Over 90% eradication was obtained only with 10-day bismuth quadruple or 14-day concomitant treatments. Longer treatment duration, higher acid inhibition and compliance were associated with higher eradication rates. Time-trend analysis showed a region-dependent shift in prescriptions including abandoning triple therapies, using higher acid-inhibition and longer treatments, which was associated with an overall effectiveness increase (84%–90%).ConclusionManagement of H. pylori infection by European gastroenterologists is heterogeneous, suboptimal and discrepant with current recommendations. Only quadruple therapies lasting at least 10 days are able to achieve over 90% eradication rates. European recommendations are being slowly and heterogeneously incorporated into routine clinical practice, which was associated with a corresponding increase in effectiveness.
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- 2020
- Full Text
- View/download PDF
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