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30 results on '"Ramón Sánchez Ocaña"'

1. Documento de consenso de la Sociedad Española de Endoscopia Digestiva sobre SpyGlass-DS

Author

Ramón Sánchez-Ocaña, José Ramón Foruny Olcina, Juan Vila Costas, Francisco Gallego Rojo, Javier Jiménez Pérez, Enrique Domínguez-Muñoz, Ferrán González Huix, Vicente Pons Beltrán, Joan Gornals Soler, Eloy Sánchez Hernández, Cristina Gómez Oliva, Carlos Dolz Abadía, and José Ramón Aparicio Tormo

Subjects
Hepatology, Gastroenterology
Published
2023

3. Frequency, predictors, and consequences of maintenance infliximab therapy intensification in ulcerative colitis

Author

Luis Fernández-Salazar, Jesús Barrio, Fernando Muñoz, Concepción Muñoz, Ramón Pajares, Montserrat Rivero, Vanesa Prieto, Jesús Legido, Abdel Bouhmidi, Maite Herranz, Guillermo González-Redondo, Nereida Fernández, Fernando Santos, Ramón Sánchez-Ocaña, and Diana Joao

Subjects
Intensificación, Optimización, antiTNF, Infliximab, Colitis ulcerosa, Diseases of the digestive system. Gastroenterology, RC799-869
Abstract

Introduction: Infliximab (IFX) therapy intensification in ulcerative colitis (UC) is more common than established in pivotal studies. Objectives: To establish the frequency and form of intensification for UC in clinical practice, as well as predictors, and to compare outcomes between intensified and non-intensified treatment. Methods: A retrospective study of 10 hospitals and 144 patients with response to infliximab (IFX) induction. Predictive variables for intensification were analyzed using a Cox regression analysis. Outcome, loss of response to IFX, and colectomy were compared between intensified and non-intensified therapy. Results: Follow-up time from induction to data collection: 38 months [interquartile range (IQR), 20-62]. Time on IFX therapy: 24 months (IQR, 10-44). In all, 37% of patients required intensification. Interval was shortened for 36 patients, dose was increased for 7, and 10 subjects received both. Concurrent thiopurine immunosuppressants (IMM) and IFX initiation was an independent predictor of intensification [Hazard ratio, 0.034; p, 0.006; CI, 0.003-0.371]. In patients on intensified therapy IFX discontinuation for loss of response (30.4% vs. 10.2%; p, 0.002), steroid reintroduction (35% vs. 18%; p, 0.018), and colectomy (22% vs. 6.4%; p, 0.011) were more common. Of patients on intensification, 17% returned to receiving 5 mg/kg every 8 weeks. Conclusions: Intensification is common and occasionally reversible. IMM initiation at the time of induction with IFX predicts non-intensification. Intensification, while effective, is associated with poorer outcome.

Published
2015

16. Infarction of the greater omentum: case report

Author

Rebeca Amo-Alonso, Jaime de-la Peña-Cadenato, Andrea Loza-Vargas, Fernando Santos-Santamarta, Ramón Sánchez-Ocaña-Hernández, and Juan José Arenal-Vera

Subjects
Diseases of the digestive system. Gastroenterology, RC799-869
Published
2015

17. Reply to: �Does it matter which plastic stents we use for the treatment of post-surgical leaks? Or is it a one-size-fits-all�

Author

Esteban Fuentes-Valenzuela, Francisco Javier García-Alonso, Javier Tejedor-Tejada, Rodrigo Nájera-Muñoz, Marina de Benito Sanz, Ramón Sánchez-Ocaña, Carlos de la Serna Higuera, and Manuel Pérez-Miranda

Subjects
Treatment Outcome, Gastroenterology, Drainage, Humans, Anastomotic Leak, Stents, General Medicine, Plastics, Retrospective Studies
Abstract

We appreciate the interest of Sánchez-Luna et al. in our article "Endoscopic internal drainage using transmural double-pigtail stents in leaks following upper gastrointestinal tract surgery", and find their suggestion about using softer urological double pigtail stents (DPS) for endoscopic internal drainage (EID) interesting.

Published
2021

18. CHOLANGIOPANCREATOSCOPY. WORKING PROTOCOL. SEED Recommendations

Author

Juan J. Vila, Ramón Sánchez Ocaña, Vicente Pons Beltrán, Eloy Sánchez Hernández, Ferrán González-Huix, José Ramón Foruny, Carlos Dolz Abadía, and Joan B. Gornals

Subjects
Cholangiopancreatography, Endoscopic Retrograde, Information retrieval, business.industry, Biliary Tract Diseases, Gastroenterology, Pancreatic Ducts, General Medicine, Equipment Design, Digestive endoscopy, Workflow, Medicine, Humans, Endoscopy, Digestive System, business
Abstract

Direct endoscopic visualization of biliary and pancreatic ducts represents one step further in the journey of digestive endoscopy. It allows the identification of lesions that were previously attainable through indirect means. Directed biopsy taking has permitted a better characterization of the lesions. The use of power sources through the cholangiopancreatoscope means that it is now possible to fragment and remove refractory lithiases using traditional endoscopic systems. This document aims to define the advisable workflow when using a single-use, flexible cholangiopancreatoscope with the commercial name of SpyGlass®. Penning a set of guidelines to provide instructions on the technique, as well as tips and tricks related with the operation of these endoscopes will be a useful resource.

Published
2020

19. Satisfaction with care in colorectal cancer patients: inpatient versus outpatient study

Author

M ª Henar Núñez Rodríguez, Manuel Pérez-Miranda Castillo, Carolina Alvarez, Fernando Santos Santamarta, Pilar Díez Redondo, and Ramón Sánchez Ocaña

Subjects
Adult, Male, medicine.medical_specialty, Time Factors, Waiting Lists, Cross-sectional study, Colorectal cancer, MEDLINE, Disease, Patient satisfaction, Surveys and Questionnaires, Health care, Ambulatory Care, Medicine, Humans, Competence (human resources), Aged, Quality of Health Care, Aged, 80 and over, Patient Care Team, Performance status, business.industry, Gastroenterology, General Medicine, Middle Aged, medicine.disease, Hospitalization, Cross-Sectional Studies, Caregivers, Patient Satisfaction, Family medicine, Quality of Life, Female, business, Colorectal Neoplasms
Abstract

Background: satisfaction with healthcare is focused on the patient and is known as “patient-centered care”. However, user satisfaction is not always synonymous with good care. Healthcare practitioners should determine and understand what patients need and expect in order to improve the quality of care. Aims: the main objective of this study was to determine the perceived quality of care of patients diagnosed with colorectal cancer in our unit. Methods: a cross-sectional study was performed in all patients diagnosed with colorectal cancer (CRC) that underwent staging studies and were hospitalized in the Gastroenterology Department from May 2013 to October 2013. Furthermore, outpatients with rapid consultations for CRC staging from November 2013 to November 2014 were also included. Two questionnaires were administered: a) a survey of 20 questions with closed responses regarding the competence of treating physicians and nurses, the information received and the waiting time; b) the European Organization for Research and Treatment of Cancer (EORTC) QLQ-INFO25: information on the disease, medical tests, treatment and other services, with eight single items. Results: there were no differences in the perceived healthcare quality, delays in starting treatment, the tumor stage, symptoms (performance status) or the time spent studying the disease. In-patients and those with advanced disease started treatment earlier than outpatients and those with disease stage I or II. Likewise, outpatients perceived a better psychological support. Conclusions: outpatient study did not reduce the quality of care and did not delay treatment.

Published
2019

23. ENTEROANASTOMOSIS TEMPORALES USE-GUIADAS (ETU) COMO FÍSTULA DE ACCESO TERAPÉUTICO (FAT) EN OBSTRUCCIONES BILIARES BENIGNAS (OBB) NO SUBSIDIARIAS DE CPRE: APLICACIÓN EMERGENTE DEL DRENAJE BILIAR-USE-GUIADO (DB-USE)

Author

Francisco Javier García Alonso, Javier Tejedor Tejada, Sergio Bazaga Pérez de Rozas, Marina de Benito Sanz, Manuel Pérez-Miranda Castillo, Félix García Pajares, Carlos de la Serna Higuera, Ramón Sánchez-Ocaña Hernández, Irene Peñas Herrero, and Ana Yaiza Carbajo López

Published
2019

24. CPRE TRANSYEYUNAL (CPRE-TY) EN PACIENTES CON HEPÁTICO-YEYUNOSTOMÍA EN Y DE ROUX (HYYR) VÍA ENTEROANASTOMOSIS GUIADA POR ECOENDOSCOPIA (EA-USE) MEDIANTE PRÓTESIS DE APOSICIÓN LUMINAL (PAL)

Author

Ana Yaiza Carbajo López, Mario Alberto Gallardo, Maridi Aerts, Rodrigo Soto-Solís, Irene Peñas Herrero, Marina de Benito Sanz, Ramón Sánchez-Ocaña Hernández, Carlos de la Serna Higuera, Rastilav Kunda, Sergio Bazaga Pérez de Rozas, Félix García-Pajares, M Pérez-Miranda, and Francisco Javier García Alonso

Published
2019

27. EUS-guided biliary drainage for internalization of percutaneous transhepatic biliary drainage

Author

Ryan Law, Manuel Perez-Miranda, Carlos de la Serna-Higuera, and Ramón Sánchez-Ocaña Hernández

Subjects
Biliary drainage, medicine.medical_specialty, business.industry, media_common.quotation_subject, Gastroenterology, Video, Surgery, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Medicine, 030211 gastroenterology & hepatology, Radiology, Nuclear Medicine and imaging, Percutaneous transhepatic biliary drainage, Internalization, business, media_common
Published
2017

28. Rectal malignant neoplasm in a teenager patient

Author

María A. Torres, Juan José Arenal Vera, Luis Abella Santos, Fernando Santos Santamarta, Miguel Angel Citores, Alejandro Vara Castrodeza, Ramón Sánchez Ocaña, and Claudia Tinoco

Subjects
03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Text mining, business.industry, 030220 oncology & carcinogenesis, General surgery, medicine, 030211 gastroenterology & hepatology, business, Bioinformatics
Published
2016

29. Neoplasia maligna de recto en paciente adolescente

Author

Claudia Tinoco, Alejandro Vara Castrodeza, Ramón Sánchez Ocaña, Miguel Angel Citores, Juan José Arenal Vera, Luis Abella Santos, María A. Torres, and Fernando Santos Santamarta

Subjects
Gynecology, 03 medical and health sciences, medicine.medical_specialty, 0302 clinical medicine, Hepatology, business.industry, 030220 oncology & carcinogenesis, Gastroenterology, medicine, 030211 gastroenterology & hepatology, business
Published
2016

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