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1. ID: 3520544 A COMPLETE ASSESSMENT OF ADVERSE EVENTS ASSOCIATED TO LUMEN APPOSING METAL STENTS. RESULTS FROM A NATIONWIDE PROSPECTIVE REGISTRY

Author

Enrique Vazquez-Sequeiros, Joan B. Gornals, Ferran González-Huix, Rafael Pedraza, Jose Carlos Subtil, Felipe de la Morena, Francisco Javier García-Alonso, Leticia Pérez-Carazo, Carme Loras, Belen Martínez Moreno, Vicente Sanchiz, Álvaro Terán, Antonio Pérez-Millán, Jorge Nuñez-Otero, Manuel Perez-Miranda, Antonio Guardiola-Arévalo, Albert Garcia-Sumalla, Francisco Jose García-Fernández, Carlos De la Serna, Sergio Bazaga Pérez de Rozas, Carlos Chavarría, Francisco Uceda Porta, Victoria Busto Bea, Ignacio Couto-Worner, and José Ramón Aparicio

Subjects
medicine.medical_specialty, business.industry, Gastroenterology, medicine, Lumen (anatomy), Radiology, Nuclear Medicine and imaging, Radiology, Adverse effect, business
Published
2021
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2. A retrospective, multicenter analysis of incidents associated with Axios™ lumen-apposing stents

Author

J. Alexander Jordan Castro, Vicente Soler, Manuel Pérez-Miranda Castillo, Juan José Vila Costas, Enrique Vazquez-Sequeiros, Rosanna Villanueva Hernández, David Martí, Francisco Javier García-Alonso, Sergio Bazaga Pérez de Rozas, Belen Martínez Moreno, Carlos de la Serna Higuera, Marcos Jiménez Palacios, Rafael Pedraza Sanz, José Ramón Aparicio Tormo, and Ana Yaiza Carbajo

Subjects
Adult, Male, medicine.medical_specialty, Time Factors, Lumen (anatomy), Prosthesis Design, Young Adult, Postoperative Complications, Device removal, Medicine, Prosthesis design, Humans, Device Removal, Digestive System Surgical Procedures, Aged, Retrospective Studies, Gynecology, Aged, 80 and over, business.industry, Gastroenterology, General Medicine, Middle Aged, Prosthesis Failure, Multicenter study, Female, Stents, business, Digestive System
Abstract

espanolntroduccion: existe controversia respecto a los riesgos asociados a las protesis de aposicion luminal (PAL), con importantes variaciones entre los trabajos disponibles. Objetivos: describir el tipo y la proporcion de complicaciones durante la permanencia y retirada de PAL tipo Axios™. Describir la relacion entre tiempo de permeabilidad, diana terapeutica y presencia de complicaciones. Metodos: serie de casos retrospectiva y multicentrica que incluyo todos los pacientes consecutivos a los que se les coloco una PAL para acceder a estructuras extraluminales durante el ano 2017. Se registraron unicamente aquellos casos que alcanzaron exito tecnico. Resultados: se incluyeron 179 pacientes de siete centros (rango 4-68 casos/centro) con edad media de 64,3 anos (DE: 15,8, rango 24,6-98,8 anos), 122 (68,2%) de ellos varones. Las indicaciones mas frecuentes fueron las necrosis encapsuladas (58, 32,4%), seguidas de pseudoquistes (31, 17,3%) y drenajes vesiculares (26, 14,5%). Durante la permanencia de la PAL se documentaron complicaciones en 19 pacientes (10,9%), siendo las mas frecuentes las obstrucciones de la luz protesica o del marco gastroduodenal en ocho (4,5%) casos y las hemorragias en siete (3,9%) pacientes. Las PAL no se retiraron en 86 pacientes (48%) por los siguientes motivos: intencion permanente de la PAL en 46 (53,5%), perdida del seguimiento en 18 (20,9%), fallecimiento del paciente en 16 (18,6%) y migracion en seis (7%). Durante la retirada se observaron cinco complicaciones (5,4%), tres casos de hemorragia y dos perforaciones. No observamos una asociacion entre el tiempo de permanencia y las complicaciones (p = 0,67). Conclusion: la aparicion de complicaciones secundarias a la insercion de PAL es poco frecuente, aunque pueden ser graves. En este estudio no se ha observado una asociacion entre la aparicion de complicaciones y el tiempo de permanencia de la protesis. EnglishIntroduction: there is controversy with regard to the risks associated with lumen-apposing metal stents (LAMSs), with significant variations between available reports. Objectives: to describe the types and proportions of complications that arise during the permanence time and removal of Axios™ LAMS. Furthermore, the relationship between patency time, therapeutic target and the presence of complications was also described. Methods: a retrospective, multicenter case series study was performed of all patients with an implanted LAMS to access extra-luminal structures during 2017. Only technically successful cases were recorded. Results: a total of 179 patients from seven sites (range, 4-68 cases/site) were included in the study, with a mean age of 64.3 years (SD: 15.8; range: 24.6-98.8 years) and 122 (68.2%) were male. Most common indications included encapsulated necrosis (58, 32.4%), pseudocysts (31, 17.3%) and gallbladder drains (26, 14.5%). Complications during LAMS stay were reported in 19 patients (10.9%); stent lumen or gastroduodenal obstruction (8, 4.5%) and bleeding (7, 3.9%) were the most common. LAMS were not removed in 86 (48%) patients due to the following reasons: a permanent stent was used (46, 53.5%), loss to follow-up (18, 20.9%), patient demise (16, 18.6%) and stent migration (6, 7%). Five (5.4%) complications were reported during stent removal, which were three bleeds and two perforations. No association was found between stent duration and complications (p = 0.67). Conclusion: complications secondary to LAMS insertion are uncommon but may be serious. This study found no association between complications and stent duration.

Published
2019

3. DIFICULTAD RELATIVA PARA OPERADORES NOVELES DE LAS ANASTOMOSIS BILIOENTÉRICAS Y ENTEROENTÉRICAS GUIADAS POR ECOENDOSCOPIA: ESTUDIO COMPARATIVO EN MODELO EXPERIMENTAL

Author

Ferran González-Huix, Rodrigo Soto-Solís, Javier García Alonso, Gian Pier Protti, Dolores García Olmo, Paul Yaeton, Carlos de la Serna Higuera, Mario Alberto Gallardo, Jaume Tur, Sergio Bazaga Pérez de Rozas, Marina de Benito Sanz, Manuel Pérez-Miranda Castillo, and Enrique Vázquez Sequeiros

Published
2019
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5. 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
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6. 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
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8. 958 TRANSJEJUNAL ERCP (TJ-ERCP) VIA EUS-GUIDED ENTERO-ANASTOMOSES (EUS-EA) IN ROUX-EN-Y-HEPATICOJEJUNOSTOMY (RYHJ): SHORT AND LONG-TERM OUTCOMES OF A VARIANT EUS-DIRECTED ERCP IN A CHALLENGING PATIENT POPULATION

Author

Francisco Javier García-Alonso, Ramon Sanchez-Ocana, Manuel Perez-Miranda, Marina de Benito, Rodrigo Soto-Solís, Mario Alberto Gallardo, Ana Yaiza Carbajo López, Maridi Aerts, Sergio Bazaga Pérez de Rozas, Rastislav Kunda, and Carlos De la Serna

Subjects
medicine.medical_specialty, Patient population, business.industry, Gastroenterology, Long term outcomes, Medicine, Radiology, Nuclear Medicine and imaging, Anastomosis, Transjejunal, business, Roux-en-Y anastomosis, Surgery
Published
2020
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9. INCIDENCIAS EN LA RETIRADA DE PRÓTESIS DE APOSICIÓN LUMINAL TIPO AXIOS. ESTUDIO MULTICÉNTRICO

Author

Francisco Javier García-Alonso, Belen Martínez Moreno, Manuel Pérez-Miranda Castillo, Gabriel Mosquera Klinger, Sergio Bazaga Pérez de Rozas, Enrique Vázquez Sequeiros, Juan José Vila Costas, José Ramón Aparicio Tormo, Alexánder Jordan Castro, Marcos Jiménez Palacios, Rafael Pedraza Sanz, David Martí, Vicente Sanchiz, and Rosanna Villanueva Hernández

Published
2018
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11. 1057 EUS-GUIDED DUODENO-JEJUNOSTOMY (EUS-DJ) WITH LUMEN APPOSING METAL STENT (LAMS) AS SALVAGE OPTION FOR PALLIATION OF GASTRIC OUTLET OBSTRUCTION (GOO)

Author

Ramon Sanchez-Ocana, Manuel Perez-Miranda, Sergio Bazaga Pérez de Rozas, Carlos De la Serna, and Ana Yaiza Carbajo López

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Jejunostomy, Gastroenterology, medicine, Stent, Lumen (anatomy), Radiology, Nuclear Medicine and imaging, Gastric outlet obstruction, business, medicine.disease, Surgery
Published
2019
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12. Endoscopic ultrasound-guided radiofrequency ablation for management of gastric gastrointestinal stromal tumor

Author

Carlos de la Serna Higuera, Ana Yaiza Carbajo, Manuel Pérez-Miranda Castillo, Sergio Bazaga Pérez de Rozas, Francisco Javier García-Alonso, and Mario Alberto Gallardo Ramírez

Subjects
Male, Endoscopic ultrasound, medicine.medical_specialty, medicine.diagnostic_test, Gastrointestinal Stromal Tumors, business.industry, Radiofrequency ablation, Gastroenterology, Middle Aged, Endosonography, law.invention, Diagnosis, Differential, Stomach Neoplasms, law, Catheter Ablation, medicine, Humans, Gastric Gastrointestinal Stromal Tumor, Radiology, business, Ultrasonography, Interventional
Published
2019
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13. Buried lumen-apposing metal stent (LAMS) in esophagogastric anastomosis: the LAMS-in-LAMS rescue treatment

Author

Francisco Javier García-Alonso, Sergio Bazaga Pérez de Rozas, Ramon Sanchez-Ocana, Prabhleen Chahal, Ana Yaiza Carbajo, Pérez-Miranda Manuel, and Carlos de la Serna-Higuera

Subjects
Male, medicine.medical_specialty, business.industry, medicine.medical_treatment, Anastomosis, Surgical, Gastroenterology, Stent, Lumen (anatomy), Adenocarcinoma, Middle Aged, Rescue treatment, Surgery, Diagnosis, Differential, Postoperative Complications, Stomach Neoplasms, Gastroscopy, Esophagogastric anastomosis, Humans, Medicine, Stents, Esophagogastric Junction, business, Device Removal
Published
2019
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15. 1027 TEMPORARY EUS-GUIDED ANASTOMOSES (TEA) WITH COVERED SELF-EXPANDABLE METAL STENTS (CSEMS) AS THERAPEUTIC ACCESS FISTULAS (TAF) IN BENIGN BILIARY OBSTRUCTION (BBO) NOT AMENABLE TO ERCP

Author

Carlos De la Serna, Irene Penas-Herrero, Ramon Sanchez-Ocana, Marina de Benito, Manuel Perez-Miranda, Ana Yaiza Carbajo López, Sergio Bazaga Pérez de Rozas, Félix García-Pajares, and Francisco Javier García-Alonso

Subjects
medicine.medical_specialty, business.industry, Gastroenterology, medicine, Radiology, Nuclear Medicine and imaging, Anastomosis, business, Surgery, Self Expandable Metal Stents
Published
2019
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16. Su1432 A COMPLETE ASSESSMENT OF THE ROLE OF EUS-GUIDANCE FOR BILIARY AND PANCREATIC DUCT ACCESS AND DRAINAGE

Author

Ramon Sanchez-Ocana, Marina de Benito, Manuel Perez-Miranda, Irene Penas-Herrero, Mariano Villarroel, Marta Cimavilla, Francisco Javier García-Alonso, Paula Gil-Simon, Carlos De la Serna, Sergio Sevilla-Ribota, and Sergio Bazaga Pérez de Rozas

Subjects
Pancreatic duct, medicine.medical_specialty, medicine.anatomical_structure, business.industry, Gastroenterology, medicine, Radiology, Nuclear Medicine and imaging, Radiology, Drainage, business
Published
2018
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