Sedation/analgesia guidelines for endoscopy.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to L López Rosés.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The delay in substituting a gastrostomy tube after removal leads to the gastrocutaneous tract closure and to the impossibility of putting other nourishment tube without needing another complete endoscopic procedure. We have used the technique described by Tsang through the one which and using Savary's dilators, the stenosed gastrocutaneous tract after accidental removal of the tube, is dilated permitting to put in a simple way a new one. We accomplished the procedure in three patients that attended by removal of the probe and severe stenosis of the stoma. In all they and under endoscopic control we put a new tube in a way rapid and without complications.
Explore the source record for details and available documents.
Drainage of pancreatic pseudocysts can be achieved by means of endoscopy. In this paper we report a case of a pancreatic pseudocyst of ten centimeters in diameter, that was successfully managed by insertion of a nasocystic drainage through the papilla of Vater. The procedure was simple and complications were absent. Transpapillary drainage of pancreatic pseudocysts is an effective procedure.
We present a case of duodenal gallstone ileus (Bouveret's syndrome) that evolved with its classical symptomatology and was successfully managed by endoscopic extraction of the stone, an extremely unusual circumstance. Although difficult and laborious, endoscopic therapy in the Bouveret's syndrome, by using the Dormia basket, may prove useful.
Percutaneous endoscopic gastrostomy is a technique scantly used in Spanish hospitals. Its finality is the nutrition of patients with dysphagia, by avoiding the inconveniences and complications of transnasal feeding tubes. Our group has begun a protocol of endoscopically placed gastrostomies and in this work we present its first series; it includes 23 cases of patients with dysphagia secondary to neurological disorders. We have employed the original "pull technique" from Gauderer and Ponsky and we have used homemade gastrostomy tubes. Only two mild complications were observed (stoma infection). In our experience, this technique is easy and has few complications. Furthermore, if homemade tubes are used, the economic cost is very low. In this paper, beside of communicating our results, we summarize the percutaneous endoscopic gastrostomy technique and the way for constructing the tubes.
Explore the source record for details and available documents.
Explore the source record for details and available documents.