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J García-Cano

Publications and source records attributed to J García-Cano.

13 recordsLinked to original sources
PubMed2006

Use of an ultrathin gastroscope to allow endoscopic insertion of enteral wallstents without fluoroscopic monitoring.

Self-expanding metallic stents are useful in relieving tumoral obstruction in the gastrointestinal tract. Endoscopic insertion is usually made through the working channel of a therapeutic endoscope. Fluoroscopy during insertion is thought to be mandatory in most cases. Endoscopists sometimes encounter problems in using or accessing fluoroscopy facilities. This study describes a method to insert, under certain circumstances, enteral Wallstents using only endoscopic control. An ultrathin gastroscope is used to pass severe tumoral strictures and place a guide wire beyond the stenosis. The ultrathin gastroscope is removed leaving the guide wire in place, which is then inserted in a retrograde fashion into a therapeutic colonoscope, allowing insertion of through-the-scope stents. Successful insertion was achieved in 5 malignant gastric outlet obstructions and in 6 rectosigmoid tumoral obstructions. In conclusion, in some cases using an ultrathin endoscope to place a guide wire beyond the stricture can be useful for endoscopic placement of Wallstents without fluoroscopy.

Adenocarcinoma↗
PubMed2006

Hemobilia.

Explore the source record for details and available documents.

Aged↗
PubMed2005

[Small size choledochocele as a cause of chronic epigastric pain: diagnosis and treatment by means of ERCP].

Choledochocele belongs to type III Alonso-Lej's classification of biliary cysts and they are considered the less frequent of such cysts. The definition most often given of choledochocele is a cystic dilation of the distal intramural portion of the bile duct, protruding into the duodenal lumen. ERCP is one of the diagnostic and therapeutic procedures of choice, specially when they are small and the cystic cavity is usually collapsed. The ballooning of the papilla during contrast injection in ERCP is thought to be a diagnostic sign. We present a patient suffering from chronic epigastric pain due to a small choledochocele. Magnetic Resonance Cholangiopancreatography failed to diagnose it. ERCP offered both diagnosis and treatment by means of biliary sphincterotomy.

Abdominal Pain↗
PubMed2003

[Treatment of malignant colorectal obstruction by means of endoscopic insertion of self-expandable metallic stents].

BACKGROUND AND AIM: Self-expandable metallic stents are being used increasingly to treat the obstruction of different segments of the digestive tract and biliary tree. We present our centre experience on the initial resolution of malignant colorectal obstruction by means of this type of stents. PATIENTS AND METHODS: During a 18-month period, 13 patients patients suffering from malignant obstruction at the level of rectum, sigmoid or descending colon tried to be initially treated by means of endoscopic insertion of stents (non covered enteral Wallstents). Ten procedures were performed with both endoscopy and fluroscopy and three with only endoscopy. RESULTS: In 12 of the 13 patients (92,3%) the obstruction was solved by means of correct stent insertion. All the exclusively endoscopic procedures (without fluoroscopy) were successful. Six (50 %) patients with tumours at the rectosigmoid underwent later scheduled surgery. In the remaining six ones (a patient with an ovarian carcinoma and five with colonic adenocarcinoma) the stents were considered to be a palliative definitive treatment. Stent migration was observed in two of these patients and both were extracted endoscopically. Only one patient needed to have another stent inserted. A tumoural colo-vesical fistula developed in another patient in the palliative group, inside the previous inserted stent, and was treated by coaxial insertion of an esophageal Ultraflex. There were no other complications or mortality related to the endoscopic procedures. CONCLUSIONS: Self-expandable metallic stents might be considered, in general, as the initial treatment for the malignant obstruction at the level of rectum, sigmoid and descending colon

Adult↗
PubMed1992

[Acute pancreatitis in thrombotic thrombocytopenic purpura. Apropos 2 cases].

Thrombotic thrombocytopenic purpura (TTP) is a syndrome characterized by fever, microangiopathic hemolytic anemia, thrombocytopenia, renal disease and neurologic changes. The development of little thrombi in the systemic microcirculation is thought to play an important role, however the etiology is unknown. We present two cases in which pancreatic disease was the first manifestation of TTP.

Acute Disease↗
PubMedDate not supplied

Bile duct cannulation: success rates for various ERCP techniques and devices at a single institution.

BACKGROUND AND STUDY AIMS: Deep bile duct cannulation is the first step in carrying out ERCP biliary interventions. Although many special techniques have been described, there is a lack of reports that describe all methods employed to cannulate in a single series. This is a prospective study about the way in which cannulation was achieved in an ordinary ERCP workload. PATIENTS AND METHODS: From January 2002 to June 2004, all patients who underwent ERCP with accessible and intact papilla and no gastroduodenal surgical alterations were included. Cannulation either with a 5.5 french tapered, triple lumen sphincterotome (5.5 Fr-S), loaded with a 0.035 inch hydrophilic tip guidewire, or with a 3 french tapered, double lumen sphincterotome (3 Fr-S), plus a 0.025 inch guidewire, was considered standard cannulation (SC). Other methods and devices were considered to be alternative methods. RESULTS: Of the 199 patients, SC succeeded in 150 (75.4%). Initial cannulation was achieved in 78/100 with the 3 Fr-S, and in 59/96 (61.4%) with the 5.5 Fr-S, (p = 0.01). Alternative methods used to reach a final 98% success rate were any type of precut (23 patients, 11.5%), cannulation above a pancreatic placed guidewire (11, 5.5%), above a pancreatic stent (7, 3.5%), utilization of two devices at the same time (3, 1.5%), and papillectomy (1, 0.5%). In 4 (2%) patients, cannulation failed. CONCLUSIONS: In almost a quarter of the patients (45, 22.6%) in this series, cannulation had to be performed by alternative methods. A 3 Fr-S is a very useful tool for gaining access to the bile duct.

Adult↗