Abel González Ramírez

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BACKGROUND There are limited data concerning endoscopist-directed endoscopic retrograde cholangiopancreatography deep sedation. The aim of this study was to establish the safety and risk factors for difficult sedation in daily practice. PATIENTS AND METHODS Hospital-based, frequency matched case-control study. All patients were identified from a database(More)
The case of a patient who was driving a car after getting drunk is presented. His car turned over and he fell into an irrigation canal, and, as a result, he suffered from an incomplete drowning syndrome. He was admitted in the Intensive Care Unit with acute inflammatory pneumonia and a strain of Aeromonas hydrophila was isolated in blood. The patient's(More)
A 57 year old woman, with no known allergies, a history of excessive alcohol consumption and a previous diagnosis of compensated alcoholic cirrhosis of the liver, was admitted because of intermittent rectal bleeding and severe anaemia ( Hb: 5 gr/dl). Physical examination showed a large rectal prolapse (Fig 1). After reducing the prolapse, a colonoscopy was(More)
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(More)
A 52 year old man had been complained of abdominal pain during the last 4-month. The pain was located in the upper left quadrant and it radiated to the epigastrium. It increased when eating and was accompanied by asthenia, anorexia and 3 kg weight loss. The patient did not report melena, rectal bleeding, fever or evening sweating. On physical examination,(More)
Colonoscopy is presently always performed before surgical management of a volvulus in the sigmoid colon. It leads to know the viability of the mucosa and, when possible, to resolve the volvulus conservatively. Besides, with endoscopic control, we can place a decompression tube proximal to the volvulated sigmoid colon, favouring a non-surgical resolution.(More)
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