- Esophageal and GI Pathology
- Colorectal Cancer Screening and Detection
- Gastroesophageal reflux and treatments
- Helicobacter pylori-related gastroenterology studies
- Eosinophilic Esophagitis
- Pancreatic and Hepatic Oncology Research
- Potassium and Related Disorders
- Pharmaceutical studies and practices
- Renal and Vascular Pathologies
- Renal function and acid-base balance
- Autoimmune and Inflammatory Disorders
- Liver Disease and Transplantation
- Diverticular Disease and Complications
- Pediatric Pain Management Techniques
- Respiratory Support and Mechanisms
- Vascular anomalies and interventions
- Celiac Disease Research and Management
- Abdominal vascular conditions and treatments
- Immunodeficiency and Autoimmune Disorders
- Prenatal Screening and Diagnostics
- Childhood Cancer Survivors' Quality of Life
- Inflammatory Bowel Disease
- Pediatric Hepatobiliary Diseases and Treatments
- Global Health Workforce Issues
- Child and Adolescent Health
Centro Hospitalar do Porto
2013-2024
Universidade do Porto
1987-2023
The Wilson Centre
2021
University of Toronto
2021
Hospital for Sick Children
2021
SickKids Foundation
2021
Goryeb Children's Hospital
2021
Icahn School of Medicine at Mount Sinai
2021
Children's Hospital Zagreb
2021
University Hospital Cologne
2019
Evolving epidemiological data and increasing antibiotic resistance mandate an update of the European North American Societies Pediatric Gastroenterology, Hepatology Nutrition guidelines.
The EuroPedHp-registry aims to monitor guideline-conform management, antibiotic resistance, and eradication success of 2-week triple therapy tailored susceptibility (TTT) in Helicobacter pylori-infected children.From 2017 2020, 30 centres from 17 European countries reported anonymized demographic, clinical, susceptibility, treatment, follow-up data. Multivariable logistic regression identified factors associated with treatment failure.Of 1605 patients, 873 had data (53.2% female, median age...
Helicobacter pylori may be found during upper gastrointestinal endoscopy (UGE) performed to diagnose celiac disease (CeD), inflammatory bowel (IBD), and eosinophilic esophagitis (EoE). We aimed describe the frequency of H. in children undergoing UGE for CeD, IBD, EoE number receiving eradication treatment.
What Is Known Endoscopy Training is becoming an integral part of Paediatric Gastroenterology within Europe. There a great degree variation between European endoscopy training in terms duration, content, procedural volume, assessment during and at the end training. New? Achievement milestones more accurately assesses competency compared with number. 'Train trainers' courses educational material, such as e-learning simulator improve structured approach teaching. Cooperation National...
Autoimmune gastritis (AIG) is a chronic inflammatory condition of the gastric mucosa, mainly described in adults presenting with pernicious anemia. It results from antibody-mediated destruction parietal cells, but precise initiating event unknown. The pathogenicity Helicobacter pylori (H pylori) has been suggested not established. This study aimed to better characterize AIG pediatric patients and address possible role H infection.Descriptive single-center study, retrospectively describing 20...
High-quality pediatric gastrointestinal procedures are performed when clinically indicated and defined by their successful performance skilled providers in a safe, comfortable, child-oriented, expeditious manner. The process of endoscopy begins plan to perform the procedure is first made ends all appropriate patient follow-up has occurred. Procedure-related standards indicators developed date for adults emphasize cancer screening thus unsuitable medicine.With support from North American...
High-quality pediatric endoscopy requires reliable performance of procedures by competent individual providers who consistently uphold all standards determined to assure optimal patient outcomes. Establishing consensus expectations for ongoing monitoring and assessment endoscopists is a method confirming the highest possible quality care such worldwide. We aim provide guidance define measure endoscopic children.With support from North American European Societies Pediatric Gastroenterology...
The risk of bone fracture in children under proton-pump inhibitors (PPI) treatment has been the subject recent publications and naturally raises concerns among prescribing doctors, patients their parents.Currently, there is no consistency those claims according to available evidence an update on it beneficial reduce anxiety one hand, prompt for well-planned studies addressing issue other. Furthermore, common sense well-founded prescriptions must be general rule this as any other therapeutic drug.
There is increasing international recognition of the impact variability in endoscopy facilities on procedural quality and outcomes. also growing precedent for assessing at regional national levels by using standardized rating scales to identify opportunities improvement.With support from North American European Societies Pediatric Gastroenterology Hepatology Nutrition (NASPGHAN ESPGHAN), an working group Endoscopy Quality Improvement Network (PEnQuIN) used methodological strategy Appraisal...
An 11-year-old prepubertal adolescent, on oral iron supplements for deficiency anaemia, presented with bilateral vulvar swelling 2 years. The oedema has progressively worsened over the last year, causing constant discomfort in external genitalia. She had previously been treated an outpatient basis antibiotics and antifungals, without clinical improvement. Six months before referral, our patient retrospectively reported intermittent episodes of abdominal pain rare rectal bleeding attributed...
The therapeutic approach to inflammatory bowel disease (IBD) is complex, often involving multiple pharmacologic classes. We aimed evaluate the prevalence of drug-related adverse reactions (ARs) associated with therapies used in pediatric IBD. conducted a retrospective study patients IBD followed tertiary hospital from 2010 2022. Ninety-nine were included (62.6% male), median age at diagnosis 13 years (interquartile range [IQR] 11-15 years). majority had Crohn's (69.7%), by ulcerative colitis...
ABSTRACT Background European and North‐American guidelines on management of H. pylori infection in children provide the option not to treat even if is endoscopically confirmed. We used data from EuroPed Hp Registry identify factors associated with therapy decisions. Methods included treatment‐naïve patients reported between 2017 2020 30 centers 17 countries. Multivariable logistic regression identified including comorbidities within outside gastrointestinal (GI) tract influencing decision...
A doenca inflamatoria intestinal manifesta-se durante a infância ou adolescencia em cerca de 25% dos doentes. Os sintomas associados e terapeutica necessaria sao factores stress psicologico social, podendo ser valorizados forma diferente por criancas adolescentes. avaliacao da qualidade vida relacionada com saude e, portanto, um parâmetro importante na abordagem destes doentes; no entanto, sua medicao deve efectuada atraves instrumentos linguisticamente validados adaptados idade. autores...