A5014785366- Esophageal and GI Pathology
- Gastric Cancer Management and Outcomes
- Pancreatic and Hepatic Oncology Research
- Gastrointestinal Tumor Research and Treatment
- Esophageal Cancer Research and Treatment
- Liver Disease and Transplantation
- Gallbladder and Bile Duct Disorders
- Liver Disease Diagnosis and Treatment
- Metastasis and carcinoma case studies
- Colorectal Cancer Surgical Treatments
- Gastrointestinal disorders and treatments
- Colorectal Cancer Screening and Detection
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Neuroendocrine Tumor Research Advances
- Effects of Radiation Exposure
- Biliary and Gastrointestinal Fistulas
- Diverticular Disease and Complications
- Gastroesophageal reflux and treatments
- Gastrointestinal Bleeding Diagnosis and Treatment
- Helicobacter pylori-related gastroenterology studies
- Pediatric Hepatobiliary Diseases and Treatments
- Hepatocellular Carcinoma Treatment and Prognosis
- Medical and Biological Sciences
- Intestinal and Peritoneal Adhesions
- Tracheal and airway disorders
Universidade de São Paulo
2016-2025
Instituto do Câncer do Estado de São Paulo
2016-2024
Fleury S.A. (Brazil)
2010-2024
Hospital Israelita Albert Einstein
2016-2024
Hospital São Paulo
2024
Fundação de Apoio à Universidade Federal de São Paulo
2018
Cancer Institute (WIA)
2018
Universidade Federal de São Paulo
2005-2016
Sabin Medicina Diagnostica (Brazil)
2016
Creative Research Enterprises (United States)
2016
BACKGROUND This is a randomized study to compare the diagnostic accuracy of endoscopic ultrasound (EUS)-guided sampling pancreatic solid lesions obtained with 22-gauge Franseen (EUS-fine needle biopsy) vs standard aspiration) without rapid onsite evaluation (ROSE), since, in most endoscopy units around world ROSE not routinely available. AIM To investigate EUS-guided between two different needles ROSE. METHODS Patients were included. biopsied order. The primary endpoint was sensitivity for...
To determine whether Model for End-stage Liver Disease (MELD) Child-Turcotte-Pugh (CTP) classification, AST to platelet ratio index (APRI), and laboratory tests could predict the presence of esophageal varices (EV) or which need prophylactic therapy (medium large size EV).Three hundred patients with cirrhosis (193 men; mean age 53.1 years; majority chronic C hepatitis) were prospectively analyzed. The EV (any medium EV) was correlated patients' characteristics (MELD, CTP APRI, platelets...
The results of variceal band ligation (VBL) in patients with advanced liver disease are unknown. Cyanoacrylate injection (CI) might have a better outcome than VBL the treatment esophageal varices (EV) these patients.To compare and CI EV disease.Thirty-eight medium or large Child-Pugh index at least eight were randomized into two groups: (n=20) (n=18). followed-up for 6 months after end treatment. Main outcomes eradication, bleeding, mortality, complication, recurrence rates.Variceal...
Background and study aim: Chronic radiation coloproctopathy (CRCP) is a well-recognized complication of radiotherapy, with rectal bleeding the most common presentation. It frequently refractory to conservative management, but optimal endoscopic treatment secondary CRCP still controversial. The efficacy safety bipolar eletrocoagulation (BEC) argon plasma coagulation (APC) in management from were evaluated compared.
Abstract Background Studies that describe metastases to the gastrointestinal (GI) tract are restricted small case series. An increase in frequency of this condition is expected, so it would be useful better characterize endoscopic aspects metastasis GI tract. The aims study were and features lesions, analyze survival rate after diagnosis metastasis. Methods This was a retrospective, single-center, observational study, conducted between 2009 2017. Patients with included. Results 95 patients...
Background and study aims Upper gastrointestinal bleeding (UGIB) from malignancy is associated with high rebleeding mortality rates. Recently, TC-325 powder has shown promising results in the treatment of UGIB, including malignant bleeding. The aim this was to compare efficacy versus best clinical management. Patients methods From August 2016 February 2020, all patients evidence UGIB were randomized receive therapy or control group, which endoscopic not mandatory. Exclusion criteria...
CONTEXT: Endoscopic mucosal resection is an established modality for excision of sessile lesions in the gastrointestinal tract. Submucosal fluid injection creates a cushion and may prevent thermal injury perforation. OBJECTIVES: This blind study investigated performance three different solutions to create submucosal cushions porcine stomach. METHODS: Three were injected stomach nine pigs BR1: normal saline solution, carboxymethylcellulose 0.5% hydroxypropyl methylcellulose 0.25%. In each...
The aim of this study was to compare the recurrence esophageal varices (EVs) after endoscopic band ligation (EBL) associated with propranolol (PP) versus EBL alone.Sixty-six cirrhotic outpatients (EBL group, n=32 and EBL+PP n=34) high-risk EVs without previous bleeding were studied.The primary outcome EV. secondary outcomes EV eradication, before mortality, adverse events.Demographic characteristics initial findings similar. eradication achieved in all patients. Three patients presented...
Strategic planning for coronavirus disease (COVID-19) care has dominated the agenda of medical services, which have been further restricted by need minimizing viral transmission. Risk is particularly relevant in relation to endoscopy procedures. This study aimed describe a contingency plan tertiary academic cancer center, define strategy prioritize and postpone examinations, evaluate infection rate among healthcare workers (HCWs) unit Cancer Institute State São Paulo (ICESP).We created...
CONTEXT: Band ligation (BL) is the most appropriate endoscopic treatment for acute bleeding or prophylaxis of esophageal variceal bleeding. Sclerotherapy with N-butyl-2-cyanoacrylate (CY) can be an alternative patients advanced liver disease. Bacteremia infrequent complication after BL while bacteremia rate following CY varices remains unknown. OBJECTIVES: To evaluate and compare incidence transient between cirrhotic submitted to diagnostic endoscopy, varices. METHODS: A prospective study...
ABSTRACT BACKGROUND: A common site of neuroendocrine tumors (NETs) is the rectum. The technique most often used endoscopic mucosal resection with saline injection. However, deep margins are difficult to obtain because submucosal invasion common. Underwater (UEMR) a in which bowel lumen filled water rather than air, precluding need for lifting. OBJECTIVE: This study aimed evaluate efficacy and safety UEMR removing small rectal (rNETs). METHODS: Retrospective patients who underwent two...
Probe-based confocal laser endomicroscopy (pCLE) technique may improve the diagnosis of gastric mucosal lesions allowing acquisition high-resolution in vivo images at cellular and microvascular levels. This study aims to evaluate accuracy pCLE for differential non-neoplastic neoplastic lesions.Twenty from 10 patients were evaluated during endoscopic procedure examined by pCLE. Diagnostic was followed biopsies or resection suspected lesions. A senior pathologist specimens blinded...
Background Although endoscopic vacuum therapy (EVT) has been successfully used to treat postoperative upper gastrointestinal (UGI) wall defects, its use demands special materials and several treatment sessions. Herein, we propose a technical modification of EVT using double tube (tube-in-tube drain) without polyurethane sponges for the drainage element. The tube-in-tube device enables irrigation application suction. A flowchart standardizing management UGI defects with this is presented....