A5084330143- Bariatric Surgery and Outcomes
- Esophageal and GI Pathology
- Gastric Cancer Management and Outcomes
- Body Contouring and Surgery
- Gastrointestinal disorders and treatments
- Gastroesophageal reflux and treatments
- Diet and metabolism studies
- Helicobacter pylori-related gastroenterology studies
- Metastasis and carcinoma case studies
- Dysphagia Assessment and Management
- Intestinal and Peritoneal Adhesions
- Esophageal Cancer Research and Treatment
- Intestinal Malrotation and Obstruction Disorders
- Abdominal Surgery and Complications
- Tracheal and airway disorders
- Eosinophilic Esophagitis
- Diabetes Treatment and Management
- Abdominal vascular conditions and treatments
- Pancreatic and Hepatic Oncology Research
- Clinical Nutrition and Gastroenterology
- Colorectal Cancer Screening and Detection
- Congenital Anomalies and Fetal Surgery
- Gastrointestinal motility and disorders
- Obesity and Health Practices
- Gastrointestinal Tumor Research and Treatment
Faculdade de Medicina do ABC
2014-2022
Hospital Estadual Mário Covas
2016-2022
State Hospital
2016-2022
Universidade Municipal de São Caetano do Sul
2021
Hospital São Paulo
2017
Hydrothermal duodenal mucosal resurfacing (DMR) is a safe, outpatient endoscopic procedure. REVITA-2, double-blind, superiority randomised controlled trial, investigates safety and efficacy of DMR using the single catheter Revita system (Revita (catheter system)), on glycaemic control liver fat content in type 2 diabetes (T2D).Eligible patients (haemoglobin A1c (HbA1c) 59-86 mmol/mol, body mass index≥24 ≤40 kg/m2, fasting insulin >48.6 pmol/L, ≥1 oral antidiabetic medication) enrolled Europe...
Abstract Background Sleeve gastrectomy is a well-standardized surgical treatment for obesity. However, rates of weight regain after sleeve in long-term follow-up are relatively high. This multicenter study the first to evaluate use an endoscopic gastroplasty (ESG) technique management this population. Methods was retrospective study, including patients with following who underwent ESG loss. Primary outcomes included absolute loss, percent total loss (%TWL), change body mass index (BMI),...
Abstract Case Presentation The patient underwent Roux in Y Gastric Bypass by laparoscopy without complications, developing on postoperative day 7 with an abscess the epigastrium at site of 5 mm portal, associated local pain, fever and chills. Within 24 hours, there was spontaneous drainage large amounts purulent secretion, pain improvement. advised to be hospitalized again started broad-spectrum antibiotic therapy. Abdominal CT Upper GI endoscopy were performed, which revealed leakage from...
Less invasive and complex procedures have been developed to treat obesity. The successful use of Endoscopic Sleeve Gastroplasty using OverStitch(r) (Apollo Endosurgery, Austin, Texas, USA) has reported in the literature.Present technical details procedure its surgical/ endoscopic preliminary outcome.The device was used perform plications along greater curvature stomach, creating a tubulization similar sleeve gastrectomy.A male patient with BMI 35.17 kg/m2 underwent procedure, achievement...
intragastric balloons (IGBs) are a minimally invasive, increasingly popular option for obesity treatment. However, there is only one worldwide guideline standardizing the technical aspects of procedure (BIBC, SOARD 2018).to construct practical IGB usage by reproducing and expanding BIBC survey among Spanish Bariatric Endoscopy Group (GETTEMO).a 140-question was submitted to all GETTEMO members. Twenty-one experienced endoscopists in IGBs answered back. Eight topics on patient selection,...
Between 10 and 20% of all patients undergoing bariatric surgery procedures regain weight secondary to a gastrojejunostomy enlargement. The aim this study was validate the interobserver agreement while measuring gastric outlet diameters using new standard guidewire. We selected thirty-five videos consecutive endoscopic on esophagogastroduodenoscopy after Roux-en-Y bypass procedure. All were evaluated by four raters: two expert endoscopists trainees. excluded having slipped Fobi ring or...
Treatment of Zenker's diverticulum by flexible endoscopy is considered to be feasible and safe [1]. Bleeding perforation remain the main complications endoscopic incision [2]. The harmonic scalpel (Ultracision) ([Fig. 1]) has been employed in laparoscopic surgery [3] provides adequate accurate hemostasis. concept a involves coaptive coagulation which vessels are tamponaded sealed protein coagulum or desiccated tissue, both. Coagulation with ultrasonically activated blade always coaptive,...
Recently, the Food and Drug Administration approved use of Orbera balloon for obesity treatment. However, later issued a warning about possibility 2 complications not previously reported: acute pancreatitis hyperinsufflation. This case report is intended to alert all clinicians that, although rare, cases hyperinsufflation should be considered in patients with an intragastric (IGB) abdomen. IGB removal will resolve complaints, provided there no irreversible ischemia stomach walls. Care taken...
Introduction: The intragastric balloon (IB) can be indicated for patients with overweight and obesity refractory to behavioral medical treatment. In unusual situations, fungal colonization of the IB is observed, sometimes on their content, asymptomatic in most cases. rare incidence presented as result a multifactorial involvement, which predisposes opportunistic infections. Case Report: Thirty-seven year old obese female, 87.5 kg, body mass index 35 kg/m2. An adjustable was treating obesity....
The placement of an intragastric balloon (IGB) plays increasingly important role in the treatment obesity. authors describe cases 2 female patients, 34 and 62 years old, who were submitted to implantation a Spatz3® IGB treat Ten fourteen weeks later, patients presented complaints epigastric pain, vomiting, abdominal distension. A bulging upper wall was noticed upon physical examination. Upper gastrointestinal endoscopy confirmed clinical suspicion hyperinflation. It decided remove 500 mL...
<b><i>Background:</i></b> Weight regain occurs in about 20% of patients after Roux-en-Y gastric bypass (RYGB). Studies have reported that most cases this is associated with dilatation the gastrojejunal anastomosis. To correct dilatation, one methods used application argon plasma coagulation (APC). <b><i>Case:</i></b> The authors report case a 39-year-old woman submitted to RYGB who had weight regain. In endoscopic evaluation, patient presented...
Background Obesity is the most well-established and prolonged pandemic in modern society. Having a better understanding of available tools important to improve weight loss make strategies more productive. This study aims evaluate effect intragastric balloon (IGB) on gastric emptying time, its relationship with after IGB removal, maintenance six years. Methodology prospective analyzed data from patients undergoing placement. A six-years follow-up was performed about were collected. We impact...
ABSTRACT BACKGROUND: New endoscopic treatments for gastroesophageal reflux (GERD) are developed every year and indicated in cases that refractory to conventional therapies as well after surgical treatment failure. OBJECTIVE: To present the first of therapy GERD performed Brazil. METHODS: Use radiofrequency with Stretta procedure symptomatic volunteers diagnosed GERD. RESULTS The technique was three patients they were included study protocol. No patient had complications, all discharged on...