- Esophageal and GI Pathology
- Gastroesophageal reflux and treatments
- Eosinophilic Esophagitis
- Gastric Cancer Management and Outcomes
- Pancreatitis Pathology and Treatment
- Bariatric Surgery and Outcomes
- Gastrointestinal disorders and treatments
- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Gastrointestinal Tumor Research and Treatment
- Lung Cancer Diagnosis and Treatment
- Intestinal Malrotation and Obstruction Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Dysphagia Assessment and Management
- Nutrition and Health in Aging
- Esophageal Cancer Research and Treatment
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Metastasis and carcinoma case studies
- Neuroendocrine Tumor Research Advances
- Abdominal vascular conditions and treatments
- Tumors and Oncological Cases
- Child Nutrition and Feeding Issues
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Biliary and Gastrointestinal Fistulas
- Vascular Malformations and Hemangiomas
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2018-2024
Universidade de São Paulo
2016-2023
Fleury S.A. (Brazil)
2021-2023
Hospital Geral de Fortaleza
2023
Instituto do Câncer do Estado de São Paulo
2019
Florida State University
2015
See commentary "Endoscopic Ultrasound Fine-Needle Biopsy May Contribute to the Diagnosis of Malignant Lymph Nodes" in Volume 53 on page 508
Achalasia is a rare benign esophageal motor disorder characterized by incomplete relaxation of the lower sphincter (LES). The treatment achalasia not curative, but rather aimed at reducing LES pressure. In patients who have failed noninvasive therapy, surgery should be considered. Myotomy with partial fundoplication has been considered first-line for non-advanced achalasia. Recently, peroral endoscopic myotomy (POEM), technique that employs principles submucosal endoscopy to perform...
Solid pseudopapillary tumor of the pancreas, otherwise known as solid and cystic or Frantz tumor, is an unusual form pancreatic carcinoma, with unknown etiopathogenesis, that accounts for 0.2 to 2.7% all tumors. It defined exocrine neoplasia mainly affects women between second third decade life, its management not well defined. Endoscopic ultrasound offers a key anatomical advantage in accessing pancreas endoscopic fine-needle aspiration has become gold standard method diagnosis lesions.Case...
Background and study aims Achalasia can be classified as either primary (idiopathic) achalasia or secondary achalasia, which is a consequence of another systemic disease. Peroral endoscopic myotomy (POEM) an effective safe treatment for achalasia. We evaluated the efficacy safety POEM in patients with Chagasic compared to idiopathic Patients methods procedures performed at single institution from November 2016 January 2018. Demographic data, Eckardt score, lower esophageal sphincter (LES)...
Abstract Background and study aims Both Heller myotomy (HM) per-oral endoscopic (POEM) are efficacious therapies for achalasia. The efficacy safety of POEM vs HM in Latin America specifically patients with Chagas disease is unknown. Patients methods Consecutive undergoing either or achalasia were included from nine American centers a prospective registry over 5 years. Technical success was defined as successful myotomy. Clinical achieving an Eckardt score < 3. Data on demographics,...
Peroral endoscopic myotomy (POEM) has been increasingly used for achalasia in Latin America, where Chagas disease is prevalent, and this makes POEM more challenging. The aim of study was to determine the learning curve America.Patients undergoing America with a single operator were included from prospective registry over 4 years. Non-linear regression cumulative sum control chart (CUSUM) analyses conducted curve.A total 125 patients (52% male; mean age, 59 years), which 80 had type II (64%),...
While endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) is considered a preferred technique for tissue sampling solid lesions, biopsy (FNB) has recently been developed.To compare the accuracy of FNB vs FNA in determining diagnosis lesions.A retrospective, multi-center study EUS-guided using needles. Measured outcomes included diagnostic test characteristics (i.e., sensitivity, specificity, accuracy), use rapid on-site evaluation (ROSE), and adverse events. Subgroup analyses...
Transoral outlet reduction (TORe) has long been employed in treating weight regain after Roux-en-Y gastric bypass. However, its impact on gut hormones and their relationship with loss remains unknown.