A5064285397- Inflammatory Bowel Disease
- Anorectal Disease Treatments and Outcomes
- Microscopic Colitis
- Colorectal and Anal Carcinomas
- Diverticular Disease and Complications
- Pelvic floor disorders treatments
- Colorectal Cancer Surgical Treatments
- Gastrointestinal disorders and treatments
- Stoma care and complications
- Autoimmune and Inflammatory Disorders
- Eosinophilic Esophagitis
- Diagnosis and treatment of tuberculosis
- Intestinal and Peritoneal Adhesions
- Biliary and Gastrointestinal Fistulas
- Congenital gastrointestinal and neural anomalies
- Adolescent and Pediatric Healthcare
- Immunodeficiency and Autoimmune Disorders
- Intestinal Malrotation and Obstruction Disorders
- Gastrointestinal Tumor Research and Treatment
- Reconstructive Surgery and Microvascular Techniques
- Pelvic and Acetabular Injuries
- Esophageal and GI Pathology
- Gastric Cancer Management and Outcomes
- Trypanosoma species research and implications
- Hidradenitis Suppurativa and Treatments
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo
2016-2025
Universidade de São Paulo
2009-2024
Universidade Brasil
2012-2024
Grupo Hospitalar Conceição
2023
Hospital Universitário da Universidade de São Paulo
2006-2022
Instituto de Oncologia do Paraná
2021-2022
Instituto do Câncer do Estado de São Paulo
2022
Brazilian Medical Association
2016
Hospital São Paulo
2011
Hospital Materno-Infantil
2002
Abstract The aim of this study was to evaluate the published professional association guidelines regarding current diagnosis and treatment functional intestinal constipation in adults compare those with authors’ experience standardize actions that aid clinical reasoning decision-making for medical professionals. A literature search conducted Medline/PubMed, Scielo, EMBASE Cochrane online databases using following terms: chronic constipation, diagnosis, management Roma IV surgical treatment....
Abstract Background Inflammatory bowel diseases (IBD) are highly prevalent and complex chronic conditions that affect the digestive tract induce extra-intestinal manifestations numerous comorbidities. Distinct IBD phenotypes clinical differ individually1. The pathogenesis of disease is requires personalized therapies2. World Health Organization (WHO) recommends a holistic approach defined as "perfect physical, mental social well-being." “Treatable traits" (TT) multidimensional precision...
We report a case of highly recurrent giant perianal condyloma, or Buschke-Lowenstein tumor, which was successfully treated by telecobalt therapy. conclude that radiation therapy is an optional treatment modality for the management condylomata in selected cases.
Crohn's disease (CD) has been related to an increased prevalence of psychiatric disorders and suicide risk (SR). However, the nature their relationship still deserves clarification. The aim this study is assess major depressive disorder (MDD) in patients with CD, investigate between MDD CD outcomes.A cross-sectional involving was performed. activity evaluated by Harvey-Bradshaw index phenotype Montreal classification. presence assessed Patient Health Questionnaire score-9 (PHQ-9)....
PURPOSE: Anal stenosis is a rare, incapacitating, and challenging condition, occurring mainly after hemorrhoidectomy, for which several surgical techniques have been devised. The purpose of this study was to describe early late (1 year) results 77 anoplasty operations performed in the Colorectal Unit our institution. METHODS: From 1977 2002, patients with moderate severe anal underwent surgery using two sliding graft techniques: 58 Sarner's operation 19 Musiari's technique. Bilateral flaps...
Abstract The objective of this study was to evaluate the consensus expert societies and published guidelines on management ulcerative colitis, compare with experience authors, in order standardize procedures that would help reasoning decision-making process physician. A search performed scientific literature, specifically electronic databases: Medline/Pubmed, SciELO, EMBASE Cochrane, following descriptors were used: acute clinical treatment, surgery randomized trial. It can be concluded...
Present an updated classification for symptomatic hemorrhoids, which not only guides the treatment of internal hemorrhoids but also external components. In addition, this new includes alternatives created over last few years.Throughout past 7 years, authors developed a method to classify patients with hemorrhoids. This study, besides presenting proposal, retrospectively analyzed 149 consecutive treated between March 2011 and November 2013 aimed evaluate association management adopted...
<b><i>Introduction:</i></b> Abdominal surgery in patients with Crohn’s disease (CD) is challenging, especially the biologic era. The aim of this study was to evaluate factors associated increased risk for postoperative complications CD. <b><i>Methods:</i></b> A retrospective conducted consecutive who underwent abdominal CD from January 2012 2018. <b><i>Results:</i></b> Of 103 patients, 32% had complications. Gender, age,...
Umbilical nodes are rare. The metastatic involvement of the region was first described in 1846. Sister Mary Joseph observer to establish correlation between carcinomas and umbilical nodes. node may be sole presenting sign cancer is usually associated with advanced disease poor prognosis. A 64-year-old woman, previously healthy, presented vague abdominal discomfort a hard nodule for 1 week, which diagnosed as an incarcerated hernia. She underwent new clinical assessment biopsy. After...
BACKGROUND: Introduction of stapled hemorrhoidopexy by Longo in 1998 represented a radical change the treatment hemorrhoids. By avoiding multiple excisions and suture lines perianal region, is intended to offer less postoperative pain than with conventional techniques. OBJECTIVE: To report analyze intra results gained during initial experience hemorrhoidopexy. METHODS: One hundred fifty five patients (67 males) average age 39.5 years (21-67 years) underwent between June 2000 December 2003...
Anemia is the most common hematological alteration in patients with Crohn's disease, and frequently related to intestinal inflammatory activity. Its cause multifactorial mostly associated absolute iron deficiency (iron anemia) and/or functional (inflammation anemia or of chronic disease). It may also be identified through other causes, such as folic acid vitamin B12 secondary adverse effects from medications (salicylic derivatives immunosuppressive drugs). In present study, active disease...
Background: Despite optimized medical therapy, contemporary risk of surgery in inflammatory bowel diseases (IBD) after 10 years diagnosis is 9.2% patients with ulcerative colitis (UC) and 26.2% Crohn’s disease, (CD) the biological era. Objective: This consensus aims to detail guidance most appropriate surgical procedures different IBD scenarios. In addition, it details indications perioperative management adult CD UC. Methods: Our was developed by colorectal surgeons gastroenterologists...
To prospectively compare immediate postoperative results of the surgical treatment haemorrhoidal disease (HD) by Milligan-Morgan technique using either CO(2) laser or cold scalpel.Forty patients with grade III/IV HD were randomized to undergo (Milligan-Morgan) (group A) scalpel method B). Data compared regarding pain, complications, healing time, return normal activity and patient satisfaction. Patients blinded until completion study. Postoperative outcomes assessed questionnaire outpatient...
Transanal haemorrhoidal dearterialization with mucopexy (THD-M) is a valuable option for treating patients disease. However, there still controversy regard to its efficacy more advanced grades.To evaluate the effectiveness of THD-M technique hemorrhoidal disease and compare immediate late results in different grades.Seven hundred five consecutive Goligher's grade II, III or IV symptomatic haemorrhoids underwent surgical treatment using method participating centres. Six well-trained...
Takayasu's arteritis (TA) and inflammatory bowel disease (IBD) are chronic granulomatous disorders that have rarely been concomitantly reported in case reports small series.We report a series of seven cases TA IBD association two referral centers with comprehensive review literature.We analyzed retrospectively the electronic medical charts TA-IBD patients at University Hospital São Paulo, Brazil, Sheba Medical Center Tel Aviv University, Israel.Overall, five had Crohn's (DC) ulcerative...
Therapeutic drug monitoring (TDM) during induction therapy with anti-tumor necrosis factor drugs has emerged as a strategy to optimize response these biologics and avoid undesired outcomes related inadequate exposure. This study aimed describe clinical, biological, endoscopic remission rates at six months in Brazilian inflammatory bowel disease (IBD) patients following proactive TDM algorithm guided by IFX trough levels (ITL) antibodies (ATI) induction, week six. A total of 111 IBD were...