A5085828473- Gallbladder and Bile Duct Disorders
- Pediatric Hepatobiliary Diseases and Treatments
- Biliary and Gastrointestinal Fistulas
- Pancreatic and Hepatic Oncology Research
- Esophageal and GI Pathology
- Gastrointestinal disorders and treatments
- Colorectal Cancer Screening and Detection
- Food Allergy and Anaphylaxis Research
- Drug-Induced Adverse Reactions
- Urticaria and Related Conditions
- Aortic aneurysm repair treatments
- Colorectal Cancer Surgical Treatments
- Contact Dermatitis and Allergies
- Radiomics and Machine Learning in Medical Imaging
- Cultural Heritage Materials Analysis
- Aortic Disease and Treatment Approaches
- Eosinophilic Disorders and Syndromes
- Ocular Diseases and Behçet’s Syndrome
- Histiocytic Disorders and Treatments
- Infectious Aortic and Vascular Conditions
- Eosinophilic Esophagitis
- Autoimmune and Inflammatory Disorders
- Gastrointestinal Tumor Research and Treatment
- Gastric Cancer Management and Outcomes
Confraria de Santa Luzia
2023-2025
Polytechnic Institute of Viana do Castelo
2024
Administração Regional de Saúde de Lisboa e Vale do Tejo
2022-2024
Universidade do Porto
2020-2021
Centre for Health Technology and Services Research
2021
After a consensus meeting including experts from all over the country (more than 6 years of experience, at least 50 procedures and their center perform more 30 procedures/year) several recommendations were issued. Main recommendations: 1-Single-operator digital cholangioscopy is indicated in cases undetermined biliary strictures which visual inspection, with or without histology, may change patient's approach. (Strong recommendation, moderate quality evidence) 2-In for strictutre unclear...
Patients with a penicillin allergy label tend to have worse clinical outcomes and increased healthcare use. Drug provocation tests (DPT) are the gold-standard in diagnostic workup of allergy, but safety concerns may hinder their performance. We aimed assess frequency severe reactions following DPT patients reported penicillins or other β-lactams.We performed systematic review, searching MEDLINE, Scopus, Web Science. included primary studies assessing participants who underwent DPT. Bayesian...
Malignant biliary obstruction drainage is essential, since jaundice associated with morbidity and mortality. Endoscopic retrograde cholangiopancreatography (ERCP) the recommended procedure for drainage, percutaneous being classic alternative in cases of unsuccessful ERCP. Recently, endoscopic ultrasound-guided has been emerged as a new option, EUS-guided choledochoduodenostomy (EUS-CDS) considered an effective safe method distal obstructions common bile duct.The aim study was to evaluate...
Introduction: To access the common bile duct in endoscopic retrograde cholangiopancreatography (ERCP), needle-knife fistulotomy (NKF) can be associated with a shorter sphincterotomy compared to standard cannulation. We aimed compare success and safety of NKF versus cannulation treatment choledocholithiasis. Methods: A cohort 379 naïve patients choledocholithiasis who underwent ERCP between 2005 2022 was retrospectively analyzed. The were divided into two groups: group (179 consecutive...
77-year-old female with history of cholecystectomy was admitted at emergency department fever and myalgia, without other complaints. Physical examination revealed fever, laboratory tests indicated cholestasis (total bilirubin: 1.5xULN, glutamyltransferase: 20xULN, alkaline phosphatase: 5xULN). Computed Tomography common bile duct (CBD) dilation (9mm), suspected choledocholithiasis. Given the diagnosis acute cholangitis, antibiotics were started ERCP performed. a short CBD stenosis (< 2mm...
Introduction: Endoscopic full-thickness resection (EFTR) is a minimally invasive endoscopic technique that allows the of complex colorectal lesions, such as non-lifting, peri-appendicular, peri-diverticula, and subepithelial lesions. Published data suggest EFTR has technical success R0 rates 89 79%, respectively, an adverse event rate 12%. This study summarizes experience in nine Portuguese centers with regard to its efficacy safety. Methods: was multicenter uncontrolled retrospective study,...
A 49-year-old man presented with a three-week history of abdominal pain, bloody diarrhoea and fever. Reported oral ulcers, weight loss asthenia, as well papulo-pustular lesions on his limbs recurrent ulcer in the lip (Fig.1) previous year. During hospitalization, he developed pathergy at venipuncture sites painful scrotum ulcers. Laboratory showed pancytopenia elevated CRP. Viral autoimmune tests were negative. Abdominal CT revealed thickening ileocecal region adenopathies. Blood smear...
Abstract Text An 89-year-old man underwent an ampulectomy of a 40 mm ampullary adenoma. A 15 duodenal perforation was identified in the endoscopic scar, wall below ampulla. The closed with OTCS, after placing fully covered metallic stent common bile duct (CBD), to avoid inadvertent closure during implantation OTS-clip. patient discharged several weeks procedure, and 6 months ampulectomy, he remains assymptomatic, no signs residual adenoma on follow-up duodenoscopy [1] [2].
Aims Colorectal cancer is the 3rd most prevalent and 2nd deadliest worldwide, so that an efficient screening essential. The ColonCAD project aims to Artificial Intelligence based system, allows automatic segmentation, detection, classification (SD&C) of colon polyps. We aimed assess ColonCAD's accuracy in SD&C polyps colonoscopy images.
A 50-year-old woman with a history of bicuspid aortic valve (BAV) and ascending aorta dissection was referred for endoscopic ultrasound (EUS) suspected choledocholithiasis. Twelve years earlier she had undergone Bentall-de Bone procedure 7 thoracic aneurysm (TAA) repaired an endovascular prosthesis. EUS confirmed choledocholithiasis, however large (60 mm diameter), incidentally detected at the distal end endoprosthesis. Computed tomography (CT) later aneurysm, extending 4.5 cm above renal...
An 82-year-old man was admitted for acute cholangitis. He presented with jaundice and elevated hepatic cholestasis enzymes C-reactive protein. Abdominal ultrasound CT scan showed no evidence of gallstones the main bile duct had 6 mm diameter. Broad-spectrum antibiotic therapy initiated patient referred Endoscopic Retrograde Cholangiopancreatography. During duodenoscopy, a pedunculated subepithelial lesion, measuring approximately 20-30 mm, suggestive being lipoma found, obstructing papillary...
Introduction: Eosinophilic gastrointestinal disorders are rare idiopathic conditions characterized by eosinophilic infiltration of any area the tract. The clinical presentation is variable and depends on location depth eosinophilia. Peripheral eosinophilia or elevated serum IgE levels may be present histological analysis necessary to a definite diagnosis. Presentation: A 40-year-old male presented with generalized abdominal pain, nausea, vomiting, diarrhea anorexia for 1 month unintended...