- Esophageal and GI Pathology
- Gallbladder and Bile Duct Disorders
- Pancreatic and Hepatic Oncology Research
- Pancreatitis Pathology and Treatment
- Pediatric Hepatobiliary Diseases and Treatments
- Liver Disease Diagnosis and Treatment
- Gastrointestinal disorders and treatments
- Gastroesophageal reflux and treatments
- Bariatric Surgery and Outcomes
- Gastric Cancer Management and Outcomes
- Biliary and Gastrointestinal Fistulas
- Liver Disease and Transplantation
- Esophageal Cancer Research and Treatment
- Dysphagia Assessment and Management
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Gastrointestinal Bleeding Diagnosis and Treatment
- Eosinophilic Esophagitis
- Diet and metabolism studies
- Gastrointestinal Tumor Research and Treatment
- Colorectal Cancer Screening and Detection
- Tracheal and airway disorders
- Alcohol Consumption and Health Effects
- Neuroendocrine Tumor Research Advances
- Helicobacter pylori-related gastroenterology studies
- Organ Transplantation Techniques and Outcomes
Erasmus Hospital
2016-2025
Université Libre de Bruxelles
2016-2025
Champalimaud Foundation
2018-2024
Hospital Prof. Dr. Fernando Fonseca
2023
Mie University Hospital
2021-2023
Hospital Santo António dos Capuchos
2023
Hospital de Santo António
2023
University of Minho
2023
AdventHealth Orlando
2017
Sorbonne Université
2016
Main Recommendations ESGE recommends against routine preoperative biliary drainage in patients with malignant extrahepatic obstruction; should be reserved for cholangitis, severe symptomatic jaundice (e. g., intense pruritus), or delayed surgery, before neoadjuvant chemotherapy jaundiced patients. Strong recommendation, moderate quality evidence. the endoscopic placement of a 10-mm diameter self-expandable metal stent (SEMS) obstruction. SEMS insertion palliative high uncovered obstruction...
This Guideline is an official statement of the European Society Gastrointestinal Endoscopy (ESGE). It addresses prophylaxis post-endoscopic retrograde cholangiopancreatography (post-ERCP) pancreatitis. <b>Main recommendations</b> <b>1</b> ESGE recommends routine rectal administration 100 mg diclofenac or indomethacin immediately before after ERCP in all patients without contraindication. In addition to this, case high risk for post-ERCP pancreatitis (PEP), placement a 5-Fr prophylactic...
This Guideline is an official statement of the European Society Gastrointestinal Endoscopy (ESGE). It provides practical advice on how to achieve successful cannulation and sphincterotomy at minimum risk patient. The Grading Recommendations Assessment, Development, Evaluation (GRADE) system was adopted define strength recommendations quality evidence. <b>Main recommendations</b> <b>1 </b>ESGE suggests that difficult biliary defined by presence one or more following: than 5 contacts with...
This article is part of a combined publication that expresses the current view European Society Gastrointestinal Endoscopy about endoscopic biliary stenting. The present Clinical Guideline describes short-term and long-term results stenting depending on indications stent models; it makes recommendations when, how, with which to perform drainage in most common clinical settings, including patients potentially resectable malignant obstruction those who require palliative bile duct or hilar...
MAIN RECOMMENDATION 1 ESGE suggests using contrast-enhanced computed tomography (CT) as the first-line imaging modality on admission when indicated and up to 4th week from onset in absence of contraindications. Magnetic resonance (MRI) may be used instead CT patients with contraindications CT, after invasive intervention is considered because contents (liquid vs. solid) pancreatic collections are better characterized by MRI evaluation duct integrity possible. Weak recommendation, low quality...
PURPOSE: To assess the utility of dynamic MR pancreatography in evaluation behavior pancreatic duct after secretin stimulation and to estimate exocrine reserve patients suspected having acute recurrent or chronic pancreatitis. MATERIALS AND METHODS: Ten healthy volunteers 13 disease no obvious markers pancreatitis were studied. Single-shot turbo spin-echo T2-weighted pancreatograms obtained before every 30 seconds during 10 minutes administration. Morphologic features diameter monitored...
An ingestible capsule consisting of an endoscope equipped with a video camera at both ends was designed to explore the colon. This study compared endoscopy optical colonoscopy for detection colorectal polyps and cancer.We performed prospective, multicenter comparing (the standard comparison) in cohort patients known or suspected colonic disease cancer. Patients underwent adapted colon preparation, cleanliness graded from poor excellent. We computed sensitivity specificity polyps, advanced...
ESGE suggests endoscopic therapy and/or extracorporeal shockwave lithotripsy (ESWL) as the first-line for painful uncomplicated chronic pancreatitis (CP) with an obstructed main pancreatic duct (MPD) in head/body of pancreas. The clinical response should be evaluated at 6 - 8 weeks; if it appears unsatisfactory, patient's case discussed again a multidisciplinary team and surgical options considered.Weak recommendation, low quality evidence.ESGE suggests, selection patients initial or...
Pancreatitis is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). Risk factors for post-ERCP pancreatitis (PEP) are both patient-related and procedure-related. Identification patients at high risk PEP important in order to target prophylactic measures. Prevention includes administration nonsteroidal inflammatory drugs (NSAIDs), use specific cannulation techniques, placement temporary pancreatic stents. The aim this guideline commissioned by European...
AIM:To evaluate the ability of endoscopic ultrasound (EUS) elastography to distinguish benign from malignant pancreatic masses and lymph nodes. METHODS:A multicenter study was conducted included 222 patients who underwent EUS examination with assessment a mass (n = 121) or node 101).The classification as malignant, based on real time pattern, compared B-mode images final diagnosis obtained by EUS-guided fine needle aspiration (EUS-FNA) and/or surgical pathology.An interobserver performed....
The duodenum has become a metabolic treatment target through bariatric surgery learnings and the specific observation that bypassing, excluding or altering duodenal nutrient exposure elicits favourable changes. Duodenal mucosal resurfacing (DMR) is novel endoscopic procedure been shown to improve glycaemic control in people with type 2 diabetes mellitus (T2D) irrespective of body mass index (BMI) DMR involves catheter-based circumferential lifting followed by hydrothermal ablation mucosa....
The role of the anti–inflammatory cytokine interleukin–10 (IL–10) was investigated in mouse model liver injury induced by carbon tetrachloride (CCl 4 ). To address endogenous IL–10 production, acute hepatitis CCl C57Bl/6 gene knock out (KO) and wild–type (WT) mice. After challenge, serum levels tumor necrosis factor–alpha (TNF–α) transforming growth factor–beta 1 (TGF–β1) increased were significantly higher KO mice, whereas IL–6 only slightly compared with WT At histological examination,...
Reoperations for complications of bariatric surgery are associated with high morbidity and mortality. It is not known whether endoscopic treatment may reduce reoperation rates.Twenty-one patients underwent persisting large anastomotic leaks before considering redo surgery. Eight had a gastric bypass, eight sleeve gastrectomy combined duodenal switch (SDS), four alone, one Scopinaro procedure (biliopancreatic diversion). Fistulas were gastrocutaneous in 15 patients, duodenocutaneous 2,...