13 documents found, page 1 of 2

Effectiveness of First-Line Empirical Treatment in Portugal: Data from the Euro...

Abstract Introduction: As Portugal exhibits some of the highest gastric cancer rates in Europe, optimizing the Helicobacter pylori eradication rate is imperative. We aimed to describe H. pylori treatment regimens in Portugal, within a real clinical practice setting. Methods: This is a prospective cohort study of the Portuguese patients diagnosed with H. pylori between May 2013 and December 2022, within the Euro...

The Effect of Oral Simethicone in a Bowel Preparation in a Colorectal Cancer Sc...

Abstract Introduction: Current guidelines suggest adding oral simethicone to bowel preparation for colonoscopy. However, its effect on key quality indicators for screening colonoscopy remains unclear. The primary aim was to assess the rate of adequate bowel preparation in split-dose high-volume polyethylene glycol (PEG), with or without simethicone. Methods: This is an endoscopist-blinded, randomized controlled...

Cap-Assisted Endoscopic Mucosal Resection for Rectal Neuroendocrine Tumors: An ...

Abstract Introduction: The incidence of rectal neuroendocrine tumors (r-NETs) is increasing, and most small r-NETs can be treated endoscopically. The optimal endoscopic approach is still debatable. Conventional endoscopic mucosal resection (EMR) leads to frequent incomplete resection. Endoscopic submucosal dissection (ESD) allows higher complete resection rates but is also associated with higher complication ra...

Keeping the Path towards Even Brighter Times

The Impact of a Structured Virtual Reality Simulation Training Curriculum for N...

Abstract Background: Current evidence supports the use of virtual reality (VR) simulation-based training for novice endoscopists. However, there is still a need for a standardized induction programme which ensures sufficient preparation, with knowledge and basic skills, before their approach to patient-based training. We designed a structured progressive programme in upper endoscopy and colonoscopy and aimed to...

Should Colorectal Cancer Screening in Portugal Start at the Age of 45 Years? A ...

Abstract: Background and Objective: Colorectal cancer (CRC) is one of the most common cancers in Europe. Recently, new data from the USA and Europe revealed an increase in the incidence of CRC in individuals aged <55 years and a reduction in those aged >65 years. Mortality rate was stable in patients aged <55 years and decreased after the age of 55 years. Based on the USA data, the American Cancer Society (ACS)...

Gastric Hyperplastic Polyps: A Benign Entity? Analysis of Recurrence and Neopla...

Abstract: Introduction: Hyperplastic polyps represent 30-93% of all gastric epithelial polyps. They are generally detected as innocuous incidental findings; however, they have a risk of neoplastic transformation and recurrence. Frequency and risk factors for neoplastic transformation and recurrence are not well established and are fields of ongoing interest. This study aims to evaluate the frequency of and iden...

Impact of Personalised Patient Education on Bowel Preparation for Colonoscopy: ...

Background: Adequate bowel preparation is one of the most important quality factors of colonoscopy. Our goal was to analyse the impact of personalised patient education on bowel cleansing preparation for colonoscopy. Methods: We performed a single-blinded, single-centre, prospective randomised trial, where patients were either allocated to a control group, where they received some predefined oral and written in...

Quality in Colonoscopy: Beyond the Adenoma Detection Rate Fever

Background: Colonoscopy quality is a hot topic in gastroenterological communities, with several actual guidelines focusing on this aspect. Although the adenoma detection rate (ADR) is the single most important indicator, several other metrics are described and need reporting. Electronic medical reports are essential for the audit of quality indicators; nevertheless, they have proved not to be faultless. Aim: Th...

One day of upper gastrointestinal endoscopy in a southern European country

Introduction: Upper gastrointestinal (UGI) endoscopic outcomes are seldom described. Objectives: To assess UGI endoscopy performance in all Portugal’s National Health Service hospitals and assess the prevalence of premalignant gastric lesions. Methods: One randomly assigned day, cross-sectional study of UGI endoscopies. Results: 28% of the 43 hospitals invited actually participated in the study, reporting a tot...