25 documents found, page 1 of 3
Endoscopic Management of Symptomatic Duodenal Duplication Cysts: Two Case Reports
Campos,Sara Teles de; Rio-Tinto,Ricardo; Bispo,Miguel; Marques,Susana; Fidalgo,Paulo; Devière,JacquesAbstract Background: Duodenal duplication cysts (DDCs) are rare congenital anomalies typically manifesting during childhood. Clinical manifestations are uncommon in adulthood. DDCs were classically treated surgically, but endoscopic treatment has been increasingly reported. Endoscopic cyst marsupialization establishes a communication between the cyst cavity and the duodenal lumen so that the cystic content can ...
Endoscopic Reconstruction of an Oral Feeding Route Using a Rendezvous Approach
Campos,Sara Teles de; Rio-Tinto,Ricardo; Fidalgo,Paulo; Bispo,Miguel; Marques,Susana; Devière,JacquesAbstract Background: The approach to esophageal obstruction or discontinuity remains challenging and often involves complex reconstructive surgeries. The rendezvous endoscopic technique might be interesting in cases of complete esophageal obstruction. Case Presentation: Herein we describe a successful case of endoscopic recanalization of the esophageal lumen in a patient with a long-standing esophageal disconti...
Palliative Care Competencies in Nephrology: A Scoping Review
Mateus,Ana; Farinha,Ana; Araújo,Manuel; Marques,Susana; Mapril,Joana; Grafino,Mafalda; Pais,Maria João; Capelas,Manuel LuísABSTRACT Introduction: There is a growing need to train nonpalliative physicians in palliative care, as it is increasingly recognized by the medical profession. Political and opinion leaders are also becoming aware of the urgent and growing need for palliative care education. Objective: The aim of this study is to provide an overview of the information available in the literature on the topic of palliative care...
Endoscopic Ultrasound-Guided Celiac Plexus Interventions
Moutinho-Ribeiro,Pedro; Costa-Moreira,Pedro; Caldeira,Ana; Leite,Sílvia; Marques,Susana; Moreira,Teresa; Nunes,Nuno; Bispo,MiguelAbstract: Abdominal pain related to pancreatic disease is often extremely disabling. Endoscopic ultrasound (EUS)-guided celiac plexus block (CPB) is used to control pain associated with chronic pancreatitis. EUS-guided celiac plexus neurolysis (CPN) is typically used to reduce pain associated with pancreatic cancer and can be considered early at the time of diagnosis of inoperable disease. EUS-guided celiac ple...
GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Co...
Pereira,Flávio; Caldeira,Ana; Leite,Sílvia; Marques,Susana; Moreira,Teresa; Moutinho-Ribeiro,Pedro; Nunes,Nuno; Bispo,MiguelAbstract: Pancreatic and peripancreatic collections (PPC) are a known complication of acute pancreatitis. They are categorized into four types of collection: (1) acute peripancreatic fluid collection, (2) pseudocyst, (3) acute necrotic collection and (4) walled-off necrosis. Most PPC resolve spontaneously or are persistent but asymptomatic. Intervention is needed in a minority of patients with infected or sympt...
GRUPUGE Perspective: Endoscopic Ultrasound-Guided Fine-Needle Tattooing and Fid...
Marques,Susana; Bispo,Miguel; Leite,Sílvia; Moreira,Teresa; Caldeira,Ana; Moutinho-Ribeiro,Pedro; Nunes,NunoAbstract: In the last 2 decades, endoscopic ultrasound (EUS) has become an important procedure for the diagnosis and management of several pancreatic diseases, including pancreatic cancer. This article presents two recently developed EUS-guided techniques for the management of pancreatic cancer: fine-needle tattooing and fiducial placement. Preoperative EUS-guided fine-needle tattooing of small pancreatic tumor...
The Role of Endoscopic Ultrasound in Pancreatic Cancer Staging in the Era of Ne...
Bispo,Miguel; Marques,Susana; Rio-Tinto,Ricardo; Fidalgo,Paulo; Devière,JacquesAbstract: Precise staging of pancreatic cancer is crucial for treatment choice. In clinical practice, this includes the TNM staging and determination of tumour resectability, based on a multimodality imaging workup. International guidelines recommend multi-detector computed tomography (CT), with a dedicated pancreatic protocol, as the first-line tool for TNM staging and evaluation of tumour-vessel relationships...
GRUPUGE PERSPECTIVE: Endoscopic Ultrasound-Guided Biliary Drainage
Nunes,Nuno; Lima,Margarida Flor de; Caldeira,Ana; Leite,Sílvia; Marques,Susana; Moreira,Teresa; Moutinho-Ribeiro,Pedro; Bispo,MiguelAbstract: Endoscopic ultrasound-guided biliary drainage (EUS-BD) is an alternative to percutaneous and surgical drainage in bile duct obstruction when endoscopic retrograde cholangiopancreatography fails. EUS-BD can be achieved with several techniques, including EUS-guided hepaticogastrostomy (HGS), anterograde transpapillary stent placement, choledochoduodenostomy (CDS), and rendez-vous technique. Lately, with...
The Impact of Recent Advances in Endoscopic Ultrasound-Guided Tissue Acquisitio...
Marques,Susana; Bispo,Miguel; Rio-Tinto,Ricardo; Fidalgo,Paulo; Devière,JacquesAbstract: Over the last few decades, endoscopic ultrasound (EUS)-guided tissue acquisition has become the method of choice for the pathological diagnosis of solid pancreatic lesions. Due to its high diagnostic yield and low complication rate, EUS-guided tissue acquisition has surpassed percutaneous sampling techniques. For many years, EUS-guided fine-needle aspiration (EUS-FNA) was traditionally used to obtain ...
Imunoterapia com aeroalergénios em tempos de COVID-19
Cosme,Joana; Santos,Amélia Spínola; Resende,Anabela; Marques,Susana; Pedro,ElisaRESUMO Fundamentos: A imunoterapia subcutânea a aeroalergénios (ITASC) foi suspensa em alguns serviços durante o confinamento em contexto da pandemia por COVID‑19. Objetivos: Avaliar o impacto da suspensão da ITASC nos sintomas, necessidade de medicação de controlo e qualidade de vida e, ainda, conhecer as expectativas e grau de segurança/receio dos doentes em voltar ao hospital. Métodos: Inquérito anónimo para...