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...
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...
Resumo Em 2019, na OCDE foram contabilizadas mais de três milhões de mortes que poderiam ter sido evitadas entre pessoas com menos de 75 anos, cerca de um quarto da totalidade das mortes contabilizadas. A principal causa de mortalidade prevenível em 2019 foi o tumor maligno (31%), entre o qual se destaca o cancro do pulmão. As principais causas de morte tratáveis em 2019 foram as doenças do sistema circulatório...
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...
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...
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...
Urbanization poses a serious threat to wildlife populations inhabiting native vegetation remnants surrounded by the expanding urban and suburban sprawl. The close contact with human activities causes not only direct impacts, such as habitat loss, but also indirect negative effects, such as population isolation, roadkills and anthropogenic fires. The Parque Nacional de Brasília is a large Cerrado remnant almost ...
Protected area networks are the cornerstone strategy for biodiversity conservation worldwide. They are efficient even in the face of human pressures. Brazil is a megadiverse country and for this reason it should not be left out of discussions on biodiversity conservation. Here we present a temporal and spatial analysis of the historical national investments in the country's protected area network. We compare th...
Introdução: A eficácia da colonoscopia depende de uma visualização adequada e cuidadosa de toda a mucosa cólica. A má qualidade da preparação intestinal é um problema comum na nossa prática clínica, estimando-se que afete cerca de 20% dos exames. Objetivo: Avaliar o impacto que o ensino personalizado ao doente pode ter na qualidade da preparação intestinal para a colonoscopia. Métodos: Durante 24 meses foi efet...