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Avaliação do impacto de uma Dieta Hipoenergética cetogénica versus uma Dieta Hi...

Moreira, Pedro; Capela, T; Ferreira , A; Figueiredo, L; Bruno M P M Oliveira; Magalhães, J; Costa, W; Ribeiro, A; Fonseca, F; Pinto, R; Cotter, J


Response Regarding: Endoscopic Management of Sigmoid Volvulus in a Debilitated ...

Simões, G; Coelho da Rocha, M; Capela, T; Silva, MJ; Ramos, G; Coimbra, J


Endoscopic Management of Sigmoid Volvulus in a Debilitated Population: What Rel...

Coelho da Rocha, M; Capela, T; Silva, MJ; Ramos, G; Coimbra, J

Background: Colonic volvulus, mainly from the sigmoid, is a relatively common cause of intestinal obstruction, particularly in the elderly and in patients with debilitating conditions. The high morbi-mortality of emergency surgery places the endoscopic approach as the first-line treatment for the resolution of this acute obstructive condition. Objectives: To assess the importance of endoscopic treatment for the...


Intestinal Obstruction of Uncommon Cause and Point-of-Care Ultrasonography - Wh...

Capela, T; Sousa, P; Caldeira, A; Pereira, E

Malignant neoplasms of the small bowel, especially from the jejunum, are among the rarest types of cancer. Given its location, a delayed diagnosis is frequent and sometimes only made in an emergency context. The authors present a case of intestinal obstruction, where ultrasonography was pivotal in establishing a diagnosis. Point-of-care ultrasonography seems to be particularly sensitive in assessing emergency p...


Outcomes of Different Methods for Analysis of Biliary Brush Cytology and of Fac...

Costa, M; Canena, J; Mascarenhas-Lemos, L; Loureiro, R; Silva, M; Carvalho, D; Capela, T; Russo, P; Ramos, G; Mateus-Dias, A; Ferraz-Oliveira, M

Brush cytology during endoscopic retrograde cholangiopancreatography (ERCP) is the most frequently used strategy for obtaining a tissue sample from an indeterminate biliary stricture. A recent study reported that age is a factor associated with positive yields, but further analysis of how age influences the results was lacking. We aimed to evaluate clinical effectiveness of biliary cytology and prognostic facto...


Anorectal Involvement in a Patient with Multiple Myeloma

Russo, P; Tomé, AL; Capela, T; Bettencourt, MJ

Multiple myeloma is a neoplastic proliferation of monoclonal plasma cells. Symptomatic gastrointestinal involvement is uncommon. We report the case of a 45-year-old patient admitted with an anorectal polypoid lesion, which progressed to colonic obstruction. Investigation revealed a secondary plasmacytoma associated with multiple myeloma. We discuss the characteristics of this rare entity with poor prognosis, it...


Endoscopic Treatment of Early Gastric Obstruction After Sleeve Gastrectomy: Rep...

Costa, M; Capela, T; Seves, I; Ribeiro, R; Rio-Tinto, R

Morbid obesity is an epidemic and complex disease which imposes a multidisciplinary approach. Laparoscopic sleeve gastrectomy has become a frequent procedure given its effi- cacy and safety compared to other surgical options. However, it isn’t free from complications. Lax gastric fixation or incorrect positioning of the stomach during surgery can result in early gastric outlet obstruction caused by a volvulus-lik...


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