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Candy cane syndrome: A systematic review

Rio-Tinto, R; Canena, J; Devière, J

Background: Candy cane syndrome (CCS) is a condition that occurs following gastrectomy or gastric bypass. CCS remains underrecognized, yet its prevalence is likely to rise due to the obesity epidemic and increased use of bariatric surgery. No previous literature review on this subject has been published. Aim: To collate the current knowledge on CCS. Methods: A literature search was conducted with PubMed and Goo...

Date: 2023   |   Origin: Saúde - CUF

Candy Cane Syndrome: A Systematic Review

Rio-Tinto, R; Canena, J; Devière, J

Background: Candy cane syndrome (CCS) is a condition that occurs following gastrectomy or gastric bypass. CCS remains underrecognized, yet its prevalence is likely to rise due to the obesity epidemic and increased use of bariatric surgery. No previous literature review on this subject has been published. Aim: To collate the current knowledge on CCS. Methods: A literature search was conducted with PubMed and Goo...


Factors Influencing Performance of Cholangioscopy-Guided Lithotripsy Including ...

Alexandrino, G; Lopes, L; Fernandes, J; Moreira, M; Araújo, T; Campos, S; Loureiro, R; Figueiredo, L; Lourenço, LC; Horta, D; Bana e Costa, T; Costa, P

Background: Peroral cholangioscopy (POC)-guided lithotripsy is an effective treatment for difficult biliary stones. A clear definition of factors associated with the efficacy of POC-guided lithotripsy in one session and the performance of electrohydraulic lithotripsy (EHL) and laser lithotripsy (LL) have not clearly emerged. Methods: This was a non-randomized prospective multicenter study of all consecutive pat...

Date: 2021   |   Origin: Saúde - CUF

Endoscopic Treatment of Post-Cholecystectomy Biliary Leaks

Rio-Tinto, R; Canena, J

Postcholecystectomy leaks may occur in 0.3-2.7% of patients. Bile leaks associated with laparoscopy are often more complex and difficult to treat than those occurring after open cholecystectomy. Furthermore, their incidence has remained unchanged despite improvements in laparoscopic training and technological developments. The management of biliary leaks has evolved from surgery into a minimally invasive endosc...


Should We Use Papilla Morphology to Estimate the Size of the Terminal Common Bi...

Lopes, L; Canena, J; Fernandes, J; Moreira, M; Costa, I; Gomes-Fonseca, J, et al.

Objective: A small common bile duct (CBD) diameter has been associated with complications and with a difficult biliary cannulation. Previous studies suggested that this diameter can be predicted during the endoscopic retrograde cholangiopancreatography (ERCP) simply by observing the papillary morphology. Despite this published suggestion there is no study addressing this topic. This study evaluated a possible a...


Outcomes of Single-Operator Cholangioscopy-Guided Lithotripsy in Patients with ...

Canena, J; Lopes, L; Fernandes, J, et al.

BACKGROUND AND AIMS: Endoscopic retrograde cholangiopancreatography is the preferred strategy for the management of biliary and pancreatic duct stones. However, difficult stones occur, and electrohydraulic (EHL) and laser lithotripsy (LL) have emerged as treatment modalities for ductal clearance. Recently, single-operator cholangioscopy was introduced, permitting the routine use of these techniques. We aimed to...


Chronic pancreatitis in children: treat like an adult?

Pereira, MP; Santos, F; Neto, AS; Canena, J

A 15-year-old boy with a medical background of obesity, familial hyperlipidemia and acute recurrent pancreatitis, presented to emergency department reporting a 3-day course of periumbilical abdominal pain and nausea. Pain was noticed on epigastric palpation. Laboratory evaluation revealed leucocytosis, neutrophilia and pancreatic enzymes elevation more than three times the upper limit of normal. An acute recurr...

Date: 2019   |   Origin: Saúde - CUF

Esophageal Anastomotic Stricturotomy: Electroincision Therapy with a Needle Knife

Fernandes, J; Libânio, D; Giestas, S; Ramada, J; Martinez-Ares, D; Canena, J; Lopes, L

Date: 2019   |   Origin: Saúde - CUF


Pancreatoscopy-guided laser lithotripsy in a patient with difficult ductal stone

Alexandrino, G; Lourenço, L; Rodrigues, C; Horta, D; Reis, J; Canena, J


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