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Trousseau Syndrome and gastric stump adenocarcinom
Couto, Gilberto; Vasconcelos Esteves, Artur; Picão Fernandes, Joaquim; Carneiro de Moura, MiguelAn 82-year-old man, with a previous partial gastrectomy, presented to our hospital with thrombosis of the right popliteal vein. Investigation revealed a gastric stump adenocarcinoma with liver metastasis. We discuss the higher risk of cancer after gastrectomy for benign diseases and the possible, but unusual form of presentation as a paraneoplastic syndrome.; Relata-se o caso clínico de um homem de 82 anos de i...
Long-term enteral nutrition by percutaneous endoscopic gastrostomy
Cortez-Pinto, Helena; Tavares, M. Lourdes; Camilo, M. Ermelinda; Carneiro de Moura, MiguelLong-term enteral nutrition requires an access which provides comfort and efficacy. The development of percutaneous endoscopic gastrostomy has been of particular value to patients with mechanical problems of swallowing, such as this one with a pharyngostoma after resection of a pharyngeal neoplasia.; A nutrição entérica de longa duração exige uma via de acesso com o maior conforto e eficácia. Estes objectivos ...
Medical responsability
Carneiro de Moura, MiguelThe Author stress ses the change introduced in Clinical Medicina by the advent of modern technologies and by a more informed and demanding patient population. A new physician-patient relationship has emerged in which the physician is not the central player anymore. Reflection is clearly needed on the new bioethical and humanistic values in this relationship. According to the Author, the physician should reco...