10 documents found, page 1 of 1

Office-Based Procedures in the Management of Hemorrhoidal Disease: Rubber Band ...

Abstract Introduction: The most frequently used office-based procedures in hemorrhoidal disease (HD) are rubber band ligation (RBL) and sclerotherapy. Few studies have been published comparing the various types of instrumental therapy. The aim of this systematic review and meta-analysis was to compare the efficacy and safety of sclerotherapy and RBL. Methods: Three online databases were searched. Efficacy (cont...

Portuguese Society of Gastroenterology Consensus on the Diagnosis and Managemen...

Hemorrhoidal disease (HD) is a frequent health problem with considerable repercussions on patients’ quality of life. However, much of the clinical practice related to HD is based on knowledge without scientific evidence and supported largely by empirical experience of the physician who deals with this pathology. As in other countries, the goal of this consensus is to establish statements supported by solid scie...

Irritable Bowel Syndrome: News from na Old Disorder

Irritable bowel syndrome (IBS) is a functional gastrointestinal (GI) disorder, which can affect all members of a society, regardless of age, sex, race or socioeconomic status. Because of its high prevalence and chronic nature, it represents a significant economic burden. In fact, these patients have a relevant impairment of their quality of life, which limits their work productivity and daily social activities,...

Preoperative Enteral Nutrition and Surgical Outcomes in Adults with Crohn’s Dis...

Background and Aim: Enteral nutrition (EN) is applicable to adult Crohn’s disease (CD) in treating malnutrition and in inducing remission - here as a less effective alternative than corticosteroids. The purpose of this review is to determine whether preoperative EN impacts postoperative complications of adult CD, either by means of nutritional or therapeutic effects. Summary: A systematic review of English writ...

Mediastinal Mass in a Patient with Colorectal Cancer: A Diagnostic Challenge

The differential diagnosis of mediastinal masses involves many benign and malignant conditions, such as lymphadenopathies and cystic lesions. Metastatic mediastinal adenopathies are usually due to lung, esophagus, and stomach cancer and, rarely, due to colorectal cancer. Gastrointestinal duplication cysts are uncommon inherited lesions usually diagnosed during childhood and may involve the esophagus in 20% of c...

Type 2 Autoimmune Pancreatitis: A Challenge in the Differential Diagnosis of a ...

Introduction: Autoimmune pancreatitis is a rare entity of unknown etiology that can mimic pancreatic cancer and whose diagnosis involves clinical, serological, imagiological, and histological findings. There are two types of autoimmune pancreatitis: type 1, in which the pancreas is involved as one part of a systemic immunoglobulin G4-related disease, and type 2, generally without immunoglobulin G4-positive cell...

Neuroendocrine Rectal Tumors: Main Features and Management

The incidence of neuroendocrine tumors of the rectum has been increasing in the last decades, partly due to improved investigation. They are mostly well-differentiated small tumors with a rather good overall prognosis. In the last few years, some aspects of neuroendocrine tumors have been evolving. In 2010, the World Health Organization proposed a new classification, indicating that these tumors, as a category,...

Endoscopic Ultrasound and Anal Pain: The Key to Diagnosis

Ecoendoscopia e lesões subepiteliais/compressões extrínsecas do tubo digestivo ...

INTRODUÇÃO: Introdução: A diferenciação entre compressão extrínseca e lesões subepiteliais e, no caso destas últimas, entre lesões benignas e malignas, é difícil durante a endoscopia convencional. OBJECTIVO: Determinar a utilidade da ecoendoscopia na avaliação das lesões subepiteliais/compressão extrínseca do tubo digestivo inferior. MATERIAL E MÉTODOS: Análise retrospectiva de 128 doentes submetidos a ecoendos...

História natural dos tumores mesenquimatosos do tubo digestivo superior e ecoen...

INTRODUÇÃO: A impossibilidade de definir pré-operatoriamente a evolução e o prognóstico dos tumores mesenquimatosos digestivos dificulta, frequentemente, a decisão terapêutica. OBJECTIVOS: avaliar a evolução dos tumores mesenquimatosos do tubo digestivo superior e definir que características ecoendoscópicas se associam a alteração da lesão inicial. MÉTODOS: avaliámos retrospectivamente as ecoendoscopias e os pr...