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Hepatobiliary and Pancreatic: an Unusual Cause of Biliary Obstruction

Saraiva, R; Gamelas, V; Canha, MI; Carvalho, D; Loureiro, R; Coimbra, 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


Primary Liver Lymphoma Presenting as Liver Nodules

Silva, JM; Ornelas Saraiva, R; Simões, G; Araújo, C; Calinas, F; Coimbra, J

The liver is usually affected in advanced stages of lympho-proliferative diseases, but primary liver lymphomas (PLLs) are rare. The diagnosis is usually late, especially in patients without identifiable risk factors, with consequent worse prognosis. We report the case of a 59-year-old female with progressive worsening pain in the right hypochondrium and weight loss. She was previously healthy and had a family h...


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...


A Challenging Abdominal Pain

Rocha, M; Mateus Dias, A; Coimbra, J


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...


Chitosan-genipin film, a sustainable methodology for wine preservation

Nunes, C; Maricato, É; Cunha, Â; Rocha, MAM; Santos, S; Ferreira, P; Silva, MA; Rodrigues, A; Amado, O; Coimbra, J; Silva, D; Moreira, A; Mendo, S

A novel approach is described using chitosan-genipin films as a sustainable method for wine preservation. Films prepared from fungi and from shrimp by-products showed similar mechanical and chemical properties. In addition, shrimp derived films showed no IgE positive reaction against shellfish allergenic compounds. The chitosan-genipin films were used to produce white wines without the addition of sulphur dioxi...


Outcomes of endoscopic management of primary and refractory postcholecystectomy...

Canena, J; Horta, D; Coimbra, J; Meireles, L; Russo, P; Marques, I, e outros

BACKGROUND: Biliary leaks have been treated with endoscopic management using different techniques with conflicting results. Furthermore the appropriate rescue therapy for refractory leaks has not been established. We evaluated the clinical effectiveness of initial endotherapy for postcholecystectomy biliary leaks using an homogenous approach (sphincterotomy + placement of a 10-French plastic stent) in a large s...


Pneumatose Cólica Tratada com Metronidazol e Oxigenoterapia Hiperbárica: um Cas...

Costa, M; Morgado, C; Andrade, D; Guerreiro, F; Coimbra, J

A pneumatose intestinal, caracterizada pela presença de gás na parede do cólon, é uma condição incomum com um espectro de apresentação variável. Pode ser idiopática ou secundária a outras doenças. A tomografia computorizada é o método de diagnóstico com maior sensibilidade. Na ausência de sinais e sintomas sugestivos de complicações, como a perfuração e a peritonite, a pneumatose intestinal pode ser tratada de ...


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