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Endoscopic Retrograde Cholangiopancreatography on Pediatric Patients: Experienc...

Abstract Introduction: Experience with endoscopic retrograde cholangiopancreatography (ERCP) in the pediatric population is limited. Few medical centers have experts specifically trained in pediatric therapeutic endoscopy. As a result, patients are generally referred to adult endoscopists with high experience in the procedure. The aim of this study was to characterize the experience of an adult endoscopy unit w...

Avaliação das práticas dos profissionais de saúde na contraceção após o parto -...

Resumo Introdução e objetivos: A gravidez constitui uma oportunidade para realizar aconselhamento contracetivo para o pós-parto, sendo este importante para reduzir a taxa de gravidez não desejada. Com o objetivo de conhecer as atitudes, comportamentos e preocupações dos profissionais de saúde sobre a contraceção no pós-parto foi realizado um estudo multicêntrico em Portugal. Desenho do estudo, população e metod...

Primary Liver Lymphoma Presenting as Liver Nodules

Abstract: The liver is usually affected in advanced stages of lymphoproliferative 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...

Comments on “Endoscopic Management of Sigmoid Volvulus in a Debilitated Populat...

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

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...

The Portuguese obstetricians’ preconception counselling during COVID19 pandemic

Abstract Overview and Aims: During the COVID19 pandemic, preconception counselling has been a big challenge for health professionals, due to the potential complications of this infection during pregnancy. This study aimed to evaluate the preconception counselling of the Portuguese Obstetricians. Study Design: Cross-sectional study. Population: Portuguese Obstetricians and residents in Obstetrics and Gynaecology...

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

Background and Aims: 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...

IgA Nephropathy with Thrombotic microangiopathy: Is this secondary thrombotic m...

IgA Nephropathy (IgAN) is the most prevalent biopsy-proven primary glomerular disease worldwide. Historically, thrombotic microangiopathy (TMA) was associated with IgAN in cases of severe hypertension or advanced chronic kidney disease, but recent data suggest that complement activation plays a crucial role in the development of TMA in IgAN. We report a case of Crescentic IgAN with complement-mediated TMA (C-TM...

Litíase biliar em idade pediátrica: que abordagem?

Causa rara de icterícia obstrutiva

A hemobilia é uma afecção rara, que < 10% dos casos está associada a neoplasias hepáticas ou intra‑biliares. Apresentamos um doente com cirrose hepática alcoólica, internado por icterícia e colúria. A colangiopancreatografi a retrógrada endoscópica (CPRE) não revelou dilatação ou alterações endoluminais da via biliar principal, tendo‑se extraído microcálculos após exploração com balão de Forgaty e cesto de Dorm...