6 documents found, page 1 of 1

Treat-to-Target in Inflammatory Bowel Disease: An Updated Survey of Treatment St...

Abstract Background: In 2018, the authors surveyed the clinical practices among Portuguese gastroenterologists (PGEs) regarding treatment targets in Crohn’s disease (CD) and ulcerative colitis (UC). Since then, new evidence has emerged supporting additional targets, such as transmural remission and histological remission. This study provides an updated assessment of treatment practices among PGE with special em...

The First Reported Case of Peroral Endoscopic Myotomy in a Child in Portugal

Abstract Introduction: Achalasia is a rare disorder, with few cases occurring during childhood. It is also part of the Allgrove syndrome phenotype and a clinical feature that has a major impact on children’s development. Timely diagnosis and effective treatment of symptoms are essential. The novel peroral endoscopic myotomy (POEM) may represent an effective alternative in children. Case Presentation: We present...

The Confusion Assessment Method for Intensive Care Unit: A Large Cohort Validat...

Abstract Introduction: The Confusion Assessment Method for Intensive Care Unit (CAM-ICU) is of great potential value in the emergency department (ED). However, there is still uncertainty about its diagnostic accuracy and reliability, with studies warranting larger cohorts. In one of the largest and most heterogeneous cohorts considered to date, the aim was to validate and explore the applicability of the CAM-IC...

A Propósito de “Ventilação Não Invasiva: Como Identificar a Resposta Terapêutica?

Terapêutica de Manutenção da Remissão na Colite Ulcerosa Moderada a Grave

INTRODUÇÃO: A Colite Ulcerosa (CU) é uma doença inflamatória crónica com grande impacto na qualidade de vida. As formas mais extensas de CU conferem um maior risco de mortalidade e de carcinoma colo-rectal. Na doença moderada a grave, corticodependente ou corticoresistente, recomenda-se a utilização de um imunossupressor com o objectivo de induzir e manter a remissão e de poupar os corticosteróides. OBJECTIVOS:...

Successful Conservative Management of Emphysematous Phlegmonous Gastritis: A Ca...

BACKGROUND: Acute phlegmonous gastritis is a suppurative bacterial infection of the stomach first described by Curveilhier in 1820. The two variants which have been described are the emphysematous and the necrotizing variant. CASE REPORT: A 30 year old male presented with vomiting and diarrhea over 24 hours. Laboratory tests revealed leukocytosis, neutrophilia and raised C reactive Protein (CRP) levels. The abd...