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Capsule endoscopy: Is the software TOP 100 a reliable tool in suspected small b...

Arieira, Cátia; Monteiro, Sara; Dias de Castro, Francisca; Boal Carvalho, Pedro; Rosa, Bruno; Moreira, Maria João; Cotter, José Almeida Berkeley

Small bowel capsule endoscopy (SBCE) is the reference standard tool for diagnosing small bowel bleeding (SBB). The "TOP 100", which performs an automatic selection of the 100 images that mostly likely contain abnormalities, emerged as a new functionality of the RAPID Reader® software in 2017. Background Small bowel capsule endoscopy (SBCE) is the reference standard tool for diagnosing small bowel bleeding (SBB)...


Esophagogastroduodenoscopy findings in patients on the waiting list for bariatr...

Arieira, Cátia; Carvalho, Pedro Boal; Castro, Francisca Dias de; Cotter, José Almeida Berkeley

Background: Bariatric surgery (BS) is one of the most effective approaches to weight loss. Performing esophagogastroduodenoscopy (EGD) prior to BS is controversial but allows the detection and treatment of mucosal lesions that may affect surgical decision and type of surgery. Aim: The aim of this study was to identify the frequency of gastric lesions and Helicobacter pylori (Hp) infection in a group of asymptom...


Hepatic steatosis and patients with inflammatory bowel disease: when transient ...

Arieira, Cátia; Monteiro, Sara; Xavier, Sofia; Dias de Castro, Francisca; Magalhães, Joana; Moreira, Maria J.; Marinho, Carla

Recent studies suggest an increased prevalence of hepatic steatosis (HS) in patients with inflammatory bowel disease (IBD). Features such as chronic inflammation, previous surgeries, drug-induced hepatotoxicity, malnutrition, and intestinal dysbiosis seem to be involved in its pathogenesis. Background Recent studies suggest an increased prevalence of hepatic steatosis (HS) in patients with inflammatory bowel di...


Bowel preparation for small bowel capsule endoscopy - The later, the better!

Xavier, S.; Rosa, B.; Monteiro, S.; Arieira, C.; Magalhães, R.; Cúrdia Gonçalves, T.; Boal Carvalho, P.; Magalhães, J.; Moreira, M. J.

In small bowel capsule endoscopy (SBCE), the presence of residue may compromise diagnostic accuracy. Background In small bowel capsule endoscopy (SBCE), the presence of residue may compromise diagnostic accuracy. Aims To assess differences in quality of visualisation and diagnostic yield of SBCE using 3 different preparation protocols. Methods Prospective, randomized, blind, pilot study. Protocol A:Clear liquid...


Primary colon mantle lymphoma: a misleading macroscopic appearance!

Arieira, Cátia; Castro, Francisca Dias de; Carvalho, Pedro Boal; Cotter, José Almeida Berkeley

Mantle cell lymphoma (MCL) of the colon is a rare entity, usually presenting as lymphomatous polyposis. We report the case of a 43-year-old male with an unusual colonic MCL in the form of a single exophytic and ulcerous lesion with necrotic areas associated with an ileo-cecal intussusception. The endoscopic appearance suggested adenocarcinoma. However, the diagnosis was made by histology and immunohistochemistr...


Optimizing the Risk Assessment in Upper Gastrointestinal Bleeding: Comparison o...

Cúrdia Gonçalves, Tiago; Barbosa, Mara; Xavier, Sofia; Boal Carvalho, Pedro; Firmino Machado, João; Magalhães, Joana; Marinho, Carla

Although different scores have been suggested to predict outcomes in the setting of upper gastrointestinal bleeding (UGIB), few comparative studies between simplified versions of older scores and recent scores have been published. We aimed to evaluate the accuracy of pre- (PreRS) and postendoscopic Rockall scores (PostRS), the Glasgow-Blatchford score (GBS) and its simplified version (sGBS), as well as the AIMS...


Common variable immunodeficiency-associated inflammatory enteropathy: the new e...

Arieira, Cátia; Castro, Francisca Dias de; Moreira, Maria João; Cotter, José Almeida Berkeley

Common variable immunodeficiency (CVID) is the most frequent form of immunodeficiency in adults. Clinical manifestations are heterogeneous with an increased susceptibility to infections and inflammatory conditions, namely autoimmune diseases, such as inflammatory bowel disease. We present the clinical case of a Caucasian female patient, 21 years old, with a past medical history of CVID, with multiple visits to ...


Assessment of prognostic performance of Albumin-Bilirubin, Child-Pugh, and Mode...

Xavier, Sofia A.; Vilas-Boas, Ricardo; Boal Carvalho, Pedro; Magalhães, Joana T.; Marinho, Carla M.; Cotter, José Almeida Berkeley

The Albumin-Bilirubin (ALBI) score was developed recently to assess the severity of liver dysfunction. We aimed to assess its prognostic performance in patients with liver cirrhosis complicated with upper gastrointestinal bleeding (UGIB) while comparing it with Child-Pugh (CP) and Model for End-stage Liver Disease (MELD) scores.


Preguntas y errores en el diagnóstico y manejo de la anemia en pacientes con he...

Mearin, Fermín; Lanas, Ángel; Bujanda, Luis; Canelles, Pilar; Cotter, José Almeida Berkeley; Hervás, Antonio; Argila, Carlos Martín de; Montoro, Miguel

Despite high prevalence of iron deficiency anemia (IDA) in patients with acute or chronic gastrointestinal bleeding (GIB), IDA and iron deficiency (ID) are frequently untreated. Reasons may be misconceptions about the impact and diagnosis of IDA and the efficacy of new treatments. Addressing these misconceptions, this article summarizes current evidence for better understanding and management of GIB-associated ...


Strangulated Spiegel's hernia mimicking ischaemic colitis: endoscopic diagnosis...

Cúrdia Gonçalves, Tiago; Monteiro, Sara; Marinho, Carla; Cotter, José Almeida Berkeley


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