Resumo Contexto: A síndrome do intestino curto constitui uma condição clínica devastadora e mal-absortiva, sendo a causa mais comum de falência intestinal crónica (FIC). Estes doentes carecem de suporte parentérico durante meses ou anos, idealmente em ambulatório, reduzindo as suas limitações no seu dia-a-dia. Sumário: Em Portugal, a Norma 017/2020 constituiu um primeiro passo oficial na abordagem da FIC, abrang...
Resumo Este artigo aborda os lugares de Lisboa onde, no século XVI e primeiras décadas da centúria seguinte, a população da cidade mais interagia de modo informal. Partindo de um conjunto de processos inquisitoriais que referem os locais em que surgiram conversas durante as quais foram reveladas infrações aos padrões religiosos ou morais dominantes, o objeto do presente trabalho consiste em identificar os lugar...
Abstract Background: Short bowel syndrome (SBS) is a devastating malabsorptive condition and the most common cause of chronic intestinal failure (CIF). During the intestinal rehabilitation process, patients may need parenteral support for months or years, parenteral nutrition (PN), or hydration/electrolyte supplementation, as a bridge for the desired enteral autonomy. Summary: Several classification criteria hav...
Abstract Introduction: Home parenteral nutrition (HPN) and/or home parenteral hydration (HPH) are the gold-standard treatment for patients with long-term intestinal failure (IF). The authors aimed to assess the impact of HPN/HPH on nutritional status and survival of long-term IF patients, as well as HPN/HPH-related complications. Methods: This was a retrospective study including IF patients under HPN/HPH follow...
Abstract Introduction: This study aimed to assess the clinical, economic, and humanistic impact of short-bowel syndrome/chronic intestinal failure (SBS/CIF) in Portugal. Methods: This is a retrospective multicenter cohort chart review study, with a cross-sectional component for quality-of-life (QoL) evaluation. Inclusion criteria comprised patients with SBS/CIF, aged ≥1 year, with stable parenteral nutrition (P...
Abstract: Introduction: Dieulafoy’s lesion (DL) is a rare but important cause of acute, severe, life-threatening, and recurrent upper gastrointestinal bleeding (UGIB). It is frequently difficult to diagnose DL with upper GI endoscopy (UGIE), and endoscopic ultrasonography (EUS) may be valuable. There are only 2 reported bleeding cases caused by two synchronous DL but no reported cases of two metachronous DL. Ca...
Abstract: Introduction: Since the rise of the COVID-19 pandemic there has been widespread concern regarding the possible delay in the diagnosis/treatment of cancer patients. We aimed to assess the impact of the COVID-19 pandemic on the diagnosis, treatment, and outcome of patients with digestive cancer. Methods: This was a retrospective study including patients with an inaugural digestive cancer diagnosis discu...
Background: Digestive tumours are among the leading causes of morbidity and mortality. Many cancer patients cannot maintain oral feeding and develop malnutrition. The authors aim to: review the endoscopic, radiologic and surgical techniques for nutritional support in cancer patients; address the strategies for nutritional intervention according to the selected technique; and establish a decision-making algorith...