6 documents found, page 1 of 1
Predictive factors of spontaneous common bile duct clearance and unnecessary ER...
Correia, Fábio Pereira; Coelho, Henrique; Francisco, Mónica; Alexandrino, Gonçalo; Branco, Joana Carvalho; Canena, Jorge; Horta, DavidPublisher Copyright: © 2024; Background: Endoscopic retrograde cholangiopancreatography (ERCP) is the first-line procedure for choledocholithiasis treatment. However, it is associated with a 10 % rate of adverse events. Spontaneous migration of common bile duct (CBD) stones occurs in 6–33 % of choledocholithiasis cases, making ERCP avoidable. This study aimed to identify predictors of spontaneous CBD stones’ mi...
Recommendations for the Clinical Practice concerning the Use of Cholangiopancre...
Canena, Jorge; Pereira, Pedro; Bana E Costa, Tiago; Horta, David; Lourenço, Luís Carvalho; Rodrigues-Pinto, Eduardo; Tarrio, Isabel; Franco, Ana RitaPublisher Copyright: © 2025 The Author(s). Published by S. Karger AG, Basel.; After a consensus meeting including experts from all over the country (more than 6 years of experience, at least 50 procedures and their center perform more than 30 procedures/year), several recommendations were issued. Main recommendations: (1) Single-operator digital chol angioscopy is indicated in cases of undetermined biliary stri...
Primary Gastric Tuberculosis in an Immunocompetent Patient
Correia, Fábio Pereira; Martins Figueiredo, Luísa; Lourenço, Luís Carvalho; Santos, Sofia; Theias Manso, Rita; Horta, DavidGastrointestinal tuberculosis is an uncommon entity, in which clinical presentation can be widely variable, from mild and nonspecific symptoms to an acute abdomen and gastrointestinal bleeding. Gastric involvement by Mycobacterium tuberculosis is rare, especially when it occurs without other recognized infectious foci - primary gastric tuberculosis - with only a few reported cases. Endoscopic findings can be ve...
Efficacy and safety of primary, early and late needle-knife fistulotomy for bil...
Canena, Jorge; Lopes, Luís; Fernandes, João; Alexandrino, Gonçalo; Figueiredo, Luísa; Moreira, Marta; Araújo, Tarcísio; Lourenço, Luís; Horta, DavidEuropean Society of Gastrointestinal Endoscopy recommends needle-knife fistulotomy (NKF) as the preferred precut technique. However, there is little information on whether NKF performed at different times is associated with different success and adverse event rates. We compared the outcomes of 3 different timings of NKF. This was an observational study conducted at 4 institutions and this was a retrospective an...
Outcomes of Single-Operator Cholangioscopy-Guided Lithotripsy in Patients with ...
Canena, Jorge; Lopes, Luís; Fernandes, João; Alexandrino, Gonçalo; Lourenço, Luís; Libânio, Diogo; Horta, David; Giestas, Sílvia; Reis, JorgeBackground and Aims: Endoscopic retrograde cholangiopancreatography is the preferred strategy for the management of biliary and pancreatic duct stones. However, difficult stones occur, and electrohydraulic (EHL) and laser lithotripsy (LL) have emerged as treatment modalities for ductal clearance. Recently, single-operator cholangioscopy was introduced, permitting the routine use of these techniques. We aimed to...
Outcomes of endoscopic management of primary and refractory postcholecystectomy...
Canena, Jorge; Horta, David; Coimbra, João; Meireles, Liliane; Russo, Pedro; Marques, Inês; Ricardo, Leonel; Rodrigues, Catarina; Capela, TiagoBackground: 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...