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Factors Influencing Performance of Cholangioscopy-Guided Lithotripsy Including ...

Alexandrino, G; Lopes, L; Fernandes, J; Moreira, M; Araújo, T; Campos, S; Loureiro, R; Figueiredo, L; Lourenço, LC; Horta, D; Bana e Costa, T; Costa, P

Background: Peroral cholangioscopy (POC)-guided lithotripsy is an effective treatment for difficult biliary stones. A clear definition of factors associated with the efficacy of POC-guided lithotripsy in one session and the performance of electrohydraulic lithotripsy (EHL) and laser lithotripsy (LL) have not clearly emerged. Methods: This was a non-randomized prospective multicenter study of all consecutive pat...

Date: 2021   |   Origin: Saúde - CUF

A complex case of low-phospholipid-associated cholelithiasis syndrome.

Figueiredo, LM; Lourenço, L; Horta, D; Martins, A

The low-phospholipid-associated cholelithiasis (LPAC) syndrome is a form of symptomatic and recurring cholelithiasis occurring in young adults, associated with mutations in the ABCB4 gene. It is a clinical syndrome characterized by at least two of the following criteria: age at onset of biliary symptoms below 40 years, intrahepatic echogenic foci or microlithiasis and recurrence of biliary symptoms after cholec...


Endoscopic therapy in disconnected duct syndrome: re-connecting the duct.

Figueiredo, LM; Lourenço, L; Horta, D; Martins, A

We report the case of a 61-year-old male patient with a history of acute necrotizing biliary pancreatitis and a disconnected duct syndrome. He underwent transgastric drainage using a luminal apposing metal stent and transgastric necrosectomy with complete resolution of the necrosis. A pancreatic fistula was identified during pancreatography and a pancreatic plastic stent was placed in order to manage the discon...




The impact and evolution of acute-on-chronic liver failure in decompensated cir...

Cardoso, M; Alexandrino, G; Carvalho E Branco J2, Anapaz V2, Carvalho R2, Horta D2, Martins A2.; Branco, J; Anapaz, V; Carvalho, R; Horta, D; Martins, A

Acute-on-chronic liver failure (ACLF) is a dynamic syndrome that should be assessed repeatedly. An algorithm for risk stratification in decompensated cirrhosis was recently proposed by the EASL-CLIF (European Association for the Study of the Liver-Chronic Liver Failure) Consortium. AIM: To validate the EASL-CLIF Consortium scores in patients with and without ACLF. MATERIALS AND METHODS: Retrospective single-cen...




Pancreatoscopy-guided laser lithotripsy in a patient with difficult ductal stone

Alexandrino, G; Lourenço, L; Rodrigues, C; Horta, D; Reis, J; Canena, J


Drenagem endoscópica de colecções peripancreáticas

Branco, J; Alexandrino, G; Lourenço, L; Horta, D; Reis, J


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