7 documents found, page 1 of 1
Niti-S esophageal mega-stent : an emerging endoscopic tool with different appli...
Brito, Mariana; Nunes, Gonçalo; Luz, Carlos; Oliveira, Gabriel; Marques, Pedro Pinto; Fonseca, JorgeIntroduction: Anastomotic leak (AL) is a dangerous complication in the early postoperative period after total gastrectomy or esophagectomy being associated with high mortality. Self-expandable metal stents (SEMS) play a significant role in AL management. Only one case report described the use of Mega-Stent in AL setting. The authors report a two-case series with different applications of a Niti-S esophageal Meg...
THE TIME HAS COME FOR A COMMUNITY AND HOME-BASED PREHABILITATION: NARRATIVE OF ...
Lages, Patrícia; Oliveira, Gabriel; Simões, Joana; Matos Costa, PauloOptimizing patients’ condition before surgery, bringing patients to their best fitness status, has always been tried by surgeons, even if it was in stochastic models. Setting up a prehabilitation program should take into account patients and their circumstances. To ensure success, programs should be personalized (patient balanced) and aim to ensure patients’ regular support as well as easy and effective contact...
Potential vascular damage by posterior dislocation of sternoclavicular joint
Cismasiu, Brigitta; Rodrigues, Susana; Oliveira, Gabriel; Rodrigues, CristinaA 34-year-old man was admitted for surgical treatment following traumatic posterior sternoclavicular joint dislocation and anterior mediastinum hematoma with compression of brachiocephalic vein (A, B). Intra-operative positioning consid- ered access for possible sternotomy and control of upper vena cava territory in case of bleeding from venous confluent (C). Patient was submitted to open reduction of sternocla...
GASTROINTESTINAL STROMAL TUMOR
Eiró, Filipa Clara; Borges, Miguel Fróis; Oliveira, Gabriel; Onofre, Susana; Luz, Carlos; Santos, José Carlos; Real, João CorteWe report a case of an 87-year-old female patient, admitted to our emergency room with an acute abdomen. Exploratory laparotomy revealed a perforated jejunal lesion, histopathological examination was consistent with a gastrointestinal stromal tumor (GIST). GISTs are rare tumors with nonspecific and variable clinical symptoms. An initial clinical presentation as acute abdomen due to perforation, is very rare.; A...
Ostomy metastasis after pull endoscopic gastrostomy: a unique favorable outcome
Fonseca, Jorge; Adriana, Carla; Fróis-Borges, Miguel; Meira, Tânia; Oliveira, Gabriel; Santos, José CarlosHead and neck cancer (HNC) patients tend to develop dysphagia. In order to preserve the nutritional support, many undergo endoscopic gastrostomy (PEG). In HNC patients, ostomy metastasis is considered a rare complication of PEG, but there are no reports of successful treatment of these metastatic cancers. We report the case of a 65 years old pharyngeal/laryngeal cancer patient who underwent a PEG before the nec...
Neutrophil-to-eosinophil ratio and c-reactive protein are predictors of surgery...
Marcelino, Gisela; Carvalho, Nuno; Oliveira, Gabriel; Marialva, Celso; Campanha, Rafaela; Albergaria, Diogo; Santos, Carlos; Lebre, RuiBackground: Patients with acute diverticulitis (AD) and Hinchey<III may also need surgery. Therefore, as other markers are needed to help deciding which patients should be operated on, we tried to test the value of the C-reactive protein (CRP) and of blood cell count (and their ratios). Methods: Retrospective chart review of patients admitted to our surgical department between 2009 and 2011 with the diagnosi...
Tectónica transcorrente em colisões Arco - Continente; o exemplo de Timor Leste
Dias, Rui; Nogueira, Pedro; Ferreira, Valente; Oliveira, GabrielResumo: A cartografia estrutural na região do anticlinal D1 de Cribas evidenciou a existência de uma importante rede de desligamentos esquerdos D2, que podem ser interpretados como induzidos por irregularidades da margem continental Australiana durante o processo de colisão.