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Small Bowel Enteroscopy - A Joint Clinical Guideline from the Spanish and Portu...

Pérez-Cuadrado-Robles, Enrique; Pinho, Rolando; Gonzalez, Begoña; Mão de Ferro, Susana; Chagas, Cristina; Esteban Delgado, Pilar; Carretero, Cristina

The present evidence-based guidelines are focused on the use of device-assisted enteroscopy in the management of small-bowel diseases. A panel of experts selected by the Spanish and Portuguese small bowel study groups reviewed the available evidence focusing on the main indications of this technique, its role in the management algorithm of each indication and on its diagnostic and therapeutic yields. A set of r...


Fecal microbiota transplantation in the intestinal decolonization of carbapenam...

Silva, João Carlos; Ponte, Ana; Mota, Margarida; Pinho, Rolando; Vieira, Nuno; Oliveira, Rosa; Mota-Carvalho, Nelson; Gomes, Ana Catarina; Afecto, Edgar

Background and aims: fecal microbiota transplantation (FMT) is effective for recurrent Clostridium difficile infection (CDI). Intestinal decolonization of carbapenamase-producing enterobacteriaceae (CPE) can prevent transmission and infection by these agents. The aim of this study was to assess CPE decolonization after FMT. Methods: this was a case-series study that consecutively included all CPE-carriers that ...


Ligate-and-resect technique for resection of a large pseudo-pedunculated subepi...

Mendes, Sofia Silva; Pinho, Rolando; Leite, Sónia; Ponte, Ana; Silva, Joana; Rodrigues, Jaime; Sousa, Mafalda; Carvalho, João


Essential role of small bowel capsule endoscopy in reclassification of colonic ...

Monteiro, Sara; Castro, Francisca Dias de; Carvalho, Pedro Boal; Rosa, Bruno; Moreira, Maria João; Pinho, Rolando; Saraiva, Miguel Mascarenhas

AIM To evaluate the role of small bowel capsule endoscopy (SBCE) on the reclassification of colonic inflammatory bowel disease type unclassified (IBDU). METHODS We performed a multicenter, retrospective study including patients with IBDU undergoing SBCE, between 2002 and 2014. SBCE studies were reviewed and the inflammatory activity was evaluated by determining the Lewis score (LS). Inflammatory activity was co...


Endoscopic Scores for Evaluation of Crohn's Disease Activity at Small Bowel Cap...

Rosa, Bruno; Pinho, Rolando; de Ferro, Susana Mão; Almeida, Nuno; Cotter, José; Saraiva, Miguel Mascarenhas

The small bowel is affected in the vast majority of patients with Crohn's Disease (CD). Small bowel capsule endoscopy (SBCE) has a very high sensitivity for the detection of CD-related pathology, including early mucosal lesions and/or those located in the proximal segments of the small bowel, which is a major advantage when compared with other small bowel imaging modalities. The recent guidelines of European So...


Multicenter survey on the use of device-assisted enteroscopy in Portugal

Pinho, Rolando; Saraiva, Miguel Mascarenhas; Mão-de-Ferro, Susana; Ferreira, Sara; Almeida, Nuno; Figueiredo, Pedro; Rodrigues, Adélia; Cardoso, Hélder

Background: Device-assisted enteroscopies (DAEs) are recent endoscopic techniques that enable direct endoscopic smallbowel evaluation. Objective: The objective of this article is to evaluate the implementation of DAEs in Portugal and assess the main indications, diagnoses, diagnostic yield, therapeutic yield and complication rate. Methods: We conducted a multicenter retrospective series using a national Web-bas...


Endoscopic scores for evaluation of Crohn’s disease activity at small bowel cap...

Rosa, Bruno; Pinho, Rolando; Mão de Ferro, Susana; Almeida, Nuno; Cotter, José; Saraiva, Miguel Mascarenhas

The small bowel is affected in the vast majority of patients with Crohn's Disease (CD). Small bowel capsule endoscopy (SBCE) has a very high sensitivity for the detection of CD-related pathology, including early mucosal lesions and/or those located in the proximal segments of the small bowel, which is a major advantage when compared with other small bowel imaging modalities. The recent guidelines of European So...


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