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NOD2 mutations and colorectal cancer - Where do we stand?

Branquinho, D; Freire, P; Sofia, C

Due to the overwhelming burden of colorectal cancer (CRC), great effort has been placed on identifying genetic mutations that contribute to disease development and progression. One of the most studied polymorphisms that could potentially increase susceptibility to CRC involves the nucleotide-binding and oligomerization-domain containing 2 (NOD2) gene. There is growing evidence that the biological activity of NO...


NOD2 gene mutations in ulcerative colitis: useless or misunderstood?

Freire, P; Cardoso, R; Figueiredo, P; Donato, MM; Ferreira, M; Mendes, S; Ferreira, AM; Vasconcelos, H; Portela, F; Sofia, C

PURPOSE: NOD2 mutations have been linked to an increased risk of Crohn's disease and to some of its phenotypes. The association between NOD2 mutations and susceptibility to ulcerative colitis (UC) remains somewhat controversial and potential correlations between these mutations and UC phenotype have not been studied. AIM: To assess whether NOD2 mutations are a risk factor for UC in Portugal and if there are any...


Decisões Clínicas na Doença de Crohn

Magro, F; Correia, L; Lago, P; Macedo, G; Peixe, P; Portela, F; Amil Dias, J; Barros, L; Belo, T; Caldeira, P; Cerqueira, R; Chagas, C; Correia, M

A doença de Crohn é uma doença inflamatória crónica do trato gastrointestinal. O aumento da incidência e a heterogeneidade desta patologia, com diferentes apresentações e prognóstico leva a uma constante preocupação em desenvolver e melhorar a sua classificação e tratamentoObjectivos: Elaborar recomendações (com base no nível de evidência e grau de recomendação) para 5 questões consideradas como os desafios clí...


O Doente Cirrótico na Unidade de Cuidados Intensivos: Avaliação do Prognóstico

Freire, P; Romãozinho, JM; Ferreira, M; Amaro, P; Leitão, M

INTRODUÇÃO: Os doentes com cirrose hepática admitidos em Unidades de Cuidados Intensivos (UCI) têm um prognóstico particularmente reservado. O prognóstico destes doentes pode ser avaliado com scores gerais (SOFA, APACHE, SAPS) ou com scores específicos de cirrose hepática (MELD, Child-Pugh). OBJECTIVOS: Avaliar o valor prognóstico dos scores gerais (SOFA, APACHE e SAPS) e dos scores específicos de cirrose hepát...


Rare cause of fever in a patient with ulcerative colitis

Duque, G; Ferreira, R; Figueiredo, P; Sousa, I; Ferreira, M; Fernandes, A; Amaro, P; Freire, P; Portela, F; Romãozinho, JM; Sofia, C


Glycogenic acanthosis of the esophagus: an unusually endoscopic appearance

Lopes, S; Figueiredo, P; Amaro, P; Freire, P; Alves, S; Cipriano, MA; Gouveia, H; Sofia, C; Leitão, M


Capsule endoscopy in inflammatory bowel disease type unclassified and indetermi...

Lopes, S; Figueiredo, P; Portela, F; Freire, P; Almeida, N; Lérias, C; Gouveia, H; Leitão, MC

BACKGROUND: The value of capsule endoscopy in the setting of inflammatory bowel disease type unclassified (IBDU) and indeterminate colitis (IC) remains obscure. The aim was to evaluate the clinical impact of capsule endoscopy on IBDU/IC patients with negative serology. METHODS: Eighteen patients with long-standing IBDU (n = 14) and IC (n = 4) were enrolled to undergo a capsule endoscopy and then followed prospe...


Small-bowel capsule endoscopy in patients with suspected Crohn's disease-diagno...

Figueiredo, P; Almeida, N; Lopes, S; Duque, G; Freire, P; Lérias, C; Gouveia, H; Sofia, C

Background. The aim of this work was to assess the value of capsule enteroscopy in the diagnosis of patients with suspected Crohn's Disease (CD). Methods. This was a retrospective study in a single tertiary care centre involving patients undergoing capsule enteroscopy for suspected CD. Patients taking nonsteroidal anti inflammatory drugs during the thirty preceding days or with a follow-up period of less than s...


Esofagite eosinofílica com aspecto endoscópico peculiar

Freire, P; Portela, F; Rodrigues, A; Silva, MR; Andrade, P; Gouveia, H; Leitão, M


Prognostic scores in a gastroenterology intensive care unit

Freire, P; Romãozinho, JM; Amaro, P; Ferreira, M; Sofia, C

BACKGROUND: Several prognostic systems have been developed and validated in general Intensive Care Units (ICUs). No assessment of these scores was performed in specialized Gastroenterology Intensive Care Units (GICUs). AIM: To assess the prognostic accuracy of Acute Physiology and Chronic Health Evaluation (APACHE) II, Simplified Acute Physiology Score (SAPS) II and Sequential Organ Failure Assessment (SOFA) sc...


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