Abstract Background: The role of capsule endoscopy in the evaluation of the small bowel is well established, and current guidelines position it as a first-line test in a variety of clinical scenarios. The advent of double-headed capsules further enabled the endoscopic assessment of colonic mucosa and the opportunity for a one-step noninvasive examination of the entire bowel (panenteric capsule endoscopy [PCE]). ...
Abstract Introduction: In order to optimize the rate of adequate cleansing in colon capsule, it may be important to identify risk factors that can predict a suboptimal colon preparation. Aim: To define predictive factors for inadequate bowel preparation in colon capsule, according to CC-CLEAR (Colon Capsule CLEansing Assessment and Report). Methods: Retrospective, single center, cohort study. Patients’ demograp...
Hemorrhoidal disease (HD) is a frequent health problem with considerable repercussions on patients quality of life. However, much of the clinical practice related to HD is based on knowledge without scientific evidence and supported largely by empirical experience of the physician who deals with this pathology. As in other countries, the goal of this consensus is to establish statements supported by solid scie...
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...
Introdução e objetivos: Estudos recentes têm demonstrado um aumento dos níveis de homocisteína na doença inflamatória intestinal (DII). A hiperhomocisteínemia (hHcys) foi confirmada como um fator de risco independente para doença arterial coronária e trombose arterial e venosa, constituindo um importante fator patogénico a ter em conta na DII. O objetivo d esteestudo foi avaliar a prevalência de hHcys nos doent...
Chronic immunosuppression is a known risk factor for tuberculosis. Our aim was to reach a consensus on screening and prevention of tuberculosis in patients with immune mediated inflammatory diseases who are candidates to biologic therapy. Methods: Critical appraisal of the literature and expert opinion on immunosuppressive therapies and risk of tuberculosis. Results and conclusion: The currently recommended met...
A Classificação de Montreal (CM) sucedeu à de Viena (CV) na caracterização dos doentes com Doença de Crohn (DC). Com o objectivo de avaliar as diferenças e potenciais vantagens da primeira em relação à última e validar a CM através da análise longitudinal da variação fenotípica desta população, analisaram-se retrospectivamente 122 doentes com DC classificados segundo as CV e CM. Avaliou-se a evolução dos subgru...