Abstract Introduction: Over 90% of the patients with familial adenomatous polyposis (FAP) will develop duodenal adenomas. Aim: The aim of this study was to evaluate the effectiveness and safety of endoscopic excision of large duodenal adenomas in FAP patients. Methods: All FAP patients from a familial risk clinic submitted to endoscopic therapy for duodenal adenomas ≥10 mm between January 2010 and February 2021...
Abstract: Introduction: Patients with colonic inflammatory bowel disease (IBD) are at an increased risk for colorectal cancer (CRC), whereby surveillance colonoscopy is recommended. Aim: To study the clinical and endoscopic variables associated with dysplasia in IBD patients. Methods: A cohort study was conducted on IBD patients who were part of a colonoscopy surveillance program between 2011 and 2016. Results:...
Background: Narrow-band imaging (NBI) allows in vivo classification of colorectal polyps. Objectives: We evaluated the optical diagnosis by nonexpert community-based endoscopists in routine clinical practice, the impact of training, and whether the endoscopists could achieve the threshold for the do not resect policy. Methods: This was an observational study performed in two periods (P1 and P2). Endoscopist...
Anastomotic leakage following colorectal surgery is a serious, fearful and the most important complication mainly after anterior resection of the rectum and is the main cause of postoperative morbidity and mortality. Endo-SPONGE (B-Braun Medical®), an endoluminal vacuum therapy minimally invasive, was shown to be an effective alternative in the treatment of colorectal anastomotic leakage with local infection in...
Introdução: A doença de Crohn é uma doença infl amatória 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 tratamento. Objectivos: Elaborar recomendações (com base no nível de evidência e grau de recomendação) para 5 questões consideradas como ...
Introdução: O Clostridium difficile é o principal agente da diarreia nosocomial nos países desenvolvidos e a sua incidência, morbilidade e mortalidade têm vindo a aumentar nos últimos anos. Os principais fatores de risco para o desenvolvimento da doença são a antibioterapia prévia, a idade avançada e o tempo de hospitalização. Objetivos: Caracterizar a ocorrência de diarreia associada ao Clostridium difficile n...