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Pancreatogastric Fistula with Fish-Mouth Sign

Santos, S; Saraiva, R; Oliveira, M; Carvalho, D; Ramos, G


Response Regarding: Endoscopic Management of Sigmoid Volvulus in a Debilitated ...

Simões, G; Coelho da Rocha, M; Capela, T; Silva, MJ; Ramos, G; Coimbra, J


Endoscopic Management of Sigmoid Volvulus in a Debilitated Population: What Rel...

Coelho da Rocha, M; Capela, T; Silva, MJ; Ramos, G; Coimbra, J

Background: Colonic volvulus, mainly from the sigmoid, is a relatively common cause of intestinal obstruction, particularly in the elderly and in patients with debilitating conditions. The high morbi-mortality of emergency surgery places the endoscopic approach as the first-line treatment for the resolution of this acute obstructive condition. Objectives: To assess the importance of endoscopic treatment for the...



Together We Stand, Divided We Fall: A Multidisciplinary Approach in Complicated...

Paulino, J; Ramos, G; Veloso Gomes, F

Acute pancreatitis (AP) is an inflammatory condition with a mild course in most patients, but 20-30% evolve to single or multiple organ dysfunction and pancreatic/peripancreatic necrosis, with potentially infected collections. In the first weeks of disease, a systemic inflammatory syndrome (SIRS) dominates the clinical setting, and early management decisions in this precocious phase can change the course of the...


Bevacizumab for Refractory Gastrointestinal Bleeding in Rendu-Osler-Weber Disease

Bernardes, C; Santos, S; Loureiro, R; Borges, V; Ramos, G

Rendu-Osler-Weber disease, also known as hereditary hemorrhagic telangiectasia, is a rare autosomal dominant disorder which is often characterized by recurrent epistaxis, mucocutaneous and gastrointestinal telangiectasias, and visceral arteriovenous malformations. Patients with gastrointestinal involvement can present with a wide spectrum of severity, which may vary from uncomplicated iron deficiency anemia to ...


Outcomes of Different Methods for Analysis of Biliary Brush Cytology and of Fac...

Costa, M; Canena, J; Mascarenhas-Lemos, L; Loureiro, R; Silva, M; Carvalho, D; Capela, T; Russo, P; Ramos, G; Mateus-Dias, A; Ferraz-Oliveira, M

Brush cytology during endoscopic retrograde cholangiopancreatography (ERCP) is the most frequently used strategy for obtaining a tissue sample from an indeterminate biliary stricture. A recent study reported that age is a factor associated with positive yields, but further analysis of how age influences the results was lacking. We aimed to evaluate clinical effectiveness of biliary cytology and prognostic facto...


Hodgkin's Lymphoma in Crohn's Disease Treated with Infliximab

Carvalho, D; Russo, P; Bernardes, C; Saiote, J; Ramos, G; Mascarenhas, L; Borges, N; Ramos, J

INTRODUCTION: Lymphoproliferative disorders, particularly non-Hodgkin's and Hodgkin's lymphomas, are rare in patients with inflammatory bowel diseases. The use of thiopurines and infection by Epstein-Barr virus are well-known cofactors that can raise its prevalence. Other risk factors such as disease activity and biological treatment are the subject of discussion, without enough data in the literature to confir...


Paraduodenal Pancreatitis: Three Cases with Different Therapeutic Approaches

Carvalho, D; Loureiro, R; Pavão Borges, V; Russo, P; Bernardes, C; Ramos, G

BACKGROUND: Paraduodenal pancreatitis is a rare cause of chronic abdominal pain characterized by an inflammatory process and scarring in the groove area between the pancreatic head and the duodenal wall. Besides abdominal pain, symptoms such as vomiting and weight loss are common. Currently, advances in radiological and endoscopic diagnostic methods allow it to be identified without histological confirmation, a...



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