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WHEN SYNERGIC WORK BETWEEN GENERAL AND VASCULAR SURGEONS MAKES THE DIFFERENCE

Santos, Marisa D.; Mendes, Daniel; Silva, Ezequiel; Brandão, Pedro; Veiga, Carlos; Antunes, Inês; Teixeira, Gabriela; Gaspar, Joana; Mesquita, Isabel

Introduction: Chronic Mesenteric Ischemia (CMI) resulting from an impaired blood flow of the splanchnic organs is characterized by an insidious clinical course and is often an underestimated and undertreated disease. The natural history is progressive, caused by atherosclerosis progression in a polymorbidity and aging society. Due to collateralization, diffuse stenotic lesions can remain asymptomatic for a long...

Date: 2021   |   Origin: Angiologia e Cirurgia Vascular

Perianal Paget Disease: Different Entities With the Same Name

Santos, Marisa D.; Soares, Filomena; Presa-Fernandes, José M; Silva, Donzília Sousa

Extramammary Paget disease (EMPD) is a rare form of cancer that involves skin areas rich in apocrine glands. The common sites of occurrence include the vulva, perianal region, perineum, and axilla. Perianal Paget disease (PPD) is a subset of EMPD, which arises in the perianal skin. The disease commonly presents with a thickened plaque-like lesion with erythema or white scaly appearance. It is generally classifi...


Intussusception in a pregnant woman

Silva, Cristina; Moreira, Pedro Soares; Simões, Vitor Costa; Sampaio, Mónica; Santos, Marisa D.

Abdominal pain in a pregnant woman with a history of laparoscopic Roux-en-Y gastric bypass (LRYGB) in the emergency department is challenging. Intussusception is a rare cause of small bowel obstruction after LRYGB and can lead to intestinal necrosis, perforation, sepsis and death. The authors report a case of a 34-week pregnant patient, previously submitted to LRYGB, presenting to the emergency department with ...


Cecum perforation in intestinal malrotation setting in a patient with chromosom...

Oliveira, João T.; Marques, Paula; Preza Fernandes, J.M.; Teixeira, Tânia; Santos, Marisa D.; Povo, Ana; Castro Alves, Eurico

Introduction: Intestinal malrotation results from failure of the normal gut rotation during embryological development. It is usually diagnosed in early childhood when it becomes symptomatic. Aetiology of intestinal malrotation has been scarcely addressed although relevant roles have been attributed to a few genes involved in gastrointestinal formation and association with certain syndromes has been suggested. P...


Preoperative Enteral Nutrition and Surgical Outcomes in Adults with Crohn's Dis...

Rocha, Anabela; Bessa, Inês; Lago, Paula; Santos, Marisa D.; Leite, Júlio; Castro-Poças, Fernando

Background and Aim: Enteral nutrition (EN) is applicable to adult Crohn’s disease (CD) in treating malnutrition and in inducing remission – here as a less effective alternative than corticosteroids. The purpose of this review is to determine whether preoperative EN impacts postoperative complications of adult CD, either by means of nutritional or therapeutic effects. Summary: A systematic review of English writ...


Preoperative Enteral Nutrition and Surgical Outcomes in Adults with Crohn's Dis...

Rocha, A.; Bessa, I.; Lago, P.; Santos, Marisa D.; Leite, J.; Castro-Poças, F.

Background and aim: Enteral nutrition (EN) is applicable to adult Crohn's disease (CD) in treating malnutrition and in inducing remission - here as a less effective alternative than corticosteroids. The purpose of this review is to determine whether preoperative EN impacts postoperative complications of adult CD, either by means of nutritional or therapeutic effects. Summary: A systematic review of English writ...


Extensive colectomy in colorectal cancer and hereditary nonpolyposis colorectal...

Santos, Marisa D.; Silva, C.; Oliveira, J.; Brandão, P.; Sampaio, M.; Silva, A.; Rocha, A.; Matos, E.; Marcos-Pinto, R.

Background: Colorectal cancer survival is better in hereditary nonpolyposis colorectal cancer patients than in sporadic colorectal cancer patients and even for hereditary nonpolyposis colorectal cancer with colorectal cancer is not consensual that extensive colectomy is preferable to partial colectomy. This study analyzes and compares the long-term results of these two groups of patients submitted to curative s...


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