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Synchronous intraductal papillary mucinous neoplasm and a pancreatic neuroendoc...

Costa, JM; Carvalho, SB; Soares, JB

BACKGROUND: Although the association between intraductal papillary mucinous neoplasm of the pancreas (IPMN) and pancreatic neuroendocrine tumor (PNET) has been increasingly reported, whether this association is real or coincidence remains unclear. We report a case of synchronous IPMN and a PNET which were diagnosed preoperatively and discuss the tumorigenesis, clinicopathological features and management of thes...


Symptomatic Hyponatremia after Bowel Preparation: Report of Two Cases and Liter...

Costa, JM; Soares, JB

INTRODUCTION: Bowel preparation for colonoscopy and/or colorectal surgery can cause electrolyte imbalances. The risk of electrolyte imbalances seems to be related to the type of bowel cleansing solution, age of patients and comorbidities. CASE REPORT: We report two cases of symptomatic hyponatremia (focal neurological signs and coma) after bowel preparation with sodium picosulfate/magnesium citrate for colonosc...


Endoscopic Ultrasound in the Diagnosis and Staging of Pancreatic Cancer

Gonçalves, B; Soares, JB; Bastos, P

Pancreatic cancer is one of the digestive cancers with the poorest prognosis, so an early and correct diagnosis is of utmost importance. With the development of new therapeutic options an accurate staging is essential. Endoscopic ultrasonography (EUS) has a major role in all stages of the management of these patients. EUS has a high accuracy in the diagnosis of pancreatic adenocarcinoma and the possibility to p...




Será uma refeição ligeira fator de erro na avaliação da dureza hepática por ela...

Caetano, AC; Lages, J; Gonçalves, B; Soares, JB; Gonçalves, R; Rolanda, C

Introduction: Transient Elastography (TE) is a noninvasive method widely used to evaluate hepatic fibrosis in patients with liver disease, especially in chronic hepatitis C. It has excellent accuracy in identifying patients with advanced fibrosis or cirrhosis. However, some factors can interfere with liver stiffness (LS) measurement. The food intake may be one of those confounding factors and there are no defin...


The management of ingested foreign bodies in an Ear Nose and Throat emergency u...

Marçal, N; Soares, JB; Pereira, G; Guimarães, J; Godinho, T

AIMS: To determine how often ingested foreign bodies are found and what parameters may predict their retrieval. METHODS: During 1 year, we prospectively studied all patients referred to our Ear Nose and Throat Emergency Unit because of foreign body ingestion. RESULTS: During the study, 204 (median age-42 years [10 months-84 years]) patients were admitted because of ingested foreign body. The most common was fis...



A multicenter validation of an endoscopic classification with narrow band imagi...

Pimentel-Nunes, P; Dinis-Ribeiro, M; Soares, JB; Marcos-Pinto, R; Santos, C; Rolanda, C; Bastos, RP; Areia, M; Afonso, L; Bergman, J; Sharma, P

BACKGROUND AND STUDY AIM: The reliability and external validity of narrow band imaging (NBI) in the stomach have not been described consistently. The aim of the current study was to describe and estimate the accuracy and reliability of a simplified classification system for NBI in the diagnosis of gastric lesions. METHODS: Consecutive patients undergoing NBI endoscopy at two reference centers (n=85, 33% with dy...



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