25 documents found, page 1 of 3
Anastomotic Leaks following Esophagectomy for Esophageal and Gastroesophageal J...
Ortigão,Raquel; Pereira,Brigitte; Silva,Rui; Pimentel-Nunes,Pedro; Bastos,Pedro; Sousa,Joaquim Abreu de; Faria,Filomena; Dinis-Ribeiro,MárioAbstract Introduction: Anastomotic leakage after esophagectomy is associated with high mortality and impaired quality of life. Aim: The objective of this work was to determine the effec-tiveness of management of esophageal anastomotic leakage (EAL) after esophagectomy for esophageal and gastro-esophageal junction (GEJ) cancer. Methods: Patients submitted to esophagectomy for esophageal and GEJ cancer at a terti...
Anastomotic Leakages after Surgery for Gastroesophageal Cancer: A Systematic Re...
Azevedo,Isabel; Ortigão,Raquel; Pimentel-Nunes,Pedro; Bastos,Pedro; Silva,Rui; Dinis-Ribeiro,Mário; Libânio,DiogoAbstract Introduction: With the increase of esophageal and gastric cancer, surgery will be more often performed. Anastomotic leakage (AL) is one of the most feared postoperative complications of gastroesophageal surgery. It can be managed by conservative, endoscopic (such as endoscopic vacuum therapy and stenting), or surgical methods, but optimal treatment remains controversial. The aim of our meta-analysis wa...
IMPACTE DA PANDEMIA SOBRE OS ENFERMEIROS ESPECIALISTAS EM ENFERMAGEM DE REABILI...
Pires,Barbara; Padilha,Miguel; Silva,RuiRESUMO Introdução: A pandemia por COVID-19 conduziu à readaptação e reorganização dos sistemas de saúde. Objetivos: Caraterizar o impacte da pandemia por COVID-19 nos Enfermeiros Especialistas em Enfermagem de Reabilitação; identificar o impacte da pandemia por COVID-19 nos cuidados especializados de enfermagem de reabilitação disponibilizados às populações; identificar o impacte da pandemia por COVID-19 nas es...
“Simbiosis” between Gitelman and Pregnancy: a challenge
Oliveira,Iolanda; Silva,Rui; Pires,CarlosAbstract Gitelman's syndrome is characterized by a mutation of SLC12A3 gene, which encodes the NaCl cotransporter of distal convoluted tubule resulting in hypokalaemia. During pregnancy its approach and treatment become a challenge. We report the case of a pregnant woman, with a history of previous abortions, who needed a tight analytical control with several hospital admissions throughout pregnancy and more ag...
Dupilumab: para além da dermatite atópica
Rodrigues,Rita Queiroz; Abreu,Carmo; Silva,RuiRESUMO A dermatite atópica pode estar associada à alergia alimentar e outras doenças atópicas. Relatamos o caso clínico de adolescente, sexo feminino, com rinoconjuntivite e asma grave alérgicas, referenciada para estudo de dermatite atópica, que apresentava lesões cutâneas apenas parcialmente responsivas a corticoterapia sistémica e fototerapia, com várias exacerbações e uma hospitalização. História de exacerb...
SARS-CoV-2 antibody responses in infection-naive or previously infected periton...
Silva,Rui; Silva,Filipa; Mendonça,Luís; Pereira,Luciano; Oliveira,Ana; Ramos,Angélica; Cardoso,Maria João; Malheiro,Ana; Guimarães,João TiagoABSTRACT Dialysis-associated immune dysfunction makes chronic kidney disease patients both susceptible to severe Coronavirus disease 19 (Covid19) and to a weaker response to vaccination. Previously infected patients are thought to sustain stronger and more durable humoral responses than vaccinated patients. Four months after a two dose-regimen of the Pfizer/BioNTech SARS-CoV-2 mRNA vaccine (BNT162b2), we evalua...
Point-of-care ultrasound in peritoneal dialysis catheter-related infection: An ...
Diniz,Hugo; Silva,Rui; Oliveira,Ana; Pereira,Luciano; Beco,AnaABSTRACT Point-of-care ultrasound aims to enhance physical examination findings with real-time information from the ultrasound. Peritoneal dialysis catheter-related infections are a frequent complication of peritoneal dialysis and a major predisposing factor to peritonitis. The diagnosis of peritoneal dialysis catheter-related infections is made with physical examination, but physical findings usually lack sens...
Proton pumps inhibitors in gastroesophageal reflux disease: what is the best re...
Silva,Rui; Pinto,Nuno TelesAbstract Objectives: Gastroesophageal reflux disease is one of the most common gastrointestinal diagnoses. This disorder causes many symptoms and may induce the development of Barret’s esophagus and esophageal adenocarcinoma. Proton pump inhibitors are the most used treatment and, usually, are prescribed for once-daily dosing before breakfast. However, many patients describe night-time symptoms, a period when a...
The role of incremental peritoneal dialysis among patients on peritoneal dialys...
Santos,Joana Eugénio; Silva,Rui; Vicente,Rita; Santos,Iolanda; Coimbra,Miguel; Fiel,David; Amoedo,Manuel; Pires,CarlosABSTRACT Background: There is an ongoing increasing focus on person‑centered individualized dialysis prescription. For this model, incremental peritoneal dialysis has been established as a strategy to start peritoneal dialysis, with an intention to increase the dose of peritoneal dialysis, as a consequence of renal clearance declines. In spite of being broadly accepted, the evidence of non‑inferiority of the in...
Chemical peritonitis associated with intraperitoneal vancomycin: A case series
Silvano,José; Pereira,Luciano; Oliveira,Ana; Beco,Ana; Relvas,Miguel; Silva,Rui; Pestana,ManuelABSTRACT Peritonitis is a serious complication in peritoneal dialysis, usually secondary to an infectious cause. Chemical peritonitis is rarer. No case exclusively attributed to vancomycin has been reported in the last 20 years. Data from 4 consecutive patients diagnosed with culture‑negative peritonitis following administration of intraperitoneal vancomycin between May and June 2019 were retrospectively record...