Recursos de colección

Repositório do Hospital Prof. Doutor Fernando Fonseca (3.582 recursos)

The Hospital Prof. Dr. Fernando Fonseca E.P.E. (HFF) institutional repository collects, preserves and disseminates the intellectual output of its professionals in digital format. Its aims are to increase the HFF’s investigation visibility and citation impact, to foster scientific communication and to preserve the HFF’s intellectual memory.

Gastroenterologia

Mostrando recursos 1 - 20 de 52

  1. ACG clinical guideline: epidemiology, risk factors, patterns of presentation, diagnosis, and management of colon ischemia (CI)

    Alexandrino, G
    N/A

  2. Encefalopatia hepática

    Alexandrino, G
    N/A

  3. Diagnóstico diferencial de ascite em doente AgHBs positivo: caso clínico

    Alexandrino, G; Cardoso, M; Oliveira, AM; Carvalho, R; Reis, J
    N/A

  4. Diagnóstico diferencial de ascite em doente AgHBs positivo: caso clínico

    Alexandrino, G; Cardoso, M; Oliveira, AM; Carvalho, R; Reis, J
    N/A

  5. Oclusão intestinal: uma causa rara na mulher jovem: caso clínico

    Alexandrino, G; Carvalho, R; Lourenço, L; Sobrinho, C; Horta, D; Reis, J
    N/A

  6. Oclusão intestinal: uma causa rara na mulher jovem: caso clínico

    Alexandrino, G; Carvalho, R; Lourenço, L; Sobrinho, C; Horta, D; Reis, J
    Sexo feminino, 30 anos, sem antecedentes. Recorre à urgência por vómitos, paragem de emissão de gases e fezes, distensão abdominal e dor abdominal difusa tipo cólica. Observação: abdómen distendido, timpanizado, ligeiramente doloroso, sem defesa. PCR 0.51 mg/dL. Radiografia simples abdómen: distensão cólica e stop na transição reto-sigmoideia. TC abdominal: “espessamento parietal concêntrico na transição reto-sigmoideia com dilatação das ansas a montante. Ascite ligeira”. Submetida a laparotomia exploradora constatando-se processo inflamatório peri-uterino com envolvimento da parede anterior do reto. Fez-se resseção anterior do reto com anastomose primária e ileostomia de proteção. Anátomo-patologia: endometriose rectal e nodal, margens cirúrgicas livres. Três meses depois fez...

  7. Uma causa rara de insuficiência hepática aguda fulminante num jovem adulto

    Alexandrino, G; Bernardo, S; Bagulho, L; Marcelino, P; Lopes, V
    N/A

  8. Uma causa rara de insuficiência hepática aguda fulminante num jovem adulto

    Alexandrino, G; Bernardo, S; Bagulho, L; Marcelino, P; Lopes, V
    A existência de alterações ligeiras nas provas hepáticas é uma manifestação comum do golpe de calor. Geralmente, existe uma elevação transitória e assintomática das transaminases. No entanto, formas graves de insuficiência hepática aguda (IHA) são extremamente raras neste contexto. Descreve-se um caro raro de IHA fulminante induzida por golpe de calor. Trata-se de um rapaz de 20 anos, saudável, que colapsou subitamente enquanto realizava exercícios de treino militar. À observação destacava-se temperatura timpânica de 41ºC, hipotensão e GCS 9. A avaliação analítica revelou lesão renal aguda e alterações moderadas das provas hepáticas (ureia 131 mg/dL creatinina 4.52 mg/dL, bilirrubina total 1.9...

  9. Endoscopic Full-thickness Resection (EFTR) for Gastrointestinal Subepithelial Tumors

    Cai, M; Zhou, P; Lourenço, L; Zhang, D
    There has been booming interest in the endoscopic full-thickness resection (EFTR) technique since it was first described. With the advent of improved and more secure endoscopic closure techniques and devices, such as endoscopic suturing devices, endoscopists are empowered to perform more aggressive procedures than ever. This article focuses on the procedural technique and clinical outcomes of EFTR for gastrointestinal subepithelial tumors.

  10. The who-when-why triangle of CAM use among Portuguese IBD patients

    Portela, F; Dias, C; Caldeira, P; Cravo, M; Deus, JR; Gonçalves, R; Lago, P; Morna, H; Peixe, P; Ramos, J; Sousa, H; Tavares, L; Vasconcelos, H; Magro, F; Ministro, P
    The use of complementary and alternative medicines is increasing among chronic patients, particularly those afflicted with inflammatory bowel diseases. AIM: This study aimed to address the prevalence of complementary and alternative medicines use among Portuguese inflammatory bowel diseases' patients. METHODS: Patients were invited to fill an anonymous questionnaire concerning the use of complementary and alternative medicines. RESULTS: Thirty-one per cent of the patients reported having used complementary and alternative medicines in the past, whereas 12% were using them by the time the questionnaire was administered. Fifty-nine per cent of the users did not share this information with their physician, whereas 14% and 8% discontinued their medication...

  11. Pseudocholangiocarcinoma Sign: Management of Portal Cavernoma Biliopathy with Fully-Covered Self-Expandable Metal Stent

    Lourenço, L; Horta, D; Rodrigues, C; Canena, J; Reis, J
    info:eu-repo/semantics/publishedVersion

  12. Acute-on-chronic liver failure

    Cardoso, M
    N/A

  13. A rare acute thoracic manifestation of a chronic digestive disease: pancreaticopleural fistula.

    Branco, J; Horta, D; Reis, J
    Pancreaticopleural fistula is a rare complication of chronic pancreatitis. The diagnosis requires a high suspicion degree and its management frequently involves a multidisciplinary approach between gastroenterology and surgery.

  14. Clinical and microbiological characteristics associated with mortality in spontaneous bacterial peritonitis: a multicenter cohort study.

    Oliveira, AM; Branco, JC; Barosa, R; Rodrigues, JA; Ramos, L; Martins, A; Karvellas, C; Cardoso, F
    OBJECTIVES: Spontaneous bacterial peritonitis (SBP) is a prevalent and high mortality complication of cirrhosis. We aimed to describe these patients' clinical and microbiological characteristics and evaluate their impact on outcomes. METHODS: This was a retrospective cohort study including 139 consecutive patients with positive culture SBP from three Portuguese centers diagnosed between 2009 and 2014. Multivariate logistic regression was used to study associations with 30-day mortality. RESULTS: The mean age of the patients was 62 years and 81% of patients were men. The mean model for end-stage liver disease score was 19. Hepatic encephalopathy, hepatorenal syndrome, and variceal bleeding developed in 47, 30, and 21% of...

  15. HBV-Associated Acute Liver Failure After Immunosuppression and Risk of Death.

    Karvellas, C; Cardoso, F; Gottfried, M; Reddy, R; Hanje, A; Ganger, D; Lee, W
    BACKGROUND & AIMS: Acute liver failure (ALF) caused by hepatitis B virus (HBV) infection can occur after immunosuppressive treatment and be fatal, although it might be preventable. We aimed to characterize the causes, clinical course, and short-term outcomes of HBV-associated ALF after immune-suppressive therapy, compared with patients with HBV-associated ALF without immunosuppression (control subjects). METHODS: We performed a retrospective multicenter study of 156 consecutive patients diagnosed with HBV-associated ALF (22 with a solid or blood malignancy) enrolled in the Acute Liver Failure Study Group registry from January 1998 through April 2015. We collected data on results of serologic and hepatic biochemistry analyses, grade...

  16. Severe odynophagia and rapidly progressive dysphagia as an unusual presentation of eosinophilic gastroenteritis

    Rodrigues, C; Oliveira, A; Deus, JR

  17. Endoscopic bilio-duodenal bypass: outcomes of primary and revision efficacy of combined metallic stents in malignant duodenal and biliary obstructions.

    Canena, J; Coimbra, J; Carvalho, D; Rodrigues, C; Silva, M; Costa, M; Horta, D; Dias, A; Seves, I; Ramos, G; Ricardo, L; Coutinho, A; Romão, C; Veiga, P
    BACKGROUND: Self-expandable metal stents (SEMSs) can be used for palliation of combined malignant biliary and duodenal obstructions. However, the results of the concomitant stent placement for the duration of the patients' lives, as well as the need for and efficacy of endoscopic revision, are unclear. AIM: This study evaluated the clinical effectiveness of SEMS placement for combined biliary and duodenal obstructions throughout the patients' lives and the need for endoscopic revision. METHODS: This study is a retrospective multicenter study of 50 consecutive patients who underwent simultaneous or sequential SEMS placement for malignant biliary and duodenal obstructions. The data were collected to analyze the sustained relief...

  18. Oncological outcomes of colonic stents as “bridge to surgery” versus emergency surgery for obstructive colorectal cancer: A portuguese comparative study

    Lourenço, L; Sousa, M; Oliveira, AM; Gomes, A; Rodrigues, C; Santos, I; Horta, D; Pignatelli, N; Nunes, V; Reis, J
    Prémio Medtronic Investigação em Coloproctologia 2015, no XXV Congresso Nacional de Coloproctologia, que decorreu nos dias 26 e 27 de Novembro de 2015, no Porto.

  19. Úlceras do cólon por anti-inflamatórios não esteróides: caso clínico e revisão de literatura

    Santos, S; Pires, E; Figueiredo, A; Silva, S; Deus, JR

  20. Abordagem terapêutica do polipo maligno

    Deus, JR
    A designação de polipo maligno significa a presença de um adenoma com um foco de carcinoma que invade a submucosa (carcinoma invasivo). Este tempo é habitualmente utilizado quando um polipo que foi ressecado por via endoscópica, se vem a comprovar, após exame histológico, conter carcinoma invasivo. A incidência de polipos malignos, removidos endoscopicamente, é em média de 4,7% (0,2-9,4%). O risco de malignidade está associado à dimensão, localização e configuração histológica. A abordagem terapêutica dum polipo maligno varia entre uma atitude conservadora, considerando a polipectomia tratamento adequado e suficiente e uma atitude cirúrgica de ressecção complementar, no caso contrário. A ressecção cirúrgica deverá tomar...

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