{"title":"Linfoma intestinal de células T e doença celíaca","authors":"Flávia Semedo , Cláudio Quintaneiro , Rosário Santos Silva , Luísa Loureiro , Raquel Dias , Fátima Guedes , Amélia Pereira","doi":"10.1016/j.jpg.2012.04.035","DOIUrl":"10.1016/j.jpg.2012.04.035","url":null,"abstract":"<div><p>Enteropathy associated T-cell lymphoma (EATL) is a rare tumor. It develops in intestinal intra-epithelial T-cells and is commonly associated with celiac disease (CD).</p><p>The authors report a patient presenting with abdominal discomfort, weight loss, intolerance to gluten, positive gliadin antibodies and mesenteric lymph node enlargement. CD with EALT was diagnosed after surgical resection of 15 centimeters of jejuno with tumor implants.</p><p>This case brings out to discussion the difficulty of clinical and histological diagnosis of this entity based on a literature review.</p></div>","PeriodicalId":100572,"journal":{"name":"GE Jornal Português de Gastrenterologia","volume":"20 3","pages":"Pages 123-127"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jpg.2012.04.035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77040237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rita Herculano, Miguel Bispo, Pedro Barreiro, Gilberto Couto, Sofia Santos, Cristina Chagas, Leopoldo Matos
{"title":"Insuficiência renal crónica em hemodiálise: um fator de risco independente para angiodisplasias na enteroscopia por videocápsula na hemorragia digestiva obscura","authors":"Rita Herculano, Miguel Bispo, Pedro Barreiro, Gilberto Couto, Sofia Santos, Cristina Chagas, Leopoldo Matos","doi":"10.1016/j.jpg.2012.12.002","DOIUrl":"10.1016/j.jpg.2012.12.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The spectrum of small bowel pathology in terminal renal failure (TRF) - dialysis patients is not well characterized in the literature. The aim of this study was to evaluate the role of the wireless capsule enteroscopy (WCE) in the management of obscure digestive bleeding (ODB) in patients with chronic renal failure (CRF) undergoing haemodialysis, in comparison to a group of patients with creatinine clearance (CrCl) >60 mL/min.</p></div><div><h3>Material and methods</h3><p>This prospective cohort study included 90 patients with ODB: 12 patients with CrCl <30mL/min undergoing haemodialysis and 78 patients with CrCl >60 mL/min, all referred for WCE in a single institution in a 12 month-period. Estimated CrCL using Cockcroft-Gault formula was determined in the day of WCE for all patients. Patient's demographic data and clinical characteristics, WCE findings and outcome (including specific therapy, transfusion requirements and hospital admissions due to recurrent bleeding or severe anemia) were assessed.</p></div><div><h3>Results</h3><p>Patients’ age and the clinical presentation of ODB (occult/overt) were similar in the 2 groups. There were no significant differences in gastric emptying and small bowel transit times, or in the ratio of incomplete/inconclusive exams. In patients undergoing haemodialysis, there were fewer normal WCE procedures (17% versus 46%, respectively, p=0,031) and a higher prevalence of small bowel angiodysplasias (58% versus 23%, respectively, p=0,011). By logistic regression analysis, CRF in haemodyalisis was found to be the only predictive factor for angiodysplasias in WCE (p=0,017, 95% CI 0,061-0,758). The group of patients undergoing haemodyalisis also had greater transfusion requirements and hospital admissions due to bleeding recurrence/severe anaemia during the follow-up period (average time, 7,5 months).</p></div><div><h3>Conclusions</h3><p>This prospective study demonstrated that haemodyalisis is an independent predictive factor for angiodysplasias in WCE for ODB.</p></div>","PeriodicalId":100572,"journal":{"name":"GE Jornal Português de Gastrenterologia","volume":"20 3","pages":"Pages 97-102"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jpg.2012.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77501052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Uma causa rara para um sintoma comum","authors":"José Velosa","doi":"10.1016/j.jpg.2012.11.002","DOIUrl":"10.1016/j.jpg.2012.11.002","url":null,"abstract":"","PeriodicalId":100572,"journal":{"name":"GE Jornal Português de Gastrenterologia","volume":"20 3","pages":"Pages 112-116"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jpg.2012.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78262360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nuno Veloso , João Dinis Silva , Manuel Carvalho , Isadora Rosa , Isabel Medeiros , Lurdes Gonçalves , Rogério Godinho , Celeste Viveiros
{"title":"Endo-SPONGE® treatment for anastomotic leakage after colorectal surgery","authors":"Nuno Veloso , João Dinis Silva , Manuel Carvalho , Isadora Rosa , Isabel Medeiros , Lurdes Gonçalves , Rogério Godinho , Celeste Viveiros","doi":"10.1016/j.jpg.2012.08.002","DOIUrl":"10.1016/j.jpg.2012.08.002","url":null,"abstract":"<div><p>Anastomotic leakage following colorectal surgery is a serious, fearful and the most important complication mainly after anterior resection of the rectum and is the main cause of postoperative morbidity and mortality. Endo-SPONGE (B-Braun Medical<sup>®</sup>), an endoluminal vacuum therapy minimally invasive, was shown to be an effective alternative in the treatment of colorectal anastomotic leakage with local infection in the minor pelvis. A case of endoscopic closure of anastomotic leakage is shown after anterior resection of the rectum using an endo-sponge and the role of this new device in the treatment of anastomotic leakage is discussed.</p></div>","PeriodicalId":100572,"journal":{"name":"GE Jornal Português de Gastrenterologia","volume":"20 3","pages":"Pages 132-135"},"PeriodicalIF":0.0,"publicationDate":"2013-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jpg.2012.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81030090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Carta de resposta dos autores","authors":"Fernando Magro","doi":"10.1016/j.jpg.2012.10.005","DOIUrl":"10.1016/j.jpg.2012.10.005","url":null,"abstract":"","PeriodicalId":100572,"journal":{"name":"GE Jornal Português de Gastrenterologia","volume":"20 2","pages":"Page 94"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jpg.2012.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83973682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
João Xavier Jorge, Luís Almeida e Sousa, Edgard Augusto Panão, Sofia Mendes, Mário Júlio Campos, Abel Cardoso Vale
{"title":"Migração de prótese esofágica para a região íleocecal","authors":"João Xavier Jorge, Luís Almeida e Sousa, Edgard Augusto Panão, Sofia Mendes, Mário Júlio Campos, Abel Cardoso Vale","doi":"10.1016/j.jpg.2012.07.001","DOIUrl":"10.1016/j.jpg.2012.07.001","url":null,"abstract":"<div><p>Nowadays, esophageal stent is an important palliative treatment of inoperable esophageal cancer. However, stent migration is still a common complication. We report a case of a 66 years old that had an esophageal inoperable cancer of distal esophagus. The patient had total dysphagia and a significant weight lost. A covert self-expanding metal stent was placed and he stayed well during almost 6 months. After that period, the patient restarted having dysphagia and went back to the hospital. Chest radiography was performed and no image of the stent was observed. An abdominal radiography was made and observed the image of the stent in the right iliac fossa. The patient did not complain a defecation problems or abdominal pain. Another covert stent was placed in the distal esophagus. After 6 months the migrated stent remained in the same place and the patient had no problem in defecation or eating.</p><p>In conclusion, we described a case of stent migration to the ileo-cecal region, without signs of intestinal obstruction in a patient with an inoperable esophageal cancer</p></div>","PeriodicalId":100572,"journal":{"name":"GE Jornal Português de Gastrenterologia","volume":"20 2","pages":"Pages 66-69"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jpg.2012.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87775562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rita Pimentel, Fernando Castro Poças, José Manuel Castro Ferreira, Jorge Alberto Areias
{"title":"Neoplasia mucinosa papilar intraductal com fistulização gástrica e duodenal: uma forma rara de apresentação","authors":"Rita Pimentel, Fernando Castro Poças, José Manuel Castro Ferreira, Jorge Alberto Areias","doi":"10.1016/j.jpg.2012.07.003","DOIUrl":"10.1016/j.jpg.2012.07.003","url":null,"abstract":"<div><p>Intraductal papillary mucinous neoplasm (IPMN) is a rare pancreatic cystic neoplasm with high risk of malignancy. We present the case of a 64-year-old male with steatorrhea and weight loss (17% total body weight). Colonoscopy detected presence of oil droplets in stools. Esophagogastroduodenoscopy revealed a fistulous orifice with mucous drainage in the duodenal bulb and a bulging ampulla of Vater, possibly by external compression; Abdominal CT showed the presence of a cystic lesion in the pancreatic head, 5.8<!--> <!-->cm in diameter, significant dilation of wirsung and slight dilation of common bile duct. EUS revealed a multicystic lesion with irregular contours in the pancreatic head, suggestive of IPMN. EUS guided fine needle citologic examination confirmed IPMN. Abdominal MRI detected fistulization to the duodenum and stomach. Pancreatoduodenectomy was performed and a pathological diagnosis of mucinous adenocarcinoma in IPMN was obtained. There has been no evidence of recurrence during 14 months of follow-up. Most patients diagnosed with IPMN are assymptomatic, steatorrhea is the less frequent form of presentation. Fistulization to adjacent organs occurs in 7-15% cases, combined fistula to duodenum and stomach in only 6%.</p></div>","PeriodicalId":100572,"journal":{"name":"GE Jornal Português de Gastrenterologia","volume":"20 2","pages":"Pages 74-78"},"PeriodicalIF":0.0,"publicationDate":"2013-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jpg.2012.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81535097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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