Raquel Pimentel, Catarina Correia, João Estorninho, Elisa Gravito‐Soares, Marta Gravito‐Soares, Pedro Figueiredo,
<b><i>Background:</i></b> <i>Chlamydia trachomatis</i>-lymphogranuloma venereum (LGV) is a sexually transmitted infection (STI) and an uncommon cause of proctitis. The diagnosis requires a high index of clinical suspicion, since the clinical, imaging, endoscopic, and histological findings can mimic multiple benign or malignant conditions like inflammatory bowel disease and rectal neoplasms. <b><i>Case Presentation:</i></b> We present the case of ...
Tópico(s): Autoimmune Bullous Skin Diseases
2021 - Karger Publishers | GE Portuguese Journal of Gastroenterology
C Macedo, Elisa Gravito‐Soares, Marta Gravito‐Soares, Catarina Correia, João Estorninho, Pedro Amaro, Pedro Figueiredo,
Case 1 An 80-year-old man with multiple comorbidities underwent colonoscopy identifying a 30mm mixed granular-nodular LST in a region of multiple diverticula in sigmoid colon. Almost complete fragmented mucosectomy was performed, except a small pericentimetric area that involved a diverticular orifice. Case 2 A 68-year-old man, diabetic, obese with liver transplantation underwent colonoscopy identifying a 40mm mixed granular-nodular LST in hepatic flexure that was submitted to incomplete fragmented ...
Tópico(s): Gastrointestinal Tumor Research and Treatment
2021 - Thieme Medical Publishers (Germany) | Endoscopy
João Estorninho, Pedro Patrão, María José Temido, David N. Perdigoto, Pedro Figueiredo, Paulo Donato,
Parastomal variceal bleeding (PVB) is a recognized complication of ostomized patients in the presence of portal hypertension. However, since there are few reported cases, a therapeutic algorithm has not yet been established.A 63-year-old man, who had undergone a definitive colostomy, recurrently presented to the emergency department hemorrhage of bright red blood from his colostomy bag, initially assumed to be caused by stoma trauma. Accordingly, temporary success on local approaches such as direct ...
Tópico(s): Organ Transplantation Techniques and Outcomes
2022 - Karger Publishers | GE Portuguese Journal of Gastroenterology
João Estorninho, Elisa Gravito‐Soares, Pedro Amaro, Pedro Figueiredo,
Aims Endoscopic diagnosis of submucosal invasion allows an optimized treatment strategy for colorectal polyps. Virtual chromoendoscopy, namely with Narrow Band Imaging, can help to predict the presence and depth of submucosal invasion.Data regarding Blue Laser Imaging (BLI) for predicting deep submucosal invasive carcinoma (dSMC) are still missing. The present research aimed to evaluate the diagnostic performance of endoscopic classifications when using BLI.
Tópico(s): Colorectal Cancer Screening and Detection
2021 - Thieme Medical Publishers (Germany) | Endoscopy
João Estorninho, Raquel Pimentel, Marta Gravito‐Soares, Elisa Gravito‐Soares, Pedro Amaro, Pedro Figueiredo,
Boerhaave syndrome (BS) is a rare but potentially fatal condition. Although surgery is considered the standard treatment, endoscopic therapy has acquired an important role as a minimally invasive management approach. The authors describe 2 cases of middle-aged male patients, presenting with spontaneous esophageal perforation after severe straining and vomiting. In the first case, the patient presented with a bone impaction in the upper esophagus successfully removed by rigid esophagoscopy. After ...
Tópico(s): Foreign Body Medical Cases
2022 - Karger Publishers | GE Portuguese Journal of Gastroenterology
João Estorninho, Paulo Freire, Sandra Lopes, Maria João Ferreira, Maria João Ferreira, Francisco Portela, Pedro Figueiredo,
Abstract Background Ulcerative colitis (UC) has been associated with an increased risk of colorectal cancer (CRC). Although dye spray chromoendoscopy showed superiority to standard colonoscopy in surveillance studies, with the availability of higher-resolution colonoscopes, the utility of chromoendoscopy (CE) has been questioned. We aimed to evaluate the risk of intraepithelial neoplasia (IN) after a high-quality screening colonoscopy (making use of CE or random biopsies (RB) and removing all detected ...
Tópico(s): Gastric Cancer Management and Outcomes
2020 - Oxford University Press | Journal of Crohn s and Colitis
Catarina Correia, Elisa Gravito‐Soares, Marta Gravito‐Soares, Pedro Amaro, C Macedo, Maria João Ferreira, Mônica de Souza Lima Sant’Anna, João Estorninho, Michael Miranda, L Barreto, AM Ferreira, Francisco Portela, R. Pimentel, Rui Caetano Oliveira, Joana Madeira, M Rui Silva, MA Cipriano, Pedro Figueiredo,
Aims Current guidelines recommend resection and histopathological analyses of all colorectal polyps. Real-time optical diagnosis can obviate non-neoplastic polyp resection (“diagnose-and-leave-behind”) and histopathological analyses of diminutive polyps (“predict-resect-and-discard”) reducing healthcare and cost burden. We aimed to evaluate the diagnostic accuracy of computer-aided diagnosis using CADEYE (Fujifilm, Germany) in real-time optical characterization of colorectal polyps compared to endoscopic ...
Tópico(s): Colorectal Cancer Surgical Treatments
2021 - Thieme Medical Publishers (Germany) | Endoscopy