LATEST ARTICLES
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Hepato-Pancreato-BiliarySurgery
Management of Gallbladder Polyps: When to Follow Up and When to Recommend Cholecystectomy?
Gallbladder polyps are common findings in abdominal ultrasound exams, appearing in about 4.5% of adults. While most of them do not have malignant potential, a small percentage – between 4% …
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The relationship between triglycerides and pancreatic damage has been studied over the years. It is now known that Hypertriglyceridemia (HTG) is the 3rd leading cause of acute pancreatitis (less prevalent …
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Anorectal manometry is an examination used to evaluate the function of the rectum and sphincter apparatus. Its utility is mainly valued in patients who present functional disorders, such as intestinal …
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GastroenterologyPancreas
Chronic Pancreatitis – main etiologies and associated risk of Pancreatic Neoplasia
The term chronic pancreatitis (CP) is used to define a fibro-inflammatory disease of the pancreas, of a progressive and irreversible nature, which can present with abdominal pain as a symptom …
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GastroenterologyLiver
When is the use of beta-blockers recommended in patients with hepatic cirrhosis?
Portal hypertension is the most common complication of liver cirrhosis and is considered the key point for the triggering of ascites, encephalopathy and esophageal varices and, in this way, it …
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Introduction Gallbladder polyps are usually incidental findings diagnosed during abdominal ultrasound exams or during cholecystectomy. They usually do not present symptoms, but occasionally they can cause discomforts similar to those …
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Patients with a IBD (Inflammatory Bowel Disease) moderate to severe phenotype and/or with risk factors for a worse prognosis, once elected for advanced therapy with biologics, should undergo preparation for …
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Hepato-Pancreato-BiliarySurgery
Periampullary neoplasia with isolated hepatic metastasis: what would you do?
Treating and caring for an oncology patient should go beyond the knowledge of high complexity and evidence-based that is updated every day. A solid doctor-patient relationship with expectation management and …
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Esophagus-Stomach-DuodenumSurgery
Gastric partition for treatment of non-resectable obstructive distal gastric tumors
Unfortunately, many patients at the time of diagnosis already have locally advanced gastric tumors, which cannot be removed by surgical procedure, or signs of systemic disease. In Brazil, this number …
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Incidence of anal and anal canal cancer Squamous cell carcinoma of the anus and anal canal has a low incidence in the general population (1-2/100,000 people-year). However, when associated with …
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When we think of Exocrine Pancreatic Insufficiency – EPI (decrease in the activity of pancreatic enzymes in the intestinal lumen, below the values for normal digestion) we automatically relate it …
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Gastric cancer (GC) is the fifth most common cancer in the world. It is estimated that over one million new cases of GC occur annually. Remnant gastric cancer, or gastric …
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It is well known that serology is an important tool in the diagnosis of Celiac Disease (CD), but the best way to use it is still a recurring doubt in …
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GastroenterologyStomach
Ulcers not related to Helicobacter pylori and anti-inflammatories (NSAIDs): how to proceed?
Infection with H. pylori and the use of non-steroidal anti-inflammatory drugs (NSAIDs) are widely accepted as the main causes of peptic ulcer. However, with more effective eradication, better sanitary conditions …
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Colorectal tumor has a major impact on global health and, according to INCA data, it ranked second in incidence in both sexes in our country in 2020. Complications resulting from …
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Celiac disease is an autoimmune disease caused by an abnormal immune response to gluten peptides in the upper small intestine. It is important to understand its pathophysiology to know how …
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A topic that has been gaining attention from pancreas scholars lately is pancreatic steatosis. This is a generic term that infers the accumulation of fat in the pancreas. However, there …
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Obesity is a public health problem with increasing incidence. In this article we will discuss its concept, etiology, classification and consequences. Concept and epidemiology Consequences of obesity Metabolic syndrome Classification …
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Esophagus-Stomach-DuodenumGastroenterologySurgery
Common Variable Immunodeficiency and Gastric Cancer
Risk factors commonly associated with the development of gastric cancer (GC) include chronic infection with Helicobacter pylori (H. pylori), low intake of fruits and vegetables, high salt consumption, smoking, and …
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ObesitySurgery
Vertical Gastrectomy and Roux-en-Y Gastric Bypass. Is there a difference in long-term results?
Vertical Gastrectomy (VG) has quickly become the most performed bariatric surgery in the world. However, little is known about long-term results when compared to Roux-en-Y Gastric Bypass (RYGB). In August …
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ColorectalSurgery
Update of the American Guidelines for Enhanced Recovery After Surgery (ERAS) in Colorectal Surgery
The American Society of Colon and Rectal Surgery and the American Society of Gastrointestinal and Endoscopic Surgery published in the first edition of the journal Diseases of Colon and Rectum …
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