Publications by authors named "Goncalves T Curdia"
Article Synopsis
- Early endoscopy (within 24 hours) is recommended for patients with acute nonvariceal upper gastrointestinal bleeding (NVUGIB) who are on anticoagulants, but data on its timing are limited.
- A study found that those undergoing early endoscopy had a higher likelihood of receiving endoscopic treatment, shorter hospital stays, and more admissions to intermediate/intensive care units compared to those with delayed endoscopy.
- However, the timing of endoscopy did not impact surgical intervention rates, recurrent bleeding, or 30-day mortality for these patients.
Article Synopsis
- IBD patients have a higher risk of MAFLD, but it's unclear if common non-invasive liver scores can predict this condition in them.
- A study evaluated the effectiveness of various scoring systems (MAFLD-S, FLI, HSI, CPN-CD) in detecting MAFLD among IBD patients using transient elastography.
- Results showed that MAFLD-S had the best predictive accuracy, while all scores effectively identified MAFLD in IBD patients, helping target those needing further liver health assessments.
Article Synopsis
- There is a lack of discharge protocols for acute pancreatitis (AP) patients, which the Hungarian Pancreatic Study Group (HPSG) aims to address with a new, validated protocol based on laboratory data and symptoms.
- An international survey revealed that 87.5% of participating medical centers do not have discharge protocols, but those that do see shorter hospital stays and lower readmission rates.
- The HPSG discharge protocol resulted in the lowest average length of hospital stay and demonstrated safety through a low readmission rate, highlighting the need for developing and validating more standardized discharge protocols for AP care.
Article Synopsis
- The ESGE Position Statement offers evidence-based guidance for training in basic gastrointestinal endoscopic procedures, detailing competencies, training program structures, patient safety, and legal considerations.* -
- Basic endoscopic procedures, as defined by ESGE and ESGENA, include diagnostic upper/lower GI endoscopy and selected interventions like biopsies and polypectomies, which trainees are expected to master by program completion.* -
- The statement emphasizes the need for rigorous training requirements, ongoing assessment of skills through validated tools, and continuous monitoring of performance indicators to ensure competence in GI endoscopy.*
We read the comments by Nylund K et al. regarding our paper "Ultrasonographic scores for ileal Crohn's disease assessment: Better, worse or the same as contrast‑enhanced ultrasound?". Intestinal ultrasound has become one of the most valuable developments in the past decade, a non-invasive, well-tolerated exam, with an easy repeatability, and absence of sedation, ionizing radiation, or preparation.
View Article and Find Full Text PDFVarious environmental factors affecting the human microbiota may lead to gut microbial imbalance and to the development of pathologies. Alterations of gut microbiota have been firmly implicated in digestive diseases such as hepatic encephalopathy, irritable bowel syndrome and diverticular disease. However, while these three conditions may all be related to dysfunction of the gut-liver-brain axis, the precise pathophysiology appears to differ somewhat for each.
View Article and Find Full Text PDFBackground: Acid suppressing drugs (ASD) are generally used in acute pancreatitis (AP); however, large cohorts are not available to understand their efficiency and safety. Therefore, our aims were to evaluate the association between the administration of ASDs, the outcome of AP, the frequency of gastrointestinal (GI) bleeding and GI infection in patients with AP.
Methods: We initiated an international survey and performed retrospective data analysis on AP patients hospitalized between January 2013 and December 2018.
Percutaneous endoscopic gastrostomy: confirming the clinical benefits far beyond anthropometry.
Eur J Gastroenterol Hepatol
September 2017
Objectives: The real benefit of gastrostomy is still a matter of debate. We aimed to prospectively evaluate the global impact of percutaneous endoscopic gastrostomy (PEG) in patients followed at a specialized multidisciplinary clinic, namely, the impact on the need for healthcare resources, anthropometric measures, pressure ulcers prevention and healing, and nutritional and hydration status.
Patients And Methods: From the 201 patients who underwent PEG between May 2011 and September 2014, 60 were included in a prospective study.
Upper gastrointestinal bleeding risk scores: Who, when and why?
World J Gastrointest Pathophysiol
February 2016
Upper gastrointestinal bleeding (UGIB) remains a significant cause of hospital admission. In order to stratify patients according to the risk of the complications, such as rebleeding or death, and to predict the need of clinical intervention, several risk scores have been proposed and their use consistently recommended by international guidelines. The use of risk scoring systems in early assessment of patients suffering from UGIB may be useful to distinguish high-risks patients, who may need clinical intervention and hospitalization, from low risk patients with a lower chance of developing complications, in which management as outpatients can be considered.
View Article and Find Full Text PDFBackground: Small bowel capsule endoscopy represents the initial investigation for obscure gastrointestinal bleeding. Flexible spectral imaging colour enhancement (FICE) is a virtual chromoendoscopy technique designed to enhance mucosal lesions, available in different settings according to light wavelength-- FICE1, 2 and 3.
Aims: To compare the diagnostic yield of FICE1 and white light during capsule endoscopy in patients with obscure gastrointestinal bleeding.
Background: Ulcerative colitis (UC) has a recognized phenotypic heterogeneity. Some studies suggest that age at diagnosis may influence features and natural history of the disease.
Aim: This study aimed to compare patients', disease's and treatment's features between Portuguese patients diagnosed before and after the age of 40-years-old.
Introduction: The satisfaction with the medical profession has been identified as an essential factor for the quality of care, the wellbeing of patients and the healthcare systems' stability. Recent studies have emphasized a growing discontent of physicians, mainly as a result of changes in labor relations.
Objectives: To assess the perception of Portuguese medical residents about: correspondence of residency with previous expectations; degree of satisfaction with the specialty, profession and place of training; reasons for dissatisfaction; opinion regarding clinical practice in Portugal and emigration intents.