Publications by authors named "V Macedo-Silva"
Background And Aim: We aimed to develop and validate a simple capsule endoscopy (CE) training assessment tool, the Capsule Endoscopy Training Assessment (CETA), and prospectively use it to analyze the learning progression achieved by participants in our CE training program.
Methods: Over a 3-year period, all participants in our CE training program completed pre-training and post-training CETA, ranging between 0% and 100%, and encompassing theoretical questions and interpretation of segmented CE videos. We compared the mean differences in overall, theoretical, and practical pre-training and post-training CETA, and assessed the influence of previous endoscopic experience (upper gastrointestinal endoscopy [UGE], colonoscopy, device-assisted enteroscopy [DAE] and CE) using generalized linear models.
Article Synopsis
- Alpha-1 antitrypsin deficiency (AATD) is a hereditary condition that increases the risk of lung and liver diseases, particularly associated with the Pi*Z genetic mutation.
- A study involving 69 patients identified key factors influencing liver fibrosis, including age over 50, early diagnosis age, low AAT levels, and various metabolic risk factors, with those having a Pi*Z allele and type 2 diabetes at heightened risk.
- An algorithm for liver disease screening in AATD patients was developed to assist primary care providers in identifying individuals needing further liver evaluation.
Pan-Enteric Capsule Endoscopy: Current Applications and Future Perspectives.
GE Port J Gastroenterol
April 2024
Background: The role of capsule endoscopy in the evaluation of the small bowel is well established, and current guidelines position it as a first-line test in a variety of clinical scenarios. The advent of double-headed capsules further enabled the endoscopic assessment of colonic mucosa and the opportunity for a one-step noninvasive examination of the entire bowel (pan-enteric capsule endoscopy [PCE]).
Summary: We reviewed the technical procedure and preparation of patients for PCE, as well as its current clinical applications and future perspectives.
Background: Although endoscopic ultrasound (EUS) plays a critical role in the management of subepithelial lesions (SEL) of upper gastrointestinal tract many can be classified solely by a thorough upper gastrointestinal endoscopy (UGE) which can reduce the burden of additional studies.
Aims: Analyze the impact of a stepwise approach starting with a second-look UGE before the decision of EUS in patients referred to our center with suspected SEL.
Methods: Retrospective cohort study which included all adult patients referred to our center between 2015 and 2020 with suspected SEL.