Gastroenterologia
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Browsing Gastroenterologia by Author "Almeida, N"
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- Interventional Algorithm in Gastrointestinal Bleeding-An Expert Consensus Multimodal Approach Based on a Multidisciplinary TeamPublication . Rodrigues, A; Carrilho, A; Almeida, N; Baldaia, C; Alves, A; Gomes, M; Gonçalves, L; Robalo Nunes, A; Leal Pereira, C; Silva, MJ; Aguiar, J; Órfão, R; Duarte, P; Tato Marinho, RThe approach to the patient with gastrointestinal bleeding (GIB) can be very complex. A multidisciplinary panel of physicians with expertise in Gastroenterology, Anesthesiology, and Transfusion Medicine worked together to provide the best knowledge and guide clinical practitioners in the real setting of health institutions, characterized by disparate availability of human and technical resources. The authors propose a global and personalized approach according to different clinical scenarios to improve the outcomes of patients with GIB, for whom the reduction of inappropriate transfusions is crucial. The goal of this document is to provide clear and objective guidance through interventional algorithms toward a goal-directed approach according to the clinical situation and supported by the latest available scientific data on GIB management in different settings.
- Small Bowel Enteroscopy - A Joint Clinical Guideline by the Spanish and Portuguese Small-Bowel Study GroupsPublication . Pérez-Cuadrado Robles, E; Pinho, R; González-Suárez, B; Mão-de-Ferro, S; Chagas, C; Esteban Delgado, P; Carretero, C; Figueiredo, P; Rosa, B; García-Lledó, J; Nogales, O; Ponte, A; Andrade, P; Juanmartiñena-Fernández, JF; San-Juan-Acosta, M; Lopes, S; Prieto-Frías, C; Egea Valenzuela, J; Caballero, N; Valdivieso-Cortázar, E; Cardoso, H; Gálvez, C; Almeida, N; Borque Barrera, P; Gómez Rodríguez, BJ; Sánchez Ceballos, FL; Bernardes, C; Alonso-Aguirre, P; Argüelles Arias, F; Mascarenhas Saraiva, MThe present evidence-based guidelines are focused on the use of device-assisted enteroscopy in the management of small-bowel diseases. A panel of experts selected by the Spanish and Portuguese small-bowel study groups reviewed the available evidence focusing on the main indications of this technique, its role in the management algorithm of each indication, and its diagnostic and therapeutic yield. A set of recommendations was issued accordingly.