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Intra-gastric ballon in the treatment of morbid obesity.
Carvalho, Ma Raquel; Jorge, Zulmira; Nobre, Ema; Dias, Teresa; Cortez-Pinto, Helena; Machado, Mariana V; Camolas, José; Neves, Sílvia; Guerra, AnabelaIntragastric balloon is a temporary treatment for weight loss with proven safety and efficacy when associated with lifestyle intervention. It is indicated in the super--obese who are candidates for bariatric surgery to lose weight and to reduce their high surgical risk. Our aim was to retrospectively evaluate the results of the patients in whom this device was inserted during a three-year period from the beginn...
Malnutrition in morbid obesity.
Jorge, Zulmira; Carvalho, Maria Raquel; Guerra, Anabela S; Alves, Natália; De Almeida, José Mendes; Fagundes, Maria João; Cortêz-Pinto, HelenaNutritional deficiences are common in patients who have undergone bariatric surgery for morbid obesity. There are limited data on nutritional status before surgery. We now begin to realize the importance and the high frequency of that situation in the morbidly obese who have never undergone any invasive procedure. It is very important to acknowlegde this fact, so that specific therapy is begun before surgery. I...
Pituitary macroadenoma associated with pulmonary and cutaneous sarcoidosis--a c...
Vilar, Helena; Nobre, E Lacerda; Jorge, Zulmira; Filipe, J Sousa; Castro, J Jácome deSarcoidosis is a granulomatous disease of unknown etiology that can affect all organs and systems, including the central nervous system in approximately 5% of patients. Although the hypothalamo-hypophyseal system may be one of the areas affected by neurosarcoidosis, pseudotumoral lesions are very rare. This paper reports the case of a 42-year-old male Caucasian patient followed by the Pneumology and Dermatology...
Autoimmune thyroid disease: a case report.
Jorge, Zulmira; Serviço de Endocrinologia, Diabetes e Metabolismo, Hospital Militar Principal, Lisboa.; Nobre, Ema Lacerda; Santana, AAutoimmune thyroid disease is the most common cause of subclinical thyroid dysfunction (hypo and hyperthyroidism) in the western countries. Autoimmune thyroid diseases with clinical relevance (Graves' disease and autoimmune hypothyroidism) are common and can present with a large clinical and laboratorial spectrum. Hypo and hyperthyroidism can exist in the same patient, on different times. Progression from Grave...
Assessment of an obesity clinic in a center hospital.
Vasconcelos, Maria P; Jorge, Zulmira; Nobre, Ema L; Domingues, Andreia; Macedo, Ana; Castro, J Jácome deSlight weight losses (5%) are consensually accepted as important in the treatment of obesity today. Some authors also consider that maintaining weight is an indicator of success in the treatment of this condition.Characterisation and assessment of changes in weight in obese patients monitored at an obesity clinic in a hospital endocrinology department.Retrospective analysis of the clinical files of the Endocrin...
A rare case of malabsorption of thyroid hormones.
Nobre, E Lacerda; Jorge, Zulmira; Anselmo, J; Lopes, Carlos; César, Rui; Santos, V; Castro, J Jácome deWe describe the case of a 22-year old male undergoing a total thyroidectomy for euthyroid multi-nodular goitre (TSH: 1.6 microUI/ml). He was discharged treated with LT4 100 mg id. After discharge, he went into full clinical and laboratorial hypothyroidism (TSH = 396 microUI/mL). We were able to rule out failure to take the medication and concomitant use of drugs. In the evaluation of intestinal absorption, only...
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