Introdução: Apesar do reconhecimento da sua elevada prevalência e seu adverso impacto clínico, a desnutrição permanece subvalori- zada no contexto hospitalar e agrava-se frequentemente no decurso do internamento. Objectivos: Caracterizar a progressão do estado nutricional e da composição corporal no período pós-operatório imediato de cirurgia electiva major e correlacioná-la com a evolução clínica. Material e m...
Introdução: Diversos estudos sugerem que a citrulinémia pode constituir um parâmetro objectivo e reprodutível da massa enterocitária funcionante. Objectivos: Analisar o valor da citrulinémia na avaliação da função intestinal na síndroma do intestino curto. Material e métodos: Realizou-se um estudo caso-controlo, incluindo 11 doentes com síndroma do intestino curto, resultante de enterectomia extensa e 11 indiví...
The number and severity of bile duct injuries has increased since the introduction of laparoscopic cholecystectomy. This study determines their incidence, clinical presentation and management in the setting of Portuguese public hospitals, by means of a national inquiry promoted by the HPB chapter of the Portuguese Surgical Society. A 37% response rate was obtained from 29 hospitals having performed collectively...
Resumo da comunicação apresentado ao XII Congresso Nacional de Medicina Nuclear, 12-14 Novembro 2009, Mealhada
Resumo do poster apresentado ao XII Congresso Nacional de Medicina Nuclear, 12-14 Novembro 2009, Mealhada
Recently, mortality associated with hepatic resection suffered a considerably reduction. To determine the prognostic factors of mortality after hepatic resection for hepatocellular carcinoma, a retrospective study of 69 cases operated between 1990 and 2008 was undertaken. Patients ́ mean age was 61,8 years-old and 93% were male. Chronic liver disease was present in 73% of cases. Mean Charlson’s Index and M.E.L....
In adults, endogenous hyperinsulinemic hypoglycaemia is almost invariably due to insulinoma. The authors describe a 29 year old patient with repeated postprandial symptomatic hypoglycaemias and negative prolonged fast test. Distal pancreatectomy was performed, directed by positive arteriographic testing. Histological examination revealed pancreatic nesidioblastosis and no tumoral lesion. Distinct pathogenetic, ...
The results of laparoscopic cholecystectomy in a group of 52 patients older than 69 years (group 1) were compared with the results of the same operation in a group of 338 younger patients (group 2). In group 1, 23 per cent of patients had acute cholecystitis and 13 per cent were operated on after an episode of acute pancreatitis. In group 2, 8 per cent of patients had acute cholecystitis and 4 per cent were ope...
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