RAFAEL ANTONIO ARRUDA PECORA
Projetos de Pesquisa
Unidades Organizacionais
9 resultados
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- Home Parenteral Nutrition Program and Referral of Potential Candidates for Intestinal and Multivisceral Transplantation in a Single Brazilian Center(2014) LEE, A. D. W.; GALVAO, F. H. F.; DIAS, M. C. G.; CRUZ, M. E.; MARIN, M.; PEDROL, C. N.; DAVID, A. I.; PECORA, R. A. A.; WAITZBERG, D. L.; D'ALBUQUERQUE, L. A. C.Intestinal failure is a multifaceted condition that may require high-complexity treatment and a multidisciplinary program, including home parenteral nutrition therapy (HPNT) and intestinal transplantation. In this article, we profile a Brazilian single-center experience with 128 cases of HTPN followed for the last 30 years and appraise the referral for potential intestinal and multivisceral transplantation.
- Transplante de intestino delgado(2013) PÉCORA, Rafael Antonio Arruda; DAVID, André Ibrahim; LEE, André Dong; GALVÃO, Flávio Henrique; CRUZ-JUNIOR, Ruy Jorge; D'ALBUQUERQUE, Luiz Augusto CarneiroBACKGROUND: Small bowel transplantation evolution, because of its complexity, was slower than other solid organs. Several advances have enabled its clinical application. AIM: To review intestinal transplantation evolution and its current status. METHOD: Search in MEDLINE and ScIELO literature. The terms used as descriptors were: intestinal failure, intestinal transplantation, small bowel transplantation, multivisceral transplantation. Were analyzed data on historical evolution, centers experience, indications, types of grafts, selection and organ procurement, postoperative management, complications and results. CONCLUSION: Despite a slower evolution, intestinal transplantation is currently the standard therapy for patients with intestinal failure and life-threatening parenteral nutrition complications. It involves some modalities: small bowel transplantation, liver-intestinal transplantation, multivisceral transplantation and modified multivisceral transplantation. Currently, survival rate is similar to other solid organs. Most of the patients become free of parenteral nutrition.
conferenceObject Double Balloon Enteroscopy Assessment as a Relevant Approach to Evaluate the Evolution and Diagnosis of Intestinal Failure Complications(2015) LEE, Andre; SAFATLE-RIBEIRO, Adriana V.; ROCHA, Mariana H.; MINCHELONI, Natalia D.; NOVA, Lidiane C. Casa; GUIDI, Paula; GALVAO, Flavio H.; GONCALVES-DIAS, Maria C.; CALIL, Igor L.; DAVID, Andre I.; SOLER, Wangles V.; PECORA, Rafael A.; WAITZBERG, Dan L.; D'ALBUQUERQUE, Luis C.bookPart Transplant de intestino delgado(2016) GALVãO, Flávio Henrique Ferreira; LEE, André Dong Won; PéCORA, Rafael António de Arruda; D'ALBUQUERQUE, Luiz Augusto CarneiroconferenceObject Pre and Perioperative Nursering Care System for Intestinal and Multivisceral in a Brazilian's Public Hospital.(2015) SANTANA, Vanessa B.; DIAS, Ana P.; GALVAO, Flavio H.; BARBOSA, Valdecy M.; NERY, Luciente P.; PEREIRA, Juliana M.; LEE, Andre D.; CALIL, Igor L.; PECORA, Rafael A.; RIZZON, Adriana C.; D'ALBUQUERQUE, Luiz A.- Shortage of Donors for Intestinal Transplantation in Sao Paulo, Brazil(2016) CALIL, I. L.; ANDRADE, G. M.; GALVAO, F. H.; LEITE, A. Z. A.; PECORA, R. A.; LEE, A. W.; D'ALBUQUERQUE, L. A. C.Background. The number of deceased organ donors has decreased slightly over the past 4 years. Although the pool of intestinal transplantation candidates is relatively small, donor allocation is challenging because of the inability to maintain the donor in a good condition and the complexities involved in making a suitable weight match between donors and recipients. Our goal was to analyze the epidemiologic profile of potential donors based on the organs offered by the regional Organ Procurement Organization from Hospital das Clinicas-USP (OPO/HC-USP) and attempt to estimate possible matches and program viability. Methods. We retrospectively analyzed information from the OPO/HC-USP database regarding organs offered over the past 7 years as well as patients listed in our program. Data were collected regarding donor characteristics (eg, sex, age, race, body mass index, blood type, cause of death) and medical care details (eg, intensive care unit stay, use of vasopressor agents and antibiotics). Results. In this time period, there were 18,103 brain death notifications in the state of Sao Paulo; 5,202 (35%) became viable donors, resulting in 5,201 (99%) effectively used livers and kidneys. Most potential donors were male, in their 40s, white, and had blood type O. Only 3 potential donors from OPO/HC-USP would have reached the established minimum criteria for intestinal donation over these 7 years.
conferenceObject Referral for Intestinal Transplantation in the Reference Hospital of Brazil(2015) LEE, Andre D. W.; GALVAO, Flavio H.; ROCHA, Mariana H.; CALIL, Igor L.; GUIDI, Paula; MINCHELONI, Natalia D.; CASANOVA, Lidiane C.; DIAS, Maria C.; CRUZ, Maria E.; SOLER, Wangles V.; PECORA, Rafael A.; WAITZBERG, Dan L.; D'ALBUQUERQUE, Luiz A. C.conferenceObject Home Parenteral Nutrition: the Experience of a Tertiary Hospital in Sao Paulo, Brazil.(2015) ROCHA, Mariana Hollanda Martins da; LEE, Andre Dong Won; DIAS, Maria Carolina Goncalves; WAITZBERG, Dan Linetzky; CATALANI, Lidiane Aparecida; GUIDI, Paula Machado; MICHELONI, Natalia Diniz; PECORA, Rafael Antonio Arruda; CALIL, Igor Lepski; GALVAO, Flavio Henrique Ferreira; D'ALBUQUERQUE, Luiz Augusto CarneiroconferenceObject The Multivisceral Transplant Program at University of Sao Paulo Medical School-Brazil(2015) CALIL, Igor; PECORA, Rafael A.; LEE, Andre D.; DAVID, Andre; ANDRADE, Guilherme; MALBOUISSON, Luis Marcelo S.; VANE, Matheus; MOTOYAMA, Eduardo; SOLER, Wangles; ROCHA FILHO, Joel A.; TANIGAWA, Ryan; ROCHA, Vinicius S.; BRONZE, Rodrigo M.; ANDRAUS, Wellington; PINHEIRO, Rafael S.; HADDAD, Luciana; NACIF, Lucas S.; PANTANALI, Carlos; GALVAO, Flavio; D'ALBUQUERQUE, Luiz Augusto C.