IGOR BRAGA RIBEIRO
Projetos de Pesquisa
Unidades Organizacionais
LIM/35 - Laboratório de Nutrição e Cirurgia Metabólica do Aparelho Digestivo, Hospital das Clínicas, Faculdade de Medicina
14 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 14
- Perspectives toward minimizing the adverse events of endoscopic sleeve gastroplasty(2020) MOURA, Diogo Turiani Hourneaux de; BADURDEEN, Dilhana S.; RIBEIRO, Igor Braga; LEITE, Eduardo Filipe Marques Silva Dantas; THOMPSON, Christopher C.; KUMBHARI, VivekEndoscopic sleeve gastroplasty (ESG) transforms the saccular stomach into a tubular structure along the lesser curvature, thereby reducing gastric functional volume.(1-4) Current medical literature demonstrates that ESG achieves greater than 25% excess weight loss at 12 months with a less than 5% rate of severe adverse events (AEs), which is considered satisfactory according to the Preservation and Incorporation of Valuable endoscopic Innovations document created by a task force assembled by the American Society for Gastrointestinal Endoscopy and the American Society for Metabolic and Bariatric Surgery.(5) Despite widespread adoption of the procedure,(6-8) no peer-reviewed resource exists to guide the physician on how to optimally perform the procedure. The aim of this article is to help physicians currently performing or those contemplating performing ESG by providing technical in-sights to facilitate durable tubularization of the stomach while simultaneously minimizing the rate of AEs.
- Stent as a bridge to surgery for colonic obstruction: Do we really need more systematic reviews with meta-analysis of the same articles?(2019) RIBEIRO, Igor Braga; MOURA, Diogo Turiani Hourneaux de; SACHDEV, Amit H.; MOURA, Eduardo Guimaraes Hourneaux de
conferenceObject PERORAL ENDOSCOPIC MYOTOMY VERSUS SURGICAL MYOTOMY FOR THE TREATMENT OF ACHALASIA: SYSTEMATIC REVIEW AND META-ANALYSIS(2018) MARTINS, Rafael K.; BERNARDO, Wanderlei M.; MOURA, Eduardo T.; COUTINHO, Lara M.; FARIAS, Galileu F.; MADRUGA NETO, Antonio C.; DELGADO, Aureo; RIBEIRO, Igor B.; SAKAI, Paulo; SALLUM, Rubens A.; MOURA, Eduardo G. de- VIDEO CAPSULE ENDOSCOPY VS DOUBLE-BALLOON ENTEROSCOPY IN THE DIAGNOSIS OF SMALL BOWEL BLEEDING: A SYSTEMATIC REVIEW AND META-ANALYSIS(2019) BRITO, Helcio P.; RIBEIRO, Igor B.; MOURA, Diogo T. de; BERNARDO, Wanderlei M.; CHAVES, Dalton; KUGA, Rogerio; MAAHS, Ethan D.; ISHIDA, Robson K.; MOURA, Eduardo T.; MOURA, Eduardo G. de
conferenceObject COMPARISON BETWEEN ENTEROSCOPY AND LAPAROSCOPIC ASSISTED-ERCP TO ACCESS BILIARY TREE IN PATIENTS WITH ROUX-EN-Y GASTRIC BYPASS: SYSTEMATIC REVIEW AND META-ANALYSIS(2018) PONTE, Alberto M. da; SAKAI, Paulo; MOURA, Diogo T. de; ISHIDA, Robson K.; KUGA, Rogerio; RIBEIRO, Igor B.; COUTINHO, Lara M.; IDE, Edson; MOURA, Eduardo G. de; BERNARDO, Wanderlei M.; JOSINO, Iatagan R.conferenceObject COMPARISON OF ENDOSCOPIC ULTRASOUND FINE NEEDLE ASPIRATION (FNA) VERSUS FINE NEEDLE BIOPSY (FNB) AND IMPACT OF RAPID ON-SITE EVALUATION (ROSE) IN THE DIAGNOSIS OF SUBEPITHELIAL LESIONS: A LARGE MULTI-CENTER STUDY(2020) MOURA, Diogo T. de; MCCARTY, Thomas R.; JIRAPINYO, Pichamol; RIBEIRO, Igor B.; FLUMIGNAN, Victor K.; RYOU, Marvin; LEE, Linda; THOMPSON, Christopher C.conferenceObject THE EFFECTIVENESS OF ENDOSCOPIC GASTROPLASTY FOR OBESITY TREATMENT ACCORDING TO FDA THRESHOLDS: SYSTEMATIC REVIEW AND META-ANALYSIS BASED ON RANDOMIZED CONTROLLED TRIALS(2018) MADRUGA NETO, Antonio C.; BERNARDO, Wanderlei M.; MOURA, Diogo T. de; BRUNALDI, Vitor O.; SOUZA, Thiago F.; RIBEIRO, Igor B.; MARTINS, Rafael K.; CORONEL, Martin A.; NETO, Manoel Galvao; CAMPOS, Josemberg M.; SANTO, Marco Aurelio; MOURA, Eduardo G. de- EUS-guided fine-needle biopsy sampling versus FNA in the diagnosis of subepithelial lesions: a large multicenter study(2020) MOURA, Diogo T. H. de; MCCARTY, Thomas R.; JIRAPINYO, Pichamol; RIBEIRO, Igor B.; FLUMIGNAN, Victor K.; NAJDAWAI, Fedaa; RYOU, Marvin; LEE, Linda S.; THOMPSON, Christopher C.Background and Aims: Although conventional EUS-guided FNA (EUS-FNA) has previously been considered first-line for sampling subepithelial lesions (SELs), variable accuracy has resulted in increased use of fine-needle biopsy (FNB) sampling to improve diagnostic yield. The primary aim of this study was to compare FNA versus FNB sampling for the diagnosis of SELs. Methods: This was a multicenter, retrospective study to evaluate the outcomes of EUS-FNA and EUS-guided FNB sampling (EUS-FNB) of SELs over a 3-year period. Demographics, lesion characteristics, sensitivity, specificity, accuracy, number of needle passes, diagnostic adequacy of rapid on-site evaluation (ROSE), cell block accuracy, and adverse events were analyzed. Subgroup analyses were performed comparing FNA versus FNB sampling by location and diagnostic yield with or without ROSE. Multivariable logistic regression was also performed. Results: Two hundred twenty-nine patients with SELs (115 FNA and 114 FNB sampling) underwent EUS-guided sampling. Mean patient age was 60.86 +/- 12.84 years. Most lesions were gastric in location (75.55%) and from the fourth layer (71.18%). Cell block for FNB sampling required fewer passes to achieve conclusive diagnosis (2.94 +/- 1.09 vs 3.55 +/- 1.55; P = .003). The number of passes was not different for ROSE adequacy (P = .167). Immunohistochemistry was more able to be successfully performed in more FNB sampling samples (69.30% vs 40.00%; P < .001). Overall, sensitivity and accuracy were superior for FNB sampling versus FNA (79.41% vs 51.92% [P = .001] and 88.03% vs 77.19% [P = .030], respectively). On subgroup analysis, sensitivity and accuracy of FNB sampling alone was superior to FNA + ROSE (79.03% vs 46.67% [P = .001] and 87.25% vs 68.00% [P = .024] , respectively). There was no significant difference in diagnostic yield of FNB sampling alone versus FNB sampling + ROSE (P > .05). Multivariate analysis showed no predictors associated with accuracy. One minor adverse event was reported in the FNA group. Conclusions: EUS-FNB was superior to EUS-FNA in the diagnosis of SELs. EUS-FNB was also superior to EUS-FNA alone and EUS-FNA + ROSE. These results suggest EUS-FNB should be considered a first-line modality and may suggest a reduced role for ROSE in the diagnosis of SELs. However, a large randomized controlled trial is required to confirm our findings.
conferenceObject ENDOSCOPIC STENTING VERSUS ENDOSCOPIC VACUUM THERAPY IN THE MANAGEMENT OF UPPER GASTROINTESTINAL TRANSMURAL DEFECTS: A SYSTEMATIC REVIEW AND META-ANALYSIS(2020) MONTE, Epifanio S. do; MOURA, Diogo T. de; OLIVEIRA, Pedro Victor Aniz Gomes de; TUCCI, Marina; RIBEIRO, Igor B.; SINGH, Shailendra; THOMPSON, Christopher C.; MOURA, Eduardo G. de- EUS-GUIDED FINE NEEDLE ASPIRATION AND ERCP-BASED TISSUE SAMPLING IN SUSPECTED MALIGNANT BILIARY STRICTURE: A META-ANALYSIS OF SAME SESSION PROCEDURES(2019) MOURA, Diogo T. de; MOURA, Eduardo G. de; RODRIGUEZ, Maria A.; RIBEIRO, Igor B.; FARIAS, Galileu F.; BERNARDO, Wanderlei M.; RYOU, Marvin; THOMPSON, Christopher C.