ANGELITA HABR GAMA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Gastroenterologia, Faculdade de Medicina - Docente
10 resultados
Resultados de Busca
Agora exibindo 1 - 10 de 10
- What more do we want from neoadjuvant treatment strategies in rectal cancer?(2015) HABR-GAMA, Angelita; FERNANDEZ, Laura M.; PEREZ, Rodrigo O.
- A new paradigm for rectal cancer: Organ preservation: Introducing the International Watch & Wait Database (IWWD)(2015) BEETS, G. L.; FIGUEIREDO, N. L.; HABR-GAMA, A.; VELDE, C. J. H. van de
- Contact X-Ray Brachytherapy in Organ Preservation for Rectal Cancer(2018) HABR-GAMA, Angelita; JULIAO, Guilherme Pagin Sao; PEREZ, Rodrigo O.
- Should We Give Up The Search for a Clinically Useful Gene Signature for the Prediction of Response of Rectal Cancer to Neoadjuvant Chemoradiation?(2016) PEREZ, Rodrigo O.; HABR-GAMA, Angelita; JULIAO, Guilherme P. Sao; VAILATI, Bruna B.; FERNANDEZ, Laura M.; GAMA-RODRIGUES, Joaquim; CAMARGO, Anamaria A.
- Antimicrobial prophylaxis for colorectal surgery(2012) NELSON, Richard L.; GLENNY, Anne Marie; SONG, Fujian; HABR-GAMA, Angelita
article 2 Citação(ões) na Scopus Anal cancer: leading the way(2017) HABR-GAMA, Angelita; JULIAO, Guilherme Pagin Sao; PEREZ, Rodrigo Oliva- Prospective Multicenter Trial Comparing Echodefecography With Defecography in the Assessment of Anorectal Dysfunction in Patients With Obstructed Defecation(2011) REGADAS, F. Sergio P.; HAAS, Eric M.; ABBAS, Maher A.; JORGE, J. Marcio; HABR-GAMA, Angelita; SANDS, Dana; WEXNER, Steven D.; MELO-AMARAL, Ingrid; SARDINAS, Carlos; LIMA, Doryane M.; SAGAE, Evaldo U.; MURAD-REGADAS, Sthela M.BACKGROUND: Defecography is the gold standard for assessing functional anorectal disorders but is limited by the need for a specific radiologic environment, exposure of patients to radiation, and inability to show all anatomic structures involved in defecation. Echodefecography is a 3-dimensional dynamic ultrasound technique developed to overcome these limitations. OBJECTIVE: This study was designed to validate the effectiveness of echodefecography compared with defecography in the assessment of anorectal dysfunctions related to obstructed defecation. DESIGN: Multicenter, prospective observational study. PATIENTS: Women with symptoms of obstructed defecation. SETTING: Six centers for colorectal surgery (3 in Brazil, 1 in Texas, 1 in Florida, and 1 in Venezuela). INTERVENTIONS: Defecography was performed after inserting 150 mL of barium paste in the rectum. Echodefecography was performed with a 2050 endoprobe through 3 automatic scans. MAIN OUTCOME MEASURES: The kappa statistic was used to assess agreement between echodefecography and defecography in the evaluation of rectocele, intussusception, anismus, and grade III enterocele. RESULTS: Eighty-six women were evaluated: median Wexner constipation score, 13.4 (range, 6-23); median age, 53.4 (range, 26-77) years. Rectocele was identified with substantial agreement between the 2 methods (defecography, 80 patients; echodefecography, 76 patients; kappa = 0.61; 95% CI = 0.48-0.73). The 2 techniques demonstrated identical findings in 6 patients without rectocele, and in 9 patients with grade I, 29 with grade II, and 19 patients with grade III rectoceles. Defecography identified rectal intussusception in 42 patients, with echodefecography identifying 37 of these cases, plus 4 additional cases, yielding substantial agreement (kappa = 0.79; 95% CI = 0.57-1.0). Intussusception was associated with rectocele in 28 patients for both methods (kappa = 0.62; 95% CI = 0.41-0.83). There was substantial agreement for anismus (kappa = 0.61; 95% CI = 0.40-0.81) and for rectocele combined with anismus (kappa = 0.61; 95% CI = 0.40-0.82). Agreement for grade III enterocele was classified as almost perfect (kappa = 0.87; 95% CI = 0.66-1.0). LIMITATIONS: Echodefecography had limited use in identification of grade I and II enteroceles because of the type of probe used. CONCLUSIONS: Echodefecography may be used to assess patients with obstructed defecation, as it is able to detect the same anorectal dysfunctions found by defecography. It is minimally invasive and well tolerated, avoids exposure to radiation, and clearly demonstrates all the anatomic structures involved in defecation.
- eContact Radiation Therapy for Achieving Organ Preservation in Rectal Cancer After Standard Neoadjuvant Chemoradiation: Looking for a Place in the Sun(2018) HABR-GAMA, Angelita; PEREZ, Rodrigo O.
- In Reply to Sole and Calvo(2014) HABR-GAMA, Angelita; GAMA-RODRIGUES, Joaquim; PEREZ, Rodrigo O.