PAULO ROGERIO SCORDAMAGLIO
Projetos de Pesquisa
Unidades Organizacionais
Instituto do Coração, Hospital das Clínicas, Faculdade de Medicina - Médico
6 resultados
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- Early complications in flexible bronchoscopy at a university hospital(2020) JACOMELLI, Marcia; MARGOTTO, Stephania Silva; DEMARZO, Sergio Eduardo; SCORDAMAGLIO, Paulo Rogerio; CARDOSO, Paulo Francisco Guerreiro; PALOMINO, Addy Lidvina Mejia; FIGUEIREDO, Viviane RossiObjective: To analyze the complications related to flexible bronchoscopy (FB) and its collection procedures in outpatients and inpatients with various lung and airway diseases treated at a university hospital. Methods: This was a retrospective analysis of complications occurring during or within 2 h after FB performed between January of 2012 and December of 2013, as recorded in the database of the respiratory endoscopy department of a hospital complex in the city of Sao Paulo, Brazil. Results: We analyzed 3,473 FBs. Complications occurred in 185 procedures (5.3%): moderate to severe bleeding, in 2.2%; pneumothorax, in 0.7%; severe bronchospasm, in 0.8%; general complications (hypoxemia, psychomotor agitation, arrhythmias, vomiting, or hypotension), in 1.6%; and cardiopulmonary arrest, in 0.03%. There were no deaths related to the procedures. Specifically, among the 1,728 patients undergoing biopsy, bronchial brushing, or fine-needle aspiration biopsy, bleeding occurred in 75 (4.3%). Among the 1,191 patients undergoing transbronchial biopsy, severe pneumothorax (requiring chest tube drainage) occurred in 24 (2.0%). Conclusions: In our patient sample, FB proved to be a safe method with a low rate of complications. Appropriate continuing training of specialist doctors and nursing staff, as well as the development of standardized care protocols, are important for maintaining those standards.
- Flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults(2012) RODRIGUES, Ascedio Jose; OLIVEIRA, Eduardo Quintino; SCORDAMAGLIO, Paulo Rogerio; GREGORIO, Marcelo Gervilla; JACOMELLI, Marcia; FIGUEIREDO, Viviane RossiObjective: To determine the success rate of flexible bronchoscopy as the first-choice method of removing foreign bodies from the airways of adults. Methods: This was a retrospective study of all adult patients (over 18 years of age) with foreign body aspiration submitted to bronchoscopy between January of 2009 and January of 2011 at the University of Sao Paulo School of Medicine Hospital das Clinicas, located in Sao Paulo, Brazil. Results: The study sample comprised 40 adult patients, with a mean age of 52 years (range, 18-88 years). The median time of permanence of the foreign body in the airway was 15 days (range, 12 h to 10 years). All of the patients first underwent diagnostic flexible bronchoscopy. Foreign bodies were successfully removed with flexible bronchoscopy in 33 (82.5%) of the patients. In 1 patient, a metal object lodged in the distal bronchial tree required the use of fluoroscopy. Six patients (15%) required rigid bronchoscopy due to tracheal foreign body-induced dyspnea, in 2, and because the foreign body was too large for the flexible forceps, in 4. Bronchoscopy failed in 1 patient, who therefore required surgical bronchotomy. Conclusions: Although rigid bronchoscopy is considered the gold standard for the removal of foreign bodies from the airways, our experience showed that flexible bronchoscopy can be safely and effectively used in the diagnosis and treatment of stable adult patients.
article 13 Citação(ões) na Scopus Minimally invasive bronchoscopic resection of benign tumors of the bronchi(2011) RODRIGUES, Ascedio Jose; COELHO, David; DIAS JUNIOR, Servulo Azevedo; JACOMELLI, Marcia; SCORDAMAGLIO, Paulo Rogerio; FIGUEIREDO, Viviane RossiObjective: Primary benign tumors of the trachea and main bronchi are uncommon. Interventional bronchoscopy allows the diagnosis and the treatment of some of these lesions. Methods: We reviewed four cases endoscopically treated at our institution. Results: Two patients had hamartoma, and two patients had endobronchial lipoma. In all of the cases, the interventional technique for the resection was the use of a polypectomy snare and electrocautery. The only complication reported was one episode of bronchospasm. Conclusions: Minimally invasive bronchoscopic resection is a safe, effective method for treating selected benign tumors of the main airway and has a low complication rate.- Endobronchial histoplasmosis mimicking primary bronchogenic carcinoma during the COVID-19 pandemic(2022) D'AMBROSIO, Paula Duarte; COSTA, Andre Nathan; SCORDAMAGLIO, Paulo Rogerio; TERRA, Ricardo Mingarini
- Flexible bronchoscopy: the first-choice method of removing foreign bodies from the airways of children(2022) LIMA, Evelise; ESPINDOLA, Bianca Fidelix; MORAIS, Isadora Oliveira; SCORDAMAGLIO, Paulo Rogerio; RODRIGUES, Ascedio Jose
- Endobronchial ultrasound in esophageal cancer - when upper gastrointestinal endoscopy is not enough(2019) SANTOS, Lilia Maia; JACOMELLI, Marcia; SCORDAMAGLIO, Paulo Rogerio; CARDOSO, Paulo Francisco Guerreiro; FIGUEIREDO, Viviane Rossi