SPENCER CHENG
Projetos de Pesquisa
Unidades Organizacionais
LIM/26 - Laboratório de Pesquisa em Cirurgia Experimental, Hospital das Clínicas, Faculdade de Medicina
9 resultados
Resultados de Busca
Agora exibindo 1 - 9 de 9
bookPart Drenagem biliar e pancreática ecoguiada(2014) ARTIFON, Everson Luiz de Almeida; CHENG, Spencer; UEMURA, Ricardo SatobookPart Obstrução antropiloroduodenal(2014) CHENG, Spencer; MOURA, Eduardo Guimarães Hourneaux de; ARTIFON, Everson Luiz de Almeida- Papillary fistulotomy vs conventional cannulation for endoscopic biliary access: A prospective randomized trial(2018) FURUYA, Carlos Kiyoshi; SAKAI, Paulo; MARINHO, Fabio Ramalho Tavares; OTOCH, Jose Pinhata; CHENG, Spencer; PRUDENCIO, Livia Lemes; MOURA, Eduardo Guimaraes Hourneaux de; ARTIFON, Everson Luiz de AlmeidaAIM To compare the cannulation success, biochemical profile, and complications of the papillary fistulotomy technique vs catheter and guidewire standard access. METHODS From July 2010 to May 2017, patients were prospectively randomized into two groups: Cannulation with a catheter and guidewire (Group.) and papillary fistulotomy (Group.). Amylase, lipase and C-reactive protein at T0, as well as 12 h and 24 h after endoscopic retrograde cholangiopancreatography, and complications (pancreatitis, bleeding, perforation) were recorded. RESULTS We included 102 patients (66 females and 36 males, mean age 59.11 +/- 18.7 years). Group. and Group. had 51 patients each. The successful cannulation rates were 76.5% and 100%, respectively (P = 0.0002). Twelve patients (23.5%) in Group. had a difficult cannulation and underwent fistulotomy, which led to successful secondary biliary access (Failure Group). The complication rate was 13.7% (2 perforations and 5 mild pancreatitis) vs 2.0% (1 patient with perforation and pancreatitis) in Groups. and., respectively (P = 0.0597). CONCLUSION Papillary fistulotomy was more effective than guidewire cannulation, and it was associated with a lower profile of amylase and lipase. Complications were similar in both groups.
bookPart Próteses e tubos de drenagem: gastrointestinais, biliares e pancreáticos(2014) VILAçA, Thiago Guimarães; MOURA, Eduardo Guimarães Hourneaux de; MARTINS, Bruno da Costa; CHENG, Spencer; SAKAI, Paulo; ARTIFON, Everson Luiz de AlmeidabookPart Ecoendoscopia terapêutica(2014) ARTIFON, Everson Luiz de Almeida; SANTOS, Marcos Eduardo Lera dos; CHENG, Spencer; MATUGUMA, Sergio Eiji- Endoscopic-ultrasound evaluation and fine needle aspiration with a linear echoendoscope in the cecum: it is possible(2019) CHENG, Spencer; BRUNALDI, Vitor Ottoboni; SILVA, Gustavo Luis Rodela; FURUYA, Carlos Kiyoshi; MINATA, Mauricio Kazuyoshi; MATUGUMA, Sergio Eiji; ARTIFON, Everson Luiz de Almeida
bookPart Stent em cólon(2022) CHENG, Spencer; ARTIFON, Everson Luiz de AlmeidabookPart Lesões neoplásicas avançadas de esôfago, estômago e duodeno(2014) MOURA, Eduardo Guimarães Hourneaux de; CATALANO, Murilo Folharini; CHENG, Spencer; ARTIFON, Everson Luiz de AlmeidabookPart Papilotomia endoscópica: opções técnicas no cateterismo difícil(2014) ARTIFON, Everson Luiz de Almeida; UEMURA, Ricardo Sato; JúNIOR, Carlos Kiyoshi Furuya; CHENG, Spencer; SAKAI, Paulo