André Goulart

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The level of uncertainty and incompleteness in the information upon which healthcare professionals have to make judgments has been a subject of discussion in the past, and more nowadays, with the advent of the so-called Clinical Decision Support Systems. This work addresses uncertainty in the postoperative prognosis for colorectal cancer. The(More)
To cite: Sedano-Vizcaíno C, Goulart A, Moreno-Sanz C, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015210412 DESCRIPTION A 67-year-old woman with a medical history of arterial hypertension was admitted to the emergency department with 1-day evolution of abdominal pain. The patient presented continuous pain at the(More)
To cite: Goulart A, Torrão H, Leão P. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014208988 DESCRIPTION An 89-year-old woman presented to the emergency department with cough for the past couple of days. Chest X-ray revealed an area of condensation at the inferior lobe of the right lung, suggestive of pneumonia (figure 1).(More)
Silva P, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-223256 Description Ingesting a foreign body is not an uncommon occurrence. Most pass through the gastrointestinal tract uneventfully, and perforation is rare. The preoperative diagnosis, in these cases, is always very difficult and the radiological examinations are not always able to resolve the(More)
Cardiac intracavitary metastasis are very uncommon. A 19 years old patient with an embryonic tumour of the testes extending into the right ventricle, which manifested as heart failure, is presented. To our knowledge, this is the first case report of a teratoma with carcinoma of the testis involving the right ventricle.
The aim of this study was to know the incidence of osteoporotic hip fracture in a defined area of the Azores. The catchment area included the islands of Faial, Pico, Flores and Corvo, with 11,617 subjects aged 50 or more: 5,373 males and 6,244 females. The time period of the survey was 1991 to 1993. Data was obtained from the records of the Orthopedic(More)
BACKGROUND/AIMS Although laparoscopic cholecystectomy is the most widely used technique in the surgical treatment of acute cholecystitis, some schools continue to perform the open approach in the treatment of that disease. Our objective is to make a comparative analysis of results obtained with laparoscopic cholecystectomy (LC) and gall bladder removal by(More)
Bariatric surgery is an effective treatment for weight loss, but the patient's ability to reach a sustained weight loss depends upon several technical and individual factors. Creating an easy model that adapts bariatric surgery's weight loss goals for each patient is very important for pre-surgery and follow-up evaluations.
computed tomography scan of the chest and abdomen, pelvic magnetic resonance imaging scan and endorectal ultrasound identified a lesion at 3 cm from the anal verge, T2/T3a, and a lesion at 15 cm, T2N0, with no evidence of distant metastases. A biopsy was taken and histology revealed an adenocarcinoma. After a multidisciplinary oncology consultation, the(More)
INTRODUCTION Laparoscopic cholecystectomy is the gold standard procedure for the treatment of lithiasic gallblader pathology and acute cholecystitis. Whether or not it should be done as ambulatory surgery is still being discussed. The present study aims to analyze the quality and safety of laparoscopic cholecystectomy conducted by the Ambulatory Unit of(More)