<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452025000600034</article-id>
<article-id pub-id-type="doi">10.1159/000543508</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Approach to the Do-Not-Resuscitate Patient in the Periendoscopic Period: Survey about the Current Portuguese Reality]]></article-title>
<article-title xml:lang="pt"><![CDATA[Abordagem do doente com Decisão de Não Reanimação no período periendoscópico: inquérito sobre realidade portuguesa atual]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[Ana Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lima]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Simão]]></surname>
<given-names><![CDATA[Inês Rodrigues]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[Raquel R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mascarenhas]]></surname>
<given-names><![CDATA[André]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Feld]]></surname>
<given-names><![CDATA[Lauren D.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barosa]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chagas]]></surname>
<given-names><![CDATA[Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidade Local de Saúde de Lisboa Ocidental Serviço de Gastrenterologia ]]></institution>
<addr-line><![CDATA[Lisbon ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,University of Massachusetts Serviço de Gastrenterologia ]]></institution>
<addr-line><![CDATA[Worcester MA]]></addr-line>
<country>USA</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>32</volume>
<numero>6</numero>
<fpage>34</fpage>
<lpage>42</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452025000600034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452025000600034&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452025000600034&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and Aims:  Cardiopulmonary arrest is a rare but possible complication of endoscopic procedures, particularly when performed under sedation and/or analgesia. Hospitalized patients, and probably those with a Do-Not-Resuscitate (DNR) order, present a higher risk of severe cardiopulmonary complications during endoscopy. The request for endoscopic examination, particularly urgent procedures, is becoming increasingly more frequent in patients with DNR orders. In this study, we aimed to assess current practices, concepts, and guideline awareness of nationally surveyed Portuguese gastroenterologists regarding the approach to code status for DNR patients in the periendoscopic period.  Methods : Online anonymous and self-administered survey was adapted to the Portuguese reality and was conducted to assess gastroenterologists and gastroenterology trainees&#8217; basic demographics data and details about current practice, personal opinions, and knowledge of existing guidelines concerning the reversal of periprocedural DNR orders.  Results:  One hundred forty-&#64257;ve gastroenterologists, including 26 trainees (17.9%), responded to the survey. In patients with a DNR order, code status is rarely discussed (&lt;25% of cases) with the patient/legal representative (66.9%, n = 97) or hospitalist (58.6%, n = 85), and the DNR order is also rarely reversed (reversal in all [100% of cases] or most cases [75-99% of cases] in 8.3%, n = 12). Most respondents were unaware of the procedures necessary for DNR prescription in Portugal (81.3%, n = 118), as well as existing guidelines on DNR reversal (96.5%, n = 140). Regarding personal beliefs, the majority considered that in these patients, the DNR order should be reversed to an intermediate option that includes limited resuscitation maneuvers (62.1%, n = 90) and that the urgency of a procedure should not in&#64258;uence the decision to reverse the DNR order (n = 89, 61.4%). There was consensus on the need for recommendations on this topic for gastroenterologists (97.9%, n = 142).  Conclusion:  Portuguese gastroenterologists usually do not revisit the DNR order before endoscopic procedures as a matter of course and consequently do not reverse it. Furthermore, we found signi&#64257;cant variation in practices and beliefs among Portuguese gastroenterologists in their approach to the patient with a DNR order, probably due to the unawareness and lack of speci&#64257;c existing guidelines.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução e Objetivos: A paragem cardiorrespiratória é uma complicação dos procedimentos endoscópicos, particularmente quando realizados sob sedação e/ou analgesia. Doentes internados, e provavelmente aqueles com Decisão de Não Reanimação (DNR) prescrita, apresentam um risco mais elevado de complicações cardiorrespiratórias graves durante a endoscopia. A solicitação de exames endoscópicos, nomeadamente urgentes, está a tornar-se cada vez mais frequente neste grupo de doentes. Este estudo teve como objetivo avaliar a prática clínica atual, conceitos sobre o tema e conhecimento de recomendações dos gastroenterologistas portugueses relativamente à abordagem do doente com DNR no período periendoscópico.  Métodos: Um questionário auto-administrado, anónimo e online foi adaptado à realidade portuguesa e utilizado para avaliar dados demográ&#64257;cos, bem como aspetos sobre a prática clínica, opiniões e conhecimento de recomendações relativos à reversão da DNR no período periendoscópico dos gas-troenterologistas e internos de Gastroenterologia.  Resultados: Cento e quarenta e cinco gastroenterologistas, incluindo 26 internos de Formação Es-pecí&#64257;ca (17.9%), responderam ao inquérito. Nos doentes DNR prescrita, o grau de investimento raramente é discutido (&lt;25% dos casos) com o doente/representante legal (66.9%, n = 97) ou com o médico responsável (58.6%, n = 85), e a DNR é revertida também raramente (reversão em todos (100% dos casos) ou na maioria dos casos (75-99% dos casos) em 8.3%, n = 12). A maioria dos inquiridos desconhece os procedimentos necessários para a prescrição de DNR em Portugal (81.3%, n = 118), bem como as recomendações existentes sobre a reversão de DNR (96.5%, n = 140). Quando questionados sobre as suas convicções pessoais, a maioria considera que nestes doentes a DNR deve ser revertida para uma opção intermédia que inclua manobras de reanimação limitadas (62.1%, n = 90) e que a urgência de um procedimento não deve in&#64258;uenciar a decisão de reverter a DNR (n = 89, 61.4%). Foi consensual a necessidade de recomendações sobre este tópico para os gastroenterologistas (97.9%, n = 142).  Conclusão: Os gastroenterologistas portugueses habitualmente não discutem a prescrição de DNR previamente a procedimentos endoscópicos e, consequentemente, não a revertem. Para além disso, veri&#64257;cou-se uma variabilidade signi&#64257;cativa nas práticas e crenças dos gastroenterologistas portugueses relativamente à abordagem do doente com DNR, provavelmente justi&#64257;cada pelo desconhecimento e escassez de recomendações especí&#64257;cas existentes sobre o tema.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Do-Not-Resuscitate order]]></kwd>
<kwd lng="en"><![CDATA[Code status]]></kwd>
<kwd lng="en"><![CDATA[Endoscopy]]></kwd>
<kwd lng="pt"><![CDATA[Ordem de Não Reanimação]]></kwd>
<kwd lng="pt"><![CDATA[Grau de investimento]]></kwd>
<kwd lng="pt"><![CDATA[Endoscopia]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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<issue>5</issue>
<page-range>859-65</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Truog]]></surname>
<given-names><![CDATA[RD]]></given-names>
</name>
<name>
<surname><![CDATA[Waisel]]></surname>
<given-names><![CDATA[DB]]></given-names>
</name>
<name>
<surname><![CDATA[Burns]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[DNR in the OR: a goal-directed approach]]></article-title>
<source><![CDATA[Anesthesiology]]></source>
<year>1999</year>
<volume>90</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>289-95</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
