ABCD Arq Bras Cir Dig

2024;37:e1831 Editorial
https://doi.org/10.1590/0102-6720202400037e1831

AOSVALDO
QUEDA DA PRESSÃOFORMER
MALAFAIA, PORTAL PRESIDENT
APÓS DESVASCULARIZAÇÃO
OF THE BRAZILIAN
COLLEGE OF DIGESTIVE
ESOFAGOGÁSTRICA SURGERY
E ESPLENECTOMIA INFLUENCIA A VARIAÇÃO
DO CALIBRE
OSVALDO DAS
MALAFAIA, VARIZES
EX-PRESIDENTE DOECOLÉGIO
AS TAXAS DEDERESSANGRAMENTO
BRASILEIRO CIRURGIA DIGESTIVA NA
ESQUISTOSSOMOSE NO SEGUIMENTO
Nicolau Gregori CZECZKO , Jurandir EM LONGO PRAZO?
Marcondes RIBAS FILHO
1,2 2

Does the drop in portal pressure after esophagogastric devascularization and splenectomy
variation of variceal calibers and the rebleeding rates in schistosomiasis in late follow-up?

Walter de Biase SILVA-NETO1 , Claudemiro QUIRESE1 , Eduardo Guimarães Horneaux de MOURA2 ,

Fabricio Ferreira COELHO3 , Paulo HERMAN3
an exclusive mandatory health center for TB patients at the
time, and an hour-and-a-half bus ride from the medical school
RESUMO - Racional: O tratamento de escolha para pacientes com hipertensão portal
classes. That commute enabled him to revise the daily knowledge
esquistossomótica com sangramento de varizes é a desconexão ázigo-portal mais
esplenectomia (DAPE) associada à terapia endoscópica. Porém, estudos mostram content.aumento
At that sanatorium, he would attend procedures at the
do calibre das varizes em alguns pacientes durante o seguimento em longo surgical center, following them up, and occasionally performing
prazo. Objetivo:
Avaliar o impacto da DAPE e tratamento endoscópico pós-operatório nopulmonary comportamento decortications and phrenicotripsies, complications
das varizes esofágicas e recidiva hemorrágica, de pacientes esquistossomóticos. of pulmonaryMétodos: infection ensuing from Koch’s bacillus.
Foram estudados 36 pacientes com seguimento superior a cinco anos, distribuídos Duringem one of his classes at the university anatomy
dois grupos: queda da pressão portal abaixo de 30% e acima de 30% comparados amphitheatre, com Osvaldo
o was meticulously undertaking a cadaver
calibre das varizes esofágicas no pós-operatório precoce e tardio além do índice de recidiva
dissection of a forearm, specifically at the division of the radial
hemorrágica. Resultados
esofágicas que, durante o seguimento aumentaram de calibre e foramnerve belowcom
controladas the brachioradialis muscle and its superficial and
deep branches. Suddenly, Evoluçãochatting is hushed,
do calibre das and not
varizes no período even
pré e pós-
o comportamento do calibre das varizes no pós-operatório precoce nem anytardio
whispering
nem os is ventured,
operatórioand sounds
precoce swiftly begin to hide
e tardio
índices de recidiva hemorrágica. Conclusão themselves behind the silence. Professor Brasílio Vicente
de Castro (1913–1978), Anatomy Chair, magister dixit, in his
operatórios precoces ou tardios. A comparação entre a queda de pressão do portal e academic
as Mensagem central
teaching and supervision walks in. One of the major
A desconexão ázigo-portal e esplenectomia
anatomists in
DESCRITORES: Esquistossomose mansoni. Hipertensão portal. Cirurgia. Pressão na veia porta. Varizes esofágicasBrazil, a disciple
apresenta of the classical
importante impacto school of Jean
na diminuição
e gástricas. Léon Testut (1849–1925). His two
precoce do assistants
calibre das follow
varizes the Professor,
esofágicas na
respectfully standing esquistossomose;
behind him. He scans the
entretanto, register
parece que anda
associação com a terapia endoscópica é a maior
walks between the benches. responsável pelo controle da recidiva hemorrágica. a
He stops at bench seven, with
ABSTRACT - Background: The treatment of choice for patients with schistosomiasis gaze laden with with some curiosity. He observes the diligent and
previous episode of varices is bleeding esophagogastric devascularizationelegant dissection, which had been presented in detail in his
and splenectomy
(EGDS) in association with postoperative endoscopic therapy. However, studies have shown
theoretical lesson, andPerspectiva
asks,
varices recurrence especially after long-term follow-up. Aim: To assess the -impact on Osvaldo?
Quo vadis, Este estudo avaliou o impacto tardio no índice

T
behavior of esophageal varices and bleeding recurrence after post-operative endoscopic de ressangramento de pacientes submetidos ao
Intelligent, organized, methodical, generous, altruistic,
treatment of patients submitted to EGDS. Methods: Thirty-six patients submitted to EGDS tratamento cirúrgico e endoscópico. A queda na
o frame this editorial on Osvaldo Malafaia, we ask responsible, hard-working, companion, friend, explorer, and
our readers
portal pressure drop, more toor
bear
less with our poetic
than 30%, licensewith
and compared so the builder;
thatbehavior in Osvaldo’s brain,
of esophageal variação complex cognitive
do calibre das processes
varizes quando comparado are
varices andwe thecan
ratefreely set about
of bleeding creating
recurrence. a flexible framework
Results triggered as sparks inoneuronal seu diâmetroconnections of the prefrontal
no pré e pós-operatório precoce e
tardio. A comparação entre a queda de pressão
about his life pathway.
late post-operative These
varices arewhen
caliber conjectures
comparedregarding what data
the pre-operative andwas temporal
observed cortex, portal
as he edevised his answer. With his agile
as taxas de ressangramento, também
maydespite
haveanhappened,
increase in diameter
as wellduring follow-up
as facts that magnificently
that did was controlled by endoscopic
and efficient therapy.
thought, his plans, wishes, aspirations, and aims
Conclusion
take place. of a good man take shape. evidenciarAristotelian musings
se apenas a terapia regarding
endoscópica, ou
variceal calibers when comparing pre-operative and early or late post-operative diameters. operações menos complexas poderão controlar o
The year is 1963. Osvaldo, 17 years old, from the town of self-knowledge and self-improvement in character building,
The comparison between the portal pressure drop and the rebleeding rates was also not sangramento das varizes.
Campinas, has begun to read medicine at the Federal University reasoning, human function, excellence in life, happiness, and
of Paraná inSchistosomiasis
HEADINGS: Curitiba. His accommodation
mansoni. Portalis hypertension.
at the MedicalSurgery.
and flourishing through virtue shine through. With the neurotransmitter
Portal pressure.
Surgical Sanatorium
Esophageal and gastricin the rather distant borough of Portão,
varices. release, the answers in the mind become clear:

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From 1Universidade
Trabalho realizado no 1Federal doCirurgia
Serviço de Paraná,Geral
Department of Digestivo,
e Aparelho Surgery –Departamento
Curitiba (PR), de
Brazil;
Clínica
2
Mackenzie Evangelical
Cirúrgica, Faculdade deCollege of Universidade
Medicina, Paraná, Department of Goiás,
Federal de Surgery – Curitiba
Goiânia, GO,
(PR), 2Brazil.
Brasil; Serviço de Endoscopia, Hospital das Clínicas e Departamento de Gastroenterologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil; 3Serviço de
Cirurgia do Fígado, Hospital das Clínicas e Departamento de Gastroenterologia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brasil
How to cite this article: Czeczko NG, Ribas Filho JM. Osvaldo Malafaia, former president of the Brazilian college of digestive surgery. ABCD Arq Bras Cir Dig.
37e1831.
Como https://doi.org/10.1590/0102-6720202400037e1831.
citar esse artigo: de Biase Silva-Neto WB, Quirese C, De Moura EGH, Coelho FF, Herman P. A queda da pressão portal após desvascularização esofagogástrica e esplenectomia

/10.1590/0102-672020210001e1581
Correspondence: Financial source: None
Nicolau Gregori Czeczko Conflict of interests: None
Correspondência:
Email: [email protected] Received: 08/22/2024
Walter De Biase da Silva Neto
Accepted: 08/30/2024
E-mail: [email protected]; Recebido para publicação: 17/09/2020
Editorial Support: National Council for Scientific
[email protected] andpublicação:
Aceito para Technological Development (CNPq).
14/12/2020

ABCD Arq Bras Cir Dig 2021;34(2):e1581 1/4

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EDITORIAL

I want to become a doctor (1963–1968), to pursue a in Brazil and, at the turn of the century, served as the Chair of
postgraduate degree (residence in surgery, 1969–1970, the Brazilian College of Digestive Surgery (1999–2000), and
PhD,1974–1976), to be a lecturer (full professor in 1990 as the Medicine III area coordinator at the Foundation for the
and Emeritus 2016, the Federal University of Paraná Coordination for the Improvement of Higher Education Staff
(UFPR), Full Professor at the Faculdade Evangélica (CAPES) of the Ministry of Education of Brazil (1997–2000),
Mackenzie do Paraná (FEMPAR) since 2001), to learn and as the deputy director and director of Health Sciences
from other educational institutions, to get married Section of the “UFPR” (1989–1990), he set up the “Semanas
(Sônia), to have three children (Marcelo, Maurício and Brasileiras do Aparelho Digestivo” (Brazilian Digestive System
Marilena), to have grandchildren (Nina, Paola, Marcela, Apparatus Study Weeks) (CBCD/FBG/SOBED, 1994), he is the
Thiago and Matheus, the latter a student at FEMPAR editor “Revista BioSCIENCE” of the Paraná Medical Association,
in Curitiba); to speak at conferences (979 activities and Emeritus Member, patron of chair no. 56 of the Paraná
at events), to write journal articles (published 521), Academy of Medicine; his citation rankings are thirteenth in
to supervise postgraduate students (126 MA and 67 Surgery and sixth in Digestive Surgery (2023). He was honored
PhD), to write books (6 books and 87 book chapters by having his name inscribed on the yearly CBCD Medal for
published), to help undergraduate and postgraduate the top article in the journal “Revista ABCD.”
students (336 undergraduate students at FEMPAR, and The doctor, surgeon, professor, researcher, and leader
470 at the UFPR, MA and PhD students over 39 years), represent the highest level of standing of those who are unique,
to participate in degree exam boards (101), and to irreplaceable, the best of the best, from where the brilliance
organise scientific events (109). of his life also enlightens us, and as a professional role model,
he is truly inspirational.
Nota Bene: Osvaldo Malafaia graduated from medicine at There are exceptional seconds and minutes in life. Such
the age of 22, in the year that Dr. Euryclides de J. Zerbini was the rare idyllic spare time moment enjoyed last week.
(1912–1993) carried out the first heart transplant in Latin Sitting in the back garden at home, Malafaia was able to listen
America (1968), he became a university lecturer in the to the melodious song of the bird, which is the symbol of Brazil,
same year that Dr. Baruch S. Blumberg (1925–2011) the rufous-bellied thrush (sabiá-laranjeira). Nina, 7 years old,
became the Nobel Prize winner for identifying the who had just come back from school, was cuddling her dolly.
Hepatitis B virus (1976). With Prof. Henrique Walter Out of the blue, fondly, she pointed her little finger and said,
Pinotti (1929–2010), and other major digestive surgery “Hi Grandpa!” Next, she started to clap her hands! Her clapping
specialists, he was a founder member of the Brazilian hands were joined in with those of thousands of patients,
College of Digestive Surgery in the year in which Single thousands of students, hundreds of trainee doctors, and of
Health System of Brazil, SUS, was launched (1988)3,4. his friends. Similarly to the chirping of the sabiá, an orchestra
He chaired the Brazilian Gastroenterology Federation of sounds impersonated the broadest appreciation for his life
until the year of the fourth football championship which achievements!
the Brazilian team conquered in the USA (1992–1994), And when we asked him, “Professor Doctor Osvaldo
and served as the editor-in-chief of the journal Arquivos Malafaia, how do you view this pathway of yours?”
Brasileiros de Cirurgia Digestiva (The Brazilian Archives - “With joy,” he replied.
of Digestive Surgery), for twenty-one years, starting in And what about the future?
the year when Leland H. Hartwell, Tim Hunt and Sir - “With vehement enthusiasm, a bearer of good tidings!”
Paul Nurse were awarded the Nobel Prize for their
discoveries of key regulators of the cell cycle (2001)1,2,5.

Only 2 or 3 s have gone after the initial question, ACKNOWLEDGMENTS

“Whither goest thou, Malafaia?”
The silence in the anatomy amphitheatre was thick, Nadia Kerecuk, London, England.
one could cut it with a scalpel. And Professor Brasílio Vicente
de Castro, as if foreseeing future events with his intuitive
precognition, rephrased his question turning it into advice,
- Malafaia, Venire, Studium et Vincere! REFERENCES
The advisory message prescribed a long journey. It was
not about registering to read medicine, but it was about 1. Campos ACL, Czeczko NG. Homage to Professor Osvaldo Malafaia.
facing numerous challenges from graduation onwards. Editor-in-Chief of the Brazilian Archives of Digestive Surgery, ABCD
It meant studying always to learn, to teach, and to succeed from 2001 to 2021. Arq Bras Cir Dig. 2022;34(3):e1611. https://
in profession and life. Therefore, presently, on account of that doi.org/10.1590/0102-672020210002e1611
grueling advice, Professor Osvaldo Malafaia stands among 2. Kruel C, Malafaia O. ABCD included in Medline/Pubmed. Arq Bras Cir
the most important medical professors/academics in Brazil; Dig. 2012;25(1):1. https://doi.org/10.1590/s0102-67202012000100001
he is a virtuous winner, indeed! 3. Malafaia O. The ABCD from 1986 to 2021: victorious trajectory!
Fifty-one years on, questions about Osvaldo Malafaia’s legacy Arq Bras Cir Dig. 2021;34(2):e1609. https://doi.org/10.1590/0102-
have been fizzing brought about by curiosity and admiration to 672020210002e1609
acclaim his achievements due to the absolute and exciting status 4. Malafaia O, Andreollo NA, Zilberstein B, Cecconello I. ABCD –
quo in which we are close and often together on the pathway Brazilian Archives of Digestive Surgery: 1000 articles and a history
of a positive journey toward a solid scientific edifice and an of victories! Arq Bras Cir Dig. 2014;27(2):91. https://doi.org/10.1590/
uplifting symbiotic relation with goodness. Yes, he did create s0102-67202014000200001
two stricto sensu postgraduate degree programmes (UFPR in 5. Malafaia O, Meneghelli UG. Federação Brasileira de Gastroenterologia –
1988, and FEMPAR in 1992, Master’s and PhD), he served as the relatos históricos de seus 60 anos (1949-2009). Curitiba: Artes &
chair of the International College of Surgeons, USA (1996–1998) Textos; 2009.

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