{"id":10359,"date":"2021-11-05T07:00:26","date_gmt":"2021-11-05T07:00:26","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=10359"},"modified":"2023-08-07T20:25:49","modified_gmt":"2023-08-07T20:25:49","slug":"caso-clinico-resseccao-endoscopica-de-parede-total","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-resseccao-endoscopica-de-parede-total\/","title":{"rendered":"Caso cl\u00ednico: ressec\u00e7\u00e3o endosc\u00f3pica de parede total"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Mulher, 76 anos, apresentando sintomas disp\u00e9pticos. Endoscopia digestiva alta revelou les\u00e3o subepitelial bulbar (figura 1).<\/span><\/p>\n<div id=\"attachment_10361\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-10361\" class=\"wp-image-10361 size-medium\" title=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 1 \u2013 Les\u00e3o submucosa\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04171969-300x200.jpg\" alt=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 1 \u2013 Les\u00e3o submucosa\" width=\"300\" height=\"200\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04171969-300x200.jpg?v=1636068464 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04171969-585x390.jpg?v=1636068464 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04171969-263x175.jpg?v=1636068464 263w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04171969.jpg?v=1636068464 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-10361\" class=\"wp-caption-text\">Figura 1: les\u00e3o submucosa<\/p><\/div>\n<p><span style=\"font-weight: 400;\">Realizada ecoendoscopia (figura 2) com evid\u00eancia de uma les\u00e3o hipoecoica, homog\u00eanea, com limites bem definidos, medindo 1,5 cm, inserida na camada muscular pr\u00f3pria, em que a pun\u00e7\u00e3o aspirativa com agulha de bi\u00f3psia (Acquire, Boston Scientific, USA) mostrou c\u00e9lulas fusiformes com positividade para <\/span><i><span style=\"font-weight: 400;\">c-kit<\/span><\/i><span style=\"font-weight: 400;\"> no imunohistoqu\u00edmico, compat\u00edvel com tumor estromal gastrointestinal (GIST).<\/span><\/p>\n<div id=\"attachment_10362\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-10362\" class=\"wp-image-10362 size-medium\" title=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 2 \u2013 Ecoendoscopia\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/eco-300x194.jpg\" alt=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 2 \u2013 Ecoendoscopia\" width=\"300\" height=\"194\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/eco-300x194.jpg?v=1636068508 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/eco-768x496.jpg?v=1636068508 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/eco-585x378.jpg?v=1636068508 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/eco.jpg?v=1636068508 777w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-10362\" class=\"wp-caption-text\">Figura 2: ecoendoscopia<\/p><\/div>\n<h2><strong>Procedimento<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">A les\u00e3o foi removida por ressec\u00e7\u00e3o endosc\u00f3pica de espessura total com aux\u00edlio do dispositivo Padlock para aparelhos de maior calibre (Padlock Clip Pro-Select<\/span><span style=\"font-weight: 400;\">\u00ae<\/span><span style=\"font-weight: 400;\"> Defect Closure Device, Steris), sendo usado um colonosc\u00f3pio para aplica\u00e7\u00e3o do clipe (figura 3), com posterior ressec\u00e7\u00e3o da les\u00e3o e da parede total com al\u00e7a diat\u00e9rmica monofilamentar (25 mm, Mediglobe) (figura 4). A revis\u00e3o do leito de ressec\u00e7\u00e3o (figura 5) mostrou s\u00edtio bem coaptado pelo clipe. Paciente evoluiu assintom\u00e1tica e recebeu alta no dia seguinte.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">O anatomopatol\u00f3gico da les\u00e3o evidenciou o GIST, com \u00edndice mit\u00f3tico nulo, G1 (baixo grau) e margens livres.<\/span><\/p>\n<h2><strong>Materiais utilizados<\/strong><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Agulha de pun\u00e7\u00e3o ecoendosc\u00f3pica Acquire, Boston Scientific;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Padlock Clip Pro-Select<\/span><span style=\"font-weight: 400;\">\u00ae<\/span><span style=\"font-weight: 400;\"> Defect Closure Device, Steris;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Al\u00e7a monofilamentar 25 mm, Mediglobe.<\/span><\/li>\n<\/ul>\n<div id=\"attachment_10363\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-10363\" class=\"wp-image-10363 size-medium\" title=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 3 \u2013 Coloca\u00e7\u00e3o de Padlock\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187418-300x200.jpg\" alt=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 3 \u2013 Coloca\u00e7\u00e3o de Padlock\" width=\"300\" height=\"200\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187418-300x200.jpg?v=1636070396 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187418-585x390.jpg?v=1636070396 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187418-263x175.jpg?v=1636070396 263w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187418.jpg?v=1636070396 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-10363\" class=\"wp-caption-text\">Figura 3: coloca\u00e7\u00e3o de Padlock<\/p><\/div>\n<div id=\"attachment_10364\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10364\" class=\"wp-image-10364 size-medium\" title=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 4 \u2013 Exerese da les\u00e3o\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187425-300x200.jpg\" alt=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 4 \u2013 Exerese da les\u00e3o\" width=\"300\" height=\"200\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187425-300x200.jpg?v=1636070399 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187425-585x390.jpg?v=1636070399 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187425-263x175.jpg?v=1636070399 263w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187425.jpg?v=1636070399 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-10364\" class=\"wp-caption-text\">Figura 4: ex\u00e9rese da les\u00e3o<\/p><\/div>\n<div id=\"attachment_10365\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10365\" class=\"wp-image-10365 size-medium\" title=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 5 \u2013 Exerese da les\u00e3o\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187427-300x200.jpg\" alt=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 5 \u2013 Exerese da les\u00e3o\" width=\"300\" height=\"200\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187427-300x200.jpg?v=1636070404 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187427-585x390.jpg?v=1636070404 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187427-263x175.jpg?v=1636070404 263w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187427.jpg?v=1636070404 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-10365\" class=\"wp-caption-text\">Figura 5: ex\u00e9rese da les\u00e3o<\/p><\/div>\n<div id=\"attachment_10366\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10366\" class=\"wp-image-10366 size-medium\" title=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 6 \u2013 Les\u00e3o totalmente ressecada\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187439-300x200.jpg\" alt=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 6 \u2013 Les\u00e3o totalmente ressecada\" width=\"300\" height=\"200\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187439-300x200.jpg?v=1636070407 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187439-585x390.jpg?v=1636070407 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187439-263x175.jpg?v=1636070407 263w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04187439.jpg?v=1636070407 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-10366\" class=\"wp-caption-text\">Figura 6: les\u00e3o totalmente ressecada<\/p><\/div>\n<p><span style=\"font-weight: 400;\">Endoscopia de controle um m\u00eas ap\u00f3s mostrou o clipe ainda no leito de ressec\u00e7\u00e3o, que apresentava bom aspecto.<\/span><\/p>\n<div id=\"attachment_10367\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-10367\" class=\"wp-image-10367 size-medium\" title=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 7 \u2013 Controle tardio\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04193633-300x200.jpg\" alt=\"Ressec\u00e7\u00e3o endosc\u00f3pica de parede total Figura 7 \u2013 Controle tardio\" width=\"300\" height=\"200\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04193633-300x200.jpg?v=1636070670 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04193633-585x390.jpg?v=1636070670 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04193633-263x175.jpg?v=1636070670 263w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04193633.jpg?v=1636070670 720w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-10367\" class=\"wp-caption-text\">Figura 7: controle tardio<\/p><\/div>\n<h2><strong>Discuss\u00e3o<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">A t\u00e9cnica de ressec\u00e7\u00e3o endosc\u00f3pica de espessura total (<\/span><i><span style=\"font-weight: 400;\">full thickness endoscopic resection<\/span><\/i><span style=\"font-weight: 400;\">) permite o tratamento definitivo de les\u00f5es envolvendo camadas mais profundas do trato gastrointestinal.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">O clipe Padlock \u00e9 um novo dispositivo da categoria de clipe <\/span><i><span style=\"font-weight: 400;\">over-the-scope<\/span><\/i><span style=\"font-weight: 400;\"> que foi introduzido recentemente e que permite a apreens\u00e3o total da parede do trato digestivo, tendo sido empregado com seguran\u00e7a para ressec\u00e7\u00e3o de les\u00f5es subepiteliais medindo at\u00e9 1,5 cm. Les\u00f5es maiores que 1,5 cm podem apresentar dificuldade para serem aspiradas para dentro do cap antes da libera\u00e7\u00e3o do clipe. Em nosso caso, utilizamos o Padlock de colonoscopia por apresentar maior eixo longitudinal, que permitiria maior espa\u00e7o para acomodar a les\u00e3o em seu interior. Houve leve dificuldade para passagem do dispositivo pelo cricofar\u00edngeo, mas sem intercorr\u00eancias.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Em conclus\u00e3o, a ressec\u00e7\u00e3o endosc\u00f3pica de parede total pode ser uma possibilidade terap\u00eautica segura e curativa para casos selecionados de GIST do trato gastrointestinal.<\/span><\/p>\n<p><a href=\"https:\/\/gastropedia.com.br\/cirurgia\/esofago-estomago-duodeno\/tecnicas-combinadas-para-resseccao-localizada-de-espessura-total-da-parede-do-trato-gastrointestinal-laparoscopic-and-endoscopic-cooperative-surgery-lecs\/\">Para saber mais sobre este tema, acesse o site Gastropedia clicando aqui!<\/a><\/p>\n<h2><strong>Como citar este artigo<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Franco M. Caso Cl\u00ednico: Ressec\u00e7\u00e3o endosc\u00f3pica de parede total. Endoscopia Terap\u00eautica; 2021. Dispon\u00edvel <\/span><span style=\"font-weight: 400;\">em: <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-resseccao-endoscopica-de-parede-total\/\"><span style=\"font-weight: 400;\">https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-resseccao-endoscopica-de-parede-total\/<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Acesse o <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/\"><span style=\"font-weight: 400;\">Endoscopia Terap\u00eautica<\/span><\/a><span style=\"font-weight: 400;\"> para tomar contato com mais <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/artigos-comentados\/\"><span style=\"font-weight: 400;\">artigos comentados<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntos-gerais\/\"><span style=\"font-weight: 400;\">assuntos gerais<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casos-clinicos\/\"><span style=\"font-weight: 400;\">casos cl\u00ednicos<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/\"><span style=\"font-weight: 400;\">quizzes<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacoes\/\"><span style=\"font-weight: 400;\">classifica\u00e7\u00f5es<\/span><\/a><span style=\"font-weight: 400;\"> e mais!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mulher, 76 anos, apresentando sintomas disp\u00e9pticos. Endoscopia digestiva alta revelou les\u00e3o subepitelial bulbar (figura&hellip;<\/p>\n","protected":false},"author":3495,"featured_media":10361,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[303,302,283,301],"ano":[262],"tipo":[158],"volume":[147],"class_list":["post-10359","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","tag-eco","tag-espessura-total","tag-gist","tag-padlock","ano-262","tipo-endoscopia-bariatrica","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Caso cl\u00ednico: ressec\u00e7\u00e3o endosc\u00f3pica de parede total &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-resseccao-endoscopica-de-parede-total\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Caso cl\u00ednico: ressec\u00e7\u00e3o endosc\u00f3pica de parede total\" \/>\n<meta property=\"og:description\" content=\"Mulher, 76 anos, apresentando sintomas disp\u00e9pticos. Endoscopia digestiva alta revelou les\u00e3o subepitelial bulbar (figura 1). Realizada ecoendoscopia\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-resseccao-endoscopica-de-parede-total\/\" \/>\n<meta property=\"og:site_name\" content=\"Endoscopia Terapeutica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoscopiaterapeutica\" \/>\n<meta property=\"article:published_time\" content=\"2021-11-05T07:00:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-08-07T20:25:49+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/11\/04171969.jpg?v=1636068464\" \/>\n\t<meta property=\"og:image:width\" content=\"720\" \/>\n\t<meta property=\"og:image:height\" content=\"480\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Matheus Franco\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Matheus Franco\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-resseccao-endoscopica-de-parede-total\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-resseccao-endoscopica-de-parede-total\\\/\"},\"author\":{\"name\":\"Matheus Franco\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/person\\\/947335f432588c41571b5d1563880b48\"},\"headline\":\"Caso cl\u00ednico: ressec\u00e7\u00e3o endosc\u00f3pica de parede total\",\"datePublished\":\"2021-11-05T07:00:26+00:00\",\"dateModified\":\"2023-08-07T20:25:49+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-resseccao-endoscopica-de-parede-total\\\/\"},\"wordCount\":541,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-resseccao-endoscopica-de-parede-total\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2021\\\/11\\\/04171969.jpg?v=1636068464\",\"keywords\":[\"eco\",\"espessura total\",\"GIST\",\"padlock\"],\"articleSection\":[\"Casos Cl\u00ednicos\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-resseccao-endoscopica-de-parede-total\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-resseccao-endoscopica-de-parede-total\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-resseccao-endoscopica-de-parede-total\\\/\",\"name\":\"Caso cl\u00ednico: ressec\u00e7\u00e3o endosc\u00f3pica de parede total &#8226; 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