{"id":11071,"date":"2022-03-15T07:00:11","date_gmt":"2022-03-15T07:00:11","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=11071"},"modified":"2024-03-28T15:17:29","modified_gmt":"2024-03-28T15:17:29","slug":"criterios-esd-gastrico-ecura","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/criterios-esd-gastrico-ecura\/","title":{"rendered":"Voc\u00ea sabe quais s\u00e3o os crit\u00e9rios de indica\u00e7\u00e3o de ressec\u00e7\u00e3o endosc\u00f3pica do c\u00e2ncer g\u00e1strico precoce e os crit\u00e9rios de cura (eCura)?"},"content":{"rendered":"<p>A Sociedade Japonesa de Endoscopia (JGES) publicou em 2021<sup>(1)<\/sup> um guideline atualizado de Mucosectomia e Dissec\u00e7\u00e3o Endosc\u00f3pica da Submucosa (ESD) para c\u00e2ncer g\u00e1strico precoce.<\/p>\n<p>Em rela\u00e7\u00e3o \u00e0s recomenda\u00e7\u00f5es de 2016<sup>(2)<\/sup>, os crit\u00e9rios expandidos foram considerados absolutos na atual edi\u00e7\u00e3o. Persistem como crit\u00e9rios expandidos somente as les\u00f5es recidivadas. Algumas les\u00f5es que antes eram contraindicadas \u00e0 ressec\u00e7\u00e3o endosc\u00f3pica foram alocadas nas indica\u00e7\u00f5es relativas.<\/p>\n<h2><strong>Avalia\u00e7\u00e3o pr\u00e9-operat\u00f3ria<\/strong><\/h2>\n<p>Importante ressaltar que, no est\u00f4mago, a avalia\u00e7\u00e3o endosc\u00f3pica pr\u00e9-operat\u00f3ria nem sempre consegue predizer com acur\u00e1cia a profundidade de invas\u00e3o (diferente do c\u00f3lon e es\u00f4fago, onde temos classifica\u00e7\u00f5es que guiam a conduta). Achados endosc\u00f3picos que sugerem invas\u00e3o da submucosa:<\/p>\n<ul>\n<li>hipertrofia ou converg\u00eancia de pregas,<\/li>\n<li>tamanho do tumor &gt;3cm,<\/li>\n<li>les\u00f5es muito avermelhadas,<\/li>\n<li>superf\u00edcie irregular,<\/li>\n<li>eleva\u00e7\u00e3o das margens,<\/li>\n<li>sinal da n\u00e3o extens\u00e3o (quando a mucosa g\u00e1strica \u00e9 expandida pela insufla\u00e7\u00e3o, as les\u00f5es com invas\u00e3o maci\u00e7a da submucosa n\u00e3o se estendem e formam uma eleva\u00e7\u00e3o trapezoide, al\u00e9m disso, as pregas convergem e se tornam elevadas).<\/li>\n<\/ul>\n<p>Em alguns casos, quando h\u00e1 dificuldade nesta informa\u00e7\u00e3o, a Ecoendoscopia pode ser ferramenta \u00fatil.<\/p>\n<div class=\"pcrstb-wrap\"><table>\n<tbody>\n<tr>\n<td width=\"623\"><strong><em>Em geral, a ressec\u00e7\u00e3o endosc\u00f3pica deve ser realizada quando o risco de met\u00e1stase linfonodal \u00e9 extremamente baixo e os resultados a longo prazo s\u00e3o semelhantes aos da cirurgia. Al\u00e9m disso, o tamanho e a localiza\u00e7\u00e3o devem permitir a ressec\u00e7\u00e3o em bloco.<\/em><\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<p>Para determinar se uma les\u00e3o g\u00e1strica \u00e9 pass\u00edvel de ressec\u00e7\u00e3o endosc\u00f3pica curativa, devemos avaliar:<\/p>\n<ol>\n<li>tipo histol\u00f3gico<\/li>\n<li>tamanho<\/li>\n<li>profundidade de invas\u00e3o<\/li>\n<li>presen\u00e7a ou n\u00e3o de ulcera\u00e7\u00e3o.<\/li>\n<\/ol>\n<h2><strong>Indica\u00e7\u00f5es<\/strong><\/h2>\n<p>Segundo o Guideline de 2021 da JGES, podemos dividir as indica\u00e7\u00f5es de ressec\u00e7\u00e3o endosc\u00f3pica do c\u00e2ncer g\u00e1strico precoce em:<\/p>\n<ul>\n<li><strong>Absolutas:<\/strong> quando o risco de met\u00e1stase linfonodal \u00e9 &lt;1% e os resultados da ressec\u00e7\u00e3o endosc\u00f3pica se mostraram semelhantes aos da cirurgia.<\/li>\n<li><strong>Relativas:<\/strong> quando a les\u00e3o n\u00e3o preenche os crit\u00e9rios absolutos, mas nos casos em que a cirurgia \u00e9 arriscada ou para obter uma avalia\u00e7\u00e3o histopatol\u00f3gica acurada.<\/li>\n<li><strong>Expandidas:<\/strong> les\u00f5es intramucosas recidivadas ap\u00f3s ressec\u00e7\u00e3o endosc\u00f3pica eCura C1<\/li>\n<\/ul>\n<p>O quadro abaixo resume os crit\u00e9rios de indica\u00e7\u00e3o (tabela 1):<\/p>\n<div id=\"attachment_11072\" style=\"width: 542px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/ind.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-11072\" class=\"wp-image-11072\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/ind-300x141.jpg\" alt=\"\" width=\"532\" height=\"250\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/ind-300x141.jpg?v=1647263634 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/ind-585x276.jpg?v=1647263634 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/ind.jpg?v=1647263634 628w\" sizes=\"(max-width: 532px) 100vw, 532px\" \/><\/a><p id=\"caption-attachment-11072\" class=\"wp-caption-text\">Tabela 1: Indica\u00e7\u00f5es de ESD<\/p><\/div>\n<h2><strong>Crit\u00e9rios de cura:<\/strong><\/h2>\n<p>J\u00e1 os crit\u00e9rios de cura s\u00e3o divididos em:<\/p>\n<h3><strong>eCuraA (ressec\u00e7\u00e3o curativa):<\/strong><\/h3>\n<ul>\n<li>A ressec\u00e7\u00e3o endosc\u00f3pica \u00e9 igual ou superior \u00e0 cir\u00fargica em desfechos a longo termo. \u00c9 indicado seguimento a cada 6-12 meses.<\/li>\n<\/ul>\n<h3><strong>eCuraB<\/strong><strong>:<\/strong><\/h3>\n<ul>\n<li>Apesar de estudos com resultados de longo prazo ainda n\u00e3o terem sido publicados, a cura \u00e9 esperada. Est\u00e3o inclu\u00eddas nesses grupos les\u00f5es diferenciadas, \u2264 3 cm, SM1 (invas\u00e3o at\u00e9 500 micras). \u00c9 indicado seguimento a cada 6-12 meses com EDA + CT.<\/li>\n<\/ul>\n<h3><strong style=\"font-family: Raleway, sans-serif; font-size: 20px; letter-spacing: 0px;\">\u00a0eCuraC:<\/strong><\/h3>\n<ul>\n<li>quando a les\u00e3o n\u00e3o preenche os crit\u00e9rios acima. Pode ser dividida em:<\/li>\n<li><strong>C-1:<\/strong> quando a les\u00e3o \u00e9 diferenciada mas n\u00e3o foi ressecada em bloco ou teve margens horizontais positivas. Nesse caso, o risco de met\u00e1stase \u00e9 baixo. Pode-se observar, repetir a ESD, fazer abla\u00e7\u00e3o ou operar.<\/li>\n<li><strong>C-2:<\/strong> todas as outras les\u00f5es que n\u00e3o preencheram os crit\u00e9rios. Na maioria destes casos, \u00e9 indicada cirurgia devido ao potencial risco de recorr\u00eancia e met\u00e1stases.<\/li>\n<\/ul>\n<h2><strong>DESCOMPLICANDO&#8230;.<\/strong><\/h2>\n<p>Indica\u00e7\u00f5es absolutas = tumores intramucosos (T1a)<\/p>\n<ul>\n<li>Diferenciados sem ulcera\u00e7\u00e3o: qualquer tamanho<\/li>\n<li>Diferenciados com ulcera\u00e7\u00e3o: <u>&lt;<\/u>3cm<\/li>\n<li>Indiferenciados sem ulcera\u00e7\u00e3o: <u>&lt;<\/u>2cm<\/li>\n<\/ul>\n<p>Crit\u00e9rios de cura:<\/p>\n<ul>\n<li>eCuraA = crit\u00e9rios absolutos + margens negativas, aus\u00eancia de invas\u00e3o angiolinf\u00e1tica \u00e0 seguimento<\/li>\n<li>eCuraB = T1b (SM1), diferenciado, <u>&lt;<\/u>3cm, margens negativas, aus\u00eancia de invas\u00e3o angiolinf\u00e1tica \u00e0 seguimento<\/li>\n<li>eCuraC-1 = piecemeal ou margens horizontais positivas \u00e0 seguimento<\/li>\n<li>eCura C-2 = quando n\u00e3o preenchem os crit\u00e9rios acima \u00e0 cirurgia<\/li>\n<\/ul>\n<p>A tabela 2 e o algor\u00edtimo 1 sedimentam os crit\u00e9rios de eCura e seguimento p\u00f3s ESD:<\/p>\n<div id=\"attachment_11074\" style=\"width: 527px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/tabela2.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-11074\" class=\"wp-image-11074\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/tabela2-300x148.jpg\" alt=\"\" width=\"517\" height=\"255\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/tabela2-300x148.jpg?v=1647264695 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/tabela2-768x378.jpg?v=1647264695 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/tabela2-585x288.jpg?v=1647264695 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/tabela2.jpg?v=1647264695 1010w\" sizes=\"(max-width: 517px) 100vw, 517px\" \/><\/a><p id=\"caption-attachment-11074\" class=\"wp-caption-text\">Tabela 2 : Resumos dos crit\u00e9rios de eCura<\/p><\/div>\n<div id=\"attachment_11073\" style=\"width: 490px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/segui.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-11073\" class=\"wp-image-11073\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/segui-300x182.jpg\" alt=\"\" width=\"480\" height=\"291\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/segui-300x182.jpg?v=1647264691 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/segui-585x356.jpg?v=1647264691 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/03\/segui.jpg?v=1647264691 748w\" sizes=\"(max-width: 480px) 100vw, 480px\" \/><\/a><p id=\"caption-attachment-11073\" class=\"wp-caption-text\">Algor\u00edtimo de seguimento<\/p><\/div>\n<h3><a href=\"https:\/\/gastropedia.com.br\/cirurgia\/esofago-estomago-duodeno\/particao-gastrica-para-tratamento-de-tumores-gastricos-distais-obstrutivos-nao-ressecaveis\/\">Para saber mais sobre este tema, acesse o site Gastropedia clicando aqui!<\/a><\/h3>\n<h2><strong>Como citar esse artigo:<\/strong><\/h2>\n<p>Moura RN. Voc\u00ea sabe quais os crit\u00e9rios de indica\u00e7\u00e3o e cura do ESD g\u00e1strico (eCura)? Endoscopia Terap\u00eautica; 2022.\u00a0 Dispon\u00edvel em: endoscopiaterapeutica.net\/pt\/assuntosgerais\/criterios-esd-gastrico-ecura<\/p>\n<h2><strong>REFER\u00caNCIAS BIBLIOGR\u00c1FICAS<\/strong><\/h2>\n<ol>\n<li>Ono H, Yao K, Fujishiro M, et al. Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer (second edition). Dig Endosc. <strong>2021<\/strong> Jan;33(1):4-20.<\/li>\n<li>Ono H, Yao K, Fujishiro M et al. Guidelines for endoscopic submucosal dissection and endoscopic mucosal resection for early gastric cancer. Dig Endosc <strong>2016<\/strong>; 28: 3\u201315.<\/li>\n<\/ol>\n<p><strong><em>Saiba mais sobre ESD:<\/em><\/strong><\/p>\n<p><strong><a href=\"http:\/\/Link: https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/disseccao-endoscopica-submucosa-esd-dicas-para-iniciar-e-aprimorar-a-tecnica\/\"><em>Dissec\u00e7\u00e3o Endosc\u00f3pica Submucosa (ESD): dicas para iniciar e aprimorar a t\u00e9cnica<\/em><\/a><\/strong><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/algoritmo-diagnostico-simples-para-deteccao-de-cancer-gastrico-precoce-atraves-da-magnificacao-endoscopica-mesda-g\/\"><strong><em>Saiba mais sobre a detec\u00e7\u00e3o do c\u00e2ncer g\u00e1strico precoce clicando aqui:<\/em><\/strong><\/a><\/p>\n<p><strong><em>\u00a0<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A Sociedade Japonesa de Endoscopia (JGES) publicou em 2021(1) um guideline atualizado de Mucosectomia&hellip;<\/p>\n","protected":false},"author":3872,"featured_media":11073,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[327,328,326,325],"ano":[309],"tipo":[153],"volume":[263],"class_list":["post-11071","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-cancer-gastrico","tag-criterios","tag-ecura","tag-esd","ano-309","tipo-endoscopia-digestiva-alta","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Voc\u00ea sabe quais s\u00e3o os crit\u00e9rios de indica\u00e7\u00e3o de ressec\u00e7\u00e3o endosc\u00f3pica do c\u00e2ncer g\u00e1strico precoce e os crit\u00e9rios de cura (eCura)? &#8226; Endoscopia Terapeutica<\/title>\n<meta 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