{"id":11266,"date":"2022-04-05T07:00:32","date_gmt":"2022-04-05T07:00:32","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=11266"},"modified":"2023-08-26T21:36:12","modified_gmt":"2023-08-26T21:36:12","slug":"assuntos-gerais-endometriose-intestinal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/assuntos-gerais-endometriose-intestinal\/","title":{"rendered":"Assuntos gerais : Endometriose Intestinal"},"content":{"rendered":"<h2><strong>Introdu\u00e7\u00e3o<\/strong><\/h2>\n<p>A endometriose \u00e9 uma doen\u00e7a ginecol\u00f3gica benigna definida pela presen\u00e7a de gl\u00e2ndulas endometriais fora da cavidade uterina. \u00c9 frequentemente diagnosticada na terceira d\u00e9cada de vida, afetando 10 a 12% das mulheres em idade reprodutiva.<\/p>\n<p>A sua etiologia ainda hoje \u00e9 discutida, e a teoria mais popular \u00e9 a da menstrua\u00e7\u00e3o retr\u00f3grada. Durante a menstrua\u00e7\u00e3o c\u00e9lulas endometriais migram atrav\u00e9s das trompas de Fal\u00f3pio para o perit\u00f4nio e ali crescem sob a influ\u00eancia de fatores hormonais. Outras teorias consistem na transforma\u00e7\u00e3o de c\u00e9lulas de outras topografias em c\u00e9lulas endometriais atrav\u00e9s de diferentes meios (metaplasia, c\u00e9lulas tronco).<\/p>\n<p>A endometriose profunda \u00e9 definida como a invas\u00e3o subperitoneal com profundidade maior que 5 mm, sendo o intestino o \u00f3rg\u00e3o extragenital mais acometido, apresentando de 5 a 12% de preval\u00eancia nas mulheres com endometriose. A topografia \u00e9 em 90% dos casos em c\u00f3lon sigmoide e reto. Embora o envolvimento intestinal isolado possa ser observado, cerca de 50 % dos pacientes com doen\u00e7a no reto apresenta acometimento em outros locais. Curiosamente, em aproximadamente 30% dos casos com envolvimento de retossigmoide, o c\u00f3lon direito tamb\u00e9m \u00e9 acometido.<\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h2><strong>Sintomas<\/strong><\/h2>\n<p>Os sintomas da endometriose intestinal podem ser inespec\u00edficos como dismenorreia, dispareunia e dor p\u00e9lvica cr\u00f4nica. Sintomas intestinais mais espec\u00edficos, como diarreia, constipa\u00e7\u00e3o, sangue nas fezes, distens\u00e3o abdominal, disquezia e raramente obstru\u00e7\u00e3o intestinal, tamb\u00e9m podem ocorrer. No entanto, quaisquer sintomas p\u00e9lvicos, especificamente de natureza c\u00edclica, devem levantar a suspeita de endometriose.<\/p>\n<p>Al\u00e9m disso, pacientes com endometriose frequentemente apresentam comorbidades psicopatol\u00f3gicas significativas, como ansiedade e depress\u00e3o, que muitas vezes podem potencializar a gravidade da dor experimentada.<\/p>\n<h2><strong>Diagn\u00f3stico<\/strong><\/h2>\n<ul>\n<li><em>Exame f\u00edsico : <\/em>atrav\u00e9s do toque p\u00e9lvico bimanual \u00e9 frequentemente \u00fatil no diagn\u00f3stico, especialmente se realizado no momento da menstrua\u00e7\u00e3o, per\u00edodo em que as les\u00f5es podem estar mais inflamadas, sens\u00edveis e palp\u00e1veis.<\/li>\n<li><em>Ultrassom transvaginal: <\/em>exame de escolha como avalia\u00e7\u00e3o inicial, permite descrever tamanho, localiza\u00e7\u00e3o, dist\u00e2ncia da borda anal, profundidade e n\u00famero de n\u00f3dulos. Endometriomas se demonstram como imagens hipoecoicas que envolvem a parede intestinal a partir da serosa, podendo se estender para a muscular pr\u00f3pria e a submucosa e raramente a mucosa (5% dos casos de endometriose intestinal). No entanto a limita\u00e7\u00e3o dessa t\u00e9cnica consiste em les\u00f5es no sigmoide, pois geralmente est\u00e3o fora do campo de vis\u00e3o.<\/li>\n<li><em>Ultrassom retal: <\/em>\u00e9 considerado o teste de escolha para avaliar les\u00f5es que infiltram a parede intestinal com alta acur\u00e1cia na determina\u00e7\u00e3o de profundidade, al\u00e9m da possibilidade de confirma\u00e7\u00e3o histol\u00f3gica atrav\u00e9s da pun\u00e7\u00e3o. Outra importante fun\u00e7\u00e3o deste m\u00e9todo \u00e9 no diagn\u00f3stico diferencial de les\u00f5es subepiteliais. A endometriose quase sempre acomete mais de uma camada, especialmente a serosa e raramente acomete a camada mucosa. Demais les\u00f5es subepiteliais prim\u00e1rias da parede intestinal costumam ser restritas a apenas uma camada.<\/li>\n<\/ul>\n<div id=\"attachment_11267\" style=\"width: 413px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-11267\" class=\" wp-image-11267\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-1-300x225.jpg\" alt=\"\" width=\"403\" height=\"302\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-1-300x225.jpg?v=1649120470 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-1-585x439.jpg?v=1649120470 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-1.jpg?v=1649120470 640w\" sizes=\"(max-width: 403px) 100vw, 403px\" \/><p id=\"caption-attachment-11267\" class=\"wp-caption-text\">Figura 1: Paciente com endometriose e abaulamento submumoso em c\u00f3lon sigmoide<\/p><\/div>\n<div id=\"attachment_11268\" style=\"width: 423px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-11268\" class=\" wp-image-11268\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-2-300x225.jpg\" alt=\"\" width=\"413\" height=\"310\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-2-300x225.jpg?v=1649120519 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-2-585x439.jpg?v=1649120519 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-2.jpg?v=1649120519 640w\" sizes=\"(max-width: 413px) 100vw, 413px\" \/><p id=\"caption-attachment-11268\" class=\"wp-caption-text\">Figura 2: Ecoendoscopia demonstrando invas\u00e3o maci\u00e7a de imagem hipoecoica em submucosa de c\u00f3lon<\/p><\/div>\n<div id=\"attachment_11269\" style=\"width: 424px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" aria-describedby=\"caption-attachment-11269\" class=\" wp-image-11269\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-3-300x225.jpg\" alt=\"\" width=\"414\" height=\"311\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-3-300x225.jpg?v=1649120589 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-3-585x439.jpg?v=1649120589 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-3.jpg?v=1649120589 640w\" sizes=\"(max-width: 414px) 100vw, 414px\" \/><p id=\"caption-attachment-11269\" class=\"wp-caption-text\">Figura 3: Pun\u00e7\u00e3o ecoguiada de imagem hipoecoica<\/p><\/div>\n<ul>\n<li><em>Colonoscopia:<\/em> fornece sinais espec\u00edficos em apenas 4% dos casos de endometriose profunda, se demonstra como les\u00f5es subepiteliais e eventualmente com mucosa apresentando edema, enantema, friabilidade, irregularidade de superf\u00edcie ou mesmos quadros de estenoses. Apesar baixa sensibilidade (7%) desse exame para o diagn\u00f3stico de endometriose, a colonoscopia possibilita investiga\u00e7\u00e3o de outras doen\u00e7as que podem levar a sintomas atribu\u00eddos a endometriose.<\/li>\n<\/ul>\n<div id=\"attachment_11270\" style=\"width: 437px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11270\" class=\" wp-image-11270\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-5-300x225.jpg\" alt=\"\" width=\"427\" height=\"320\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-5-300x225.jpg?v=1649120671 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-5-1024x770.jpg?v=1649120671 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-5-768x577.jpg?v=1649120671 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-5-1170x879.jpg?v=1649120671 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-5-585x440.jpg?v=1649120671 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/04\/figura-5.jpg?v=1649120671 1280w\" sizes=\"(max-width: 427px) 100vw, 427px\" \/><p id=\"caption-attachment-11270\" class=\"wp-caption-text\">Figura 4: Endometriose profunda causando redu\u00e7\u00e3o da luz em c\u00f3lon sigmoide. Imagem cedida pela Dra Renata Nobre Moura.<\/p><\/div>\n<ul>\n<li><em>Resson\u00e2ncia:<\/em> altamente eficiente e acurada, apresenta melhor resolu\u00e7\u00e3o entre as estruturas e maior campo de vis\u00e3o. Esta t\u00e9cnica \u00e9 cada vez mais utilizada nos casos em que o ultrassom apresenta d\u00favidas, na suspeita acometimento profundo da pelve ou quando h\u00e1 programa\u00e7\u00e3o cir\u00fargica.<\/li>\n<\/ul>\n<h2><strong>Tratamento<\/strong><\/h2>\n<p>Como tratamento medicamentoso de primeira linha est\u00e3o as combina\u00e7\u00f5es estroprogestog\u00eanicas, progestog\u00eanios isolados e an\u00e1logos do horm\u00f4nio liberador de gonadotrofina, sendo muito \u00fateis tamb\u00e9m na preven\u00e7\u00e3o de recorr\u00eancia p\u00f3s-operat\u00f3ria da doen\u00e7a. Em um estudo de pacientes utilizando o tratamento medicamentoso, foi observada uma diminui\u00e7\u00e3o de 53% dos sintomas gastrointestinais. Entretanto ap\u00f3s 12 meses, 33% optaram pelo tratamento cir\u00fargico devido aos sintomas persistentes.<\/p>\n<p>O exame padr\u00e3o ouro no diagn\u00f3stico da endometriose \u00e9 a laparoscopia, sendo tamb\u00e9m o m\u00e9todo de escolha para o tratamento cir\u00fargico da endometriose p\u00e9lvica sintom\u00e1tica. Dessa forma uma avalia\u00e7\u00e3o pr\u00e9-operat\u00f3ria com os exames citados acima, \u00e9 crucial para o manejo da doen\u00e7a, sendo que na presen\u00e7a de les\u00f5es intestinais ou no sistema urin\u00e1rio, um cirurgi\u00e3o especialista \u00e9 altamente recomendado.<\/p>\n<p>O tratamento cir\u00fargico \u00e9 indicado nos pacientes que n\u00e3o respondem ao tratamento medicamentoso, e deve-se ser realizado preferencialmente de forma conservadora, com exce\u00e7\u00e3o dos casos estenose intestinal, uretral ou massas de caracter\u00edsticas duvidosas, onde a remo\u00e7\u00e3o radical deve ser indicada.<\/p>\n<h3><strong>Pontos chave Endometriose Intestinal<\/strong><\/h3>\n<h4>&#8211; 10 a 12% das mulheres (faixa et\u00e1ria 30 anos)<\/h4>\n<h4>&#8211; patog\u00eanese: teoria da menstrua\u00e7\u00e3o<\/h4>\n<h4>&#8211; 5 a 12% acometimento intestinal<\/h4>\n<h4>&#8211; 90% c\u00f3lon e reto<\/h4>\n<h4>&#8211; assintom\u00e1tica, inespec\u00edfico ou sintomas c\u00edclicos<\/h4>\n<h4>&#8211; exame f\u00edsico: toque bimanual<\/h4>\n<h4>&#8211; ultrassom transvaginal: exame inicial, limita\u00e7\u00e3o para c\u00f3lon sigmoide<\/h4>\n<h4>&#8211; ultrassom retal: confirma\u00e7\u00e3o de acometimento intestinal e diagn\u00f3stico diferencial de les\u00f5es subepiteliais<\/h4>\n<h4>&#8211; resson\u00e2ncia: avalia\u00e7\u00e3o geral de endometriose profunda<\/h4>\n<h4>&#8211; colonoscopia: les\u00f5es subepitelais e investiga\u00e7\u00e3o sintomas paralelos<\/h4>\n<h4>&#8211; tratamento medicamentoso: primeira escolha<\/h4>\n<h4>&#8211; tratamento cir\u00fargico: laparoscopia, conservador quando poss\u00edvel<\/h4>\n<h2><strong>Refer\u00eancias<\/strong><\/h2>\n<p>Nezhat C, Li A, Falik R, Copeland D, Razavi G, Shakib A, Mihailide C, Bamford H, DiFrancesco L, Tazuke S, Ghanouni P, Rivas H, Nezhat A, Nezhat C, Nezhat F. Bowel endometriosis: diagnosis and management. Am J Obstet Gynecol. 2018 Jun;218(6):549-562. doi: 10.1016\/j.ajog.2017.09.023. Epub 2017 Oct 13. PMID: 29032051.<\/p>\n<p>Habib N, Centini G, Lazzeri L, Amoruso N, El Khoury L, Zupi E, Afors K. Bowel Endometriosis: Current Perspectives on Diagnosis and Treatment. Int J Womens Health. 2020 Jan 29;12:35-47. doi: 10.2147\/IJWH.S190326. PMID: 32099483; PMCID: PMC6996110.<\/p>\n<p>Rossini LG, Ribeiro PA, Rodrigues FC, Filippi SS, Zago Rde R, Schneider NC, Okawa L, Klug WA. Transrectal ultrasound &#8211; Techniques and outcomes in the management of intestinal endometriosis. Endosc Ultrasound. 2012 Apr;1(1):23-35. doi: 10.7178\/eus.01.005. PMID: 24949332; PMCID: PMC4062201.<\/p>\n<p>Bourgioti C, Preza O, Panourgias E, Chatoupis K, Antoniou A, Nikolaidou ME, Moulopoulos LA. MR imaging of endometriosis: Spectrum of disease. Diagn Interv Imaging. 2017 Nov;98(11):751-767. doi: 10.1016\/j.diii.2017.05.009. Epub 2017 Jun 23. PMID: 28652096.<\/p>\n<p>Colaiacovo R, Carbonari A, Ganc R, de Paulo G, Ferrari A. Bowel endometriosis mimicking gastrointestinal stromal tumor and diagnosed by endoscopic ultrasound. Endoscopy. 2014;46 Suppl 1 UCTN:E433-4. doi: 10.1055\/s-0034-1377429. Epub 2014 Oct 14. PMID: 25314180.<\/p>\n<p>N\u00e1cul, Andrea Prestes\u00a0e\u00a0Spritzer, Poli MaraAspectos atuais do diagn\u00f3stico e tratamento da endometriose. Revista Brasileira de Ginecologia e Obstetr\u00edcia [online]. 2010, v. 32, n. 6 [Acessado\u00a03 Abril 2022] , pp. 298-307. Dispon\u00edvel em: &lt;https:\/\/doi.org\/10.1590\/S0100-72032010000600008&gt;. Epub 28\u00a0Set\u00a02010. ISSN 1806-9339. <a href=\"https:\/\/doi.org\/10.1590\/S0100-72032010000600008\">https:\/\/doi.org\/10.1590\/S0100-72032010000600008<\/a>.<\/p>\n<p>Milone, M., Mollo, A., Musella, M., Maietta, P., Sosa Fernandez, L. M., Shatalova, O., Conforti, A., Barone, G., De Placido, G., &amp; Milone, F. (2015). Role of colonoscopy in the diagnostic work-up of bowel endometriosis. World journal of gastroenterology, 21(16), 4997\u20135001. https:\/\/doi.org\/10.3748\/wjg.v21.i16.4997<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o A endometriose \u00e9 uma doen\u00e7a ginecol\u00f3gica benigna definida pela presen\u00e7a de gl\u00e2ndulas endometriais&hellip;<\/p>\n","protected":false},"author":2592,"featured_media":11270,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[353,352],"ano":[309],"tipo":[156,154,153],"volume":[263],"class_list":["post-11266","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-endometrioma","tag-endometriose","ano-309","tipo-colonoscopia","tipo-ecoendoscopia","tipo-endoscopia-digestiva-alta","volume-volume-i"],"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>Assuntos gerais : Endometriose Intestinal &#8226; 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