{"id":13630,"date":"2022-09-23T15:06:09","date_gmt":"2022-09-23T15:06:09","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=13630"},"modified":"2023-08-07T20:50:05","modified_gmt":"2023-08-07T20:50:05","slug":"gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\/","title":{"rendered":"Gastroentero Anastomose Ecoguiada (EUS-GE): tips and tricks"},"content":{"rendered":"\n<h5 class=\"wp-block-heading\">Autores: Matheus Franco, Hugo Guedes, Pedro Victor Aniz.<\/h5>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>A doen\u00e7a maligna \u00e9 respons\u00e1vel por cerca de 50% a 80% dos casos de obstru\u00e7\u00e3o ao esvaziamento g\u00e1strico (gastric outlet obstruction &#8211; GOO), sendo o c\u00e2ncer de p\u00e2ncreas a malignidade associada mais comumente (15% a 20%). Pacientes com GOO podem apresentar piora progressiva com n\u00e1useas, v\u00f4mitos, perda de peso, dor abdominal e desidrata\u00e7\u00e3o grave. Como os pacientes com GOO secund\u00e1rio a uma malignidade irressec\u00e1vel t\u00eam expectativa de vida limitada, o tratamento paliativo prioriza a resolu\u00e7\u00e3o dos sintomas.<\/p>\n\n\n\n<p>As interven\u00e7\u00f5es paliativas para GOO incluem gastrojejunostomia (GJ) cir\u00fargica aberta ou laparosc\u00f3pica, stent duodenal usando stents met\u00e1licos autoexpans\u00edveis (SEMS) e gastroenterostomose ecoguiada (EUS-GE). <\/p>\n\n\n\n<p>O uso de stent duodenal est\u00e1 associado a maiores taxas de complica\u00e7\u00f5es relacionadas ao stent, como reobstru\u00e7\u00e3o e reinterven\u00e7\u00e3o em compara\u00e7\u00e3o com a GJ cir\u00fargica.<\/p>\n\n\n\n<p>Desde 2015, a EUS-GE tem sido estudada para o manejo da GOO, emergindo como uma alternativa terap\u00eautica com resultados compar\u00e1veis \u00e0 GJ cir\u00fargica, por\u00e9m com os benef\u00edcios potenciais por ser uma t\u00e9cnica menos invasiva.<\/p>\n\n\n\n<p>Nesse post temos objetivo de relatar uma s\u00e9rie de casos de execu\u00e7\u00e3o da EUS-GE, com foco no debate da t\u00e9cnica realizada.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Relato de caso<\/strong><\/h2>\n\n\n\n<p>Paciente feminina, 92 anos, com c\u00e2ncer g\u00e1strico metast\u00e1tico, com obstru\u00e7\u00e3o pil\u00f3rica, com quadro de n\u00e1useas e v\u00f4mitos incoerc\u00edveis. <\/p>\n\n\n\n<p>Ap\u00f3s discuss\u00e3o multidisciplinar, optado por palia\u00e7\u00e3o dos sintomas com realiza\u00e7\u00e3o de EUS-GE. V\u00eddeo abaixo:<\/p>\n\n\n\n<div style=\"position:relative;padding-top:56.25%;\"><iframe id=\"panda-01fde8c3-b12f-4bd6-9ff9-788832e1dfbd\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=01fde8c3-b12f-4bd6-9ff9-788832e1dfbd\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n\n\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"720\" height=\"480\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339639.jpg\" alt=\"\" class=\"wp-image-13632\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339639.jpg 720w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339639-300x200.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339639-585x390.jpg 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339639-263x175.jpg 263w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><figcaption class=\"wp-element-caption\">C\u00e2ncer g\u00e1strico com obstru\u00e7\u00e3o pil\u00f3rica<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"383\" height=\"368\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/Captura-de-Tela-2022-09-23-a\u0300s-11.38.12.png\" alt=\"\" class=\"wp-image-13636\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/Captura-de-Tela-2022-09-23-a\u0300s-11.38.12.png 383w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/Captura-de-Tela-2022-09-23-a\u0300s-11.38.12-300x288.png 300w\" sizes=\"(max-width: 383px) 100vw, 383px\" \/><figcaption class=\"wp-element-caption\">Distens\u00e3o da al\u00e7a enteral e enterografia com contraste<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"450\" height=\"349\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/Captura-de-Tela-2022-09-23-a\u0300s-11.38.45.png\" alt=\"\" class=\"wp-image-13637\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/Captura-de-Tela-2022-09-23-a\u0300s-11.38.45.png 450w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/Captura-de-Tela-2022-09-23-a\u0300s-11.38.45-300x233.png 300w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><figcaption class=\"wp-element-caption\">Pun\u00e7\u00e3o ecoguiada de al\u00e7a enteral pr\u00f3xima ao est\u00f4mago<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"402\" height=\"371\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/Captura-de-Tela-2022-09-23-a\u0300s-11.39.12.png\" alt=\"\" class=\"wp-image-13638\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/Captura-de-Tela-2022-09-23-a\u0300s-11.39.12.png 402w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/Captura-de-Tela-2022-09-23-a\u0300s-11.39.12-300x277.png 300w\" sizes=\"(max-width: 402px) 100vw, 402px\" \/><figcaption class=\"wp-element-caption\">Dilata\u00e7\u00e3o do l\u00famen da pr\u00f3tese<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339715.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" width=\"720\" height=\"480\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339715.jpg\" alt=\"\" class=\"wp-image-13633\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339715.jpg 720w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339715-300x200.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339715-585x390.jpg 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339715-263x175.jpg 263w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><\/a><figcaption class=\"wp-element-caption\">EUS-GE com LAMS bem posicionada<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>Tips and Tricks<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><em>Materiais necess\u00e1rios:<\/em><\/h3>\n\n\n\n<ul class=\"has-pale-ocean-gradient-background has-background wp-block-list\">\n<li>Hot Axios 20 mm (preferencialmente)<\/li>\n\n\n\n<li>Fio-guia teflonado 0.035 in<\/li>\n\n\n\n<li>Pr\u00f3tese biliar pl\u00e1stica reta com sistema de libera\u00e7\u00e3o 10 Fr (sustentador e empurrador)<\/li>\n\n\n\n<li>Overtube de est\u00f4mago (para casos onde n\u00e3o for poss\u00edvel progredir o empurrador da pr\u00f3tese de 10 Fr)<\/li>\n\n\n\n<li>bal\u00e3o dilatador de 15 a 18 mm.<\/li>\n\n\n\n<li><span style=\"font-family: -apple-system, BlinkMacSystemFont, &quot;Segoe UI&quot;, Roboto, Oxygen-Sans, Ubuntu, Cantarell, &quot;Helvetica Neue&quot;, sans-serif;\">bomba de \u00e1gua<\/span> com soro fisiol\u00f3gico e dilui\u00e7\u00e3o de 01 ml de \u00edndigo carmin<\/li>\n\n\n\n<li>equipo de bomba de \u00e1gua e bomba de \u00e1gua.<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><em>Intraprocedimento:<\/em><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">EDA e radioscopia:<\/h4>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li>Passar o fio-guia distalmente \u00e0 les\u00e3o obstrutiva e ao \u00e2ngulo de Treitz.<\/li>\n\n\n\n<li>Deixar o fio-guia e passar o sustentador e o empurrador de 10 Fr distalmente \u00e0 les\u00e3o obstrutiva e ao Treitz. Se necess\u00e1rio usar o overtube g\u00e1strico para evitar a al\u00e7a do fio-guia dentro do est\u00f4mago.<\/li>\n\n\n\n<li>Retirar fio-guia e sustentador de pr\u00f3tese biliar de 10 Fr e realizar enterografia com contraste para checar a posi\u00e7\u00e3o do empurrador p\u00f3s-obstru\u00e7\u00e3o maligna<\/li>\n<\/ul>\n<\/blockquote>\n\n\n\n<h4 class=\"wp-block-heading\"><em>Ecoendoscopia:<\/em><\/h4>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<ul class=\"wp-block-list\">\n<li>&nbsp;Iniciar distens\u00e3o da al\u00e7a de delgado com instila\u00e7\u00e3o de SF 0,9% com \u00edndigo carmin atrav\u00e9s da bomba de \u00e1gua conectada ao empurrador da pr\u00f3tese biliar.<\/li>\n\n\n\n<li> Com o ecoendosc\u00f3pio identificar al\u00e7a enteral adjacente dilatada e com aux\u00edlio da radioscopia.<\/li>\n\n\n\n<li>Ao identificar a al\u00e7a enteral (duodeno distal ou jejuno proximal) na regi\u00e3o do Treitz em posi\u00e7\u00e3o est\u00e1vel do aparelho, realizar a pun\u00e7\u00e3o da al\u00e7a com a  pr\u00f3tese de aposi\u00e7\u00e3o de lumens (HotAxios, Boston Scientific), em t\u00e9cnica free-hand, \u00e0 semelhan\u00e7a da t\u00e9cnica para drenagem de pseudocistos pancre\u00e1ticos.<\/li>\n\n\n\n<li>Realizar dilata\u00e7\u00e3o da pr\u00f3tese ap\u00f3s confirma\u00e7\u00e3o do posicionamento correto da pr\u00f3tese, atrav\u00e9s da vis\u00e3o endosc\u00f3pica com sa\u00edda de soro com azul de \u00edndigo carmin pela pr\u00f3tese no est\u00f4mago, e com a radioscopia.<\/li>\n<\/ul>\n<\/blockquote>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><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<\/a> <a href=\"https:\/\/gastropedia.com.br\/cirurgia\/esofago-estomago-duodeno\/particao-gastrica-para-tratamento-de-tumores-gastricos-distais-obstrutivos-nao-ressecaveis\/\">site Gastropedia clicando aqui<\/a>!<\/h3>\n\n\n\n<h2 class=\"wp-block-heading\">Refer\u00eancias<\/h2>\n\n\n\n<p>Joel Oliveira, Matheus Franco, Gustavo Rodela, Fauze Maluf-Filho, Bruno Martins.&nbsp;&nbsp;<em>Endoscopic ultrasound-guided gastroenterostomy (gastroenteric anastomosis)<\/em>.&nbsp;&nbsp;Int J Gastrointest Interv 2022;11:112-118.&nbsp;&nbsp;<a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.18528\/ijgii220024\" target=\"_blank\">https:\/\/doi.org\/10.18528\/ijgii220024<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Autores: Matheus Franco, Hugo Guedes, Pedro Victor Aniz. Introdu\u00e7\u00e3o A doen\u00e7a maligna \u00e9 respons\u00e1vel&hellip;<\/p>\n","protected":false},"author":3495,"featured_media":13633,"comment_status":"open","ping_status":"open","sticky":true,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[478,477],"ano":[309],"tipo":[154],"volume":[147],"class_list":["post-13630","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","tag-anastomose-gastrojejunal","tag-gastrojejuno-anastomose","ano-309","tipo-ecoendoscopia","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Gastroentero Anastomose Ecoguiada (EUS-GE): tips and tricks &#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\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gastroentero Anastomose Ecoguiada (EUS-GE): tips and tricks\" \/>\n<meta property=\"og:description\" content=\"Autores: Matheus Franco, Hugo Guedes, Pedro Victor Aniz. Introdu\u00e7\u00e3o A doen\u00e7a maligna \u00e9 respons\u00e1vel por cerca de 50% a 80% dos casos de obstru\u00e7\u00e3o ao\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\/\" \/>\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=\"2022-09-23T15:06:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-08-07T20:50:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/04339715.jpg\" \/>\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=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\\\/\"},\"author\":{\"name\":\"Matheus Franco\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/person\\\/947335f432588c41571b5d1563880b48\"},\"headline\":\"Gastroentero Anastomose Ecoguiada (EUS-GE): tips and tricks\",\"datePublished\":\"2022-09-23T15:06:09+00:00\",\"dateModified\":\"2023-08-07T20:50:05+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\\\/\"},\"wordCount\":662,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2022\\\/09\\\/04339715.jpg\",\"keywords\":[\"anastomose gastrojejunal\",\"gastrojejuno anastomose\"],\"articleSection\":[\"Casos Cl\u00ednicos\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/gastroentero-anastomose-ecoguiada-eus-ge-tips-and-tricks\\\/\",\"name\":\"Gastroentero Anastomose Ecoguiada (EUS-GE): tips and tricks &#8226; 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