{"id":13662,"date":"2022-09-27T22:16:34","date_gmt":"2022-09-27T22:16:34","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=13662"},"modified":"2022-09-28T20:14:33","modified_gmt":"2022-09-28T20:14:33","slug":"ate-onde-vamos-com-as-resseccoes-a-frio","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/artigoscomentados\/ate-onde-vamos-com-as-resseccoes-a-frio\/","title":{"rendered":"At\u00e9 onde vamos com as ressec\u00e7\u00f5es &#8220;\u00e0 frio\u201d?"},"content":{"rendered":"\n<p>Nos \u00faltimos anos, as resse\u00e7\u00f5es por al\u00e7a fria (CSP) de les\u00f5es colorretais tem sido amplamente aceitas e cada vez mais utilizadas. Como principais benef\u00edcios, a CSP costuma ser um procedimento mais r\u00e1pido e com menor risco associado de les\u00e3o t\u00e9rmica profunda quando comparado \u00e0s ressec\u00e7\u00f5es diat\u00e9rmicas (quente) (HSP).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Pontos importantes:<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li>CSP \u00e9 equivalente a HSP na ressec\u00e7\u00e3o completa de p\u00f3lipos colorretais de at\u00e9 9 mm de tamanho.<\/li><li>A taxa de sangramento imediato \u00e9 maior com CSP em compara\u00e7\u00e3o com HSP, mas isso raramente \u00e9 clinicamente significativo e pode ser controlado com medidas hemost\u00e1ticas simples durante o procedimento, se necess\u00e1rio. <\/li><li>Ressec\u00e7\u00f5es \u00e0 frio em \u201cpiece meal\u201d se constituem em op\u00e7\u00f5es t\u00e9cnicas mesmo em algumas les\u00f5es maiores do 10 mm.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>E quanto \u00e0s les\u00f5es duodenais?<\/strong><\/h2>\n\n\n\n<p>Sabe-se que eventos adversos ap\u00f3s a ressec\u00e7\u00e3o de les\u00f5es duodenais s\u00e3o desafiadores, particularmente o sangramento tardio, s\u00edndrome p\u00f3s polipectomia e perfura\u00e7\u00e3o. Partindo do mesmo princ\u00edpio que levou a utiliza\u00e7\u00e3o cada vez maior de t\u00e9cnicas \u00e0 frio no c\u00f3lon, ser\u00e1 que a ressec\u00e7\u00e3o de les\u00f5es \u00e0 frio no duodeno poderia ser ben\u00e9fica na redu\u00e7\u00e3o de eventos adversos?<\/p>\n\n\n\n<p>Em estudo publicado na revista Gut de setembro, Repici e colaboradores avaliaram a proposi\u00e7\u00e3o de que a elimina\u00e7\u00e3o do caut\u00e9rio na ressec\u00e7\u00e3o de les\u00f5es n\u00e3o ampulares espor\u00e1dicas no duodeno poderia ser fact\u00edvel e levaria a redu\u00e7\u00e3o das taxas de complica\u00e7\u00e3o ap\u00f3s o procedimento.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-2-e1664314672118.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-2.png\" alt=\"\" class=\"wp-image-13665\"\/><\/a><\/figure>\n<\/div>\n\n\n<p>Em uma s\u00e9rie retrospectiva envolvendo 04 centros europeus, entre fevereiro de 2020 e junho de 2021 comparou-se os resultados da ressec\u00e7\u00e3o endosc\u00f3pica da mucosa (EMR) \u00e0 frio e quente para adenomas duodenais n\u00e3o ampulares &gt; 20 mm.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Os principais resultados s\u00e3o apresentados abaixo:<\/h3>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-3.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-3.png\" alt=\"\" class=\"wp-image-13666\" width=\"567\" height=\"277\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-3.png 567w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-3-300x147.png 300w\" sizes=\"(max-width: 567px) 100vw, 567px\" \/><\/a><\/figure>\n<\/div>\n\n\n<ul class=\"wp-block-list\"><li>Todos os pacientes foram acompanhados ap\u00f3s procedimento com bi\u00f3psias de rotina nas \u00e1reas cicatriciais (tempo m\u00e9dio de 3,8 meses no grupo EMR frio e 13,8 meses no grupo EMR quente)<\/li><li>Recorr\u00eancia foi tratada com nova ressec\u00e7\u00e3o ou abla\u00e7\u00e3o por plasma de arg\u00f4nio.<\/li><li>Em 134 pacientes (EMR quente = 101, EMR frio = 33), a dura\u00e7\u00e3o do procedimento (96.9 \u00b1 56.0 minutos vs 48.0 \u00b1 25.1) e eventos adversos p\u00f3s-procedimento (25,7% vs 0,0%; P = 0,0003) foram maiores no grupo EMR quente.<\/li><li>O sucesso t\u00e9cnico (89,1% vs 94,0%; P = 0,42) e as taxas de recorr\u00eancia (20,8% vs 12,1%; P = 0,27) foram compar\u00e1veis \u200b\u200bentre EMR quente e \u00e0 frio.<\/li><\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-6.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-6.png\" alt=\"\" class=\"wp-image-13669\" width=\"677\" height=\"345\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-6.png 758w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-6-300x153.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/image-6-585x298.png 585w\" sizes=\"(max-width: 677px) 100vw, 677px\" \/><\/a><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>Coment\u00e1rios:<\/strong><\/h2>\n\n\n\n<p>O trabalho apresentado revela dados bastante interessantes sobre a possibilidade de ressec\u00e7\u00e3o \u00e0 frio de les\u00f5es duodenais, considerando principalmente as elevadas taxas de complica\u00e7\u00f5es vistas em ressec\u00e7\u00f5es com uso de eletrocaut\u00e9rio nesse \u00f3rg\u00e3o.<\/p>\n\n\n\n<p>Grupo EMR quente apresentou 17 casos de sangramento tardio e 10 pacientes (quase 10%) experimentando perfura\u00e7\u00e3o, imediata ou tardia, levando a 1 \u00f3bito. Enquanto o grupo EMR frio n\u00e3o apresentou complica\u00e7\u00f5es intra e p\u00f3s procedimento.<\/p>\n\n\n\n<p>No grupo EMR frio, as les\u00f5es foram menores de modo n\u00e3o significativo (P= 0.06), e as taxas de recorr\u00eancia no bra\u00e7o de EMR frio s\u00e3o interessantemente baixas e animadoras. &nbsp;<\/p>\n\n\n\n<p>O tempo de seguimento descrito foi menor no grupo EMR frio, podendo haver aumento das taxas de recorr\u00eancia ao longo do tempo, contudo essas recorr\u00eancias costumam ser identificadas de forma precoce e tem tratamento em sua maioria endosc\u00f3pico.<\/p>\n\n\n\n<p>Por fim, certamente novas s\u00e9ries randomizadas se fazem interessantes na avalia\u00e7\u00e3o de t\u00e9cnica da mucosectomia \u00e0 frio, mas o estudo atual introduz um conceito que pode contribuir determinantemente na mudan\u00e7a de conduta no tratamento das les\u00f5es adenomatosas espor\u00e1dicas n\u00e3o ampulares duodenais.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol type=\"1\" class=\"has-normal-font-size wp-block-list\"><li>Repici A, Capogreco A, Spadaccini M, Maselli R, Galtieri PA, Fugazza A, Carrara S, Colombo M, Schachschal G, Creutzfeldt A, Aslam SP, Alkandari A, Bhandari P, Meining A, Hassan C, R\u00f6sch T. Cold versus hot EMR for large duodenal adenomas. Gut. 2022 Sep;71(9):1763-1765.<\/li><li>Tutticci NJ, Kheir AO, Hewett DG. The Cold Revolution: How Far Can It Go? Gastrointest Endosc Clin N Am. 2019 Oct;29(4):721-736.<\/li><li>Thoguluva Chandrasekar V, Spadaccini M, Aziz M, Maselli R, Hassan S, Fuccio L, Duvvuri A, Frazzoni L, Desai M, Fugazza A, Jegadeesan R, Colombo M, Dasari CS, Hassan C, Sharma P, Repici A. Cold snare endoscopic resection of nonpedunculated colorectal polyps larger than 10 mm: a systematic review and pooled-analysis. Gastrointest Endosc. 2019 May;89(5):929-936.e3.<\/li><li>Ortig\u00e3o R, Weigt J, Afifi A, Lib\u00e2nio D. Cold versus hot polypectomy\/endoscopic mucosal resection-A review of current evidence. United European Gastroenterol J. 2021 Oct;9(8):938-946.<\/li><\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p>Medrado, B. At\u00e9 onde vamos com as ressec\u00e7\u00f5es \u00e0 frio?. Endoscopia Terapeutica, 2022. Dispon\u00edvel em <a rel=\"noreferrer noopener\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=13662\" target=\"_blank\">https:\/\/endoscopiaterapeutica.net\/pt\/artigoscomentados\/ate-onde-vamos-com-as-resseccoes-a-frio<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nos \u00faltimos anos, as resse\u00e7\u00f5es por al\u00e7a fria (CSP) de les\u00f5es colorretais tem sido&hellip;<\/p>\n","protected":false},"author":726,"featured_media":13671,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[142],"tags":[],"ano":[309],"tipo":[153],"volume":[147],"class_list":["post-13662","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigoscomentados","ano-309","tipo-endoscopia-digestiva-alta","volume-volume-ii"],"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>At\u00e9 onde vamos com as ressec\u00e7\u00f5es &quot;\u00e0 frio\u201d? &#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\/artigoscomentados\/ate-onde-vamos-com-as-resseccoes-a-frio\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"At\u00e9 onde vamos com as ressec\u00e7\u00f5es &quot;\u00e0 frio\u201d?\" \/>\n<meta property=\"og:description\" content=\"Nos \u00faltimos anos, as resse\u00e7\u00f5es por al\u00e7a fria (CSP) de les\u00f5es colorretais tem sido amplamente aceitas e cada vez mais utilizadas. 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