{"id":13816,"date":"2022-10-15T00:03:39","date_gmt":"2022-10-15T00:03:39","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=13816"},"modified":"2022-10-16T23:51:14","modified_gmt":"2022-10-16T23:51:14","slug":"dica-rapida-e-simples-que-salva-vidas-identifique-precocemente-o-carcinoma-de-celulas-escamosas-cec-no-esofago","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/dica-rapida-e-simples-que-salva-vidas-identifique-precocemente-o-carcinoma-de-celulas-escamosas-cec-no-esofago\/","title":{"rendered":"Dica R\u00e1pida e Simples que Salva Vidas: Identifique Precocemente o Carcinoma de C\u00e9lulas Escamosas (CEC) no Es\u00f4fago"},"content":{"rendered":"\n<p>Os endoscopistas ocidentais falham em diagnosticar 12% das neoplasias do trado digestivo superior.(1) Isso tamb\u00e9m te procupa? Saber que falhamos em diagnosticar uma fatia significativa de doen\u00e7as letais deixa qualquer endoscopista apreensivo. Para o CEC de es\u00f4fago, um pequeno ajuste na sistematiza\u00e7\u00e3o de seu exame pode dobrar sua capacidade diagn\u00f3stica sem aumentar o tempo de seu exame. Salve vidas lendo o r\u00e1pido texto abaixo\u2193\u2193.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>O CEC precoce de es\u00f4fago se apresenta como les\u00f5es sutis da mucosa que s\u00e3o dificilmente percebidas na endoscopia de rotina. A sensibilidade diagn\u00f3stica da luz branca \u00e9 de preocupantes 50%.(2) Isso mesmo, deixamos de identificar metade dos casos de uma doen\u00e7a altamente letal em uma fase facilmente cur\u00e1vel.<\/p>\n\n\n\n<p>A displasia escamosa e o carcinoma intramucoso possuem altera\u00e7\u00f5es m\u00ednimas de relevo. O aspecto endosc\u00f3pico consiste principalmente na deforma\u00e7\u00e3o progressiva do padr\u00e3o microvascular da mucosa: os \u201cintra papilar capillary loops\u201d (IPCLs). Usando um endosc\u00f3pio de alta defini\u00e7\u00e3o, vemos os IPCLs como pontos vermelhos \u00e0 luz branca. Em um exame mais detalhado, usando magnifica\u00e7\u00e3o, podemos ver a al\u00e7a capilar adjacente \u00e0 membrana basal. Por ser t\u00e3o superficial, os IPCLs refletem precocemente as altera\u00e7\u00f5es epiteliais e se observados atentamente, permitem um diagn\u00f3stico precoce do CEC.(3)<\/p>\n\n\n\n<p>A observa\u00e7\u00e3o destas altera\u00e7\u00f5es \u00e9 um desafio j\u00e1 que h\u00e1 um contraste pobre entre a mucosa subjacente de colora\u00e7\u00e3o r\u00f3sea e a cor vermelha do IPCL. Como veremos mais adiante, a cromoscopia \u00f3ptica ou digital apresenta um papel fundamental ao real\u00e7ar o contraste dos vasos transformando em chamativas altera\u00e7\u00f5es discretas.(3)<\/p>\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\/10\/image-2.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-2.png\" alt=\"\" class=\"wp-image-13817\" width=\"415\" height=\"334\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-2.png 383w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-2-300x241.png 300w\" sizes=\"(max-width: 415px) 100vw, 415px\" \/><\/a><figcaption><em>Imagem 1 \u2013 Displasia de alto grau sob luz branca e NBI.<\/em>&nbsp;<\/figcaption><\/figure>\n<\/div>\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Rastreio:<\/strong><\/h2>\n\n\n\n<p>No rastreio para CEC, a cromoscopia com lugol sempre foi um m\u00e9todo chave nos pacientes de alto risco. Sua sensibilidade chega a 90% permitindo um diagn\u00f3stico eficaz. Contudo, o lugol apresenta uma baixa especificidade al\u00e9m de necessitar da disponibilidade de seu ant\u00eddoto (tiosulfato ou hipossulfito). Outras complica\u00e7\u00f5es como hiperssensibilidade ao iodo, laringite, pneumonite e dor retrosternal tamb\u00e9m est\u00e3o associadas ao procedimento.(2)&nbsp;<\/p>\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\/10\/image-3.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-3.png\" alt=\"\" class=\"wp-image-13818\" width=\"383\" height=\"306\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-3.png 383w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-3-300x240.png 300w\" sizes=\"(max-width: 383px) 100vw, 383px\" \/><\/a><figcaption><em>Imagem 2 \u2013 Luz branca + Lugol 2% em CEC intramucoso + displasia de alto grau semicircunferencial.<\/em>&nbsp;<\/figcaption><\/figure>\n<\/div>\n\n\n<p>Com o surgimento das tecnologias de cromoscopia integradas aos sistemas de endoscopias, foi poss\u00edvel solucionar v\u00e1rios dos incovenientes do Lugol. Tecnologias patenteadas por seus respectivos fabricantes como o NBI, o BLI e o i-Scan proporcionaram a capacidade de executar a cromoscopia com apenas um toque no aparelho, n\u00e3o havendo qualquer necessidade de acess\u00f3rio. O NBI \u00e9 a ferramenta com maior n\u00edvel de evid\u00eancia e ser\u00e1 abordado mais diretamente neste texto.&nbsp;<\/p>\n\n\n\n<p>O NBI subtrai alguns espectros da luz branca, deixando a vasculatura mais contrastada. Quando h\u00e1 altera\u00e7\u00f5es dos IPCLs uma mancha amarronzada fica bastante evidente ao lado da mucosa normal com tom esverdeado. Mesmo sem magnifica\u00e7\u00e3o este aspecto endosc\u00f3pico dobra a sensibilidade diagn\u00f3stica do exame.(4)<strong>&nbsp;<\/strong>&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-4.png\" alt=\"\" class=\"wp-image-13819\" width=\"561\" height=\"435\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-4.png 561w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-4-300x233.png 300w\" sizes=\"(max-width: 561px) 100vw, 561px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>E agora, a dica !<\/strong><\/h2>\n\n\n\n<p>Com apenas um clique o endoscopista multiplica sua sensibilidade diagn\u00f3stica para o CEC de es\u00f4fago. Um salto de 50% para 90% de diagn\u00f3sticos identificados! Sistematize da seguinte forma seu exame: Lavagem e aspira\u00e7\u00e3o do es\u00f4fago; Introdu\u00e7\u00e3o do aparelho com luz branca; ao encerrar o procedimento, retire o aparelho com NBI ou similar ligado, inspecionando detalhadamente o es\u00f4fago na retirada. Tal \u00e9 simples e certamente vai te ajudar a salvar vidas!<\/p>\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\/10\/image-5.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-5.png\" alt=\"\" class=\"wp-image-13820\" width=\"580\" height=\"173\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-5.png 374w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/10\/image-5-300x89.png 300w\" sizes=\"(max-width: 580px) 100vw, 580px\" \/><\/a><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>Referencias<\/strong><\/h2>\n\n\n\n<p>1. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Menon S, Trudgill N. How commonly is upper gastrointestinal cancer missed at endoscopy? A meta-analysis. Endosc Int Open. 2014;02(02):E46\u201350.<\/p>\n\n\n\n<p>2. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Morita FHA, Bernardo WM, Ide E, Rocha RSP, Aquino JCM, Minata MK, et al. Narrow band imaging versus lugol chromoendoscopy to diagnose squamous cell carcinoma of the esophagus: A systematic review and meta-analysis. BMC Cancer [Internet]. 2017;17(1):1\u201314. Available from: http:\/\/dx.doi.org\/10.1186\/s12885-016-3011-9<\/p>\n\n\n\n<p>3. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Inoue H, Kaga M, Ikeda H, Sato C, Sato H, Minami H, et al. Magnification endoscopy in esophageal squamous cell carcinoma: A review of the intrapapillary capillary loop classification. Ann Gastroenterol. 2015;28(1):41\u20138.<\/p>\n\n\n\n<p>4. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ide E, Maluf-Filho F, Chaves DM, Matuguma SE, Sakai P. Narrow-band imaging without magnifcation for detecting early esophageal squamous cell carcinoma. World J Gastroenterol. 2011;17(39):4408\u201313.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p>Pontual JP, Dica R\u00e1pida e Simples que Salva Vidas: Identifique Precocemente o Carcinoma de C\u00e9lulas Escamosas (CEC) no Es\u00f4fago, Endoscopia Terapeutica; 2022. Dispon\u00edvel em: <a rel=\"noreferrer noopener\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=13816\" target=\"_blank\">https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/dica-rapida-e-simples-que-salva-vidas-identifique-precocemente-o-carcinoma-de-celulas-escamosas-cec-no-esofago\/<\/a> <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Os endoscopistas ocidentais falham em diagnosticar 12% das neoplasias do trado digestivo superior.(1) Isso&hellip;<\/p>\n","protected":false},"author":2695,"featured_media":13817,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[340,399,329],"ano":[309],"tipo":[159],"volume":[147],"class_list":["post-13816","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-cec","tag-esofago","tag-precoce","ano-309","tipo-outros","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>Dica R\u00e1pida e Simples que Salva Vidas: Identifique Precocemente o Carcinoma de C\u00e9lulas Escamosas (CEC) no Es\u00f4fago &#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\/assuntosgerais\/dica-rapida-e-simples-que-salva-vidas-identifique-precocemente-o-carcinoma-de-celulas-escamosas-cec-no-esofago\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dica R\u00e1pida e Simples que Salva Vidas: Identifique Precocemente o Carcinoma de C\u00e9lulas Escamosas (CEC) no Es\u00f4fago\" \/>\n<meta property=\"og:description\" content=\"Os endoscopistas ocidentais falham em diagnosticar 12% das neoplasias do trado digestivo superior.(1) Isso tamb\u00e9m te procupa? 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