{"id":15699,"date":"2023-04-11T06:30:12","date_gmt":"2023-04-11T06:30:12","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=15699"},"modified":"2023-08-22T18:56:30","modified_gmt":"2023-08-22T18:56:30","slug":"com-que-frequencia-voce-observa-ulcera-de-anastomose-gastrojejunal-pos-bypass-gastrico-em-y-de-roux-na-sua-pratica-diaria","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/com-que-frequencia-voce-observa-ulcera-de-anastomose-gastrojejunal-pos-bypass-gastrico-em-y-de-roux-na-sua-pratica-diaria\/","title":{"rendered":"Com que frequ\u00eancia voc\u00ea observa \u00falcera de anastomose gastrojejunal p\u00f3s-Bypass G\u00e1strico em Y de Roux na sua pr\u00e1tica di\u00e1ria?\u00a0"},"content":{"rendered":"\n<p>A \u00falcera de anastomose gastrojejunal (AGJ), tamb\u00e9m chamada de \u00falcera marginal, \u00e9 definida como \u201cuma \u00falcera p\u00e9ptica na mucosa jejunal distal \u00e0 AGJ ap\u00f3s gastrectomia parcial para doen\u00e7as benignas, como \u00falceras g\u00e1stricas ou duodenais, ou ap\u00f3s cirurgias bari\u00e1tricas\u201d (1).&nbsp;&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fatores-de-risco-e-incidencia\"><strong>Fatores de risco e Incid\u00eancia<\/strong><\/h2>\n\n\n\n<p>A incid\u00eancia ap\u00f3s Bypass g\u00e1strico em Y de Roux (BGYR) varia de 0,6 a 16% dos pacientes.<\/p>\n\n\n\n<p>Sua etiologia n\u00e3o \u00e9 totalmente compreendida, por\u00e9m v\u00e1rios fatores parecem exercer influ\u00eancia como: diminui\u00e7\u00e3o do fluxo sangu\u00edneo, tens\u00e3o na anastomose, infec\u00e7\u00e3o pelo <em>Helicobacter pylori (H. pylori)<\/em>, tamanho do <em>pouch<\/em>, t\u00e9cnica utilizada para confec\u00e7\u00e3o da AGJ, uso de AINEs, etilismo e tabagismo (2,3,4). <\/p>\n\n\n\n<p>Algumas outras condi\u00e7\u00f5es cl\u00ednicas tamb\u00e9m parecem estar associadas, como imunossupress\u00e3o, DRGE, DM, dislipidemia, doen\u00e7a arterial coronariana, doen\u00e7as pulmonares cr\u00f4nicas, como asma e DPOC, e hipotiroidismo (5). <\/p>\n\n\n\n<p>Al\u00e9m disso, visto que a mucosa do <em>pouch <\/em>n\u00e3o tem contato com a secre\u00e7\u00e3o alcalina do duodeno, a AGJ \u00e9 exposta ao suco g\u00e1strico \u00e1cido n\u00e3o dilu\u00eddo produzido pela mucosa do <em>pouch<\/em> (3). O uso de inibidores de bomba de pr\u00f3tons (IBP) no pr\u00e9-operat\u00f3rio parece ser um fator de prote\u00e7\u00e3o para o desenvolvimento das \u00falceras (5,6).&nbsp;&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><div class=\"pcrstb-wrap\"><table><tbody><tr><td><strong>Fatores de risco cir\u00fargicos<\/strong><\/td><td><strong>Fatores de risco n\u00e3o-cir\u00fargicos<\/strong><\/td><\/tr><tr><td>IsquemiaTamanho do <em>pouch<\/em>Corpo estranho (fio de sutura, grampos)Tens\u00e3o na anastomoseF\u00edstula gastrog\u00e1strica<\/td><td>TabagismoUso de AINEsAus\u00eancia de uso de IBP<em>H. pylori<\/em>Consumo de \u00e1lcool&nbsp;<\/td><\/tr><\/tbody><\/table><\/div><figcaption class=\"wp-element-caption\"><strong>Fatores de risco relacionados a \u00falcera de AGJ (adaptado de Steinemann et al) (3)<\/strong><br><\/figcaption><\/figure>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-12.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"540\" height=\"190\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-12.png\" alt=\"\" class=\"wp-image-15701\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-12.png 540w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-12-300x106.png 300w\" sizes=\"(max-width: 540px) 100vw, 540px\" \/><\/a><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\" id=\"h-apresentacao-e-sintomas\"><strong>Apresenta\u00e7\u00e3o e sintomas<\/strong><\/h2>\n\n\n\n<p>A \u00falcera da AGJ pode ser dividida em precoce (&lt; 12 meses) ou tardia (&gt; 12 meses), para as quais a etiologia subjacente pode ser diferente, assim como o tratamento (1, 2). <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>As \u00falceras precoces geralmente est\u00e3o relacionadas a problemas t\u00e9cnicos da cirurgia. <\/li>\n\n\n\n<li>\u00dalceras tardias podem ter como causa deisc\u00eancia dos grampos, <em>pouch<\/em> alargado, uso de AINE e infec\u00e7\u00e3o pelo <em>H. pylori<\/em> (5).&nbsp;<\/li>\n<\/ul>\n\n\n\n<p>Os pacientes podem apresentar uma variedade de sintomas. Para \u00falceras agudas, dor epig\u00e1strica, v\u00f4mitos e hemorragia digestiva alta (HDA), tanto vis\u00edvel quanto oculta, s\u00e3o as principais formas de apresenta\u00e7\u00e3o (1,7). Pacientes portadores de \u00falcera cr\u00f4nica frequentemente tem dor epig\u00e1strica noturna e bem localizada (1). Cerca de 25% dos pacientes s\u00e3o assintom\u00e1ticos e s\u00e3o diagnosticados durante endoscopia digestiva alta (EDA) de rotina no p\u00f3s-operat\u00f3rio (2).&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-15.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" width=\"520\" height=\"180\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-15.png\" alt=\"\" class=\"wp-image-15706\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-15.png 520w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-15-300x104.png 300w\" sizes=\"(max-width: 520px) 100vw, 520px\" \/><\/a><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\" id=\"h-papel-da-endoscopia-nbsp\"><strong>Papel da endoscopia<\/strong>&nbsp;<\/h2>\n\n\n\n<p>O diagn\u00f3stico \u00e9 feito por EDA, que tamb\u00e9m tem a fun\u00e7\u00e3o de tratar uma grande complica\u00e7\u00e3o dessas \u00falceras que \u00e9 o sangramento. <\/p>\n\n\n\n<p>Em caso de HDA, o tratamento endosc\u00f3pico deve ser feito, assim como nas \u00falceras de outra etiologia, com as modalidades endosc\u00f3picas dispon\u00edveis: inje\u00e7\u00e3o, m\u00e9todos t\u00e9rmicos ou mec\u00e2nicos. Os m\u00e9todos mec\u00e2nicos devem ser preferidos nesses casos, especialmente nas \u00falceras agudas (7).&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-14.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" width=\"298\" height=\"188\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/03\/image-14.png\" alt=\"\" class=\"wp-image-15703\"\/><\/a><\/figure>\n<\/div>\n\n\n<p class=\"has-text-align-center has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Em casos em que se observa a presen\u00e7a de fios de sutura na anastomose, estes devem ser retirados, pois promovem uma rea\u00e7\u00e3o inflamat\u00f3ria local que dificulta a cicatriza\u00e7\u00e3o da \u00falcera. <\/p>\n\n\n\n<p>De maneira geral, a endoscopia deve ser repetida em 08 semanas para confirmar a cicatriza\u00e7\u00e3o da \u00falcera (7).&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tratamento-nbsp-nbsp-nbsp\"><strong>Tratamento&nbsp;&nbsp;<\/strong>&nbsp;<\/h2>\n\n\n\n<p>O tratamento \u00e9 feito com IBP ou associa\u00e7\u00e3o de IBP com sucralfato (2,3,5). <\/p>\n\n\n\n<p>Em casos de \u00falceras refrat\u00e1rias ao tratamento cl\u00ednico, \u00e9 importante investigar a presen\u00e7a de f\u00edstula gastrog\u00e1strica ou deisc\u00eancia da anastomose (7).&nbsp;<\/p>\n\n\n\n<p>Para \u00falceras refrat\u00e1rias, parte dos autores recomenda o tratamento cir\u00fargico (3). Um estudo mostrou que 43% dos pacientes submetidos a tratamento cir\u00fargico da \u00falcera tinham f\u00edstula gastrog\u00e1strica e que a recorr\u00eancia ap\u00f3s a reopera\u00e7\u00e3o pode chegar a 57% (5).\u00a0\u00a0\u00a0<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-para-saber-mais-sobre-este-tema-e-outros-relacionados-acesse-o-site-gastropedia-clicando-aqui\"><a href=\"https:\/\/gastropedia.com.br\/cirurgia\/esofago-estomago-duodeno\/sindrome-de-dumping\/\">Para saber mais sobre este tema e outros relacionados, acesse o site Gastropedia clicando aqui!<\/a><\/h3>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Carr WR, Mahawar KK, Balupuri S, Small PK. An evidence-based algorithm for the management of marginal ulcers following Roux-en-Y gastric bypass. Obes Surg. 2014 Sep;24(9):1520-7. doi: 10.1007\/s11695-014-1293-z. PMID: 24851857&nbsp;<\/li>\n\n\n\n<li>S\u00fcsstrunk, J., Wartmann, L., Mattiello, D.\u202f<em>et al.<\/em>\u202fIncidence and Prognostic Factors for the Development of Symptomatic and Asymptomatic Marginal Ulcers After Roux-en-Y Gastric Bypass Procedures.\u202f<em>OBES SURG<\/em>\u202f<strong>31<\/strong>, 3005\u20133014 (2021). https:\/\/doi.org\/10.1007\/s11695-021-05363-4&nbsp;<\/li>\n\n\n\n<li>Steinemann DC, Bueter M, Schiesser M, Amygdalos I, Clavien PA, Nocito A. Management of anastomotic ulcers after Roux-en-Y gastric bypass: results of an international survey. Obes Surg. 2014 May;24(5):741-6. doi: 10.1007\/s11695-013-1152-3. PMID: 24347350.&nbsp;<\/li>\n\n\n\n<li>Sundaresan, N., Sullivan, M., Hiticas, B.A.\u202f<em>et al.<\/em>\u202fImpacts of Gastrojejunal Anastomotic Technique on Rates of Marginal Ulcer Formation and Anastomotic Bleeding Following Roux-en-Y Gastric Bypass.\u202f<em>OBES SURG<\/em>\u202f<strong>31<\/strong>, 2921\u20132926 (2021). <a href=\"https:\/\/doi.org\/10.1007\/s11695-021-05292-2\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1007\/s11695-021-05292-2<\/a>&nbsp;<\/li>\n\n\n\n<li>Di Palma A, Liu B, Maeda A, Anvari M, Jackson T, Okrainec A. Marginal ulceration following Roux-en-Y gastric bypass: risk factors for ulcer development, recurrence and need for revisional surgery. Surg Endosc. 2021 May;35(5):2347-2353. doi: 10.1007\/s00464-020-07650-0. Epub 2020 May 18. PMID: 32424625.&nbsp;<\/li>\n\n\n\n<li>D&#8217;Hondt MA, Pottel H, Devriendt D, Van Rooy F, Vansteenkiste F. Can a short course of prophylactic low-dose proton pump inhibitor therapy prevent stomal ulceration after laparoscopic Roux-en-Y gastric bypass? Obes Surg. 2010 May;20(5):595-9. doi: 10.1007\/s11695-009-0062-x. Epub 2010 Jan 8. Erratum in: Obes Surg. 2010 Jun;20(6):829. Andr\u00e9 D&#8217;Hondt, Mathieu [corrected to D\u2019Hondt, Mathieu Andr\u00e9]. PMID: 20058097.&nbsp;<\/li>\n\n\n\n<li>Souto-Rodr\u00edguez R, Alvarez-S\u00e1nchez MV. Endoluminal solutions to bariatric surgery complications: A review with a focus on technical aspects and results. World J Gastrointest Endosc. 2017 Mar 16;9(3):105-126. doi: 10.4253\/wjge.v9.i3.105. PMID: 28360973; PMCID: PMC5355758.&nbsp;<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-background\" style=\"background-color:#e9ebed\">Arraes L. Com que frequ\u00eancia voc\u00ea observa \u00falcera de anastomose gastrojejunal p\u00f3s-Bypass G\u00e1strico em Y de Roux na sua pr\u00e1tica di\u00e1ria?&nbsp;Endoscopia Terapeutica 2023, vol 1. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=15699\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/com-que-frequencia-voce-observa-ulcera-de-anastomose-gastrojejunal-pos-bypass-gastrico-em-y-de-roux-na-sua-pratica-diaria<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A \u00falcera de anastomose gastrojejunal (AGJ), tamb\u00e9m chamada de \u00falcera marginal, \u00e9 definida como&hellip;<\/p>\n","protected":false},"author":3179,"featured_media":15703,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[555],"tipo":[158],"volume":[263],"class_list":["post-15699","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-555","tipo-endoscopia-bariatrica","volume-volume-i"],"yoast_head":"<!-- This site is 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