{"id":18533,"date":"2024-04-30T07:00:26","date_gmt":"2024-04-30T07:00:26","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=18533"},"modified":"2024-04-27T01:47:12","modified_gmt":"2024-04-27T01:47:12","slug":"e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/","title":{"rendered":"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0"},"content":{"rendered":"\n

Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n

Les\u00f5es c\u00edsticas pancre\u00e1ticas (LCPs) s\u00e3o cada vez mais diagnosticadas devido ao uso generalizado de exames de imagem para avalia\u00e7\u00e3o de sintomas gastrointestinais ou para outros fins, chegando a serem incidentalmente detectadas em at\u00e9 20% dos pacientes.<\/p>\n\n\n\n

Os tr\u00eas principais subtipos de LCPs s\u00e3o pseudocistos, les\u00f5es c\u00edsticas n\u00e3o mucinosas e les\u00f5es c\u00edsticas mucinosas. Os cistos mucinosos incluem principalmente neoplasias c\u00edsticas mucinosas intrapapilares e neoplasias c\u00edsticas mucinosas, que apresentam maior potencial de transforma\u00e7\u00e3o maligna. Neoplasias pseudopapilares s\u00f3lidas e tumores neuroend\u00f3crinos c\u00edsticos tamb\u00e9m s\u00e3o LCP, no entanto, geralmente apresentam alguns componentes s\u00f3lidos e normalmente n\u00e3o se apresentam como les\u00f5es c\u00edsticas cl\u00e1ssicas.<\/p>\n\n\n\n

Com base na teoria de que a pun\u00e7\u00e3o requer a introdu\u00e7\u00e3o de uma agulha no trato gastrointestinal n\u00e3o est\u00e9ril e respaldada em estudos iniciais que mostravam taxas significativas de infec\u00e7\u00e3o do cisto (at\u00e9 14%) ap\u00f3s aspira\u00e7\u00e3o por agulha fina guiada por ultrassom endosc\u00f3pico (PAAF-EUS) das LCPs, as principais sociedades internacionais de endoscopia (ASGE, 2016 e ESGE, 2017) recomendaram o uso profil\u00e1tico de antibi\u00f3ticos pr\u00e9 e p\u00f3s-procedimento por 3 a 5 dias. Tais diretrizes forneceram grau de recomenda\u00e7\u00e3o fraco, baseadas em evid\u00eancias de baixa qualidade. <\/p>\n\n\n\n

Discuss\u00e3o<\/strong><\/h2>\n\n\n\n

No entanto, o uso da antibioticoprofilaxia para reduzir a incid\u00eancia de infec\u00e7\u00e3o ap\u00f3s a PAAF-EUS das LCPs tem sido questionado nos \u00faltimos anos depois que v\u00e1rios estudos demonstraram a seguran\u00e7a do procedimento e sugeriram a falta de benef\u00edcio adicional, incluindo uma metan\u00e1lise com revis\u00e3o sistem\u00e1tica publicada em 2017 na Digestive Endoscopy por Zhu e cols.<\/em>, inferindo que as taxas de infec\u00e7\u00e3o relatadas anteriormente foram bastante superestimadas.<\/p>\n\n\n\n

Como o uso de agentes antimicrobianos aumenta o custo do procedimento, bem como o risco de resist\u00eancia aos medicamentos e pode estar associado a rea\u00e7\u00f5es al\u00e9rgicas potencialmente graves, determinar o real benef\u00edcio desta pr\u00e1tica \u00e9 de suma import\u00e2ncia. <\/p>\n\n\n\n

Para se chegar a uma conclus\u00e3o definitiva sobre o tema, Facciorusso et al<\/em> publicaram em 2020 na Expert Review Of Gastroenterology & Hepatology<\/em> a primeira metan\u00e1lise cujo objetivo foi avaliar a efic\u00e1cia da profilaxia antibi\u00f3tica neste cen\u00e1rio. Ficou evidente n\u00e3o haver benef\u00edcio significativo em termos de taxa de infec\u00e7\u00e3o (OR 0,65, IC 95% 0,24\u20131,78; p = 0,40). Assim, estes resultados, refor\u00e7ados pela baixa heterogeneidade e confirmados em diversas an\u00e1lises de sensibilidade, devem levantar d\u00favidas sobre a estrat\u00e9gia atual recomendada pelos Guidelines. Algumas situa\u00e7\u00f5es podem ter indica\u00e7\u00e3o especial para profilaxia antimicrobiana, por exemplo, um risco maior de infec\u00e7\u00e3o quando o l\u00edquido do cisto n\u00e3o foi completamente drenado. Todavia, nesta metan\u00e1lise, uma suban\u00e1lise de acordo com as caracter\u00edsticas dos cistos foi invi\u00e1vel devido \u00e0 falta de dados dispon\u00edveis.<\/p>\n\n\n\n

Cerca de 9 meses ap\u00f3s a publica\u00e7\u00e3o da primeira (Abril, 2021), uma segunda metan\u00e1lise com revis\u00e3o sistem\u00e1tica endere\u00e7ando mesmo objetivo foi publicada por Palomena-Teleda et al<\/em>, desta vez na Pancreas<\/em>. Foram inclu\u00eddos seis estudos, sendo 5 retrospectivos e 1 ensaio randomizado, com um total de 1.683 pacientes. \u00c0 semelhan\u00e7a da constata\u00e7\u00e3o do trabalho de Facciorusso, para o desfecho prim\u00e1rio (desenvolvimento de infec\u00e7\u00e3o do cisto) tamb\u00e9m n\u00e3o houve diferen\u00e7a significativa entre os dois grupos (OR 0,54; IC 95% 0,16\u20131,82; P = 0,32).<\/p>\n\n\n\n

Conclus\u00e3o<\/strong><\/h2>\n\n\n\n

Ambas metan\u00e1lises confirmam as observa\u00e7\u00f5es de estudos individuais que sugerem a n\u00e3o superioridade da profilaxia antibi\u00f3tica antes da PAAF-EUS de LCPs.<\/strong> Portanto, as diretrizes atuais que sugerem o uso rotineiro de antibi\u00f3ticos profil\u00e1ticos devem ser reavaliadas, uma vez que esta pr\u00e1tica n\u00e3o parece reduzir substancialmente o risco de infec\u00e7\u00f5es.<\/p>\n\n\n\n

Refer\u00eancias<\/strong><\/h2>\n\n\n\n
    \n
  1. ASGE Standards of Practice Committee; Muthusamy VR, Chandrasekhara V, Acosta RD, Bruining DH, Chathadi KV, Eloubeidi MA, Faulx AL, Fonkalsrud L, Gurudu SR, Khashab MA, Kothari S, Lightdale JR, Pasha SF, Saltzman JR, Shaukat A, Wang A, Yang J, Cash BD, DeWitt JM. The role of endoscopy in the diagnosis and treatment of cystic pancreatic neoplasms. Gastrointest Endosc. 2016 Jul;84(1):1-9. doi: 10.1016\/j.gie.2016.04.014. Epub 2016 May 17. PMID: 27206409.<\/li>\n\n\n\n
  2. Dumonceau JM, Deprez PH, Jenssen C, Iglesias-Garcia J, Larghi A, Vanbiervliet G, Aithal GP, Arcidiacono PG, Bastos P, Carrara S, Czak\u00f3 L, Fern\u00e1ndez-Esparrach G, Fockens P, Gin\u00e8s \u00c0, Havre RF, Hassan C, Vilmann P, van Hooft JE, Polkowski M. Indications, results, and clinical impact of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline – Updated January 2017. Endoscopy. 2017 Jul;49(7):695-714. doi: 10.1055\/s-0043-109021. Epub 2017 May 16. PMID: 28511234.<\/li>\n\n\n\n
  3. Zhu H, Jiang F, Zhu J, Du Y, Jin Z, Li Z. Assessment of morbidity and mortality associated with endoscopic ultrasound-guided fine-needle aspiration for pancreatic cystic lesions: A systematic review and meta-analysis. Dig Endosc. 2017 Sep;29(6):667-675. doi: 10.1111\/den.12851. Epub 2017 Jun 6. PMID: 28218999.<\/li>\n\n\n\n
  4. Seifeldin Hakim, Mihajlo Gjeorgjievski, Zubair Khan, Michael E Cannon, Kevin Yu, Prithvi Patil, Roy Tomas DaVee, Sushovan Guha, Ricardo Badillo, Laith Jamil, Nirav Thosani, Srinivas Ramireddy. Is antibiotic prophylaxis necessary after endoscopic ultrasound-guided fine-needle aspiration of pancreatic cysts? Clin Endosc 2022 Nov;55(6):801-809. DOI: 10.5946\/ce.2021.150. Epub 2022 Nov 10.<\/li>\n\n\n\n
  5. Antonio Facciorusso , Babu P Mohan , Matteo Tacelli , Stefano Francesco Crin\u00f2 , Filippo Antonini , Alberto Fantin & Luca Barresi (2020): Use of antibiotic prophylaxis is not needed for endoscopic ultrasound-guided fine-needle aspiration of pancreatic cysts: a meta- analysis, Expert Review of Gastroenterology & Hepatology, DOI: 10.1080\/17474124.2020.1797486.<\/li>\n\n\n\n
  6. Emmanuel Palomera-Tejeda, Hassam Shah, Bashar M. Attar, Abhishek Bhurwal, Ishaan Vohra and Hemant Raj Mutneja. Prophylactic Antibiotics Do Not Prevent Infectious Complications of Endoscopic Ultrasound Fine-Needle Aspiration of Pancreatic Cysts: A Systematic Review and Meta-Analysis. Pancreas. 2021 May-Jun;50(5):667-672. doi: 10.1097\/MPA.0000000000001816.<\/li>\n<\/ol>\n\n\n\n

    Como citar este artigo<\/strong><\/h2>\n\n\n\n

    Ribeiro MSL. \u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas? Endoscopia Terapeutica, 2024 vol 1. Dispon\u00edvel em: https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

    Introdu\u00e7\u00e3o Les\u00f5es c\u00edsticas pancre\u00e1ticas (LCPs) s\u00e3o cada vez mais diagnosticadas devido ao uso generalizado…<\/p>\n","protected":false},"author":3701,"featured_media":18626,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[409,753,754],"ano":[742],"tipo":[154],"volume":[263],"class_list":["post-18533","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-eus","tag-lesao-cistica-pancreatica","tag-paaf","ano-742","tipo-ecoendoscopia","volume-volume-i"],"yoast_head":"\n\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0 • Endoscopia Terapeutica<\/title>\n<meta name=\"description\" content=\"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0\" \/>\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\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0\" \/>\n<meta property=\"og:description\" content=\"Introdu\u00e7\u00e3o Les\u00f5es c\u00edsticas pancre\u00e1ticas (LCPs) s\u00e3o cada vez mais diagnosticadas devido ao uso generalizado de exames de imagem para avalia\u00e7\u00e3o de sintomas\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/\" \/>\n<meta property=\"og:site_name\" content=\"Endoscopia Terapeutica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoscopiaterapeutica\" \/>\n<meta property=\"article:author\" content=\"@msiribeiro\" \/>\n<meta property=\"article:published_time\" content=\"2024-04-30T07:00:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/04\/cisto1.jpeg?v=1714155079\" \/>\n\t<meta property=\"og:image:width\" content=\"1291\" \/>\n\t<meta property=\"og:image:height\" content=\"804\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Maria Sylvia Ierardi Ribeiro\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maria Sylvia Ierardi Ribeiro\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/\"},\"author\":{\"name\":\"Maria Sylvia Ierardi Ribeiro\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/person\\\/4de5a4cb097bcc17ad39718dc772ebf7\"},\"headline\":\"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0\",\"datePublished\":\"2024-04-30T07:00:26+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/\"},\"wordCount\":989,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2024\\\/04\\\/cisto1.jpeg?v=1714155079\",\"keywords\":[\"eus\",\"les\u00e3o c\u00edstica pancre\u00e1tica\",\"PAAF\"],\"articleSection\":[\"Assuntos Gerais\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/\",\"name\":\"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0 • Endoscopia Terapeutica\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2024\\\/04\\\/cisto1.jpeg?v=1714155079\",\"datePublished\":\"2024-04-30T07:00:26+00:00\",\"description\":\"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/#primaryimage\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2024\\\/04\\\/cisto1.jpeg?v=1714155079\",\"contentUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2024\\\/04\\\/cisto1.jpeg?v=1714155079\",\"width\":1291,\"height\":804},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#website\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/\",\"name\":\"Endoscopia Terapeutica\",\"description\":\"O Jornal Endoscopia Terap\u00eautica tem como objetivo compartilhar experi\u00eancias da pr\u00e1tica di\u00e1ria, al\u00e9m de prover atualiza\u00e7\u00f5es e discuss\u00f5es sobre endoscopia digestiva.\",\"publisher\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#organization\",\"name\":\"Endoscopia Terapeutica\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/endter.jpg\",\"contentUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/endter.jpg\",\"width\":720,\"height\":721,\"caption\":\"Endoscopia Terapeutica\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/endoscopiaterapeutica\",\"https:\\\/\\\/www.instagram.com\\\/endoscopy\\\/\",\"https:\\\/\\\/www.youtube.com\\\/@endoscopyonline\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/person\\\/4de5a4cb097bcc17ad39718dc772ebf7\",\"name\":\"Maria Sylvia Ierardi Ribeiro\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/784f48d71050d5ef28ea28d6e097b9b0ae61e60934b15aeb3f91f982460c7e11?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/784f48d71050d5ef28ea28d6e097b9b0ae61e60934b15aeb3f91f982460c7e11?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/784f48d71050d5ef28ea28d6e097b9b0ae61e60934b15aeb3f91f982460c7e11?s=96&d=mm&r=g\",\"caption\":\"Maria Sylvia Ierardi Ribeiro\"},\"description\":\"- Especialista em Endoscopia Digestiva pelo Hospital das Cl\u00ednicas da Universidade de S\u00e3o Paulo (HC-FMUSP); - Especialista em Endoscopia Digestiva Oncol\u00f3gica e Ecoendoscopia pelo Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo (ICESP \\\/ HC-FMUSP); - Membro Titular da Sociedade Brasileira de Endoscopia - SOBED; - Observer Fellowship no Servi\u00e7o de Endoscopia Digestiva da Mayo Clinic de Jacksonville - Florida - USA; - Mestrado em Gastroenterologia (Endoscopia Digestiva) pela Faculdade de Medicina da Universidade de S\u00e3o Paulo - FMUSP; - Editora de M\u00eddias Sociais da Revista Gastrointestinal Endoscopy - GIE.\",\"sameAs\":[\"@msiribeiro\"],\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/author\\\/msiribeiro\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0 • Endoscopia Terapeutica","description":"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/","og_locale":"pt_BR","og_type":"article","og_title":"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0","og_description":"Introdu\u00e7\u00e3o Les\u00f5es c\u00edsticas pancre\u00e1ticas (LCPs) s\u00e3o cada vez mais diagnosticadas devido ao uso generalizado de exames de imagem para avalia\u00e7\u00e3o de sintomas","og_url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/","og_site_name":"Endoscopia Terapeutica","article_publisher":"https:\/\/www.facebook.com\/endoscopiaterapeutica","article_author":"@msiribeiro","article_published_time":"2024-04-30T07:00:26+00:00","og_image":[{"width":1291,"height":804,"url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/04\/cisto1.jpeg?v=1714155079","type":"image\/jpeg"}],"author":"Maria Sylvia Ierardi Ribeiro","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Maria Sylvia Ierardi Ribeiro","Est. tempo de leitura":"6 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/#article","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/"},"author":{"name":"Maria Sylvia Ierardi Ribeiro","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/4de5a4cb097bcc17ad39718dc772ebf7"},"headline":"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0","datePublished":"2024-04-30T07:00:26+00:00","mainEntityOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/"},"wordCount":989,"commentCount":0,"publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/04\/cisto1.jpeg?v=1714155079","keywords":["eus","les\u00e3o c\u00edstica pancre\u00e1tica","PAAF"],"articleSection":["Assuntos Gerais"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/","url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/","name":"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0 • Endoscopia Terapeutica","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/#primaryimage"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/04\/cisto1.jpeg?v=1714155079","datePublished":"2024-04-30T07:00:26+00:00","description":"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0","breadcrumb":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/#primaryimage","url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/04\/cisto1.jpeg?v=1714155079","contentUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/04\/cisto1.jpeg?v=1714155079","width":1291,"height":804},{"@type":"BreadcrumbList","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/e-necessario-fazer-antibioticoprofilaxia-para-aspiracao-por-agulha-fina-ecoguiada-das-lesoes-cisticas-pancreaticas\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/endoscopiaterapeutica.net\/pt\/"},{"@type":"ListItem","position":2,"name":"\u00c9 necess\u00e1rio fazer Antibioticoprofilaxia para Aspira\u00e7\u00e3o por Agulha Fina Ecoguiada das Les\u00f5es C\u00edsticas Pancre\u00e1ticas?\u00a0"}]},{"@type":"WebSite","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#website","url":"https:\/\/endoscopiaterapeutica.net\/pt\/","name":"Endoscopia Terapeutica","description":"O Jornal Endoscopia Terap\u00eautica tem como objetivo compartilhar experi\u00eancias da pr\u00e1tica di\u00e1ria, al\u00e9m de prover atualiza\u00e7\u00f5es e discuss\u00f5es sobre endoscopia digestiva.","publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/endoscopiaterapeutica.net\/pt\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization","name":"Endoscopia Terapeutica","url":"https:\/\/endoscopiaterapeutica.net\/pt\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/logo\/image\/","url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/09\/endter.jpg","contentUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/09\/endter.jpg","width":720,"height":721,"caption":"Endoscopia Terapeutica"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/endoscopiaterapeutica","https:\/\/www.instagram.com\/endoscopy\/","https:\/\/www.youtube.com\/@endoscopyonline"]},{"@type":"Person","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/4de5a4cb097bcc17ad39718dc772ebf7","name":"Maria Sylvia Ierardi Ribeiro","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/secure.gravatar.com\/avatar\/784f48d71050d5ef28ea28d6e097b9b0ae61e60934b15aeb3f91f982460c7e11?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/784f48d71050d5ef28ea28d6e097b9b0ae61e60934b15aeb3f91f982460c7e11?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/784f48d71050d5ef28ea28d6e097b9b0ae61e60934b15aeb3f91f982460c7e11?s=96&d=mm&r=g","caption":"Maria Sylvia Ierardi Ribeiro"},"description":"- Especialista em Endoscopia Digestiva pelo Hospital das Cl\u00ednicas da Universidade de S\u00e3o Paulo (HC-FMUSP); - Especialista em Endoscopia Digestiva Oncol\u00f3gica e Ecoendoscopia pelo Instituto do C\u00e2ncer do Estado de S\u00e3o Paulo (ICESP \/ HC-FMUSP); - Membro Titular da Sociedade Brasileira de Endoscopia - SOBED; - Observer Fellowship no Servi\u00e7o de Endoscopia Digestiva da Mayo Clinic de Jacksonville - Florida - USA; - Mestrado em Gastroenterologia (Endoscopia Digestiva) pela Faculdade de Medicina da Universidade de S\u00e3o Paulo - FMUSP; - Editora de M\u00eddias Sociais da Revista Gastrointestinal Endoscopy - GIE.","sameAs":["@msiribeiro"],"url":"https:\/\/endoscopiaterapeutica.net\/pt\/author\/msiribeiro\/"}]}},"_links":{"self":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/18533","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/users\/3701"}],"replies":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/comments?post=18533"}],"version-history":[{"count":5,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/18533\/revisions"}],"predecessor-version":[{"id":18601,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/18533\/revisions\/18601"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media\/18626"}],"wp:attachment":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media?parent=18533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/categories?post=18533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tags?post=18533"},{"taxonomy":"ano","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/ano?post=18533"},{"taxonomy":"tipo","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tipo?post=18533"},{"taxonomy":"volume","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/volume?post=18533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}