{"id":18662,"date":"2024-06-04T07:30:06","date_gmt":"2024-06-04T07:30:06","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=18662"},"modified":"2024-06-06T16:25:23","modified_gmt":"2024-06-06T16:25:23","slug":"remocao-endoscopica-de-corpo-estranho-impactado-no-ileo-distal-relato-de-caso-e-revisao-da-literatura","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/remocao-endoscopica-de-corpo-estranho-impactado-no-ileo-distal-relato-de-caso-e-revisao-da-literatura\/","title":{"rendered":"Remo\u00e7\u00e3o endosc\u00f3pica de corpo estranho impactado no \u00edleo distal: relato de caso e revis\u00e3o da literatura."},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"h-relato-de-caso\"><strong>Relato de caso<\/strong><\/h2>\n\n\n\n<p>Masculino, 88 anos, aposentado, apresentando quadro demencial leve, assintom\u00e1tico, foi encaminhado ao servi\u00e7o de endoscopia ap\u00f3s a ingest\u00e3o acidental de sua pr\u00f3tese dent\u00e1ria fixa. O incidente ocorreu h\u00e1 15 dias, sem elimina\u00e7\u00e3o do objeto nas fezes desde ent\u00e3o. Ele buscou atendimento na unidade de emerg\u00eancia de sua cidade, onde uma radiografia revelou a presen\u00e7a do objeto na topografia da fossa il\u00edaca direita (foto 1). Ao exame f\u00edsico, n\u00e3o havia altera\u00e7\u00f5es relevantes com palpa\u00e7\u00e3o do abdome inocente.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69f0d9097ae5e&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69f0d9097ae5e\" class=\"aligncenter size-full is-resized wp-lightbox-container\"><img fetchpriority=\"high\" decoding=\"async\" width=\"960\" height=\"1021\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-1-Radiografia.jpg?v=1715271735\" alt=\"\" class=\"wp-image-18663\" style=\"width:383px;height:auto\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-1-Radiografia.jpg?v=1715271735 960w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-1-Radiografia-282x300.jpg?v=1715271735 282w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-1-Radiografia-768x817.jpg?v=1715271735 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-1-Radiografia-585x622.jpg?v=1715271735 585w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Ampliar\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\">Figura 1: radiografia de abdome e pelve.<\/figcaption><\/figure>\n<\/div>\n\n\n<p>Ap\u00f3s preparo col\u00f4nico com manitol e a realiza\u00e7\u00e3o de uma nova radiografia, que n\u00e3o apontou qualquer mudan\u00e7a na posi\u00e7\u00e3o inicial da pr\u00f3tese dent\u00e1ria desde a admiss\u00e3o, o paciente foi submetido a colonoscopia. At\u00e9 a intuba\u00e7\u00e3o cecal o corpo estranho n\u00e3o foi encontrado, com presen\u00e7a de doen\u00e7a diverticular no hemic\u00f3lon esquerdo (foto 2 e 3).<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69f0d9097b5fb&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69f0d9097b5fb\" class=\"wp-block-image size-large wp-lightbox-container\"><img decoding=\"async\" width=\"1024\" height=\"768\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" data-id=\"18664\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-3-Divberticulos-1024x768.jpg?v=1715271890\" alt=\"\" class=\"wp-image-18664\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-3-Divberticulos-1024x768.jpg?v=1715271890 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-3-Divberticulos-300x225.jpg?v=1715271890 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-3-Divberticulos-768x576.jpg?v=1715271890 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-3-Divberticulos-1170x878.jpg?v=1715271890 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-3-Divberticulos-585x439.jpg?v=1715271890 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-3-Divberticulos.jpg?v=1715271890 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Ampliar\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\">Figura 2: divert\u00edculos em hemic\u00f3lon esquerdo pela colonoscopia.<\/figcaption><\/figure>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69f0d9097c001&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69f0d9097c001\" class=\"wp-block-image size-large wp-lightbox-container\"><img decoding=\"async\" width=\"1024\" height=\"768\" data-wp-class--hide=\"state.isContentHidden\" data-wp-class--show=\"state.isContentVisible\" data-wp-init=\"callbacks.setButtonStyles\" data-wp-on--click=\"actions.showLightbox\" data-wp-on--load=\"callbacks.setButtonStyles\" data-wp-on-window--resize=\"callbacks.setButtonStyles\" data-id=\"18665\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-2-Diverticulos-1024x768.jpg?v=1715271890\" alt=\"\" class=\"wp-image-18665\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-2-Diverticulos-1024x768.jpg?v=1715271890 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-2-Diverticulos-300x225.jpg?v=1715271890 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-2-Diverticulos-768x576.jpg?v=1715271890 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-2-Diverticulos-1170x878.jpg?v=1715271890 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-2-Diverticulos-585x439.jpg?v=1715271890 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/05\/Bruno-Vieira-Imagem-2-Diverticulos.jpg?v=1715271890 1280w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><button\n\t\t\tclass=\"lightbox-trigger\"\n\t\t\ttype=\"button\"\n\t\t\taria-haspopup=\"dialog\"\n\t\t\taria-label=\"Ampliar\"\n\t\t\tdata-wp-init=\"callbacks.initTriggerButton\"\n\t\t\tdata-wp-on--click=\"actions.showLightbox\"\n\t\t\tdata-wp-style--right=\"state.imageButtonRight\"\n\t\t\tdata-wp-style--top=\"state.imageButtonTop\"\n\t\t>\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"12\" height=\"12\" fill=\"none\" viewBox=\"0 0 12 12\">\n\t\t\t\t<path fill=\"#fff\" d=\"M2 0a2 2 0 0 0-2 2v2h1.5V2a.5.5 0 0 1 .5-.5h2V0H2Zm2 10.5H2a.5.5 0 0 1-.5-.5V8H0v2a2 2 0 0 0 2 2h2v-1.5ZM8 12v-1.5h2a.5.5 0 0 0 .5-.5V8H12v2a2 2 0 0 1-2 2H8Zm2-12a2 2 0 0 1 2 2v2h-1.5V2a.5.5 0 0 0-.5-.5H8V0h2Z\" \/>\n\t\t\t<\/svg>\n\t\t<\/button><figcaption class=\"wp-element-caption\">Figura 3: divert\u00edculos em hemic\u00f3lon esquerdo pela colonoscopia.<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<p>Percorridos cerca de 15 cm do \u00edleo distal, a pr\u00f3tese dent\u00e1ria foi localizada. Com o aux\u00edlio de uma al\u00e7a multifilamentar, foi poss\u00edvel mobiliz\u00e1-la e, em seguida, capturar o corpo estranho impactado, trazendo-o at\u00e9 o ceco (v\u00eddeo 1). A remo\u00e7\u00e3o cuidadosa atrav\u00e9s dos c\u00f3lons foi realizada com insufla\u00e7\u00e3o m\u00e1xima e manobras delicadas nas angula\u00e7\u00f5es at\u00e9 a extra\u00e7\u00e3o por via retal. Durante todo o procedimento, utilizou-se CO2 como g\u00e1s insuflador e foi administrado antiespasm\u00f3dico (escopolamina). Na revis\u00e3o p\u00f3s-remo\u00e7\u00e3o, n\u00e3o havia lacera\u00e7\u00e3o da mucosa ou sinais de perfura\u00e7\u00e3o nos segmentos avaliados.<\/p>\n\n\n\n<div style=\"position:relative;padding-top:56.60377358490566%;\"><iframe id=\"panda-103d1833-4ac8-41d3-a637-2aac366ef085\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=103d1833-4ac8-41d3-a637-2aac366ef085\" 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<p>A pr\u00f3tese mediu 3 cm sendo composta por 5 dentes com tr\u00eas espiculas de superf\u00edcie pontiaguda (pinos de fibra de vidro), tornando o segmento envolvido na impacta\u00e7\u00e3o vulner\u00e1vel a perfura\u00e7\u00e3o. (v\u00eddeo 2).<\/p>\n\n\n\n<div style=\"position:relative;padding-top:75%;\"><iframe id=\"panda-51175750-cd96-46f1-96d3-97c6aa710d21\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=51175750-cd96-46f1-96d3-97c6aa710d21\" 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<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-corpo-estanho-em-colon\/\">Clique aqui<\/a> para visualizar outro caso de corpo estranho tratado por colonoscopia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-discussao\"><strong>Discuss\u00e3o<\/strong><\/h2>\n\n\n\n<p>A ingest\u00e3o de corpos estranhos (CE) afeta diversos grupos et\u00e1rios e pode ser extremamente desafiador. Na maioria dos casos (quase 80%), n\u00e3o \u00e9 necess\u00e1ria uma interven\u00e7\u00e3o invasiva, j\u00e1 que os corpos estranhos passam pelo trato gastrointestinal (TGI) sem agravos. No entanto, cerca de 20% dos pacientes podem enfrentar complica\u00e7\u00f5es relativa a migra\u00e7\u00e3o de objetos ao longo do trajeto pelo TGI, incluindo impacta\u00e7\u00e3o (com ou sem obstru\u00e7\u00e3o), forma\u00e7\u00e3o de f\u00edstulas, abscessos, sangramento e perfura\u00e7\u00e3o. Esta \u00faltima, embora seja extremamente rara, ocorrendo em at\u00e9 1% dos casos, \u00e9 a complica\u00e7\u00e3o mais temida e potencialmente grave.&nbsp;<\/p>\n\n\n\n<p>Desde o primeiro relato em 1972 da remo\u00e7\u00e3o bem-sucedida de um CE usando um endosc\u00f3pio flex\u00edvel por McKechnie et al, este m\u00e9todo continua a evoluir. A t\u00e9cnica endosc\u00f3pica representa uma abordagem segura e minimente invasiva, com baixa morbidade e taxa de sucesso na remo\u00e7\u00e3o pr\u00f3ximo a 95%.&nbsp;<\/p>\n\n\n\n<p>Entre os grupos com risco aumentado para ingest\u00e3o acidental de corpos estranhos est\u00e3o crian\u00e7as, idosos, pessoas com transtornos psiqui\u00e1tricos, aqueles sob intoxica\u00e7\u00e3o (alco\u00f3lica\/entorpecentes), al\u00e9m dos indiv\u00edduos encarcerados (proposital para ganho secund\u00e1rio). Adultos e idosos, como no relato do caso, com problemas bucais e dent\u00e1rios (p. ex. usu\u00e1rios de pr\u00f3teses), est\u00e3o particularmente expostos a ingest\u00e3o acidental de CE devido a dificuldades mastigat\u00f3rias e \u00e0 redu\u00e7\u00e3o da sensibilidade da cavidade oral.\u202f&nbsp; &nbsp;<\/p>\n\n\n\n<p>Os segmentos do TGI mais expostos \u00e0 perfura\u00e7\u00e3o por CE s\u00e3o aqueles estreitados e com angula\u00e7\u00f5es naturais. Por essa raz\u00e3o possuem risco aumentado os esf\u00edncteres esof\u00e1gicos superior e inferior, o piloro, o duodeno, a v\u00e1lvula ileocecal, o ap\u00eandice e o c\u00f3lon sigmoide. Quando o objeto ultrapassa o canal pil\u00f3rico o intestino delgado se torna particularmente vulner\u00e1vel devido ao seu l\u00famen ser relativamente reduzido.&nbsp;Pacientes com hist\u00f3rico cir\u00fargico abdominal (com anastomoses\/ader\u00eancias), doen\u00e7a diverticular, bem como massas intra-abdominais, merecem aten\u00e7\u00e3o especial.&nbsp;&nbsp;<\/p>\n\n\n\n<p>Existem diretrizes claras para as indica\u00e7\u00f5es de interven\u00e7\u00f5es endosc\u00f3picas quando o objeto se encontra no trato gastrointestinal proximal ao ligamento de Treitz. No entanto, atualmente, h\u00e1 evid\u00eancias limitadas sobre o papel da colonoscopia ap\u00f3s a migra\u00e7\u00e3o distal de corpos estranhos para o \u00edleo e c\u00f3lon, assim como escassos protocolos sobre o manejo para remo\u00e7\u00e3o desses objetos.&nbsp;<\/p>\n\n\n\n<p>Quando optado pelo tratamento conservador, em assintom\u00e1ticos, o monitoramento por at\u00e9 uma semana pode ser realizado, visto que a maioria dos corpos estranhos ingeridos \u00e9 excretada sem intercorr\u00eancias pelo trato digestivo.\u202fA radiografia seriada a cada 72 horas \u00e9 uma estrat\u00e9gia para acompanhar a progress\u00e3o do CE ao longo do TGI.&nbsp;<\/p>\n\n\n\n<p>As indica\u00e7\u00f5es para a interven\u00e7\u00e3o cir\u00fargica ap\u00f3s ingest\u00e3o de corpos estranhos incluem: (1) falha na remo\u00e7\u00e3o endosc\u00f3pica, (2) inaptid\u00e3o do paciente para endoscopia, (3) presen\u00e7a de complica\u00e7\u00f5es graves (perfura\u00e7\u00e3o, sangramento maci\u00e7o, sinais de peritonite, abscessos cavit\u00e1rios, etc.).&nbsp;<\/p>\n\n\n\n<p>Avaliar as caracter\u00edsticas do corpo estranho ingerido como sua forma, quantidade, tamanho, superf\u00edcie, consist\u00eancia, mobilidade, entre outros, \u00e9 crucial ao considerar a remo\u00e7\u00e3o colonosc\u00f3pica, a fim de tra\u00e7ar uma estrat\u00e9gia terap\u00eautica e prever poss\u00edveis complica\u00e7\u00f5es. Esse risco aumenta consideravelmente quando o objeto \u00e9 alongado e possui uma superf\u00edcie pontiaguda, como espinhas de peixe, ossos de galinha ou palitos de dente. H\u00e1 uma variedade de dispositivos dispon\u00edveis para auxiliar a extra\u00e7\u00e3o, e a escolha deve ser feita ap\u00f3s an\u00e1lise minuciosa das peculiaridades do corpo estranho. Estes dispositivos incluem CAPs (r\u00edgidos, flex\u00edveis, pl\u00e1sticos, de l\u00e1tex), al\u00e7as e pin\u00e7as de diferentes tamanhos e formatos, rede coletora (Roth Net), overtube, fio guia, entre outros. A radiografia e a tomografia de abdome s\u00e3o importantes para definir o posicionamento do CE ao longo do TGI, se poss\u00edvel, deve ser realizado antes e ap\u00f3s o preparo do c\u00f3lon, para se certificar que n\u00e3o houve mudan\u00e7a do posicionamento do objeto.&nbsp;<\/p>\n\n\n\n<p>\u202fCom rela\u00e7\u00e3o ao intestino delgado a v\u00e1lvula ileocecal constitui uma barreira anat\u00f4mica natural a progress\u00e3o. A enteroscopia, quando dispon\u00edvel, pode ser utilizada para recuperar corpos estranhos nessa topografia.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conclusao\"><strong>Conclus\u00e3o<\/strong><\/h2>\n\n\n\n<p class=\"has-pale-ocean-gradient-background has-background\">A abordagem endosc\u00f3pica para remo\u00e7\u00e3o de corpos estranhos \u00e9 uma alternativa segura e eficaz quando a interven\u00e7\u00e3o se torna imperativa. Apesar de n\u00e3o estar isenta de riscos, sua natureza menos invasiva e traum\u00e1tica, em compara\u00e7\u00e3o com procedimentos cir\u00fargicos, a torna uma op\u00e7\u00e3o a ser considerada, especialmente para pacientes sem sinais de complica\u00e7\u00f5es, conforme exemplificado neste caso.<\/p>\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>Descending colon perforation due to ingestion of Foreign Body. Christos Tepelidis et al. Journal List. Cureus. Oct 2023;<\/li>\n\n\n\n<li>Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis. Ma, Tantan MSa; Zheng, Wentao BDb; An, Beiying MSa; Xia, Yan MDa; Chen, Geng MD. <a href=\"https:\/\/journals.lww.com\/md-journal\/toc\/2019\/07260\"><\/a>\u00a0Medicine July 2019;<\/li>\n\n\n\n<li>Endoscopic removal of foreign bodies: A retrospective study in Japan. Kenji JL Limpias Kamiya\u00a0 et al. World Journal of Gastrointestinal Endoscopy.\u00a0 Jan. 2020;<\/li>\n\n\n\n<li>Endoscopic foreign body retrieval from the caecum \u2013 A case report and push for intervention guidelines \u00a0Sharie Apikotoa,\u00a0Helen Ballal, and\u00a0Ruwan Wijesuriya Internal Journal of Surgery. Jan 2022;<\/li>\n\n\n\n<li>Minimally invasive extraction of a Foreign Body from the small intestine using double baloon endoscopy. Nakamura ET AL.\u00a0 Nagoya Journal of\u00a0 Medincine Science. Feb.\u00a02015;<\/li>\n\n\n\n<li>The role of endoscopy in the management of patients with known and suspected colonic obstruction and pseudo-obstruction. M. Edwyn Harrison. GIE \u2013 Gastrointestinal endoscopy. April 2010;<\/li>\n\n\n\n<li>Management of ingested foreign bodies and food impactions. ASGE Standards of Practice Committee. June 2011.<\/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-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Vieira B B. Remo\u00e7\u00e3o endosc\u00f3pica de corpo estranho impactado no \u00edleo distal: relato de caso e revis\u00e3o da literatura.  Endoscopia Terapeutica 2024 vol 1.  Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=18662\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/?p=18662<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Relato de caso Masculino, 88 anos, aposentado, apresentando quadro demencial leve, assintom\u00e1tico, foi encaminhado&hellip;<\/p>\n","protected":false},"author":5668,"featured_media":18663,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150,741],"tags":[342,758],"ano":[742],"tipo":[156],"volume":[263],"class_list":["post-18662","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","category-traduzir","tag-colonoscopia","tag-corpo-estranho","ano-742","tipo-colonoscopia","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast 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