{"id":19479,"date":"2024-10-08T07:30:00","date_gmt":"2024-10-08T07:30:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=19479"},"modified":"2024-10-03T11:58:20","modified_gmt":"2024-10-03T11:58:20","slug":"uso-do-escore-spice-smooth-protuding-lesion-index-at-capsule-endoscopy-para-diferenciar-massa-subepitelial-de-abaulamento-inocente","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/uso-do-escore-spice-smooth-protuding-lesion-index-at-capsule-endoscopy-para-diferenciar-massa-subepitelial-de-abaulamento-inocente\/","title":{"rendered":"Uso do escore SPICE (Smooth Protuding lesion Index at Capsule Endoscopy) para diferenciar massa subepitelial de abaulamento inocente."},"content":{"rendered":"\n<p>Quem avalia exame de c\u00e1psula endosc\u00f3pica com certeza se depara com abaulamentos na luz do intestino delgado que o iniciante imediatamente acreditar\u00e1 ser uma les\u00e3o subepitelial. Ser\u00e1 que ele lembrou que poderia ser uma contra\u00e7\u00e3o ou uma compress\u00e3o extr\u00ednseca?<\/p>\n\n\n\n<p>Em um exame onde s\u00f3 imagens s\u00e3o avaliadas, sem toque nem possibilidade de movimentar o aparelho para posi\u00e7\u00f5es que possibilitem melhor visualiza\u00e7\u00e3o, \u00e9 realmente desafiador conseguir diferenciar a causa do abaulamento. Falaremos sobre o escore SPICE (Smooth Protuding lesion Index at Capsule Endoscopy), que pode nos auxiliar nesta situa\u00e7\u00e3o. O SPICE utiliza caracter\u00edsticas da les\u00e3o, de apresenta\u00e7\u00e3o e seu o tempo de visualiza\u00e7\u00e3o. SPICE > 2 tem sensibilidade de 83,3% e especificidade de 86,4% para massa subepitelial. Um abaulamento benigno \u00e9 definido como protuber\u00e2ncia redonda de mucosa com apar\u00eancia normal, com margens suaves mal definidas e base maior que a altura. Seria como se coloc\u00e1ssemos um objeto debaixo de um len\u00e7ol, fazendo com que o len\u00e7ol levantasse suavemente, com margens suaves e imprecisas. O escore se utiliza destas caracter\u00edsticas para tentar definir que tipo \u00e9 o abaulamento.<br><\/p>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<figure class=\"wp-block-table aligncenter is-style-regular\"><div class=\"pcrstb-wrap\"><table class=\"has-pale-ocean-gradient-background has-background has-fixed-layout\"><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Escore SPICE <\/strong><\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n<\/div><\/div>\n\n\n\n<figure class=\"wp-block-table\"><div class=\"pcrstb-wrap\"><table class=\"has-pale-ocean-gradient-background has-background has-fixed-layout\"><tbody><tr><td>                             Crit\u00e9rios                      <\/td><td class=\"has-text-align-center\" data-align=\"center\">N\u00e3o<\/td><td class=\"has-text-align-center\" data-align=\"center\">Sim<\/td><\/tr><tr><td>Margem mal definida com a mucosa  adjacente<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><\/tr><tr><td>Di\u00e2metro maior que a altura<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><\/tr><tr><td>L\u00famen vis\u00edvel nas imagens em que aparece<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><\/tr><tr><td>Imagem da les\u00e3o aparece por mais de 10 minutos<\/td><td class=\"has-text-align-center\" data-align=\"center\">0<\/td><td class=\"has-text-align-center\" data-align=\"center\">1<\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<figure class=\"wp-block-table\"><div class=\"pcrstb-wrap\"><table class=\"has-pale-ocean-gradient-background has-background has-fixed-layout\"><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Um valor > 2 \u00e9 preditivo de massa subepitelial<\/strong><\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n<p>Por exemplo: o tempo entre o primeiro e o \u00faltimo aparecimento do abaulamento na imagem abaixo \u00e9 de 7 minutos (Figura 1). No caso, temos Score SPICE 1 (0 + 0 + 1 + 0 ).<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d5e34f9bc6b&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d5e34f9bc6b\" class=\"aligncenter size-full is-resized wp-lightbox-container\"><img fetchpriority=\"high\" decoding=\"async\" width=\"520\" height=\"501\" 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\/09\/helcio-1.jpg?v=1727471582\" alt=\"\" class=\"wp-image-19480\" style=\"width:381px;height:auto\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-1.jpg?v=1727471582 520w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-1-300x289.jpg?v=1727471582 300w\" sizes=\"(max-width: 520px) 100vw, 520px\" \/><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.<\/figcaption><\/figure>\n<\/div>\n\n\n<p>Uma caracter\u00edstica relatada por Min et. al (que corresponderia ao primeiro crit\u00e9rio da SPICE) \u00e9 o grau de inclina\u00e7\u00e3o da base da protus\u00e3o em rela\u00e7\u00e3o a mucosa. Uma massa subepitelial bem definida formaria uma inclina\u00e7\u00e3o aguda, como se quisesse formar um ped\u00edculo. Um \u00e2ngulo agudo (&lt; 90\u00ba) tem maior possibilidade de ser criado por massa subepitelial (Figura 2) por\u00e9m, um \u00e2ngulo obtuso poder\u00e1 ser formado por uma les\u00e3o, compress\u00e3o extr\u00ednseca ou contra\u00e7\u00e3o (Figura 3). Comparando com a SPICE, um \u00e2ngulo menor que 90<sup>o<\/sup> tem a mesma especificidade e maior sensibilidade (92% x 32%).<\/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;69d5e34f9c528&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d5e34f9c528\" class=\"wp-block-image size-large wp-lightbox-container\"><img decoding=\"async\" width=\"506\" height=\"504\" 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=\"19481\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-2.jpg\" alt=\"\" class=\"wp-image-19481\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-2.jpg?v=1727471665 506w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-2-300x300.jpg?v=1727471665 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-2-150x150.jpg?v=1727471665 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-2-70x70.jpg?v=1727471665 70w\" sizes=\"(max-width: 506px) 100vw, 506px\" \/><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<\/figcaption><\/figure>\n\n\n\n<figure data-wp-context=\"{&quot;imageId&quot;:&quot;69d5e34f9cba0&quot;}\" data-wp-interactive=\"core\/image\" data-wp-key=\"69d5e34f9cba0\" class=\"wp-block-image size-large wp-lightbox-container\"><img decoding=\"async\" width=\"520\" height=\"501\" 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=\"19482\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-3.jpg\" alt=\"\" class=\"wp-image-19482\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-3.jpg?v=1727471666 520w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2024\/09\/helcio-3-300x289.jpg?v=1727471666 300w\" sizes=\"(max-width: 520px) 100vw, 520px\" \/><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<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<p>Apesar das ferramentas existentes, continua desafiador determinar com certeza a natureza de uma protus\u00e3o em um exame de c\u00e1psula endosc\u00f3pica mas estudos tem favorecido sua melhor defini\u00e7\u00e3o, auxiliando no seguimento dos pacientes.<\/p>\n\n\n\n<p>E voc\u00ea, teria dificuldade em afirmar se um abaulamento trata-se de massa subepitelial ou um artefato?<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Min M, Noujaim MG, Green J et al. Role of mucosal protrusion angle in discriminating between true and false masses of the small-bowel on video capsule endoscopy. J Clin Med 2019; 8: 418<\/li>\n\n\n\n<li>Rosa B, Margalit-Yehuda R, Gatt K, Sciberras M, Girelli C, Saurin JC, Valdivia PC, Cotter J, Eliakim R, Caprioli F, Baatrup G, Keuchel M, Ellul P, Toth E, Koulaouzidis A. Scoring systems in clinical small-bowel capsule endoscopy: all you need to know! Endosc Int Open. 2021 Jun;9(6):E802-E823. doi: 10.1055\/a-1372-4051. Epub 2021 May 27. Erratum in: Endosc Int Open. 2021 Jun;9(6):C6. doi: 10.1055\/a-1521-0901. Erratum in: Endosc Int Open. 2021 Jun;9(6):C7. doi: 10.1055\/a-1525-7686. PMID: 34079861; PMCID: PMC8159625.<\/li>\n\n\n\n<li>Girelli CM, Porta P, Colombo E et al. Development of a novel index to discriminate bulge from mass on small-bowel capsule endoscopy. Gastrointest Endosc 2011; 74: 1067\u20131074<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><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\">Brito HP. Endoscopia Terapeutica. Uso do escore SPICE (Smooth Protuding lesion Index at Capsule Endoscopy) para diferenciar massa subepitelial de abaulamento inocente, 2024 vol II. Dispon\u00edvel em:  <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/uso-do-escore-spice-smooth-protuding-lesion-index-at-capsule-endoscopy-para-diferenciar-massa-subepitelial-de-abaulamento-inocente\/ \">https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/uso-do-escore-spice-smooth-protuding-lesion-index-at-capsule-endoscopy-para-diferenciar-massa-subepitelial-de-abaulamento-inocente\/ <\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quem avalia exame de c\u00e1psula endosc\u00f3pica com certeza se depara com abaulamentos na luz&hellip;<\/p>\n","protected":false},"author":5778,"featured_media":19480,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[776],"ano":[742],"tipo":[159],"volume":[147],"class_list":["post-19479","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-capsula-endoscopica","ano-742","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>Uso do escore SPICE (Smooth Protuding lesion Index at Capsule Endoscopy) para diferenciar massa subepitelial de abaulamento inocente. &#8226; 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