{"id":20507,"date":"2025-09-02T06:35:00","date_gmt":"2025-09-02T06:35:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=20507"},"modified":"2025-08-30T23:55:42","modified_gmt":"2025-08-30T23:55:42","slug":"maps-iii-esge-2025-novas-recomendacoes-para-lesoes-gastricas","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/maps-iii-esge-2025-novas-recomendacoes-para-lesoes-gastricas\/","title":{"rendered":"MAPS III (ESGE 2025): Novas Recomenda\u00e7\u00f5es para Les\u00f5es G\u00e1stricas"},"content":{"rendered":"\n<p>A ESGE atualizou as diretrizes para o manejo de condi\u00e7\u00f5es g\u00e1stricas pr\u00e9-neopl\u00e1sicas e neoplasias precoces, incorporando novas ferramentas de estratifica\u00e7\u00e3o de risco, vigil\u00e2ncia endosc\u00f3pica e recomenda\u00e7\u00f5es pr\u00e1ticas para a rotina do endoscopista.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Principais Novidades<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Introdu\u00e7\u00e3o do rastreamento endosc\u00f3pico para c\u00e2ncer g\u00e1strico.<\/li>\n\n\n\n<li>Estratifica\u00e7\u00e3o de risco baseada em atrofia e metaplasia intestinal.<\/li>\n\n\n\n<li>Defini\u00e7\u00e3o de intervalos de vigil\u00e2ncia conforme grau de altera\u00e7\u00e3o histol\u00f3gica.<\/li>\n\n\n\n<li>Uso recomendado das classifica\u00e7\u00f5es Kimura-Takemoto (atrofia) e EGGIM (metaplasia).<\/li>\n\n\n\n<li>Implementa\u00e7\u00e3o rotineira de cromoscopia virtual (NBI\/BLI) para guiar bi\u00f3psias.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>O que Permanece<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Protocolo de bi\u00f3psias de acordo com o Protocolo de Sydney.<\/li>\n\n\n\n<li>Erradica\u00e7\u00e3o do <em>H. pylori <\/em>como pilar central.<\/li>\n\n\n\n<li>Crit\u00e9rios de indica\u00e7\u00e3o e cura p\u00f3s-ESD.<\/li>\n\n\n\n<li>Vigil\u00e2ncia individualizada para grupos de risco.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Aplica\u00e7\u00f5es Pr\u00e1ticas<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>1. Rastreamento populacional<\/strong><\/h3>\n\n\n\n<p>Risco populacional:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Alto risco (&gt;20\/100.000): EDA a cada 2\u20133 anos.<\/li>\n\n\n\n<li>Risco intermedi\u00e1rio (10\u201320\/100.000): EDA a cada 5 anos.<\/li>\n\n\n\n<li>Baixo risco (&lt;10\/100.000): n\u00e3o indicado.<\/li>\n<\/ul>\n\n\n\n<p>Risco familiar (1\u00ba grau):<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>In\u00edcio da EDA aos 45 anos ou 10 anos antes do diagn\u00f3stico do familiar.<\/li>\n\n\n\n<li>Testes n\u00e3o invasivos para H. pylori entre 20\u201330 anos.<\/li>\n<\/ul>\n\n\n\n<p>Idosos (&gt;80 anos assintom\u00e1ticos):<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li> Screening e vigil\u00e2ncia devem ser suspensos.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>2. Exame Endosc\u00f3pico de Alta Qualidade<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Cromoscopia virtual para rastreamento, estadiamento e vigil\u00e2ncia.<\/li>\n\n\n\n<li>Bi\u00f3psias dirigidas: 2 fragmentos de antro\/incisura e 2 do corpo.<\/li>\n\n\n\n<li>Incisura angularis \u00e9 opcional (\u00fatil se n\u00e3o houver cromoscopia).<\/li>\n\n\n\n<li>Usar Kimura-Takemoto e EGGIM para estratifica\u00e7\u00e3o de risco.<\/li>\n\n\n\n<li>Caracteriza\u00e7\u00e3o detalhada de les\u00f5es (Paris, padr\u00e3o mucoso e vascular, etc).<\/li>\n\n\n\n<li>Fotodocumenta\u00e7\u00e3o adequada.<\/li>\n\n\n\n<li>Uso de IA, se dispon\u00edvel.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>3. Exames de Estadiamento Pr\u00e9-Ressec\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>EUS, TC e RM n\u00e3o s\u00e3o rotineiros.<\/li>\n\n\n\n<li>Indicados apenas se suspeita de invas\u00e3o submucosa ou aus\u00eancia de crit\u00e9rio para ressec\u00e7\u00e3o endosc\u00f3pica.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>4. Exame Histopatol\u00f3gico<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Avaliar grau de displasia, tipo histol\u00f3gico (Lauren\/WHO).<\/li>\n\n\n\n<li>Severidade de atrofia e metaplasia intestinal.<\/li>\n\n\n\n<li>Infec\u00e7\u00e3o por <em>H. pylori.<\/em><\/li>\n\n\n\n<li>Usar termos metaplasia completa\/incompleta (n\u00e3o usar tipo I\/II\/III).<\/li>\n\n\n\n<li>Recomenda-se uso de OLGA\/OLGIM para estratifica\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>5. Indica\u00e7\u00f5es de Ressec\u00e7\u00e3o Endosc\u00f3pica (n\u00e3o modificada)<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Displasia em bi\u00f3psias randomizadas: repetir EDA em 6-12 meses conforme o grau.<\/li>\n\n\n\n<li>ESD \u00e9 o tratamento de escolha nas les\u00f5es superficiais.<\/li>\n\n\n\n<li>EMR: alternativa para IIa \u2264 10 mm de baixo risco.<\/li>\n\n\n\n<li>Indica\u00e7\u00f5es de ESD: depende de diferencia\u00e7\u00e3o, ulcera\u00e7\u00e3o e tamanho.\n<ul class=\"wp-block-list\">\n<li>Les\u00f5es bem diferenciadas (displasias ou neoplasia intramucosa)\n<ul class=\"wp-block-list\">\n<li>qualquer tamanho se N\u00c3O ulcerada<\/li>\n\n\n\n<li>\u2264 30 mm se ulcerada<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Les\u00f5es com invas\u00e3o m\u00ednima da submucosa, N\u00c3O ulcerada, pode ser considerado ESD nas seguintes situa\u00e7\u00f5es:\n<ul class=\"wp-block-list\">\n<li>bem diferenciadas e \u2264 30 mm<\/li>\n\n\n\n<li>indiferenciadas e \u2264 20 mm<\/li>\n\n\n\n<li>Levar em considera\u00e7\u00e3o idade e comorbidades na tomada de decis\u00e3o<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Levar em considera\u00e7\u00e3o idade e comorbidades na tomada de decis\u00e3o<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>6. Crit\u00e9rios de Cura P\u00f3s-Ressec\u00e7\u00e3o (n\u00e3o modificados)<\/strong><\/h2>\n\n\n\n<p>Curativo \/ muito baixo risco (risco de LFN &lt; 0,5-1%): ressec\u00e7\u00e3o en bloc, displasia ou pT1a, bem diferenciado, sem invas\u00e3o linfovascular \u2013 Sem necessidade de investiga\u00e7\u00e3o ou tratamento adicional.<\/p>\n\n\n\n<ol style=\"list-style-type:lower-alpha\" class=\"wp-block-list\">\n<li>independentemente do T se n\u00e3o houver ulcera\u00e7\u00e3o OU<\/li>\n\n\n\n<li>\u2264 30 mm se ulcerado<\/li>\n<\/ol>\n\n\n\n<p>Curativo \/ baixo risco (risco de LFN &lt; 3%) \u2013 Estadiamento + discuss\u00e3o multidisciplinar<\/p>\n\n\n\n<p>Ressec\u00e7\u00e3o en bloc, sem invas\u00e3o linfovascular E:<\/p>\n\n\n\n<ol style=\"list-style-type:lower-alpha\" class=\"wp-block-list\">\n<li>pT1b, invas\u00e3o \u2264 500 \u00b5m, bem diferenciado, \u2264 30 mm OU<\/li>\n\n\n\n<li>pT1a, pouco diferenciado, \u2264 20 mm, sem ulcera\u00e7\u00e3o<\/li>\n<\/ol>\n\n\n\n<p>Risco local (muito baixo risco de LFN, alto risco de recorr\u00eancia local ou persist\u00eancia da les\u00e3o) \u2013 Vigil\u00e2ncia, Retratamento)<\/p>\n\n\n\n<p>Ressec\u00e7\u00e3o em piecemeal ou com margens horizontais comprometidas em les\u00e3o de muito baixo risco (ou baixo risco sem les\u00e3o submucosa na margem em caso de piecemeal ou sem margem horizontal positiva se pT1b)<\/p>\n\n\n\n<p>N\u00c3O curativo \/ Alto risco \u2013 ESTADIAMENTO e TRATAMENTO ADICIONAL (CIRURGIA)<\/p>\n\n\n\n<ol style=\"list-style-type:lower-alpha\" class=\"wp-block-list\">\n<li>margem vertical positiva se CARCINOMA ou invas\u00e3o LFV ou invas\u00e3o profunda da submucosa (\u2265 500 \u00b5m)<\/li>\n\n\n\n<li>pouco diferenciado se ulcera\u00e7\u00e3o ou tamanho &gt; 20 mm<\/li>\n\n\n\n<li>pT1b, bem diferenciado, SM \u2264 500 \u00b5m se \u2265 30 mm<\/li>\n\n\n\n<li>les\u00e3o intramucosa ulcerada &gt; 30 mm<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>7. Seguimento<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>EDA em 3\u20136 meses e anual ap\u00f3s ressec\u00e7\u00e3o curativa ou risco local de recorr\u00eancia.<\/li>\n\n\n\n<li>EDA 3\/3 anos:\n<ul class=\"wp-block-list\">\n<li>Kimura C3+, EGGIM 5+, OLGA\/OLGIM III\/IV.<\/li>\n\n\n\n<li>Metaplasia g\u00e1strica intestinal em 1 segmento + hist\u00f3ria familiar 1\u00ba grau positiva ou metaplasia intestinal incompleta ou persist\u00eancia da infec\u00e7\u00e3o pelo <em>H. pylori<\/em><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>EDA 1\u20132 anos\n<ul class=\"wp-block-list\">\n<li>Kimura C3+, EGGIM 5+, OLGA\/OLGIM III\/IV + <strong>hist\u00f3ria familiar 1\u00ba GRAU positiva<\/strong><\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Sem seguimento: atrofia leve\/moderada ou metaplasia restrita ao antro sem fatores adicionais.<\/li>\n\n\n\n<li>Utilizar classifica\u00e7\u00f5es endosc\u00f3picas validadas para estadiamento e estratifica\u00e7\u00e3o de risco de atrofia e metaplasia intestinal (Kimura-Takemoto; EGGIM)<\/li>\n\n\n\n<li>Preferir bi\u00f3psias dirigidas em rela\u00e7\u00e3o a bi\u00f3psias randomizadas no seguimento por estadiamentos avan\u00e7ados de Olga\/Olgim.<\/li>\n\n\n\n<li>Recomenda-se erradica\u00e7\u00e3o do <em>H. pylori<\/em> em pacientes com gastrite (atr\u00f3fica ou n\u00e3o), les\u00f5es pr\u00e9-neopl\u00e1sicas, neoplasia precoce ap\u00f3s ressec\u00e7\u00e3o endosc\u00f3pica, neoplasia avan\u00e7ada ap\u00f3s ressec\u00e7\u00e3o cir\u00fargica.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Outras Recomenda\u00e7\u00f5es<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Erradicar <em>H. pylori <\/em>em gastrite, les\u00f5es pr\u00e9-neopl\u00e1sicas e ap\u00f3s ressec\u00e7\u00e3o.<\/li>\n\n\n\n<li>Cessar tabagismo.<\/li>\n\n\n\n<li>Manter IBP se houver indica\u00e7\u00e3o cl\u00ednica.<\/li>\n\n\n\n<li>Considerar AAS em baixa dose se alto risco cardiovascular.<\/li>\n\n\n\n<li>N\u00e3o usar suplementos (probi\u00f3ticos) preventivamente.<\/li>\n\n\n\n<li>Gastrite autoimune: EDA a cada 3 anos.<\/li>\n\n\n\n<li>S\u00edndromes heredit\u00e1rias ou c\u00e2ncer g\u00e1strico difuso: seguir diretrizes espec\u00edficas.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancia<\/strong><\/h2>\n\n\n\n<p><em>Dinis-Ribeiro M, Lib\u00e2nio D, Uchima H, et al. Management of epithelial precancerous conditions and early neoplasia of the stomach (MAPS III): European Society of Gastrointestinal Endoscopy (ESGE), European Helicobacter and Microbiota Study Group (EHMSG), and European Society of Pathology (ESP) Guideline update 2025. Endoscopy. 2025;57(5):504\u2013554. doi:10.1055\/a-2529-5025.<\/em><\/p>\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\">Casamali C. MAPS III (ESGE 2025): Novas Recomenda\u00e7\u00f5es para Les\u00f5es G\u00e1stricas. Endoscopia Terapeutica 2025, Vol II. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=20507\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/maps-iii-esge-2025-novas-recomendacoes-para-lesoes-gastricas\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A ESGE atualizou as diretrizes para o manejo de condi\u00e7\u00f5es g\u00e1stricas pr\u00e9-neopl\u00e1sicas e neoplasias&hellip;<\/p>\n","protected":false},"author":859,"featured_media":20512,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[292,823],"ano":[783],"tipo":[153],"volume":[147],"class_list":["post-20507","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-endoscopia","tag-maps-iii","ano-783","tipo-endoscopia-digestiva-alta","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>MAPS III (ESGE 2025): Novas Recomenda\u00e7\u00f5es para Les\u00f5es G\u00e1stricas &#8226; 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