{"id":20763,"date":"2025-10-21T06:51:00","date_gmt":"2025-10-21T06:51:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=20763"},"modified":"2025-10-20T23:37:56","modified_gmt":"2025-10-20T23:37:56","slug":"terapia-a-vacuo-endoscopico-tev-no-tratamento-da-hemorragia-digestiva-alta-nao-varicosa","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/terapia-a-vacuo-endoscopico-tev-no-tratamento-da-hemorragia-digestiva-alta-nao-varicosa\/","title":{"rendered":"Terapia Endosc\u00f3pica a V\u00e1cuo (TEV) no Tratamento da Hemorragia Digestiva Alta N\u00e3o Varicosa"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>1. Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<p>A <strong>hemorragia digestiva alta (HDA) n\u00e3o varicosa<\/strong> \u00e9 uma condi\u00e7\u00e3o frequente na pr\u00e1tica cl\u00ednica, sendo um dos principais desafios para o endoscopista [1].<\/p>\n\n\n\n<p>As terapias endosc\u00f3picas convencionais \u2013 como a <strong>mec\u00e2nica<\/strong> (clipe met\u00e1lico ou ligadura el\u00e1stica), <strong>injetora<\/strong> e <strong>t\u00e9rmica<\/strong> \u2013 alcan\u00e7am hemostasia inicial em at\u00e9 <strong>90% dos casos<\/strong> [2]. No entanto, persistem situa\u00e7\u00f5es em que a hemostasia n\u00e3o \u00e9 atingida ou em que ocorre <strong>ressangramento<\/strong> ap\u00f3s o controle inicial.<\/p>\n\n\n\n<p>Casos mais complexos incluem:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00dalceras gigantes com fibrose intensa;<\/li>\n\n\n\n<li>sangramento difuso de mucosa;<\/li>\n\n\n\n<li>sangramento por isquemia;<\/li>\n\n\n\n<li>les\u00f5es malignas com sangramento.<\/li>\n<\/ul>\n\n\n\n<p>Dispositivos como o <strong>clipe over-the-scope (OTSC)<\/strong> e o <strong>p\u00f3 hemost\u00e1tico<\/strong> podem ser \u00fateis, mas apresentam limita\u00e7\u00f5es: baixa disponibilidade, taxa elevada de ressangramento (at\u00e9 26,1%) com o p\u00f3 hemost\u00e1tico [3] e dificuldades t\u00e9cnicas com OVESCO em les\u00f5es difusas ou de localiza\u00e7\u00e3o dif\u00edcil.<\/p>\n\n\n\n<p>A <strong>Terapia <strong>Endosc\u00f3pica a V\u00e1cuo <\/strong>(TEV)<\/strong>, que j\u00e1 est\u00e1 bem consolidada no manejo de <strong>deisc\u00eancias e f\u00edstulas do trato gastrointestinal<\/strong> [4\u20136], tem surgido como op\u00e7\u00e3o promissora para o controle da HDA n\u00e3o varicosa. Seus mecanismos de a\u00e7\u00e3o incluem:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>macro e microdeforma\u00e7\u00e3o tecidual;<\/li>\n\n\n\n<li>est\u00edmulo \u00e0 angiog\u00eanese;<\/li>\n\n\n\n<li>melhora da perfus\u00e3o local;<\/li>\n\n\n\n<li>remo\u00e7\u00e3o de exsudatos e secre\u00e7\u00f5es;<\/li>\n\n\n\n<li>prolifera\u00e7\u00e3o celular e forma\u00e7\u00e3o de tecido de granula\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<p><br>Em 2022, <strong>de Moura et al. <\/strong>[7] publicaram uma s\u00e9rie de tr\u00eas casos com excelentes resultados no controle de <strong>sangramento duodenal difuso em pacientes graves com COVID-19<\/strong>. Mais recentemente, o mesmo grupo ampliou essa experi\u00eancia, publicando uma s\u00e9rie de 19 casos de HDA n\u00e3o varicosa tratados com TEV [8].<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?attachment_id=20786\"><img fetchpriority=\"high\" decoding=\"async\" width=\"607\" height=\"403\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-1-2.png\" alt=\"\" class=\"wp-image-20786\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-1-2.png 607w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-1-2-300x199.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-1-2-585x388.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-1-2-263x175.png 263w\" sizes=\"(max-width: 607px) 100vw, 607px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><strong>Figura 1 <strong>Adaptado de Moura et al (7)<\/strong>:<\/strong> sangramento duodenal difuso em pacientes com COVID-19 pr\u00e9 e p\u00f3s tratamento endosc\u00f3pico a v\u00e1cuo.<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><br><strong>2. S\u00e9rie de Casos de Mega et al. (resumo)<\/strong><\/h2>\n\n\n\n<p>Mega et al. (8) publicaram uma s\u00e9rie com <strong>19 pacientes<\/strong> tratados com TEV para HDA n\u00e3o varicosa entre 2021 e 2024, tanto como <strong>terapia prim\u00e1ria<\/strong> quanto como <strong>terapia de resgate<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Desfecho prim\u00e1rio:<\/strong> sucesso cl\u00ednico (hemostasia inicial + aus\u00eancia de ressangramento em 30 dias).<\/li>\n\n\n\n<li><strong>Etiologias:<\/strong>\n<ul class=\"wp-block-list\">\n<li>sangramento duodenal difuso relacionado \u00e0 COVID-19 (42,1% \u2013 8 casos);<\/li>\n\n\n\n<li>\u00falcera p\u00e9ptica g\u00e1strica (2 casos);<\/li>\n\n\n\n<li>\u00falcera act\u00ednica (2 casos);<\/li>\n\n\n\n<li>\u00falcera g\u00e1strica p\u00f3s-abla\u00e7\u00e3o com plasma de arg\u00f4nio para GAVE (1 caso);<\/li>\n\n\n\n<li>esofagite erosiva intensa (1 caso);<\/li>\n\n\n\n<li>\u00falcera g\u00e1strica p\u00f3s-pancreatite grave (1 caso);<\/li>\n\n\n\n<li>\u00falcera relacionada ao uso de AINEs (1 caso);<\/li>\n\n\n\n<li>\u00falcera neopl\u00e1sica (1 caso);<\/li>\n\n\n\n<li>\u00falcera duodenal isqu\u00eamica p\u00f3s-hepatectomia (1 caso);<\/li>\n\n\n\n<li>\u00falcera marginal em anastomose gastrojejunal p\u00f3s-gastroplastia (1 caso).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><br>Em <strong>11 pacientes (57,9%)<\/strong> a TEV foi utilizada como <strong>terapia de resgate<\/strong> e em <strong>8 (42,1%)<\/strong> como <strong>prim\u00e1ria<\/strong>. O tempo m\u00e9dio de tratamento foi de <strong>11 dias<\/strong> (4 a 18), com m\u00e9dia de duas sess\u00f5es de revis\u00e3o e troca do sistema.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Resultados:<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sucesso cl\u00ednico em <strong>89,5% dos casos (17\/19)<\/strong>.<\/li>\n\n\n\n<li>Apenas 2 ressangramentos em 30 dias.<\/li>\n\n\n\n<li>Nenhum evento adverso relacionado \u00e0 TVE.<\/li>\n\n\n\n<li>Mortalidade de <strong>36,8% (7\/19)<\/strong>, sem rela\u00e7\u00e3o direta com o sangramento.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>3. Caso Cl\u00ednico<\/strong><\/h2>\n\n\n\n<p>Em publica\u00e7\u00e3o recente (9), relatamos o caso de um <strong>homem de 42 anos<\/strong>, v\u00edtima de <strong>queimadura grave com les\u00e3o de vias a\u00e9reas<\/strong>, que evoluiu com necessidade e de intuba\u00e7\u00e3o orotraqueal, instabilidade cl\u00ednica, insufici\u00eancia renal e uso de drogas vasoativas.<\/p>\n\n\n\n<p>No 8\u00ba dia de interna\u00e7\u00e3o, apresentou <strong>melena e instabilidade hemodin\u00e2mica<\/strong>. A endoscopia revelou <strong>mucosa g\u00e1strica fri\u00e1vel, m\u00faltiplas ulcera\u00e7\u00f5es, co\u00e1gulos e \u00e1reas de necrose<\/strong>, sobretudo no fundo g\u00e1strico. N\u00e3o foi poss\u00edvel realizar terapia endosc\u00f3pica.<\/p>\n\n\n\n<p>Durante os dez dias seguintes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>manteve melena e necessidade di\u00e1ria de transfus\u00f5es (1\u20132 CH\/dia);<\/li>\n\n\n\n<li>duas novas EDA mostraram achados semelhantes, sem possibilidade de terapia endosc\u00f3pica (p\u00f3 hemost\u00e1tico indispon\u00edvel no servi\u00e7o) (figura 1);<\/li>\n\n\n\n<li>tomografia evidenciou <strong>pneumatose g\u00e1strica sem perfura\u00e7\u00e3o <\/strong>(figura 1);<\/li>\n\n\n\n<li>arteriografia mostrou <strong>estenose do tronco cel\u00edaco<\/strong>, compat\u00edvel com <strong>S\u00edndrome do Ligamento Arqueado Mediano <\/strong>(figura 1), justificando isquemia g\u00e1strica.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?attachment_id=20787\"><img decoding=\"async\" width=\"1024\" height=\"549\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-2-1024x549.png\" alt=\"\" class=\"wp-image-20787\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-2-1024x549.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-2-300x161.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-2-768x412.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-2-1536x824.png 1536w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-2-1170x627.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-2-585x314.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-2.png 1876w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><strong>Figura 2 <strong>Adaptado de Dall\u2019Agnol et al (9)<\/strong><\/strong>:<br>A: Tomografia abdominal com pneumatose da parede g\u00e1strica (setas).<br>B: Angio-TC demonstrando estenose do Tronco cel\u00edaco (seta).<br>C: Arteriorgrafia confirmando estenose do Tronco cel\u00edaco (seta).<br>D: \u00dalcera\u00e7\u00f5es extensas e tecido necr\u00f3tico com sangramento difuso no corpo g\u00e1strico.<br>E: Tecido necr\u00f3tico extenso no fundo g\u00e1strico.<br>F: Passagem da sonda de Terapia Endosc\u00f3pica a V\u00e1cuo (1a sess\u00e3o).<\/figcaption><\/figure>\n\n\n\n<p>Diante da impossibilidade das terapias endosc\u00f3picas convencionais e do alto risco cir\u00fargico, foi indicada <strong>TEV intrag\u00e1strica <\/strong>para hemostasia, melhora da perfus\u00e3o e repara\u00e7\u00e3o da mucosa (figura 1).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Evolu\u00e7\u00e3o:<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nas primeiras 48h: necessidade de apenas 1 CH; drenagem sero-sanguinolenta.<\/li>\n\n\n\n<li>Ap\u00f3s 48h: drenagem passou a ser serosa, sem novas transfus\u00f5es.<\/li>\n\n\n\n<li>A TEV foi trocada semanalmente por 21 dias (figura 2 e 3).<\/li>\n\n\n\n<li>Observou-se <strong>resolu\u00e7\u00e3o completa das \u00e1reas de necrose e ulcera\u00e7\u00e3o <\/strong>(figura 2 e 3).<\/li>\n\n\n\n<li>O paciente n\u00e3o apresentou novo sangramento nem necessidade de transfus\u00f5es, embora tenha evolu\u00eddo a \u00f3bito posteriormente por complica\u00e7\u00f5es pulmonares.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?attachment_id=20788\"><img decoding=\"async\" width=\"1024\" height=\"549\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-3-1024x549.png\" alt=\"\" class=\"wp-image-20788\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-3-1024x549.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-3-300x161.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-3-768x412.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-3-1536x824.png 1536w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-3-1170x627.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-3-585x314.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-3.png 1876w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><strong>Figura 3 <strong>Adaptado de Dall\u2019Agnol et al (9)<\/strong><\/strong>:<strong><br><\/strong>A-C: 7 dias de TEV<br>D-F: 14 dias de TEV<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?attachment_id=20789\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"572\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-4-1024x572.png\" alt=\"\" class=\"wp-image-20789\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-4-1024x572.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-4-300x167.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-4-768x429.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-4-1536x857.png 1536w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-4-1170x653.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-4-585x327.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/10\/FIGURA-4.png 1906w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><strong>Figura 4 Adaptado de Dall\u2019Agnol et al (9):<br><\/strong>A-C: 21 dias de TEV<br>D-F: 1 semana ap\u00f3s t\u00e9rmino da TEV<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>4. Conclus\u00e3o<\/strong><\/h2>\n\n\n\n<p>A <strong>Terapia Endosc\u00f3pica a V\u00e1cuo<\/strong> deve ser considerada como <strong>op\u00e7\u00e3o terap\u00eautica em casos de HDA n\u00e3o varicosa<\/strong>, sobretudo em situa\u00e7\u00f5es desafiadoras:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>sangramento difuso,<\/li>\n\n\n\n<li>isquemia,<\/li>\n\n\n\n<li>falha das terapias endosc\u00f3picas convencionais.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-pale-ocean-gradient-background has-background\">Apesar da aus\u00eancia de <strong>estudos prospectivos robustos<\/strong>, o <strong>racional fisiopatol\u00f3gico<\/strong> e os resultados de s\u00e9ries de casos demonstram taxas de sucesso pr\u00f3ximas a <strong>90%<\/strong>, com controle hemost\u00e1tico persistente e boa recupera\u00e7\u00e3o tecidual.<\/p>\n\n\n\n<p class=\"has-pale-ocean-gradient-background has-background\">A TEV, portanto, surge como <strong>uma op\u00e7\u00e3o promissora e segura<\/strong>, especialmente como terapia de resgate em contextos de dif\u00edcil manejo.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Oakland, Kathryn. \u201cChanging epidemiology and etiology of upper and lower gastrointestinal bleeding.\u201d Best practice &amp; research. Clinical gastroenterology vol. 42-43 (2019): 101610. doi:10.1016\/j.bpg.2019.04.003<\/li>\n\n\n\n<li>Van Dam, J, and W R Brugge. \u201cEndoscopy of the upper gastrointestinal tract.\u201d The New England journal of medicine vol. 341,23 (1999): 1738-48. doi:10.1056\/NEJM199912023412306<\/li>\n\n\n\n<li>de Rezende DT, Brunaldi VO, Bernardo WM et al. Use of hemostatic powder in treatment of upper gastrointestinal bleeding: a systematic review and meta-analysis. Endosc Int Open. 2019 Dec;7(12):E1704- E1713. doi: 10.1055\/a-0977-2897.<\/li>\n\n\n\n<li>do Monte Junior, Epifanio Silvino et al. \u201cEndoscopic vacuum therapy versus endoscopic stenting for upper gastrointestinal transmural defects: Systematic review and meta-analysis.\u201d Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society vol. 33,6 (2021): 892-902. doi:10.1111\/den.13813<\/li>\n\n\n\n<li>Luttikhold, Joanna et al. \u201cEndoscopic vacuum therapy for esophageal perforation: a multicenter retrospective cohort study.\u201d Endoscopy vol. 55,9 (2023): 859-864. doi:10.1055\/a-2042-6707<\/li>\n\n\n\n<li>Loske, Gunnar, and Christian M\u00fcller. \u201cEndoscopic vacuum-assisted closure of upper intestinal anastomotic leaks.\u201d Gastrointestinal endoscopy vol. 69,3 Pt 1 (2009): 601-2; author reply 602. doi:10.1016\/j.gie.2008.06.058<\/li>\n\n\n\n<li>de Moura, Diogo T H et al. \u201cEndoscopic Vacuum Therapy for Duodenal Hemorrhage in Critically Ill Patients With COVID-19.\u201d The American journal of gastroenterology vol. 117,4 (2022): 688. doi:10.14309\/ajg.0000000000001643<\/li>\n\n\n\n<li>Mega, Paulo Ferreira et al. \u201cEndoscopic vacuum therapy for the management of nonvariceal upper gastrointestinal bleeding: a valuable resource for the endoscopist&#8217;s toolbox.\u201d Endoscopy vol. 57,8 (2025): 883-889. doi:10.1055\/a-2544-6448<\/li>\n\n\n\n<li>Dall\u2019Agnol, Marcelo Klotz et al. \u201cSuccessful Endoscopic Vacuum Therapy in Diffuse Gastric Hemorrhage Secondary to Acute Ischemia: A Case Report\u201d. iGIE, 2025, ISSN 2949-7086, https:\/\/doi.org\/10.1016\/j.igie.2025.10.001.<\/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\">Proen\u00e7a IM. Terapia Endosc\u00f3pica a V\u00e1cuo (TEV) no Tratamento da Hemorragia Digestiva Alta N\u00e3o Varicosa. Endoscopia Terapeutica, 2025 Vol II. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=20763\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/terapia-endoscopica-<a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=20763\" target=\"_blank\" rel=\"noreferrer noopener\">a-vacuo-<\/a>tev-no-tratamento-da-hemorragia-digestiva-alta-nao-varicosa\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>1. Introdu\u00e7\u00e3o A hemorragia digestiva alta (HDA) n\u00e3o varicosa \u00e9 uma condi\u00e7\u00e3o frequente na&hellip;<\/p>\n","protected":false},"author":2381,"featured_media":20787,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[783],"tipo":[153],"volume":[147],"class_list":["post-20763","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","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 v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Terapia Endosc\u00f3pica a V\u00e1cuo (TEV) no Tratamento da Hemorragia Digestiva Alta N\u00e3o Varicosa &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"description\" content=\"Terapia Endosc\u00f3pica a V\u00e1cuo (TEV) no Tratamento da Hemorragia Digestiva Alta N\u00e3o Varicosa\" \/>\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\/terapia-a-vacuo-endoscopico-tev-no-tratamento-da-hemorragia-digestiva-alta-nao-varicosa\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Terapia Endosc\u00f3pica a V\u00e1cuo (TEV) no Tratamento da Hemorragia Digestiva Alta N\u00e3o Varicosa\" \/>\n<meta property=\"og:description\" content=\"1. 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