{"id":21067,"date":"2026-03-17T07:00:00","date_gmt":"2026-03-17T07:00:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=21067"},"modified":"2026-03-15T02:41:49","modified_gmt":"2026-03-15T02:41:49","slug":"pancreatoscopia-litotripsia-eletro-hidraulica-para-tratamento-de-calculo-pancreatico","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/pancreatoscopia-litotripsia-eletro-hidraulica-para-tratamento-de-calculo-pancreatico\/","title":{"rendered":"Pancreatoscopia + Litotripsia Eletro-hidr\u00e1ulica para tratamento de c\u00e1lculo pancre\u00e1tico"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\"><strong>Apresenta\u00e7\u00e3o do Caso<\/strong><\/h2>\n\n\n\n<p>Homem, 67 anos, etilista cr\u00f4nico, portador de pancreatite cr\u00f4nica calcificante com m\u00faltiplos epis\u00f3dios de agudiza\u00e7\u00e3o. Exames pr\u00e9vios demonstraram c\u00e1lculo \u00fanico no ducto pancre\u00e1tico principal (DPP). O paciente havia sido submetido a duas CPREs (2023 e 2024), com esfincterotomia pancre\u00e1tica e tentativas de extra\u00e7\u00e3o, sem sucesso, sendo deixado stent pancre\u00e1tico para drenagem.<\/p>\n\n\n\n<p>Em julho de 2025, evoluiu com pancreatite aguda grave (Balthazar E), complicada por pseudocistos drenados por radiologia intervencionista. Uma RNM em setembro de 2025 mostrou persist\u00eancia de c\u00e1lculo \u00fanico no DPP, medindo 9 mm, localizado no corpo pancre\u00e1tico, associado a discreta estenose a jusante.<\/p>\n\n\n\n<p>Diante da falha das terapias endosc\u00f3picas convencionais, optou-se por pancreatoscopia com tentativa de extra\u00e7\u00e3o e eventual litotripsia intraductal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Procedimento<\/strong><\/h2>\n\n\n\n<p>Realizou-se pancreatoscopia com sistema <strong>SpyGlass\u2122<\/strong> (SpyScope DS II), que evidenciou c\u00e1lculo \u00fanico, esbranqui\u00e7ado, impactado no DPP. A extra\u00e7\u00e3o com cesta pancre\u00e1tica (SpyBasket) n\u00e3o foi poss\u00edvel devido a estreitamento ductal a montante do c\u00e1lculo, impedindo sua mobiliza\u00e7\u00e3o.<\/p>\n\n\n\n<p>Optou-se ent\u00e3o por dilata\u00e7\u00e3o da estenose e <strong>litotripsia eletro-hidr\u00e1ulica (EHL)<\/strong> utilizando sistema <strong>AutoLith\u2122<\/strong>, com sonda posicionada a aproximadamente 1\u20132 mm da superf\u00edcie do c\u00e1lculo. A aplica\u00e7\u00e3o de pulsos fragmentou progressivamente o c\u00e1lculo, permitindo sua remo\u00e7\u00e3o subsequente com cesta. Foi deixado stent pancre\u00e1tico para manter a drenagem ductal.<\/p>\n\n\n\n<div style=\"position:relative;padding-top:56.25%;\"><iframe id=\"panda-ebea24b0-2692-48e5-8ccc-16691a4a682d\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=ebea24b0-2692-48e5-8ccc-16691a4a682d\" 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<h2 class=\"wp-block-heading\"><br><strong>Discuss\u00e3o<\/strong><\/h2>\n\n\n\n<p>C\u00e1lculos pancre\u00e1ticos s\u00e3o comuns na pancreatite cr\u00f4nica alco\u00f3lica e resultam da precipita\u00e7\u00e3o de prote\u00ednas e sais de c\u00e1lcio no DPP. Essas obstru\u00e7\u00f5es aumentam a press\u00e3o intraductal e contribuem para dor refrat\u00e1ria. C\u00e1lculos maiores, densos e impactados \u2014 como no presente caso \u2014 frequentemente exigem litotripsia para fragmenta\u00e7\u00e3o.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Abordagem terap\u00eautica atual<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>CPRE<\/strong> com esfincterotomia e extra\u00e7\u00e3o \u00e9 eficaz para c\u00e1lculos pequenos e m\u00f3veis, geralmente em ductos dilatados.<\/li>\n\n\n\n<li><strong>Litotripsia extracorp\u00f3rea (ESWL)<\/strong> \u00e9 recomendada para c\u00e1lculos \u2265 5 mm localizados em cabe\u00e7a \/ corpo, especialmente quando radiopacos.<\/li>\n\n\n\n<li><strong>Litotripsia intraductal guiada por pancreatoscopia (laser ou EHL)<\/strong> \u00e9 indicada quando ESWL n\u00e3o est\u00e1 dispon\u00edvel, falha, ou quando os c\u00e1lculos s\u00e3o \u00fanicos, impactados ou intraductais profundos.<\/li>\n<\/ul>\n\n\n\n<p>Embora ESWL apresente alta efic\u00e1cia e seja recomendada nos guidelines, no nosso meio temos dificuldade em encontrar centros especializados que ofere\u00e7am esse tratamento. Como alternativa a ESWL, pode-se empregar a litotripsia endosc\u00f3pica intraductal, utilizando fibra de laser ou eletro-hidr\u00e1ulica (EHL) guiada por pancreatoscopia.<\/p>\n\n\n\n<p>A <strong>EHL<\/strong>, realizada sob vis\u00e3o direta, gera ondas de choque a partir de pulsos el\u00e9tricos que causam cavita\u00e7\u00e3o e fragmenta\u00e7\u00e3o do c\u00e1lculo. A pancreatoscopia melhora a precis\u00e3o, reduz risco de les\u00e3o ductal e aumenta a taxa de extra\u00e7\u00e3o completa.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br><strong>Tratamento cir\u00fargico<\/strong><\/h2>\n\n\n\n<p>Permanece como segunda linha, reservado para casos refrat\u00e1rios \u00e0 terapia endosc\u00f3pica ou quando h\u00e1 altera\u00e7\u00f5es anat\u00f4micas que impedem o acesso ao ducto.<\/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>Update on endoscopic treatment of stones in the main pancreatic duct in calcified chronic pancreatitis. Choi EK, Lehman GA. Kor J Intern Med. 2012;27:20\u201329. doi: 10.3904\/kjim.2012.27.1.20.<\/li>\n\n\n\n<li>Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline \u2013 Updated August 2018.<\/li>\n\n\n\n<li>Endoscopic lithotripsy in the common bile duct. Koch H, Stolte M, Walz V. Endoscopy. 1977;9:95\u201398. doi: 10.1055\/s-0028-1098497.<\/li>\n\n\n\n<li>Mechanical lithotripsy of stones in the pancreatic duct. Freeman ML. Gastrointest Endosc. 1996;44:333\u2013336. doi: 10.1016\/s0016-5107(96)70175-x.<\/li>\n\n\n\n<li>Management of pancreatic calculi in chronic pancreatitis: A review article. Cureus. Kaushik N, Dasari V, Jain D. Mar 5, 2023;15(3):e35788. doi: 10.7759\/cureus.35788. PMID: 37025704; PMCID: PMC10072785.<\/li>\n\n\n\n<li>Chronic pancreatitis. Steer ML, Waxman I, Freedman S. N Engl J Med. 1995;332:1482\u20131490. doi: 10.1056\/NEJM199506013322206.<\/li>\n\n\n\n<li>Ultrastructure and elemental composition of human pancreatic stones. Pitchumoni CS, Viswanathan KV, Gee Varghese PJ, Banks PA. Pancreas. 1987;2:152\u2013158. doi: 10.1097\/00006676-198703000-00005.<\/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\">Oissa GM, Chojniak LM, Furuya J\u00fanior CK CF, Martins BC. Pancreatoscopia + Litotripsia Eletro-hidr\u00e1ulica para tratamento de c\u00e1lculo pancre\u00e1tico. Endoscopia Terapeutica, 2026 Vol I. Dispon\u00edvel em: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/?p=21067\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/pancreatoscopia-litotripsia-eletro-hidraulica-para-tratamento-de-calculo-pancreatico\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Apresenta\u00e7\u00e3o do Caso Homem, 67 anos, etilista cr\u00f4nico, portador de pancreatite cr\u00f4nica calcificante com&hellip;<\/p>\n","protected":false},"author":5981,"featured_media":21090,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[847],"tipo":[155],"volume":[263],"class_list":["post-21067","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-847","tipo-cpre","volume-volume-i"],"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>Pancreatoscopia + Litotripsia Eletro-hidr\u00e1ulica para tratamento de c\u00e1lculo pancre\u00e1tico &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"description\" content=\"O tratamento dos c\u00e1lculos pancre\u00e1ticos \u00e9 desafiador. 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