{"id":3541,"date":"2017-02-06T08:00:05","date_gmt":"2017-02-06T08:00:05","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/hemospray-sangramento-gastrointestinal\/"},"modified":"2022-06-17T15:13:17","modified_gmt":"2022-06-17T15:13:17","slug":"hemospray-sangramento-gastrointestinal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/artigoscomentados\/hemospray-sangramento-gastrointestinal\/","title":{"rendered":"ARTIGO COMENTADO &#8211; HEMOSPRAY no tratamento do sangramento gastrointestinal"},"content":{"rendered":"<p>O <a href=\"http:\/\/www.tamussino.com.br\/pt\/produto-det.php?rp=1171\"><strong>Hemospray<sup>TM<\/sup><\/strong><\/a>&nbsp;\u00e9 um novo p\u00f3 hemost\u00e1tico desenvolvido para uso endosc\u00f3pico.<\/p>\n<p>\u00c9 composto de part\u00edculas n\u00e3o org\u00e2nicas, biologicamente inertes, que se tornam aderentes e coesas quando entram em contato com a umidade do TGI. Funciona portanto, como uma barreira hemost\u00e1tica mec\u00e2nica.<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/02\/hemospray-header.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-7333\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/hemospray-header.png\" alt=\"hemospray header\" width=\"385\" height=\"145\"><\/a><\/p>\n<div id=\"attachment_7334\" style=\"width: 407px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/02\/acao-hemospray.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-7334\" class=\"wp-image-7334 \" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/acao-hemospray.png\" alt=\"acao hemospray\" width=\"397\" height=\"111\"><\/a><p id=\"caption-attachment-7334\" class=\"wp-caption-text\">Clique para ampliar: Mecanismo de a\u00e7\u00e3o do Hemospray<\/p><\/div>\n<p>Para que ocorra a a\u00e7\u00e3o eficaz do Hemospray, \u00e9 necess\u00e1rio que haja sangramento ativo. Ele n\u00e3o estaria indicado, por exemplo, em casos de \u00falceras Forrest IIa, IIb ou IIc.<\/p>\n<p>Algumas s\u00e9ries de casos j\u00e1 haviam descrito bons resultados com o uso deste produto. Este artigo canadense publicado na Endoscopy em 2015, resume a maior experi\u00eancia cl\u00ednica at\u00e9 ent\u00e3o com o uso do Hemospray.<\/p>\n<p>Link para o artigo original:&nbsp;<a href=\"https:\/\/www.thieme-connect.com\/DOI\/DOI?10.1055\/s-0034-1378098\" target=\"_blank\" rel=\"noopener\"><strong><em>Hemostatic powder TC-325 in the management of upper and lower gastrointestinal bleeding: a two-year experience at a single institution.&nbsp;<\/em><\/strong><strong><em>Chen YI, Barkun A, Nolan S.<\/em><\/strong><\/a>&nbsp;Endoscopy. 2015 Feb;47(2):167-71.<\/p>\n<h5><\/h5>\n<h5><\/h5>\n<h5><strong>M\u00e9todos<\/strong><\/h5>\n<p>An\u00e1lise retrospectiva dos pacientes submetidos a tratamento com Hemospray entre 2011 e 2013 na Universidade de McGill (Canada).<\/p>\n<h5><\/h5>\n<h5><strong>Indica\u00e7\u00f5es<\/strong><\/h5>\n<ul>\n<li>HDA n\u00e3o varicosa n\u00e3o maligna<\/li>\n<li>HDA por doen\u00e7a maligna<\/li>\n<li>HDB<\/li>\n<li>Sangramento intra-procedimento<\/li>\n<\/ul>\n<h5><\/h5>\n<h5><strong>Resultados<\/strong><\/h5>\n<ul>\n<li>67 aplica\u00e7\u00f5es de Hemospray em 60 pacientes<\/li>\n<li>Hemostasia imediata com sucesso em 66 aplica\u00e7\u00f5es (98.5%)<\/li>\n<li>Ressangramento precoce em 6 (9.5%)&nbsp; e tardio em 9 (14.3%)<\/li>\n<li>N\u00e3o houve complica\u00e7\u00f5es relacionadas ao uso do p\u00f3 hemost\u00e1tico.<\/li>\n<\/ul>\n<h6><\/h6>\n<h6><em>Resultados em pacientes com HDA n\u00e3o varicosa n\u00e3o maligna<\/em><\/h6>\n<ul>\n<li>21 pacientes<\/li>\n<li>Hemostasia inicial com sucesso em 20 pacientes.\n<ul>\n<li>Hemostasia n\u00e3o foi poss\u00edvel em um paciente com sangramento oriundo de \u00falcera de anastomose gastrojejunal, que apresentava grande quantidade de sangue e co\u00e1gulos no est\u00f4mago (hemostasia obtida com aplica\u00e7\u00e3o de 3 hemoclipes)<\/li>\n<\/ul>\n<\/li>\n<li>Ressangramento precoce em 5 casos e tardio em 3<\/li>\n<li>Endoscopia de controle (second-look) foi realizada em 9 pacientes:\n<ul>\n<li>Tr\u00eas apresentavam leve sangramento em porejamento:\n<ul>\n<li>1 com \u00falcera da anastomose (recebeu segunda aplica\u00e7\u00e3o de Hemospray),<\/li>\n<li>1 devido a angioectasia (tratado com cateter multipolar),<\/li>\n<li>1 devido a les\u00e3o de Dieulafoy (tratado com clipes + epinefrina).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Interessante notar que nestes 9 pacientes submetidos a nova endoscopia em 24-48 horas, n\u00e3o havia resqu\u00edcios do p\u00f3 hemost\u00e1tico no local da aplica\u00e7\u00e3o.<\/li>\n<\/ul>\n<h6><\/h6>\n<h6><em>Resultados em pacientes com HDA por doen\u00e7a maligna<\/em><\/h6>\n<ul>\n<li>19 pacientes<\/li>\n<li>Hemostasia inicial com sucesso em 100%<\/li>\n<li>Ressangramento precoce em 1 paciente e tardio em 6 pacientes<\/li>\n<li>Mortalidade em 30 dias: 21.1%<\/li>\n<\/ul>\n<h6><\/h6>\n<h6><em>Resultados em pacientes com HDB (no Brasil o Hemospray n\u00e3o est\u00e1 liberado para ser usado nesta indica\u00e7\u00e3o)<\/em><\/h6>\n<ul>\n<li>11 pacientes com sangramento ativo<\/li>\n<li>Hemostasia inicial com sucesso em 100%<\/li>\n<li>N\u00e3o houve ressangramento<\/li>\n<\/ul>\n<h6><\/h6>\n<h6><em>Resultados em sangramentos intra-procedimentos<\/em><\/h6>\n<ul>\n<li>16 pacientes, incluindo sangramentos p\u00f3s-bi\u00f3psias, polipectomias, ESD e dilata\u00e7\u00e3o balonada<\/li>\n<li>Hemostasia inicial com sucesso em 100%<\/li>\n<li>N\u00e3o houve ressangramento<\/li>\n<\/ul>\n<h5><\/h5>\n<h5><strong>Discuss\u00e3o<\/strong><\/h5>\n<p>A grande vantagem do Hemospray<sup>TM&nbsp;<\/sup>reside na sua facilidade de uso e nas excelentes taxas de hemostasia imediata. A hemostasia endosc\u00f3pica convencional pode ser um verdadeiro desafio em les\u00f5es de dif\u00edcil acesso, em que o posicionamento do endosc\u00f3pio n\u00e3o \u00e9 favor\u00e1vel, dificultando por exemplo, a aplica\u00e7\u00e3o de um clipe met\u00e1lico. Esse posicionamento preciso n\u00e3o \u00e9 necess\u00e1rio com o Hemospray<sup>TM<\/sup>. Quando acionado o cateter, o p\u00f3 hemost\u00e1tico se espalha por todo o campo de a\u00e7\u00e3o, aderindo nos locais com sangramento, onde o p\u00f3 exerce seu efeito hemost\u00e1tico.<\/p>\n<p>Este estudo corrobora as descri\u00e7\u00f5es anteriores de sucesso na hemostasia inicial (98.5% para causa n\u00e3o varicosas, n\u00e3o tumorais e 100% para as outras causas)<\/p>\n<p>As taxas de ressangramento aparentemente variaram em fun\u00e7\u00e3o das causas iniciais de sangramento. Foram 5 casos de ressangramento PRECOCE:<\/p>\n<ul>\n<li>3 pacientes com \u00falceras p\u00e9pticas<\/li>\n<li>1 paciente com les\u00e3o de Dieulafoy<\/li>\n<li>1 paciente com angioectasia<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Apesar do sucesso inicial nestes casos, houve necessidade de tratamento complementar endoscopico por m\u00e9todo mec\u00e2nico ou t\u00e9rmico.<\/p>\n<p>A a\u00e7\u00e3o do <a href=\"http:\/\/www.tamussino.com.br\/pt\/produto-det.php?rp=1171\"><strong>Hemospray<\/strong><\/a> ocorre principalmente na etapa inicial, estancando o sangramento em atividade. Seu benef\u00edcio al\u00e9m do primeiro dia da aplica\u00e7\u00e3o, parece pouco prov\u00e1vel. Por conta disso, os autores deste artigo sugerem que seu uso como monoterapia deva ser evitado em pacientes com risco significativo de ressangramento al\u00e9m das 24 horas.<\/p>\n<p>&nbsp;<\/p>\n<p>Resumo da&nbsp;utiliza\u00e7\u00e3o do <strong>Hemospray:<\/strong><\/p>\n<div id=\"attachment_7379\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/02\/fluxograma-hemospray.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-7379\" class=\"size-medium wp-image-7379\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/fluxograma-hemospray.png\" alt=\"Algoritmo Hemospray - clique na imagem para ampliar\" width=\"300\" height=\"194\"><\/a><p id=\"caption-attachment-7379\" class=\"wp-caption-text\">Algoritmo Hemospray &#8211; clique na imagem para ampliar<\/p><\/div>\n<p>&nbsp;<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>A seguir, fizemos uma pequena entrevista com Prof. Alan Barkun, pioneiro nesta tecnologia.<\/strong><\/span><\/p>\n<ol>\n<li><strong>How safe is Hemospray<sup>TM<\/sup> for the patients and for the Endoscope?<\/strong><br \/>\n<strong>A.B.:<\/strong> <em>The mineral product used in Hemospray<sup>TM<\/sup> has been used for decades towards medical uses. As far as is known, it is a very safe product to use with no reports in humans of bowel obstruction, or vascular or tissue embolization. It also has no long-term negative effects on endoscopes as far as is known. Of course, ongoing vigilance is indicated as with every relatively new technology used for novel indications.<\/em><\/li>\n<li><strong>What are the main indications for using Hemospray<sup>TM<\/sup>?<\/strong><br \/>\n<strong>A.B.:<\/strong> <em>Hemospray<sup>TM<\/sup> is thought to only adhere to actively bleeding sites and as such is indicated in the hemostasis of spurting or oozing lesions of the gastrointestinal tract.<\/em> It is only approved for use in the lower gi tract in certain countries, and the manufacturer does not recommend it for portal hypertension-related bleeding. Having said this many data exist suggesting its effectiveness in both latter types of hemorrhagic pathologies.<\/li>\n<li><strong>In the article discussed here, you comment that Hemospray<sup>TM<\/sup> should not be use as monotherapy in patients at high risk of rebledding.&nbsp;How would be your preferred approach?&nbsp;<\/strong><br \/>\n<strong> &#8211; Hemospray, than perform a second-look endoscopy to apply the definitive treatment?<\/strong><br \/>\n<strong> &#8211; or should the second treatment modality be attempted at the initial endoscopy?<\/strong><br \/>\n<strong>A.B.<\/strong> <em>Observational results and now very limited comparative data as well have shown that the hemostatic powder only stays bound to a bleeding site for around 12-24 hours and for this reason learned reviews suggest it be used as one of a multimodality endoscopic therapeutic approach if the risk of rebleeding extends beyond this period either at a given initial endoscopy session, or during a pre-planned second-look, depending on the clinical situation and judgment of the endoscopist.<\/em><\/li>\n<\/ol>\n<div id=\"attachment_7331\" style=\"width: 210px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Dr-Alan-Barkun.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7331\" class=\"wp-image-7331 size-full\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Dr-Alan-Barkun.png\" alt=\"Dr Alan Barkun\" width=\"200\" height=\"280\"><\/a><p id=\"caption-attachment-7331\" class=\"wp-caption-text\">Dr. Alan Barkun \u00e9 Prof. Titular de Gastroenterologia e Diretor da Endoscopia Terap\u00eautica da McGill University &#8211; Montreal, Canada<\/p><\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>O HemosprayTM&nbsp;\u00e9 um novo p\u00f3 hemost\u00e1tico desenvolvido para uso endosc\u00f3pico. \u00c9 composto de part\u00edculas&hellip;<\/p>\n","protected":false},"author":712,"featured_media":3542,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[142],"tags":[],"ano":[276],"tipo":[153],"volume":[263],"class_list":["post-3541","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigoscomentados","ano-276","tipo-endoscopia-digestiva-alta","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>ARTIGO COMENTADO - HEMOSPRAY no tratamento do sangramento gastrointestinal &#8226; Endoscopia Terapeutica<\/title>\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\/artigoscomentados\/hemospray-sangramento-gastrointestinal\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ARTIGO COMENTADO - HEMOSPRAY no tratamento do sangramento gastrointestinal\" \/>\n<meta property=\"og:description\" content=\"O HemosprayTM&nbsp;\u00e9 um novo p\u00f3 hemost\u00e1tico desenvolvido para uso endosc\u00f3pico. \u00c9 composto de part\u00edculas n\u00e3o org\u00e2nicas, biologicamente inertes, que se\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/artigoscomentados\/hemospray-sangramento-gastrointestinal\/\" \/>\n<meta property=\"og:site_name\" content=\"Endoscopia Terapeutica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoscopiaterapeutica\" \/>\n<meta property=\"article:published_time\" content=\"2017-02-06T08:00:05+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-17T15:13:17+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/02\/hemospray-alan.png\" \/>\n\t<meta property=\"og:image:width\" content=\"897\" \/>\n\t<meta property=\"og:image:height\" content=\"797\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Bruno Martins\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bruno Martins\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/artigoscomentados\/hemospray-sangramento-gastrointestinal\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/artigoscomentados\/hemospray-sangramento-gastrointestinal\/\"},\"author\":{\"name\":\"Bruno Martins\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/6d914a9b14b846b2bb3c52e76b89cb42\"},\"headline\":\"ARTIGO COMENTADO &#8211; 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