{"id":3592,"date":"2018-04-02T09:30:48","date_gmt":"2018-04-02T09:30:48","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/artigos-comentados-abril-2018\/"},"modified":"2022-06-17T14:26:35","modified_gmt":"2022-06-17T14:26:35","slug":"artigos-comentados-abril-2018","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/artigoscomentados\/artigos-comentados-abril-2018\/","title":{"rendered":"Artigos Comentados \u2013 Abril 2018"},"content":{"rendered":"<p id=\"title\" class=\"item-title editorial-title single-item-title\">Apresentamos uma sele\u00e7\u00e3o de tr\u00eas artigos publicados recentemente que consideramos relevantes. Seguem abaixo:<\/p>\n<h5 class=\"item-title editorial-title single-item-title\">High-Definition Colonoscopy vs Endocuff vs EndoRings vs Full-Spectrum Endoscopy for Adenoma Detection at Colonoscopy<\/h5>\n<p><cite class=\"subheader\">Gastrointest. Endosc. 2018 Mar 09;[EPub Ahead of Print], DK Rex, A Repici, SA Gross, C Hassan, PL Ponugoti, JR Garcia, HM Broadley, JC Thygesen, AW Sullivan, WW Tippins, SA Main, GJ Eckert, KC Vemulapalli<\/cite><\/p>\n<p>BACKGROUND<\/p>\n<p>Devices used to improve polyp detection during colonoscopy have seldom been compared with each other.<\/p>\n<p>METHODS<\/p>\n<p>We performed a 3-center prospective randomized trial comparing high-definition (HD) forward-viewing colonoscopy alone to HD with Endocuff to HD with EndoRings to the Full Spectrum Endoscopy (FUSE) system. Patients were age \u226550 years and had routine indications and intact colons. The study colonoscopists were all proven high-level detectors. The primary endpoint was adenomas per colonoscopy (APC) RESULTS: Among 1,188 patients who completed the study, APC with Endocuff (APC Mean \u00b1 SD 1.82 \u00b1 2.58), EndoRings (1.55 \u00b1 2.42), and standard HD colonoscopy (1.53 \u00b1 2.33) were all higher than FUSE (1.30 \u00b1 1.96,) (p&lt;0.001 for APC). Endocuff was higher than standard HD colonoscopy for APC (p=0.014) . Mean cecal insertion times with FUSE (468 \u00b1 311 seconds) and EndoRings (403 \u00b1 263 seconds) were both longer than with Endocuff (354 \u00b1 216 seconds) (p=0.006 and 0.018, respectively).<\/p>\n<p>CONCLUSIONS<\/p>\n<p>For high-level detectors at colonoscopy, forward-viewing HD instruments dominate the FUSE system, indicating that for these examiners image resolution trumps angle of view. Further, Endocuff is a dominant strategy over EndoRings and no mucosal exposure device on a forward-viewing HD colonoscope.<\/p>\n<p>Coment\u00e1rios:<\/p>\n<ul>\n<li>No artigo, os autores apresentam os dados de um trial multic\u00eantrico, randomizado, comparando colonoscopia de alta defini\u00e7\u00e3o (HD), alta defini\u00e7\u00e3o + Endocuff (HD Endocuff), alta defini\u00e7\u00e3o + EndoRings (HD EndoRings) e endoscopia de espectro ampliado (full-spectrum endoscopy &#8211; FUSE). Foram inclu\u00eddos 1188 pacientes, idade \u226550 anos, submetidos a colonoscopia de rotina.<\/li>\n<li>Uso do Endocuff obteve a maior taxa de detec\u00e7\u00e3o de adenomas por colonoscopia (APC), com valores significativamente maiores que uso de EndoRings e tamb\u00e9m colonoscopia padr\u00e3o de alta defini\u00e7\u00e3o, se traduzindo potencialmente na melhor t\u00e9cnica de aumento de exposi\u00e7\u00e3o mucosa dentre as apresentadas.<\/li>\n<li>O sistema FUSE parece levar a maior tempo de intuba\u00e7\u00e3o cecal sem evidente benef\u00edcio no APC quando comparado as outras t\u00e9cnicas.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.giejournal.org\/article\/S0016-5107(18)30192-5\/pdf\">LINK<\/a><\/p>\n<h5 class=\"item-title\">Feasibility and Safety of Micro-Forceps Biopsy in the Diagnosis of Pancreatic Cysts<\/h5>\n<p><cite class=\"subheader\">Gastrointest. Endosc. 2018 Mar 03;[EPub Ahead of Print], O Basar, O Yuksel, D Yang, J Samarasena, D Forcione, CJ DiMaio, MS Wagh, K Chang, B Casey, C Fernandez-Del Castillo, MB Pitman, WR Brugge<\/cite><\/p>\n<p>BACKGROUND AND AIM<\/p>\n<p>The tissue acquisition and diagnostic yield of cyst fluid cytology is low-to-moderate and rarely provides a specific diagnosis. The aim of this study was to compare the tissue acquisition and diagnostic tissue yield of micro-forceps biopsy (MFB) with cyst fluid cytology.<\/p>\n<p>PATIENTS AND METHODS<\/p>\n<p>The data of 42 patients, whose cysts were aspirated by EUS-guided fine needle aspiration (EUS-FNA) and then biopsied with MFB device in this multicenter study, were collected. Cytological analysis of cyst fluid and histological analysis of biopsy samples were processed. Acquisition yield was defined as percentage of patients with tissue present in the aspirate or biopsy. Diagnostic tissue yield was evaluated at 3 levels: the ability of differentiation between mucinous\/non-mucinous cysts; detection of high-risk for malignancy; and specific cyst type diagnosis.<\/p>\n<p>RESULTS<\/p>\n<p>The mean patient age was 69 years. Sixteen (38.1%) cysts were localized in head, 17 (40.5%) body, and 9 (21.4%) in tail. The mean cyst size was 28.2 mm (12-60 mm); 25 of 42 (60%) were septated. EUS-FNA tissue (fluid) acquisition yield was 88.1% (37\/42). MFB tissue acquisition yield was 90.4% (38\/42). The diagnostic cytology yield to differentiate between mucinous\/non-mucinous cyst was 47.6% (20\/42) and MFB histological yield o differentiate between mucinous\/non-mucinous cyst was 61.9% (26\/42) (p=0.188). The percentage of cysts at high-risk for malignancy by cytology was 54.7% (23\/42) and MFB was 71.5% (30\/42) (p=0.113). However, the ability of MFB to provide a specific cyst type diagnosis was 35.7% (15\/42) and cytology was 4.8% (2\/42) (p=0.001). Surgical histology was concordant with MFB in 6 of 7 (85%) patients and with cytology in 1 of 7 (15%) patients.<\/p>\n<p>CONCLUSION<\/p>\n<p>The cyst tissue acquisition yield for the MFB was 90%. Although cytology of cyst fluid and MFB were comparable in distinguishing mucinous and non-mucinous cysts and detecting cysts at high-risk for malignancy, the MFB was far superior to cytology for providing a specific cyst diagnosis.<\/p>\n<p>Coment\u00e1rios:<\/p>\n<ul>\n<li>Nessa coorte retrospectiva, os autores descreveram a aquisi\u00e7\u00e3o de tecido e o valor diagn\u00f3stico com uso de bi\u00f3psias por micropin\u00e7as em cistos pancre\u00e1ticos<\/li>\n<li>De um total de 42 pacientes com cistos pancre\u00e1ticos submetidos a ecoendoscopia com pun\u00e7\u00e3o por agulha fina e bi\u00f3psias por micropin\u00e7a (MFB), a capacidade de aquisi\u00e7\u00e3o global de tecido foi de 90.4% (38\/42) com MFB e 88.1% (37\/42) com citologia do flu\u00eddo.<\/li>\n<li>A capacidade de diferenciar entre cistos mucinosos x n\u00e3o mucinosos foi de 47.6% (20\/42) com citologia e 61.9% (26\/42) com MFB<\/li>\n<li>Um diagn\u00f3stico espec\u00edfico para os cistos foi apresentado em 35.7% dos casos (15\/42) com MFB e 4.8% casos (2\/42) com citologia, levando a conclus\u00e3o sobre potencial a superioridade diagn\u00f3stica do uso de micropin\u00e7a.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.giejournal.org\/article\/S0016-5107(18)30187-1\/pdf\">LINK<\/a><\/p>\n<h5 class=\"item-title\">Outcomes of Endoscopic Balloon Dilation vs Surgical Resection for Primary Ileocolic Strictures in Patients With Crohn&#8217;s Disease<\/h5>\n<p><cite class=\"subheader\">Clin. Gastroenterol. Hepatol. 2018 Mar 02;[EPub Ahead of Print], N Lan, L Stocchi, JH Ashburn, TL Hull, SR Steele, CP Delaney, B Shen<\/cite><\/p>\n<p>BACKGROUND &amp; AIMS<\/p>\n<p>Few studies have compared endoscopic balloon dilation (EBD) with ileocolic resection (ICR) in the treatment of primary ileocolic strictures in patients with Crohn&#8217;s disease (CD).<\/p>\n<p>METHODS<\/p>\n<p>We performed a retrospective study to compare post-procedure morbidity and surgery-free survival among 258 patients with primary stricturing ileo (colic) CD (B2, L1, or L3) initially treated with primary EBD (n=117) or ICR (n=258) from 2000 through 2016. Patients with penetrating disease were excluded from the study. We performed multivariate analyses to evaluate factors associated with surgery-free survival.<\/p>\n<p>RESULTS<\/p>\n<p>Post-procedural complications occurred in 4.7% of patients treated with EBD and salvage surgery was required in 44.4% of patients. Factors associated with reduced surgery-free survival among patients who underwent EBD included increased stricture length (hazard ratio [HR], 2.0; 95% CI, 1.3-3.3), ileocolonic vs. ileal disease (HR, 10.9; 95% CI, 2.6-45.4), and decreased interval between EBD procedures (HR, 1.2; 95% CI, 1.1-1.4). There were no significant differences in sex, age, race, or CD duration between EBD and ICR groups. Patients treated with ICR were associated with more common post-operative adverse events (32.2%, P&lt;.0001), but reduced need for secondary surgery (21.7%, P&lt;.0001) and significantly longer surgery-free survival (11.1\u00b10.6 years vs. 5.4\u00b10.6 years, P&lt;.001).<\/p>\n<p>CONCLUSION<\/p>\n<p>In this retrospective study, we found that although EBD is initially successful with minimal adverse events, there is a high frequency of salvage surgery. Initial ICR is associated with a higher morbidity but a longer surgery-free interval. The risks and benefits should be balanced in selecting treatments for individual patients.<\/p>\n<p>Coment\u00e1rios:<\/p>\n<div class=\"externallinks\">\n<ul>\n<li>Os autores apresentaram um estudo retrospectivo comparando dilata\u00e7\u00e3o endosc\u00f3pica com bal\u00e3o (EBD) versus ressec\u00e7\u00e3o ileocol\u00f4nica (ICR) no tratamento de estenoses ileocol\u00f4nicas prim\u00e1rias em 258 pacientes com doen\u00e7a de Crohn (CD).<\/li>\n<li>Comparada a EBD, os pacientes tratados com ICR apresentaram mais eventos adversos p\u00f3s operat\u00f3rios (32,2%).<\/li>\n<li>Pacientes submetido a ICR contudo, tiveram menor necessidade de uma segunda cirurgia (21,7%) e tempo livre de cirurgia significativamente maior (11,1 x 5,4 anos).<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"http:\/\/www.cghjournal.org\/article\/S1542-3565(18)30223-4\/pdf\">LINK<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Apresentamos uma sele\u00e7\u00e3o de tr\u00eas artigos publicados recentemente que consideramos relevantes. Seguem abaixo: High-Definition&hellip;<\/p>\n","protected":false},"author":726,"featured_media":3591,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[142],"tags":[],"ano":[270],"tipo":[156,154],"volume":[263],"class_list":["post-3592","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigoscomentados","ano-270","tipo-colonoscopia","tipo-ecoendoscopia","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>Artigos Comentados \u2013 Abril 2018 &#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\/artigos-comentados-abril-2018\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Artigos Comentados \u2013 Abril 2018\" \/>\n<meta property=\"og:description\" content=\"Apresentamos uma sele\u00e7\u00e3o de tr\u00eas artigos publicados recentemente que consideramos relevantes. 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