{"id":3726,"date":"2015-04-01T07:00:43","date_gmt":"2015-04-01T07:00:43","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/caso-clinico-lesoes-subepiteliais-gastricas\/"},"modified":"2022-06-17T15:45:09","modified_gmt":"2022-06-17T15:45:09","slug":"caso-clinico-lesoes-subepiteliais-gastricas","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-lesoes-subepiteliais-gastricas\/","title":{"rendered":"Les\u00f5es subepiteliais g\u00e1stricas"},"content":{"rendered":"<p>Paciente do sexo feminino de 66 anos, em investiga\u00e7\u00e3o de quadro disp\u00e9ptico sem sintomas de alarme h\u00e1 cerca de 2 meses, realizou endoscopia digestiva alta que suspeitou de 04 les\u00f5es subepiteliais (LSE) g\u00e1stricas. Em complementa\u00e7\u00e3o de investiga\u00e7\u00e3o de tais les\u00f5es solicitou-se realiza\u00e7\u00e3o de ecoendoscopia.<\/p>\n<p>A primeira les\u00e3o detectada encontrava-se em antro g\u00e1strico e a ecoendoscopia demonstrava ser uma les\u00e3o de camada submucosa, hiperec\u00f3ica, compat\u00edvel com lipoma.<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Caso-01-04-15-EUS-1.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone wp-image-676 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Caso-01-04-15-EUS-1.png\" alt=\"Caso 01-04-15 EUS 1\" width=\"300\" height=\"113\"><\/a><\/p>\n<p>A segunda les\u00e3o detectada encontrava-se tamb\u00e9m em antro g\u00e1strico de grande curvatura, distalmente a les\u00e3o anteriormente citada e j\u00e1 a endoscopia convencional demonstrava ser discretamente amarelada podendo sugerir les\u00e3o lipomatosa. A ecoendoscopia observou-se outra les\u00e3o de camada submucosa, hiperec\u00f3ica, tamb\u00e9m compat\u00edvel com lipoma.<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Caso-01-04-15-EUS-2.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone wp-image-677 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Caso-01-04-15-EUS-2.png\" alt=\"Caso 01-04-15 EUS 2\" width=\"300\" height=\"113\"><\/a><\/p>\n<p>A terceira les\u00e3o detectada consistia de um abaulamento entre fundo e corpo g\u00e1strico de parede anterior para grande curvatura, com mucosa de aspecto normal que a ecoendoscopia revelou ser na verdade uma compress\u00e3o vascular.<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Caso-01-04-15-EUS-3.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone wp-image-678 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Caso-01-04-15-EUS-3.png\" alt=\"Caso 01-04-15 EUS 3\" width=\"300\" height=\"114\"><\/a><\/p>\n<p>A quarta les\u00e3o observada localizava-se em fundo g\u00e1strico, e a ecoendoscopia demonstrava ser uma les\u00e3o hipoec\u00f3ica origin\u00e1ria da camada muscular pr\u00f3pria, medindo cerca de 7mm que pode corresponder entre as principais hipot\u00e9ses a leiomioma ou tumor estromal (GIST). Diante de tal les\u00e3o, se&nbsp;definiu pelo seguimento cl\u00ednico-endosc\u00f3pico da paciente com novo exame de endoscopia convencional em 6 meses para avalia\u00e7\u00e3o do potencial crescimento da les\u00e3o.<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Caso-01-04-15-EUS-4.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-679 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Caso-01-04-15-EUS-4.png\" alt=\"Caso 01-04-15 EUS 4\" width=\"300\" height=\"111\"><\/a><\/p>\n<p>Discuss\u00e3o:<\/p>\n<p>Esse \u00e9 um caso cl\u00ednico ilustrativo que demonstra em um mesmo paciente algumas dos principais diagn\u00f3sticos diferenciais envolvendo LSE g\u00e1stricas.<\/p>\n<p>Na grande maioria dos casos as les\u00f5es subepiteliais s\u00e3o um achado incidental em exames de endoscopia ou outros exames de imagem e o paciente apresenta-se assintom\u00e1tico.<\/p>\n<p>Embora a endoscopia possa ajudar a diferenciar les\u00f5es originadas do epit\u00e9lio das les\u00f5es subepiteliais, a sua capacidade de caracterizar completamente essas les\u00f5es com base somente no exame luminal \u00e9 limitada, incluindo o baixo rendimento das bi\u00f3psias endosc\u00f3picas da mucosa sobrejacente. Nesse cen\u00e1rio o uso adicional de exames de imagem na investiga\u00e7\u00e3o se mostra importante. Entre eles a ecoendoscopia (EUS) tem grande valor devido a capacidade de associar a avalia\u00e7\u00e3o endosc\u00f3pica, ecogr\u00e1fica e mesmo a capacidade de obter material histol\u00f3gico no mesmo procedimento com o uso de pun\u00e7\u00e3o por agulha fina.<\/p>\n<p>A ecoendoscopia pode diferenciar de forma confi\u00e1vel les\u00f5es intramurais de compress\u00e3o extr\u00ednseca. Quando da avalia\u00e7\u00e3o de les\u00e3o intramural, pode se determinar o tamanho exato da mesma, sua camada de origem, bem como caracter\u00edsticas morfol\u00f3gicas.<\/p>\n<p>Entre as principais caracter\u00edsticas avaliadas, as les\u00f5es podem ser homog\u00eaneos ou heterog\u00eaneos, hiperec\u00f3icas, hipoec\u00f3icas ou anec\u00f3icas. Massas anec\u00f3icas podem ser melhor avaliadas com Doppler para verificar a presen\u00e7a de fluxo de sangue.<\/p>\n<p>Tabela 1. Principais les\u00f5es subepiteliais do trato digestivo<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Caso-01-04-15-Tabela.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\" size-medium wp-image-680 alignleft\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Caso-01-04-15-Tabela.png\" alt=\"Caso 01-04-15 Tabela\" width=\"300\" height=\"247\"><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Algor\u00edtmo sugerido na avalia\u00e7\u00e3o e acompanhamento das les\u00f5es subepiteliais do trato gastrointestinal.<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Caso-01-04-15-Algoritmo.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\" size-medium wp-image-675 alignleft\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Caso-01-04-15-Algoritmo.png\" alt=\"Caso 01-04-15 Algoritmo\" width=\"292\" height=\"300\"><\/a><\/p>\n<p>Literatura sugerida:<\/p>\n<ol>\n<li>Hwang JH, Rulyak SD, Kimmey MB. American Gastroenterological Association Institute technical review on the management of gastric subepithelial masses. Gastroenterology 2006;130:2217- 2228.<\/li>\n<li>Hoda KM, Rodriguez SA, Faigel DO. EUS-guided sampling of suspected GI stromal tumors. Gastrointest Endosc 2009;69:1218-1223.<\/li>\n<li>Hwang JH, Saunders MD, Rulyak SJ, Shaw S, Nietsch H, Kimmey MB. A prospective study comparing endoscopy and EUS in the evaluation of GI subepithelial masses. Gastrointest Endosc 2005;62:202-208.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente do sexo feminino de 66 anos, em investiga\u00e7\u00e3o de quadro disp\u00e9ptico sem sintomas&hellip;<\/p>\n","protected":false},"author":726,"featured_media":3720,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[282],"tipo":[154],"volume":[263],"class_list":["post-3726","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-282","tipo-ecoendoscopia","volume-volume-i"],"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>Les\u00f5es subepiteliais g\u00e1stricas &#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\/casosclinicos\/caso-clinico-lesoes-subepiteliais-gastricas\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les\u00f5es subepiteliais g\u00e1stricas\" \/>\n<meta property=\"og:description\" content=\"Paciente do sexo feminino de 66 anos, em investiga\u00e7\u00e3o de quadro disp\u00e9ptico sem sintomas de alarme h\u00e1 cerca de 2 meses, realizou endoscopia digestiva alta\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-lesoes-subepiteliais-gastricas\/\" \/>\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=\"2015-04-01T07:00:43+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-17T15:45:09+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Caso-01-04-15-EUS-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"790\" \/>\n\t<meta property=\"og:image:height\" content=\"298\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Bruno Medrado\" \/>\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 Medrado\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-lesoes-subepiteliais-gastricas\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-lesoes-subepiteliais-gastricas\\\/\"},\"author\":{\"name\":\"Bruno Medrado\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/person\\\/6ad0937894dd92919e48fd4f2dd908e0\"},\"headline\":\"Les\u00f5es subepiteliais g\u00e1stricas\",\"datePublished\":\"2015-04-01T07:00:43+00:00\",\"dateModified\":\"2022-06-17T15:45:09+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-lesoes-subepiteliais-gastricas\\\/\"},\"wordCount\":583,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-lesoes-subepiteliais-gastricas\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2021\\\/08\\\/Caso-01-04-15-EUS-1.png\",\"articleSection\":[\"Casos Cl\u00ednicos\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-lesoes-subepiteliais-gastricas\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-lesoes-subepiteliais-gastricas\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/casosclinicos\\\/caso-clinico-lesoes-subepiteliais-gastricas\\\/\",\"name\":\"Les\u00f5es subepiteliais g\u00e1stricas &#8226; 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