{"id":3734,"date":"2015-06-24T10:00:49","date_gmt":"2015-06-24T10:00:49","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/caso-clinico-resseccao-de-adensam-gigante-de-papila-duodenal\/"},"modified":"2023-03-13T17:48:19","modified_gmt":"2023-03-13T17:48:19","slug":"caso-clinico-resseccao-de-adensam-gigante-de-papila-duodenal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-resseccao-de-adensam-gigante-de-papila-duodenal\/","title":{"rendered":"Ressec\u00e7\u00e3o de adenoma gigante de papila duodenal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3734\" class=\"elementor elementor-3734\">\n\t\t\t\t\t\t<section class=\"penci-section penci-disSticky penci-structure-10 elementor-section elementor-top-section elementor-element elementor-element-7f1c9422 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7f1c9422\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"penci-ercol-100 penci-ercol-order-1 penci-sticky-ct    elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-36240ce5\" data-id=\"36240ce5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-372b1ed0 elementor-widget elementor-widget-text-editor\" data-id=\"372b1ed0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div style=\"position:relative;padding-top:56.20608899297424%;\"><iframe id=\"panda-a6827fcb-ced2-48a1-890a-a09bbc5598f7\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=a6827fcb-ced2-48a1-890a-a09bbc5598f7\" 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\nEmbora classificados como benignos, os adenomas de papila podem sofrer transforma\u00e7\u00e3o maligna, portanto sua ressec\u00e7\u00e3o est\u00e1 indicada independente da presen\u00e7a de sintomas.\n\n<strong>T\u00e9cnica b\u00e1sica:<\/strong>\n<ul>\n \t<li>A ressec\u00e7\u00e3o endosc\u00f3pica \u00e9 realizada com o duodenosc\u00f3pio\u00a0terap\u00eautico utilizando-se uma al\u00e7a de polipectomia diat\u00e9rmica com corrente monopolar.<\/li>\n \t<li>O objetivo \u00e9 a ressec\u00e7\u00e3o da les\u00e3o em bloco \u00fanico, mas isso pode n\u00e3o ser poss\u00edvel em caso de les\u00f5es muito grandes ou com espraiamento lateral. Nesse caso (ressec\u00e7\u00e3o em piecemeal),\u00a0recomendamos a aplica\u00e7\u00e3o de plasma de arg\u00f4nio para complementa\u00e7\u00e3o terap\u00eautica.<\/li>\n<\/ul>\n<strong>Esfincterotomia e inser\u00e7\u00e3o de pr\u00f3teses:<\/strong>\n<ul>\n \t<li>Esfincterotomia e inser\u00e7\u00e3o de pr\u00f3teses pl\u00e1sticas biliar e pancre\u00e1tica podem minimizar complica\u00e7\u00f5es p\u00f3s-procedimento como pancreatite, colangite e estenose papilar. No entanto, n\u00e3o h\u00e1 consenso se a esfincterotomia deve ser aplicada em todos os casos, muito menos se ela deve ser realizada antes ou ap\u00f3s a papilectomia.<\/li>\n \t<li>Tamb\u00e9m n\u00e3o \u00e9 consenso a utiliza\u00e7\u00e3o de pr\u00f3teses biliares para reduzir o risco de colangite e estenose biliar.<\/li>\n \t<li>A inser\u00e7\u00e3o de pr\u00f3tese pancre\u00e1tica \u00e9 recomendada com base em trabalhos prospectivos randomizados mostrando seu benef\u00edcio na redu\u00e7\u00e3o de pancreatite p\u00f3s-procedimento.<\/li>\n \t<li>A localiza\u00e7\u00e3o dos orif\u00edcios biliar e pancre\u00e1tico pode ser bem dif\u00edcil ap\u00f3s a papilectomia. Por isso, muitos endoscopistas preferem realizar a cateteriza\u00e7\u00e3o do col\u00e9doco e do Wirsung antes da papilectomia e injetar um pouco de solu\u00e7\u00e3o com azul de metileno para facilitar sua identifica\u00e7\u00e3o ap\u00f3s a ressec\u00e7\u00e3o. No caso apresentado n\u00e3o foi poss\u00edvel a identifica\u00e7\u00e3o pr\u00e9via dos ductos antes da ressec\u00e7\u00e3o.<\/li>\n \t<li>Inserimos as pr\u00f3teses sem o flap interno para facilitar sua expuls\u00e3o espont\u00e2nea. Ap\u00f3s 2 semanas realizamos um RX de abd\u00f4men, e se n\u00e3o houve migra\u00e7\u00e3o das pr\u00f3teses, ent\u00e3o procedemos a retirada endosc\u00f3pica.<\/li>\n<\/ul>\n<strong>Inje\u00e7\u00e3o de solu\u00e7\u00e3o salina:<\/strong>\n<ul>\n \t<li>A inje\u00e7\u00e3o de solu\u00e7\u00e3o salina n\u00e3o \u00e9 consenso. Alguns estudos mostraram que ela pode diminuir complica\u00e7\u00f5es, protegendo do dano t\u00e9rmico na parede duodenal.<\/li>\n \t<li>Na maioria das les\u00f5es, que geralmente s\u00e3o menores que 2 cm, preferimos n\u00e3o injetar solu\u00e7\u00e3o salina, pois pode dificultar a localiza\u00e7\u00e3o dos orif\u00edcios biliar e pancre\u00e1tico.<\/li>\n<\/ul>\n<strong>Complica\u00e7\u00f5es:<\/strong>\n<ul>\n \t<li>Complica\u00e7\u00f5es ap\u00f3s ampulectomias ocorrem em cerca de 8 a 35% dos casos, como pancreatite (8 a 20%), perfura\u00e7\u00e3o (0 a 4%), sangramento (2 a 13%), colangite (0 a 2%) e estenose de papila (0 a 8%).<\/li>\n<\/ul>\n<strong>Seguimento<\/strong>:\n<ul>\n \t<li>A vigil\u00e2ncia \u00e9 importante, visto que a recidiva pode ocorrer em at\u00e9 33% dos casos (0 a 33%).<\/li>\n \t<li>Uma proposta bastante razo\u00e1vel de seguimento seria: 2, 6, 12, 18, 24 e 36 meses com duodenoscopia e bi\u00f3psias. O caso apresentado apresentou recidiva local ap\u00f3s 12 meses de seguimento, sendo encaminhado para tratamento cir\u00fargico.<\/li>\n<\/ul>\n<strong>Adenocarcinoma na pe\u00e7a:<\/strong>\n<ul>\n \t<li>Muitos casos de adenocarcinoma de papila n\u00e3o s\u00e3o identificados nas bi\u00f3psias antes do procedimento.<\/li>\n \t<li>Nos casos de adenocarcinoma restritos a mucosa (T1m), a ressec\u00e7\u00e3o endosc\u00f3pica pode ser considerada curativa.<\/li>\n \t<li>Nos casos de invas\u00e3o da submucosa (T1sm) a ressec\u00e7\u00e3o cir\u00fargica \u00e9 recomendada, devido ao risco de met\u00e1stases ganglionares (5-30%).<\/li>\n<\/ul>\n<strong><span style=\"text-decoration: underline;\">Refer\u00eancias:<\/span><\/strong>\n<ol>\n \t<li>Adler DG, Qureshi W, Davila R et al. The role of endoscopy in ampullary and duodenal adenomas. Gastrointest Endosc 2006;64(6):849.<\/li>\n \t<li>Martin, JA et al. Treatment of ampullary adenomas. In <a href=\"http:\/\/www.uptodate.com\">www.uptodate.com<\/a> 2014.<\/li>\n<\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Embora classificados como benignos, os adenomas de papila podem sofrer transforma\u00e7\u00e3o maligna, portanto sua&hellip;<\/p>\n","protected":false},"author":712,"featured_media":3735,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[282],"tipo":[155,153],"volume":[263],"class_list":["post-3734","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-282","tipo-cpre","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) - 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