{"id":3877,"date":"2016-07-27T09:30:54","date_gmt":"2016-07-27T09:30:54","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/tne-duodeno\/"},"modified":"2023-03-13T17:33:27","modified_gmt":"2023-03-13T17:33:27","slug":"tne-duodeno","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/tne-duodeno\/","title":{"rendered":"Ressec\u00e7\u00e3o de tumor neuroend\u00f3crino duodenal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"3877\" class=\"elementor elementor-3877\">\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-4c800f47 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c800f47\" 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-34526f2f\" data-id=\"34526f2f\" 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-6aca8010 elementor-widget elementor-widget-text-editor\" data-id=\"6aca8010\" 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&nbsp;\n<ul>\n \t<li>Os tumores neuroend\u00f3crinos (TNE) de duodeno s\u00e3o raros, correspondendo a 15% de todos os TNE do trato gastrointestinal<sup>1<\/sup>.<\/li>\n \t<li>Como as c\u00e9lulas enterocromafins, que d\u00e3o origem a este tumor, localizam-se na mucosa profunda, ele rapidamente invade a submucosa.<\/li>\n \t<li>Portanto, quando fazemos a ressec\u00e7\u00e3o endosc\u00f3pica destas les\u00f5es, existe preocupa\u00e7\u00e3o quanto a ressec\u00e7\u00e3o adequada da margem profunda, mesmo em les\u00f5es &lt; 10 mm.<\/li>\n \t<li>Segundo o consenso europeu de TNE<sup>2<\/sup>, a ressec\u00e7\u00e3o endosc\u00f3pica pode ser realizada nas les\u00f5es:\n<ul>\n \t<li>de at\u00e9 10 mm de di\u00e2metro;<\/li>\n \t<li>confinados \u00e0 submucosa;<\/li>\n \t<li>sem acometimento linfonodal e sem met\u00e1stases \u00e0 dist\u00e2ncia;<\/li>\n<\/ul>\n<\/li>\n \t<li>No entanto, a literatura demonstra aus\u00eancia de recorr\u00eancia na ressec\u00e7\u00e3o de tumores neuroend\u00f3crino duodenais de at\u00e9 20 mm<sup>3<\/sup>.<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><strong>T\u00e9cnicas de ressec\u00e7\u00e3o endosc\u00f3pica<\/strong><\/p>\n\n<ol>\n \t<li><strong> Mucosectomia (EMR): <\/strong>a grande dificuldade da mucosectomia cl\u00e1ssica \u00e9 a apreens\u00e3o da les\u00e3o ap\u00f3s a inje\u00e7\u00e3o submucosa. Muitas vezes ocorre maior eleva\u00e7\u00e3o da mucosa adjacente do que da les\u00e3o, tornando-a plana e dificultando a apreens\u00e3o (ver figura). Na ressec\u00e7\u00e3o por EMR h\u00e1 maior risco de comprometimento de margem profunda (ressec\u00e7\u00e3o incompleta)<sup>4<\/sup>.<\/li>\n \t<li><strong> Mucosectomia com al\u00e7a monofilamentar:<\/strong> uma alternativa \u00e0 mucosectomia cl\u00e1ssica seria a apreens\u00e3o da les\u00e3o com al\u00e7a monofilamentar, sem inje\u00e7\u00e3o submucosa. No entanto, o risco de resse\u00e7\u00e3o incompleta persiste.<\/li>\n \t<li><strong> Dissec\u00e7\u00e3o endosc\u00f3pica submucosa (ESD)<\/strong>: a ressec\u00e7\u00e3o por ESD permite seguran\u00e7a da margem lateral e profunda. Por\u00e9m \u00e9 tecnicamente dif\u00edcil, al\u00e9m do alto risco de perfura\u00e7\u00e3o devido a espessura do duodeno<sup>5<\/sup>.<\/li>\n \t<li><strong>Ressec\u00e7\u00e3o endosc\u00f3pica submucosa com aux\u00edlio de banda el\u00e1stica (ESMR-L)<\/strong>: esta t\u00e9cnica j\u00e1 \u00e9 bem estabelecida na ressec\u00e7\u00e3o de TNE de reto. Recentemente foi publicada uma s\u00e9rie de casos utilizando a mesma t\u00e9cnica para o tratamento de TNE de duodeno que demonstrou 100% de ressec\u00e7\u00e3o em monobloco e aus\u00eancia de perfura\u00e7\u00f5es<sup>6<\/sup>.<\/li>\n<\/ol>\n<div id=\"attachment_6025\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/07\/carc-em-dez-1.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-6025\" class=\"wp-image-6025 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/carc-em-dez-1.jpg\" alt=\"carc em dez 1\" width=\"300\" height=\"200\" \/><\/a><p id=\"caption-attachment-6025\" class=\"wp-caption-text\">TNE bulbo antes da inje\u00e7\u00e3o salina<\/p><\/div>\n\n<div id=\"attachment_6026\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2016\/07\/carc-em-dez-2.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-6026\" class=\"wp-image-6026 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/carc-em-dez-2.jpg\" alt=\"carc em dez 2\" width=\"300\" height=\"200\" \/><\/a><p id=\"caption-attachment-6026\" class=\"wp-caption-text\">Mesma les\u00e3o ap\u00f3s inje\u00e7\u00e3o salina. Apreens\u00e3o com al\u00e7a imposs\u00edvel nesta situa\u00e7\u00e3o<\/p><\/div>\n\n&nbsp;\n\nNa ressec\u00e7\u00e3o de nosso v\u00eddeo, paciente sob seda\u00e7\u00e3o foi submetido inicialmente a uma ecoendoscopia para avaliar a profundida da les\u00e3o. Confirmado a aus\u00eancia de acometimento da muscular pr\u00f3pria, o ecoendoc\u00f3pio foi trocado por um endosc\u00f3pio padr\u00e3o e realizada inje\u00e7\u00e3o submucosa com solu\u00e7\u00e3o salina. Em seguida foi acoplado um kit de ligadura el\u00e1stica, a les\u00e3o foi ent\u00e3o aspirada para o interior do <em>cap <\/em>e liberada uma banda el\u00e1stica. Realizada a ressec\u00e7\u00e3o com al\u00e7a diat\u00e9rmica (<em>endocut<\/em>) abaixo da banda el\u00e1stica com ressec\u00e7\u00e3o completa da les\u00e3o. \u00c0 revis\u00e3o do leito foi optado pela complementa\u00e7\u00e3o da hemostasia com plasma de arg\u00f4nio sem intercorr\u00eancias. O resultado do anatomopatol\u00f3gico demonstrou margens livres e imuno-histoqu\u00edmica compat\u00edvel com tumor neuroend\u00f3crino bem diferenciado grau I (KI 67 &lt; 2%).\n\nEm suma a ressec\u00e7\u00e3o endosc\u00f3pica submucosa com aux\u00edlio de banda el\u00e1stica (ESMR-L) \u00e9 uma t\u00e9cnica fact\u00edvel, efetiva e segura para a ressec\u00e7\u00e3o de TNE duodenais de at\u00e9 10 mm, limitados a submucosa.\n\n<div style=\"position:relative;padding-top:56.25%;\"><iframe id=\"panda-992d1d06-f736-41f6-b16b-344c4092a80b\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=992d1d06-f736-41f6-b16b-344c4092a80b\" 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[ddownload id=&#8221;6029&#8243;]\n\n&nbsp;\n\n<strong>Refer\u00eancias:<\/strong>\n<ol>\n \t<li>Soga J (2005) Early-stage carcinoids of the gastrointestinal tract: an analysis of 1914 reported cases. Cancer 103(8):1587\u20131595. doi:10.1002\/cncr.20939<\/li>\n \t<li>Delle Fave G, Kwekkeboom DJ, Van Cutsem E, Rindi G, KosKudla B, Knigge U, Sasano H, Tomassetti P, Salazar R, Ruszniewski P (2012) ENETS Consensus Guidelines for the management of patients with gastroduodenal neoplasms. Neuroendocrinology 95(2):74\u201387. doi:10.1159\/000335595<\/li>\n \t<li>Zyromski NJ, Kendrick ML, Nagorney DM, Grant CS, Donohue JH, Farnell MB, Thompson GB, Farley DR, Sarr MG (2001).\u00a0Duodenal carcinoid tumors: how aggressive should we be? J Gastrointest Surg 5(6):588\u2013593<\/li>\n \t<li>Kim GH, Kim JI, Jeon SW, Moon JS, Chung IK, Jee SR, Kim HU, Seo GS, Baik GH, Lee YC (2014) Endoscopic resection for\u00a0duodenal carcinoid tumors: a multicenter, retrospective study. J Gastroenterol Hepatol 29(2):318\u2013324. doi:10.1111\/jgh.12390<\/li>\n \t<li>Matsumoto S, Miyatani H, Yoshida Y, Nokubi M (2011) Duodenal carcinoid tumors: 5 cases treated by endoscopic submucosal dissection. Gastrointest Endosc 74(5):1152\u20131156. doi:10. 1016\/j.gie.2011.07.029<\/li>\n \t<li>Osera S, Oono Y, Ikematsu H, Yano T, Kaneko K. Endoscopic submucosal resection with a ligation device for the treatment of duodenal neuroendocrine tumors. Surg Endosc. 2015 Dec 16. [Epub ahead of print] PubMed PMID: 26675937.<\/li>\n<\/ol>\n&nbsp;\n\n&nbsp;\n\n&nbsp;\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>&nbsp; Os tumores neuroend\u00f3crinos (TNE) de duodeno s\u00e3o raros, correspondendo a 15% de todos&hellip;<\/p>\n","protected":false},"author":2592,"featured_media":3878,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[281],"tipo":[153],"volume":[147],"class_list":["post-3877","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-281","tipo-endoscopia-digestiva-alta","volume-volume-ii"],"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>Ressec\u00e7\u00e3o de tumor neuroend\u00f3crino duodenal &#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\/tne-duodeno\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ressec\u00e7\u00e3o de tumor neuroend\u00f3crino duodenal\" \/>\n<meta property=\"og:description\" content=\"&nbsp; Os tumores neuroend\u00f3crinos (TNE) de duodeno s\u00e3o raros, correspondendo a 15% de todos os TNE do trato gastrointestinal1. 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