{"id":3973,"date":"2018-07-16T09:00:39","date_gmt":"2018-07-16T09:00:39","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/caso-clinico-doenca-inflamatoria-intestinal\/"},"modified":"2021-09-21T14:11:38","modified_gmt":"2021-09-21T14:11:38","slug":"caso-clinico-doenca-inflamatoria-intestinal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-doenca-inflamatoria-intestinal\/","title":{"rendered":"CASO CLINICO \u2013 DOEN\u00c7A INFLAMAT\u00d3RIA INTESTINAL"},"content":{"rendered":"<p>Paciente sexo masculino, 42 anos portador de Colite Ulcerativa (pancolite) h\u00e1 cerca de 15 anos em uso de mesalazina e azatioprina no momento com sintomas espor\u00e1dicos de sangramento nas fezes.<\/p>\n<p>Antecedentes: HAS.<\/p>\n<p>Ao exame f\u00edsico:<\/p>\n<p>Estado geral bom, corado. PA: 130&#215;70, FC:110bpm.<\/p>\n<p>Abdome: inocente. DB negativo. RHA +.<\/p>\n<p>\u00daltima colonoscopia h\u00e1 1 ano com pancolite em atividade moderada \u2013 MAYO 2.<\/p>\n<p>Realizada nova colonoscopia de controle com presen\u00e7a de enantema e microeros\u00f5es recobertas por fibrina em c\u00f3lon ascendente intercaladas por \u00e1reas de mucosa cicatrizada em c\u00f3lon transverso, descendente e reto. Destaca-se em c\u00f3lon descendente uma les\u00e3o plano-elevada de crescimento lateral (LST), granular, forma nodular mista melhor delimitada ap\u00f3s cromoscopia com \u00edndigo Carmin medindo aproximadamente 30mm na maior extens\u00e3o.<\/p>\n<div id=\"attachment_9134\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/07\/DII-LST1.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-9134\" class=\"wp-image-9134 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DII-LST1.jpg\" alt=\"\" width=\"300\" height=\"199\" \/><\/a><p id=\"caption-attachment-9134\" class=\"wp-caption-text\">CECO E C\u00d3LON ASCENDENTE PROXIMAL<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_9135\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/07\/DII-LST2.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-9135\" class=\"wp-image-9135 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DII-LST2.jpg\" alt=\"\" width=\"300\" height=\"199\" \/><\/a><p id=\"caption-attachment-9135\" class=\"wp-caption-text\">C\u00d3LON TRANSVERSO<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_9132\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/07\/DII-LST-3.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-9132\" class=\"wp-image-9132 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DII-LST-3.jpg\" alt=\"\" width=\"300\" height=\"199\" \/><\/a><p id=\"caption-attachment-9132\" class=\"wp-caption-text\">C\u00d3LON DESCENDENTE<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_9133\" style=\"width: 310px\" class=\"wp-caption alignnone\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/07\/DII-LST-4.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9133\" class=\"wp-image-9133 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/DII-LST-4.jpg\" alt=\"\" width=\"300\" height=\"199\" \/><\/a><p id=\"caption-attachment-9133\" class=\"wp-caption-text\">C\u00d3LON DESCENDENTE APRESENTANDO LST REAL\u00c7ADA AP\u00d3S CROMOSCOPIA COM \u00cdNDIGO CARMIN<\/p><\/div>\n<p>&nbsp;<\/p>\n<p><code class=\"wpvq-shortcode-quiz\"><\/code><\/p>\n<p>Baseado no SCENIC (Consenso Internacional de Vigil\u00e2ncia e Manejo da displasia da Doen\u00e7a Inflamat\u00f3ria Intestinal) publicado em 2015, alguns conceitos e recomenda\u00e7\u00f5es foram incorporadas no tocante ao manejo de les\u00f5es col\u00f4nicas em um paciente portador de Doen\u00e7a inflamat\u00f3ria intestinal (DII).<\/p>\n<p>O conceito antigo de DALM e ALM, muitas vezes de dif\u00edcil interpreta\u00e7\u00e3o foi abolido e incorporado a Classifica\u00e7\u00e3o de Paris j\u00e1 bem conhecida entre n\u00f3s endoscopistas e de mais f\u00e1cil compreens\u00e3o.<\/p>\n<p>Antes, qualquer les\u00e3o elevada em mucosa previamente inflamada era indica\u00e7\u00e3o formal de colectomia. Atualmente com a melhoria nas tecnologias endosc\u00f3picas tem-se aumentado a visualiza\u00e7\u00e3o de les\u00f5es displ\u00e1sicas que antes eram tidas como invis\u00edveis. Desta forma h\u00e1 possiblidade de tratamento endosc\u00f3pico curativo nas les\u00f5es precoces.<\/p>\n<p>Surgiu ainda um novo conceito de les\u00e3o ressec\u00e1vel endoscopicamente quando:<\/p>\n<p>* Margens bem definidas.<\/p>\n<p>* Ressec\u00e7\u00e3o endosc\u00f3pica completa da les\u00e3o e confirmada com a histologia.<\/p>\n<p>* Bi\u00f3psias das \u00e1reas cincunjacentes \u00e0 les\u00e3o sem displasia.<\/p>\n<p>Quanto ao melhor procedimento ainda n\u00e3o h\u00e1 estudos que comprovem a superioridade da dissec\u00e7\u00e3o submucosa em rela\u00e7\u00e3o \u00e0 mucosectomia. Desta forma, o endoscopista deve escolher a t\u00e9cnica o qual se sinta mais confort\u00e1vel e seguro a realizar.<\/p>\n<p>Refer\u00eancias<\/p>\n<p>SCENIC international consensus statement on surveillance and management of dysplasia in inflammatory bowel disease. Gastrointestinal Endoscopy. 2015; 81(3)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente sexo masculino, 42 anos portador de Colite Ulcerativa (pancolite) h\u00e1 cerca de 15&hellip;<\/p>\n","protected":false},"author":142,"featured_media":3971,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[270],"tipo":[156],"volume":[147],"class_list":["post-3973","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-270","tipo-colonoscopia","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>CASO CLINICO \u2013 DOEN\u00c7A INFLAMAT\u00d3RIA INTESTINAL &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"robots\" content=\"index, follow, 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