{"id":4079,"date":"2020-06-19T09:00:56","date_gmt":"2020-06-19T09:00:56","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/caso-clinico-puncao-ecoguiada-retrograda-por-via-transgastrica\/"},"modified":"2023-03-13T15:48:31","modified_gmt":"2023-03-13T15:48:31","slug":"caso-clinico-puncao-ecoguiada-retrograda-por-via-transgastrica","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-puncao-ecoguiada-retrograda-por-via-transgastrica\/","title":{"rendered":"Caso Cl\u00ednico &#8211; Pun\u00e7\u00e3o Ecoguiada Retr\u00f3grada por via Transg\u00e1strica"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4079\" class=\"elementor elementor-4079\">\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-1aa5cf6f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1aa5cf6f\" 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-176da339\" data-id=\"176da339\" 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-61686968 elementor-widget elementor-widget-text-editor\" data-id=\"61686968\" 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<h5>Caso Cl\u00ednico<\/h5>\nA pun\u00e7\u00e3o aspirativa por ecoendoscopia \u00e9 um\u00a0procedimento seguro e eficaz para o diagn\u00f3stico citopatol\u00f3gico de les\u00f5es\nmediastinais.\n\nApresentamos caso pun\u00e7\u00e3o aspirativa ecoguiada que foi foi realizada de forma retr\u00f3grada atrav\u00e9s de uma gastrostomia,\ndevido \u00e0 abertura bucal limitada por trismo.\n\nPaciente masculino, 42 anos, com CEC de orofar\u00edngeo que apresentou resposta parcial\u00a0\u00e0 quimio-radioterapia e, portanto,\nestava sendo avaliado para cirurgia. A\u00a0PET-CT mostrou les\u00e3o mediastinal hipermetab\u00f3lica. No planejamento oncol\u00f3gico\ndeste paciente, se a les\u00e3o mediastinal fosse um foco metast\u00e1tico, a cirurgia estaria contra-indicada. A tentativa\ninicial\u00a0de pun\u00e7\u00e3o por ecoendoscopia\u00a0falhou pois o aparelho de ecoendoscopia n\u00e3o p\u00f4de ser passado atrav\u00e9s da boca devido\nao trismo induzido por radia\u00e7\u00e3o.\n\nAp\u00f3s discuss\u00e3o multidisciplinar, procedeu-se \u00e0 pun\u00e7\u00e3o ecoguiada retr\u00f3grada da massa mediastinal atrav\u00e9s da gastrostomia\npreexistente (v\u00eddeo ap\u00f3s o texto).\nO procedimento foi realizado sob anestesia geral. A sonda de gastrostomia existente foi removida e substitu\u00eddo por um\ntrocarte laparosc\u00f3pico de 15 mm ap\u00f3s dilata\u00e7\u00e3o em s\u00e9rie do trato de gastrostomia. Um gastrosc\u00f3pio padr\u00e3o foi passado\natrav\u00e9s do trocarte e dois clips foram colocados na c\u00e1rdia para ajudar na identifica\u00e7\u00e3o da transi\u00e7\u00e3o esofagog\u00e1strica\n(TEG) durante a passagem do ecoendosc\u00f3pio. Um ecoendosc\u00f3pio radial (GF-UE160-AL5, Olympus, T\u00f3quio, Jap\u00e3o) foi inserido\natrav\u00e9s do trocarte e avan\u00e7ado de forma retr\u00f3grada atrav\u00e9s da TEG at\u00e9 a visualiza\u00e7\u00e3o ultrassonogr\u00e1fica da massa\nmediastinal (Figura 1). O ecoendosc\u00f3pio radial foi ent\u00e3o trocado por um ecoendosc\u00f3pio linear (UC140P-AL5, Olympus,\nT\u00f3quio, Jap\u00e3o) para realiza\u00e7\u00e3o da pun\u00e7\u00e3o aspirativa ecoguiada. Foram realizadas duas passagens com uma agulha de 22G,\ncom\u00a0diagn\u00f3stico citopatol\u00f3gico em sala (ROSE) de carcinoma (Figura 2). O ecoendosc\u00f3pio linear e o trocarte foram\nremovidos e uma sonda de gastrostomia balonada foi colocada. A patologia final confirmou a met\u00e1stase do CEC. O paciente\nrecebeu alta no mesmo dia sem complica\u00e7\u00f5es e iniciou a imunoterapia paliativa posteriormente.\n\n<a\n    href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Representative-image-from-the-video.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\"\n        class=\"size-full wp-image-11070\"\n        src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Representative-image-from-the-video.jpg\"\n        alt=\"\" width=\"828\" height=\"248\" \/><\/a> Passagem transg\u00e1strica do ecoendosc\u00f3pio radial.\n\n<a\n    href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Retrograde-eus-fna-figure2.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\"\n        class=\"size-full wp-image-11071\"\n        src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Retrograde-eus-fna-figure2.jpg\" alt=\"\"\n        width=\"788\" height=\"251\" \/><\/a> Pun\u00e7\u00e3o ecoguiada retr\u00f3grada por via transg\u00e1strica.\n\n<div style=\"position:relative;padding-top:56.25%;\"><iframe id=\"panda-1398db77-6321-4f5b-af13-4c04e24d8e26\"\n        src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=1398db77-6321-4f5b-af13-4c04e24d8e26\"\n        style=\"border:none;position:absolute;top:0;left:0;\"\n        allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\"\n        height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n&nbsp;\n\nLink na refer\u00eancia abaixo:\n\n<a href=\"https:\/\/www.thieme-connect.com\/products\/ejournals\/abstract\/10.1055\/s-0043-109425\" target=\"_blank\"\n    rel=\"noopener noreferrer\"><span class=\"authors-list-item \">Matheus C Franco<sup class=\"affiliation-links\"><span\n                class=\"author-sup-separator\">\u00a0<\/span><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span\n        class=\"authors-list-item \">Andrew T Strong<sup class=\"affiliation-links\"><span\n                class=\"author-sup-separator\">\u00a0<\/span><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span\n        class=\"authors-list-item \">Prabhleen Chahal<sup class=\"affiliation-links\"><span\n                class=\"author-sup-separator\">\u00a0<\/span><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span\n        class=\"authors-list-item \">Joseph Veniero<sup class=\"affiliation-links\"><span\n                class=\"author-sup-separator\">\u00a0<\/span><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span\n        class=\"authors-list-item \">Brian Burkey<sup class=\"affiliation-links\"><span\n                class=\"author-sup-separator\">\u00a0<\/span><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span\n        class=\"authors-list-item \">John J Vargo<sup class=\"affiliation-links\"><span\n                class=\"author-sup-separator\">\u00a0<\/span><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span\n        class=\"authors-list-item \">Amit Bhatt<span style=\"font-size: 12px;\">.\u00a0\u00a0<\/span><\/span>Transgastric Retrograde\n    Endoscopic Ultrasound Sampling of a Mediastinal Mass in a Patient With Radiation-Induced Trismus.\u00a0Endoscopy 2017;\n    49(07): E177-E178.<\/a>\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>Caso Cl\u00ednico A pun\u00e7\u00e3o aspirativa por ecoendoscopia \u00e9 um\u00a0procedimento seguro e eficaz para o&hellip;<\/p>\n","protected":false},"author":3495,"featured_media":4080,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[146],"tipo":[154],"volume":[263],"class_list":["post-4079","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-146","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>Caso Cl\u00ednico - Pun\u00e7\u00e3o Ecoguiada Retr\u00f3grada por via Transg\u00e1strica &#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-puncao-ecoguiada-retrograda-por-via-transgastrica\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Caso Cl\u00ednico - Pun\u00e7\u00e3o Ecoguiada Retr\u00f3grada por via Transg\u00e1strica\" \/>\n<meta property=\"og:description\" content=\"Caso Cl\u00ednico A pun\u00e7\u00e3o aspirativa por ecoendoscopia \u00e9 um\u00a0procedimento seguro e eficaz para o diagn\u00f3stico citopatol\u00f3gico de les\u00f5es mediastinais.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-puncao-ecoguiada-retrograda-por-via-transgastrica\/\" \/>\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=\"2020-06-19T09:00:56+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-03-13T15:48:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/06\/eus-destacada.png\" \/>\n\t<meta property=\"og:image:width\" content=\"675\" \/>\n\t<meta property=\"og:image:height\" content=\"431\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Matheus Franco\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Matheus Franco\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 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-puncao-ecoguiada-retrograda-por-via-transgastrica\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-puncao-ecoguiada-retrograda-por-via-transgastrica\/\"},\"author\":{\"name\":\"Matheus Franco\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/947335f432588c41571b5d1563880b48\"},\"headline\":\"Caso Cl\u00ednico &#8211; 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