{"id":4113,"date":"2020-11-03T09:00:40","date_gmt":"2020-11-03T09:00:40","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/doenca-de-crohn-com-acometimento-esofagico\/"},"modified":"2021-09-17T13:51:07","modified_gmt":"2021-09-17T13:51:07","slug":"doenca-de-crohn-com-acometimento-esofagico","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/doenca-de-crohn-com-acometimento-esofagico\/","title":{"rendered":"Doen\u00e7a de Crohn com acometimento esof\u00e1gico"},"content":{"rendered":"<p>Paciente 18 anos previamente h\u00edgido com quadro de dor epig\u00e1strica intensa h\u00e1 2 meses associado \u00e0 dor para engolir, n\u00e1useas e 3 epis\u00f3dios de v\u00f4mitos na \u00faltima semana. Em uso de omeprazol 40 mg\/d, bromoprida 30 mg\/d com pouca melhora. Nega uso de AINEs. Relata ainda diarreia com cerca de 8 epis\u00f3dios ao dia com muco, sem sangue. Refere perda de 8 kg em 2 meses.<\/p>\n<p><u>Exames laboratoriais<\/u>: Hb: 9,3\/Hto:36%\/ PCR: 29,8\/Ferro:34\/ Sat ferro:14%<\/p>\n<p><u>Tomografia de abdome<\/u> com contraste: normal.<\/p>\n<p>Solicitadas EDA e colonoscopia que seguem abaixo.<\/p>\n<p>&nbsp;<\/p>\n<h2 style=\"text-align: left;\"><strong>ENDOSCOPIA DIGESTIVA ALTA<\/strong><\/h2>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/16000519EN015.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-11793 size-medium\" title=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/16000519EN015.jpg\" alt=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" width=\"300\" height=\"225\" \/><\/a><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/16000519EN026.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone size-medium wp-image-11788\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/16000519EN026.jpg\" alt=\"\" width=\"300\" height=\"225\" \/><\/a><\/p>\n<p><strong><u>EDA<\/u><\/strong>: <span style=\"font-weight: 400;\">Notam-se \u00falceras ovaladas a 30 cm da ADS, algumas confluentes, medindo at\u00e9 20 mm, bordas pouco delimitadas, localizadas em parede lateral direita. Est\u00f4mago e duodeno sem altera\u00e7\u00f5es.<\/span><\/p>\n<p><strong>Anatomopatol\u00f3gico<\/strong>: Esofagite cr\u00f4nica ulcerada. Imunohistoquimica negativa para herpes e CMV.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>COLONOSCOPIA<\/strong><\/h2>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/16000320CL010.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone wp-image-11789 size-medium\" title=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/16000320CL010.jpg\" alt=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" width=\"300\" height=\"225\" \/><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11790 size-medium\" title=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/16000320CL013.jpg\" alt=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" width=\"300\" height=\"225\" \/><\/a><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/16000320CL022.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11791 size-medium\" title=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/16000320CL022.jpg\" alt=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" width=\"300\" height=\"225\" \/><\/a><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/10\/16000320CL024.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-11792 size-medium\" title=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/16000320CL024.jpg\" alt=\"Doen\u00e7a de Crohn com acometimento esof\u00e1gico\" width=\"300\" height=\"225\" \/><\/a><\/p>\n<p><strong><u>Colonoscopia<\/u><\/strong><strong>:\u00a0<\/strong><span style=\"font-weight: 400;\">\u00cdleo terminal normal. Presen\u00e7a de \u00falceras longitudinais e serpiginosas em todo o c\u00f3lon, intercaladas por segmentos de mucosa normal. Aspecto sugestivo de doen\u00e7a de Crohn em atividade \u2013 SES CD : 25.<\/span><\/p>\n<p><strong>Anatomopatol\u00f3gico:\u00a0<\/strong><span style=\"font-weight: 400;\">Colite cr\u00f4nica intensa ulcerada. Imunohistoqu\u00edmica negativa para CMV e herpes.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>Diante dos tais achados, a hip\u00f3tese diagn\u00f3stica mais prov\u00e1vel \u00e9 <strong>Doen\u00e7a de Crohn com acometimento col\u00f4nico e do trato gastrintestinal superior.<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Realizado tratamento medicamentoso com azatioprina 100 mg\/d e infliximabe com boa resposta. Ap\u00f3s 6 meses, apresentou remiss\u00e3o cl\u00ednica e endosc\u00f3pica.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h2><strong><u>Discuss\u00e3o<\/u><\/strong><\/h2>\n<h3><strong><u>Acometimento esof\u00e1gico da doen\u00e7a de Crohn<\/u><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">A doen\u00e7a de Crohn \u00e9 uma doen\u00e7a inflamat\u00f3ria cr\u00f4nica que pode afetar qualquer parte do trato gastrintestinal. O envolvimento esof\u00e1gico da doen\u00e7a de Crohn \u00e9 raro, com preval\u00eancia de 6,8% no adulto e at\u00e9 16% na popula\u00e7\u00e3o pedi\u00e1trica.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Os sintomas s\u00e3o leves e inespec\u00edficos. O envolvimento do trato gastrointestinal superior confere um fen\u00f3tipo da doen\u00e7a mais grave com maior chance de complica\u00e7\u00f5es, tais como obstru\u00e7\u00e3o ou perfura\u00e7\u00e3o.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">O diagn\u00f3stico se d\u00e1 pela endoscopia digestiva alta (EDA), com realiza\u00e7\u00e3o de bi\u00f3psias. As les\u00f5es s\u00e3o mais frequentes no ter\u00e7o distal do es\u00f4fago. Podemos observar enantema, eros\u00f5es, \u00falceras aftoides, enquanto os quadros mais avan\u00e7ados podem evidenciar apar\u00eancia de <\/span><i><span style=\"font-weight: 400;\">cobblestone<\/span><\/i><span style=\"font-weight: 400;\">, estenoses e at\u00e9 f\u00edstulas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A presen\u00e7a de granuloma pode ser vista em at\u00e9 40% dos casos. A histologia pode evidenciar as \u201csquiggle cells\u201d (c\u00e9lulas em rabisco), que s\u00e3o adensamentos de linf\u00f3citos intraepiteliais e que podem ser vistas em outras condi\u00e7\u00f5es, tais como doen\u00e7a cel\u00edaca e DRGE.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Deve-se fazer diagn\u00f3stico diferencial, principalmente com etiologia p\u00e9ptica, medicamentosa, virais (CMV e herpes) e at\u00e9 neopl\u00e1sicas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Alguns pesquisadores prop\u00f5em crit\u00e9rios diagn\u00f3sticos para acometimento proximal da doen\u00e7a de Crohn:<\/span><\/p>\n<ul>\n<li>H<span style=\"font-weight: 400;\">istologia evidenciando granulomas n\u00e3o caseosos com ou sem doen\u00e7a de Crohn ileocol\u00f4nica na aus\u00eancia de doen\u00e7as sist\u00eamicas granulomatosas;<\/span><\/li>\n<\/ul>\n<p><strong>OU<\/strong><\/p>\n<ul>\n<li>E<span style=\"font-weight: 400;\">vid\u00eancia radiol\u00f3gica ou endosc\u00f3pica de inflama\u00e7\u00e3o difusa consistente com Crohn em outra por\u00e7\u00e3o do TGI.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">O tratamento cl\u00ednico consiste no uso de imunossupressores e\/ou terapia biol\u00f3gica. O tratamento endosc\u00f3pico (dilata\u00e7\u00e3o ou pr\u00f3teses) se restringe \u00e0s formas complicadas ou falhadas ao tratamento medicamentoso. A dilata\u00e7\u00e3o esof\u00e1gica endosc\u00f3pica com bal\u00e3o \u00e9 efetiva nas estenoses fibr\u00f3ticas em at\u00e9 80% dos casos, apesar de riscos de perfura\u00e7\u00e3o (0,1 a 0,4%). O tratamento cir\u00fargico \u00e9 indicado para corre\u00e7\u00e3o de f\u00edstulas e estenoses longas.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h6><strong>Como citar este artigo:<\/strong><\/h6>\n<p><em>Carlos A. Doen\u00e7a de Crohn com acometimento esof\u00e1gico. Endoscopia Terap\u00eautica; 2020. Dispon\u00edvel em: https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/doenca-de-crohn-com-acometimento-esofagico\/<br \/>\n<\/em><\/p>\n<p>&nbsp;<\/p>\n<h2><strong><u>Referencias bibliogr\u00e1ficas<\/u><\/strong><\/h2>\n<ol>\n<li>Schwartzberg DM, et al. Crohn&#8217;s Disease of the Esophagus, Duodenum, and Stomach. Clin Colon Rectal Surg.\u00a02019 Jul;32(4):231-242.<\/li>\n<li>Laube R, et al. Oral and upper gastrointestinal Crohn\u2019s disease. Journal of Gastroenterology and Hepatology. 2017. 33(2), 355\u2013364.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Acesse o <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/\"><span style=\"font-weight: 400;\">Endoscopia Terap\u00eautica<\/span><\/a><span style=\"font-weight: 400;\"> para tomar contato com mais <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/artigos-comentados\/\"><span style=\"font-weight: 400;\">artigos comentados<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntos-gerais\/\"><span style=\"font-weight: 400;\">assuntos gerais<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casos-clinicos\/\"><span style=\"font-weight: 400;\">casos cl\u00ednicos<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/\"><span style=\"font-weight: 400;\">quizzes<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacoes\/\"><span style=\"font-weight: 400;\">classifica\u00e7\u00f5es<\/span><\/a><span style=\"font-weight: 400;\"> e mais!<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente 18 anos previamente h\u00edgido com quadro de dor epig\u00e1strica intensa h\u00e1 2 meses&hellip;<\/p>\n","protected":false},"author":142,"featured_media":4108,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[146],"tipo":[],"volume":[147],"class_list":["post-4113","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-146","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - 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