{"id":4149,"date":"2021-04-02T09:00:37","date_gmt":"2021-04-02T09:00:37","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/caso-clinico-tratamento-endoscopico-da-hemorragia-digestiva-nao-varicosa\/"},"modified":"2021-09-16T15:22:12","modified_gmt":"2021-09-16T15:22:12","slug":"caso-clinico-tratamento-endoscopico-da-hemorragia-digestiva-nao-varicosa","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-tratamento-endoscopico-da-hemorragia-digestiva-nao-varicosa\/","title":{"rendered":"Caso cl\u00ednico: tratamento endosc\u00f3pico da hemorragia digestiva n\u00e3o varicosa"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Autores:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rafael William Noda<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Guilherme Gomes<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Thienes Maria Costa Lima<\/span><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Autores.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-13703 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Autores.png\" alt=\"\" width=\"720\" height=\"892\" \/><\/a><\/p>\n<p><span style=\"font-weight: 400;\">Paciente feminino, 78 anos, entrada no PS com melena h\u00e1 4 dias e sinais de choque hipovol\u00eamico (PA 110\/50 e 110 bpm, palidez cut\u00e2nea mucosa). Em uso, h\u00e1 10 dias, de AINEs por tratamento dent\u00e1rio.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Comorbidades \u2013 HAS e DM sem uso de antiagregantes ou anticoagulantes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Admitida em UTI para reanima\u00e7\u00e3o e realizada EDA 12 horas ap\u00f3s a admiss\u00e3o.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Realizada <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/quantas-endoscopias-digestivas-altas-qualificadas-podem-ser-realizadas-em-6h\/\"><span style=\"font-weight: 400;\">EDA<\/span><\/a><span style=\"font-weight: 400;\"> no setor de endoscopia com a paciente est\u00e1vel e sem IOT.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Revelou <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-tratar-ulcera-peptica-hemorragia\/#:~:text=A%20grande%20aplica%C3%A7%C3%A3o%20%C3%A9%20para,aplica%C3%A7%C3%A3o%20tamb%C3%A9m%20no%20sangramento%20varicoso.\"><span style=\"font-weight: 400;\">\u00falcera<\/span><\/a><span style=\"font-weight: 400;\"> duodenal rasa em atividade com vaso vis\u00edvel e sangramento ativo em porejamento (Classifica\u00e7\u00e3o de Forrest \u2013 IB).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Realizadas inje\u00e7\u00e3o de 8 ml de solu\u00e7\u00e3o de adrenalina com glicose 50% (1:10000) e coloca\u00e7\u00e3o de dois clipes com parada do sangramento.<\/span><\/p>\n<div  id=\"_ytid_80152\"  width=\"600\" height=\"300\"  data-origwidth=\"600\" data-origheight=\"300\" data-facadesrc=\"https:\/\/www.youtube.com\/embed\/cOFSfKN70uM?enablejsapi=1&#038;autoplay=0&#038;cc_load_policy=0&#038;cc_lang_pref=&#038;iv_load_policy=1&#038;loop=0&#038;rel=1&#038;fs=1&#038;playsinline=0&#038;autohide=2&#038;theme=dark&#038;color=red&#038;controls=1&#038;disablekb=0&#038;\" class=\"__youtube_prefs__ epyt-facade epyt-is-override  no-lazyload\" data-epautoplay=\"1\" ><img decoding=\"async\" data-spai-excluded=\"true\" class=\"epyt-facade-poster skip-lazy\" loading=\"lazy\"  alt=\"YouTube player\"  src=\"https:\/\/i.ytimg.com\/vi\/cOFSfKN70uM\/maxresdefault.jpg\"  \/><button class=\"epyt-facade-play\" aria-label=\"Play\"><svg data-no-lazy=\"1\" height=\"100%\" version=\"1.1\" viewBox=\"0 0 68 48\" width=\"100%\"><path class=\"ytp-large-play-button-bg\" d=\"M66.52,7.74c-0.78-2.93-2.49-5.41-5.42-6.19C55.79,.13,34,0,34,0S12.21,.13,6.9,1.55 C3.97,2.33,2.27,4.81,1.48,7.74C0.06,13.05,0,24,0,24s0.06,10.95,1.48,16.26c0.78,2.93,2.49,5.41,5.42,6.19 C12.21,47.87,34,48,34,48s21.79-0.13,27.1-1.55c2.93-0.78,4.64-3.26,5.42-6.19C67.94,34.95,68,24,68,24S67.94,13.05,66.52,7.74z\" fill=\"#f00\"><\/path><path d=\"M 45,24 27,14 27,34\" fill=\"#fff\"><\/path><\/svg><\/button><\/div>\n<p><span style=\"font-weight: 400;\">Paciente evolui est\u00e1vel sem sinais de novo sangramento e realizou EDA 4 dias ap\u00f3s para avalia\u00e7\u00e3o de todo o est\u00f4mago antes da alta (no 1\u00ba exame, o est\u00f4mago estava com co\u00e1gulo) \u2013 clipes bem posicionados e sem estigmas de sangramento ativo ou recente.<\/span><\/p>\n<div id=\"attachment_13704\" style=\"width: 645px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/tratamento-endoscoCC81pico-da-hemorragia-digestiva-naCC83o-varicosa.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-13704\" class=\"wp-image-13704 size-full\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/tratamento-endoscoCC81pico-da-hemorragia-digestiva-naCC83o-varicosa.png\" alt=\"\" width=\"635\" height=\"460\" \/><\/a><p id=\"caption-attachment-13704\" class=\"wp-caption-text\">Legenda: clipes bem posicionados no bulbo duodenal, sem sinais de ressangramento.<\/p><\/div>\n<h2>Tool Box<\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Agulha Interject 23 g \u2013 Boston<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Clipes Resolution 360 \u2013 Boston<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gastrosc\u00f3pio EG 500 \u2013 Sonoscape<\/span><\/li>\n<\/ul>\n<h2>Guideline 2021 da ESGE recomenda<\/h2>\n<p><span style=\"font-weight: 400;\">O uso do Glasgow \u2013 Blatchford Score (GBS) para estratifica\u00e7\u00e3o de risco antes da endoscopia (se o Score &lt;= 1, pode realizar endoscopia ambulatorial).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Endoscopia em at\u00e9 24 horas ap\u00f3s medidas de reanima\u00e7\u00e3o (n\u00e3o recomenda antes de 12 horas).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Infus\u00e3o de IBP EV em bolus (80mg) e depois infus\u00e3o cont\u00ednua de 8mg\/hora por 72 horas ap\u00f3s a endoscopia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Terapia endosc\u00f3pica dupla \u2013 inje\u00e7\u00e3o de adrenalina associada a m\u00e9todo t\u00e9rmico ou mec\u00e2nico.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pacientes em uso de anticoagulantes, preferencialmente, iniciar o seu uso novamente s\u00f3 ap\u00f3s 7 dias do evento hemorr\u00e1gico;<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Em pacientes com sangramento refrat\u00e1rio aos m\u00e9todos endosc\u00f3picos tradicionais pode ser considerado o uso de agentes t\u00f3picos (hemospray \u2013 Cook) ou clip montado sob cap (Padlock \u2013 Steris).<\/span><\/li>\n<\/ul>\n<h3>Como citar este artigo<\/h3>\n<p><span style=\"font-weight: 400;\">Noda RW, Gomes G, Lima TMC. Caso cl\u00ednico &#8211; tratamento endosc\u00f3pico da hemorragia digestiva n\u00e3o varicosa. Endoscopia Terap\u00eautica; 2021. Dispon\u00edvel em: https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/caso-clinico-tratamento-endoscopico-da-hemorragia-digestiva-nao-varicosa<\/span><\/p>\n<h3>Refer\u00eancias<\/h3>\n<ol>\n<li><span style=\"font-weight: 400;\">Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) Guideline \u2013 Update 2021. Endoscopy 2021; 53: 300\u2013332<\/span><\/li>\n<\/ol>\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\/quizes\/\"><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","protected":false},"excerpt":{"rendered":"<p>Autores: Rafael William Noda Guilherme Gomes Thienes Maria Costa Lima Paciente feminino, 78 anos,&hellip;<\/p>\n","protected":false},"author":4154,"featured_media":4150,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[150],"tags":[],"ano":[262],"tipo":[153],"volume":[263],"class_list":["post-4149","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-casosclinicos","ano-262","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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