{"id":4251,"date":"2015-07-15T10:00:30","date_gmt":"2015-07-15T10:00:30","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/"},"modified":"2024-05-14T23:23:34","modified_gmt":"2024-05-14T23:23:34","slug":"como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/","title":{"rendered":"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal?"},"content":{"rendered":"\n<p>Sabe-se que os indiv\u00edduos portadores de retocolite ulcerativa e doen\u00e7a de Crohn possuem risco aumentado para o surgimento do c\u00e2ncer colorretal (CRC). Al\u00e9m da presen\u00e7a de displasia, os principais fatores conhecidos no desenvolvimento do CRC nesse grupo s\u00e3o a maior dura\u00e7\u00e3o e extens\u00e3o da doen\u00e7a, maior intensidade do processo inflamat\u00f3rio, presen\u00e7a de pseup\u00f3lipos inflamat\u00f3rios, estenoses que dificultam a avalia\u00e7\u00e3o da mucosa, colangite esclerosante prim\u00e1ria concomitante, al\u00e9m da hist\u00f3ria familiar de CRC que pode haver em alguns casos.<\/p>\n\n\n\n<p>Para evitar o surgimento do CRC nos pacientes com doen\u00e7a inflamat\u00f3ria intestinal, diversos protocolos de rastreamento de displasia s\u00e3o propostos, anteriormente com realiza\u00e7\u00e3o de bi\u00f3psias seriadas a cada 10 cm do c\u00f3lon e com um fragmento por quadrante e, mais recentemente, os principais consensos t\u00eam priorizado a realiza\u00e7\u00e3o de bi\u00f3psias guiadas por cromoendoscopia.<\/p>\n\n\n\n<p>Baseando-se nisso, elaboramos a seguir um guia de quando e como realizar cromoscopia no rastreamento de doen\u00e7a inflamat\u00f3ria intestinal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quando-realizar-a-colonoscopia\"><strong>Quando realizar a colonoscopia?<\/strong><\/h2>\n\n\n\n<p>O \u00faltimo consenso da \u201cAmerican Society for Gastrointestinal Endoscopy\u201d abordando o papel da endoscopia na doen\u00e7a inflamat\u00f3ria intestinal, que ser\u00e1 uma das nossas principais fontes de consulta nesse guia, prop\u00f5e em sua \u00faltima publica\u00e7\u00e3o em 2015:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-primeiro-exame\"><em>Primeiro exame:<\/em><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Come\u00e7ar o rastreamento ap\u00f3s 8 anos do in\u00edcio da doen\u00e7a<\/li>\n\n\n\n<li>Preferencialmente em pacientes com doen\u00e7a em remiss\u00e3o<\/li>\n\n\n\n<li>Pacientes com colite ulcerativa com acometimento extenso, ou c\u00f3lon esquerdo<\/li>\n\n\n\n<li>Pacientes com doen\u00e7a de Crohn que envolve pelo menos 1\/3 do c\u00f3lon<\/li>\n\n\n\n<li>Considerar iniciar o rastreamento antes de 8 anos em pacientes com colangite esclerosante ou hist\u00f3ria familiar de CRC em parente de primeiro grau<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-exames-subsequentes\"><em>Exames subsequentes:<\/em><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A cada 1-3 anos<\/li>\n\n\n\n<li>Presen\u00e7a de alguns fatores de risco implicam na necessidade de exames anuais (inflama\u00e7\u00e3o ativa, anormalidades anat\u00f4micas como estenoses e m\u00faltiplos pseudop\u00f3lipos, hist\u00f3ria de displasia, hist\u00f3ria familiar de CRC em parente de primeiro grau, colangite esclerosante prim\u00e1ria)<\/li>\n\n\n\n<li>Pacientes com colonoscopia com remiss\u00e3o endosc\u00f3pica e histol\u00f3gica da doen\u00e7a em 2 ou mais exames de rastreamento podem ter o intervalo entre os exames aumentado<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-fazer\"><strong>Como fazer?<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Utilizar preferencialmente aparelhos com alta defini\u00e7\u00e3o (\u2265 720 pixels)<\/li>\n\n\n\n<li>N\u00e3o h\u00e1 evid\u00eancia atual para o uso de cromoendoscopia \u00f3ptica\/eletr\u00f4nica (NBI, FICE, iScan)<\/li>\n\n\n\n<li>Usar como meios de contraste \u00edndigo c\u00e1rmin ou azul de metileno<\/li>\n\n\n\n<li>Certificar-se que o c\u00f3lon est\u00e1 adequadamente limpo, sem res\u00edduos fecais, sangue, pus ou muco<\/li>\n\n\n\n<li>Ap\u00f3s atingido o ceco inicia-se a cromoscopia<\/li>\n\n\n\n<li>Injeta-se um total de aproximadamente 250 ml de contraste dilu\u00eddo\n<ul class=\"wp-block-list\">\n<li>Indigo carmin 0.03% (10mL da solu\u00e7\u00e3o de 0,8% com 250 ml de \u00e1gua)<\/li>\n\n\n\n<li>Azul de metileno 0.04% (10 ml da solu\u00e7\u00e3o de 1% com 240 ml de \u00e1gua)<\/li>\n\n\n\n<li>Aplicar solu\u00e7\u00e3o circunferencialmente no c\u00f3lon utilizando-se cateter spray ou bomba injetora<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Atentar para \u00e1reas com padr\u00e3o, cor ou n\u00edvel mucoso diferente<\/li>\n\n\n\n<li>Quando uma les\u00e3o suspeita \u00e9 identificada deve-se estudar a \u00e1rea com cerca de 30 ml de uma solu\u00e7\u00e3o mais concentrada do corante\n<ul class=\"wp-block-list\">\n<li>Indigo carmin 0.13% (5mL da solu\u00e7\u00e3o de 0,8% com 25 ml de \u00e1gua)<\/li>\n\n\n\n<li>Azul de metileno 0.2% (10 ml da solu\u00e7\u00e3o de 1% com 40 ml de \u00e1gua)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Fotografar as les\u00f5es<\/li>\n\n\n\n<li>Programar ressec\u00e7\u00f5es quando poss\u00edvel ou bi\u00f3psias<\/li>\n\n\n\n<li>Lembrar de biopsiar \u00e1reas circunjacentes a les\u00e3o para avalia\u00e7\u00e3o de displasia invis\u00edvel<\/li>\n\n\n\n<li>Tatuar se necess\u00e1rio<\/li>\n\n\n\n<li>Mesmo que n\u00e3o sejam encontradas les\u00f5es displ\u00e1sicas, n\u00e3o esquecer de biopsiar cada segmento do c\u00f3lon com pelo menos 2 fragmentos, na avalia\u00e7\u00e3o de atividade histol\u00f3gica de doen\u00e7a<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-classificar-as-lesoes\"><strong>Como classificar as les\u00f5es:<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Displasia vis\u00edvel \u2013 displasia identificada em bi\u00f3psias de uma les\u00e3o visualizada a colonoscopia<\/li>\n\n\n\n<li>P\u00f3lip\u00f3ide \u2013 les\u00e3o protruindo da mucosa dentro do l\u00famen \u2265 5 mm\n<ul class=\"wp-block-list\">\n<li>S\u00e9ssil<\/li>\n\n\n\n<li>Pediculada<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Les\u00e3o n\u00e3o polipoide &#8211; &lt; 2,5 mm ou n\u00e3o protruindo da mucosa\n<ul class=\"wp-block-list\">\n<li>Superficial elevada \u2013 com protrus\u00e3o no l\u00famen &lt; 2,5 mm<\/li>\n\n\n\n<li>Plana<\/li>\n\n\n\n<li>Deprimida<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Descritores gerais\n<ul class=\"wp-block-list\">\n<li>Ulcerada<\/li>\n\n\n\n<li>Borda distinta x n\u00e3o distinta da mucosa adjacente<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Displasia invis\u00edvel \u2013 displasia identificada em bi\u00f3psias seriadas do c\u00f3lon sem les\u00e3o vis\u00edvel<\/li>\n<\/ul>\n\n\n\n<p>Assista esse <a href=\"https:\/\/www.youtube.com\/watch?v=OARkbgwlObI\">v\u00eddeo<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-leitura-recomendada\"><strong>Leitura recomendada:<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Shergill, Amandeep K. et al. The role of endoscopy in inflammatory bowel disease. Gastrointestinal Endoscopy , Volume 81 , Issue 5 , 1101 &#8211; 1121.e13<\/li>\n\n\n\n<li>Laine, LorenEast, James E. et al. SCENIC International Consensus Statement on Surveillance and Management of Dysplasia in Inflammatory Bowel Disease. Gastroenterology , Volume 148 , Issue 3, 639 &#8211; 651.e28<\/li>\n\n\n\n<li>Veja a diretriz do SCENIC International Consensus <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/diretrizes-scenic-consenso-internacional-sobre-o-rastreamento-e-manejo-de-displasia-na-doenca-inflamatoria-intestinal\/\">aqui<\/a> e o consenso da ASGE sobre o papel da endoscopia na doe\u00e7a inflamat\u00f3ria intestinal <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/diretrizes-papel-da-endoscopia-no-manejo-da-doenca-inflamatoria-intestinal\/\">aqui<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Sabe-se que os indiv\u00edduos portadores de retocolite ulcerativa e doen\u00e7a de Crohn possuem risco&hellip;<\/p>\n","protected":false},"author":726,"featured_media":5010,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[282],"tipo":[156],"volume":[147],"class_list":["post-4251","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-282","tipo-colonoscopia","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal? &#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\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal?\" \/>\n<meta property=\"og:description\" content=\"Sabe-se que os indiv\u00edduos portadores de retocolite ulcerativa e doen\u00e7a de Crohn possuem risco aumentado para o surgimento do c\u00e2ncer colorretal (CRC). Al\u00e9m\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/\" \/>\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=\"2015-07-15T10:00:30+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-14T23:23:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/07\/rcu-moderada-grave-2.jpg?v=1628206140\" \/>\n\t<meta property=\"og:image:width\" content=\"640\" \/>\n\t<meta property=\"og:image:height\" content=\"480\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Bruno Medrado\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bruno Medrado\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/\"},\"author\":{\"name\":\"Bruno Medrado\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/person\\\/6ad0937894dd92919e48fd4f2dd908e0\"},\"headline\":\"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal?\",\"datePublished\":\"2015-07-15T10:00:30+00:00\",\"dateModified\":\"2024-05-14T23:23:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/\"},\"wordCount\":781,\"commentCount\":5,\"publisher\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2015\\\/07\\\/rcu-moderada-grave-2.jpg?v=1628206140\",\"articleSection\":[\"Assuntos Gerais\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/\",\"name\":\"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal? &#8226; Endoscopia Terapeutica\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2015\\\/07\\\/rcu-moderada-grave-2.jpg?v=1628206140\",\"datePublished\":\"2015-07-15T10:00:30+00:00\",\"dateModified\":\"2024-05-14T23:23:34+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/#primaryimage\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2015\\\/07\\\/rcu-moderada-grave-2.jpg?v=1628206140\",\"contentUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2015\\\/07\\\/rcu-moderada-grave-2.jpg?v=1628206140\",\"width\":640,\"height\":480},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/assuntosgerais\\\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#website\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/\",\"name\":\"Endoscopia Terapeutica\",\"description\":\"O Jornal Endoscopia Terap\u00eautica tem como objetivo compartilhar experi\u00eancias da pr\u00e1tica di\u00e1ria, al\u00e9m de prover atualiza\u00e7\u00f5es e discuss\u00f5es sobre endoscopia digestiva.\",\"publisher\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#organization\",\"name\":\"Endoscopia Terapeutica\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/endter.jpg\",\"contentUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/endter.jpg\",\"width\":720,\"height\":721,\"caption\":\"Endoscopia Terapeutica\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/endoscopiaterapeutica\",\"https:\\\/\\\/www.instagram.com\\\/endoscopy\\\/\",\"https:\\\/\\\/www.youtube.com\\\/@endoscopyonline\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/#\\\/schema\\\/person\\\/6ad0937894dd92919e48fd4f2dd908e0\",\"name\":\"Bruno Medrado\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.com.br\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/bruno_medrado-96x96.jpg\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.com.br\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/bruno_medrado-96x96.jpg\",\"contentUrl\":\"https:\\\/\\\/endoscopiaterapeutica.com.br\\\/wp-content\\\/uploads\\\/2023\\\/10\\\/bruno_medrado-96x96.jpg\",\"caption\":\"Bruno Medrado\"},\"description\":\"- M\u00e9dico Assistente do Servi\u00e7o de Endoscopia e preceptor da resid\u00eancia m\u00e9dica de Gastroenterologia do Hospital Universit\u00e1rio Professor Edgard Santos - Universidade Federal da Bahia (HUPES- UFBA) - Especialista em Gastroenterologia, e Endoscopia Digestiva Avan\u00e7ada pelo HC- FMUSP; - Ex-Presidente da SOBED-BA 2020\\\/2022; - Coordenador M\u00e9dico do Servi\u00e7o de Endoscopia do Hospital Alian\u00e7a Star \u2013 Rede D\u2019or S\u00e3o Luiz \u2013 Salvador, BA.\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/author\\\/bruno_medrado\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal? &#8226; Endoscopia Terapeutica","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/","og_locale":"pt_BR","og_type":"article","og_title":"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal?","og_description":"Sabe-se que os indiv\u00edduos portadores de retocolite ulcerativa e doen\u00e7a de Crohn possuem risco aumentado para o surgimento do c\u00e2ncer colorretal (CRC). Al\u00e9m","og_url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/","og_site_name":"Endoscopia Terapeutica","article_publisher":"https:\/\/www.facebook.com\/endoscopiaterapeutica","article_published_time":"2015-07-15T10:00:30+00:00","article_modified_time":"2024-05-14T23:23:34+00:00","og_image":[{"width":640,"height":480,"url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/07\/rcu-moderada-grave-2.jpg?v=1628206140","type":"image\/jpeg"}],"author":"Bruno Medrado","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Bruno Medrado","Est. tempo de leitura":"4 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/#article","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/"},"author":{"name":"Bruno Medrado","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/6ad0937894dd92919e48fd4f2dd908e0"},"headline":"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal?","datePublished":"2015-07-15T10:00:30+00:00","dateModified":"2024-05-14T23:23:34+00:00","mainEntityOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/"},"wordCount":781,"commentCount":5,"publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/07\/rcu-moderada-grave-2.jpg?v=1628206140","articleSection":["Assuntos Gerais"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/","url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/","name":"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal? &#8226; Endoscopia Terapeutica","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/#primaryimage"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/07\/rcu-moderada-grave-2.jpg?v=1628206140","datePublished":"2015-07-15T10:00:30+00:00","dateModified":"2024-05-14T23:23:34+00:00","breadcrumb":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/#primaryimage","url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/07\/rcu-moderada-grave-2.jpg?v=1628206140","contentUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/07\/rcu-moderada-grave-2.jpg?v=1628206140","width":640,"height":480},{"@type":"BreadcrumbList","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/como-realizar-cromoscopia-no-rastreamento-de-displasia-em-casos-de-doenca-inflamatoria-intestinal\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/endoscopiaterapeutica.net\/pt\/"},{"@type":"ListItem","position":2,"name":"Como realizar cromoscopia no rastreamento de displasia em casos de doen\u00e7a inflamat\u00f3ria intestinal?"}]},{"@type":"WebSite","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#website","url":"https:\/\/endoscopiaterapeutica.net\/pt\/","name":"Endoscopia Terapeutica","description":"O Jornal Endoscopia Terap\u00eautica tem como objetivo compartilhar experi\u00eancias da pr\u00e1tica di\u00e1ria, al\u00e9m de prover atualiza\u00e7\u00f5es e discuss\u00f5es sobre endoscopia digestiva.","publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/endoscopiaterapeutica.net\/pt\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization","name":"Endoscopia Terapeutica","url":"https:\/\/endoscopiaterapeutica.net\/pt\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/logo\/image\/","url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/09\/endter.jpg","contentUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/09\/endter.jpg","width":720,"height":721,"caption":"Endoscopia Terapeutica"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/endoscopiaterapeutica","https:\/\/www.instagram.com\/endoscopy\/","https:\/\/www.youtube.com\/@endoscopyonline"]},{"@type":"Person","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/6ad0937894dd92919e48fd4f2dd908e0","name":"Bruno Medrado","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.com.br\/wp-content\/uploads\/2023\/10\/bruno_medrado-96x96.jpg","url":"https:\/\/endoscopiaterapeutica.com.br\/wp-content\/uploads\/2023\/10\/bruno_medrado-96x96.jpg","contentUrl":"https:\/\/endoscopiaterapeutica.com.br\/wp-content\/uploads\/2023\/10\/bruno_medrado-96x96.jpg","caption":"Bruno Medrado"},"description":"- M\u00e9dico Assistente do Servi\u00e7o de Endoscopia e preceptor da resid\u00eancia m\u00e9dica de Gastroenterologia do Hospital Universit\u00e1rio Professor Edgard Santos - Universidade Federal da Bahia (HUPES- UFBA) - Especialista em Gastroenterologia, e Endoscopia Digestiva Avan\u00e7ada pelo HC- FMUSP; - Ex-Presidente da SOBED-BA 2020\/2022; - Coordenador M\u00e9dico do Servi\u00e7o de Endoscopia do Hospital Alian\u00e7a Star \u2013 Rede D\u2019or S\u00e3o Luiz \u2013 Salvador, BA.","url":"https:\/\/endoscopiaterapeutica.net\/pt\/author\/bruno_medrado\/"}]}},"_links":{"self":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4251","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/users\/726"}],"replies":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/comments?post=4251"}],"version-history":[{"count":4,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4251\/revisions"}],"predecessor-version":[{"id":18690,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4251\/revisions\/18690"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media\/5010"}],"wp:attachment":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media?parent=4251"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/categories?post=4251"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tags?post=4251"},{"taxonomy":"ano","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/ano?post=4251"},{"taxonomy":"tipo","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tipo?post=4251"},{"taxonomy":"volume","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/volume?post=4251"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}