{"id":4278,"date":"2015-09-02T10:00:05","date_gmt":"2015-09-02T10:00:05","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/"},"modified":"2022-06-10T12:39:24","modified_gmt":"2022-06-10T12:39:24","slug":"o-uso-de-proteses-metalicas-no-cancer-colorretal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/","title":{"rendered":"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal"},"content":{"rendered":"<p><span style=\"text-decoration: underline;\"><strong>INTRODU\u00c7\u00c3O:<\/strong><\/span><\/p>\n<p>Cerca de 10 a 30% dos pacientes com c\u00e2ncer colorretal (CCR) v\u00e3o apresentar obstru\u00e7\u00e3o col\u00f4nica como apresenta\u00e7\u00e3o inicial.<\/p>\n<p>A obstru\u00e7\u00e3o col\u00f4nica aguda \u00e9 uma condi\u00e7\u00e3o grave que traz risco de vida, e que requer tratamento cir\u00fargico imediato.<\/p>\n<p>Dentre os diversos tratamentos cir\u00fargicos, a cirurgia de Hartmann \u00e9 o procedimento mais comumente realizado.<br \/>\nEntretanto a cirurgia realizada\u00a0em car\u00e1ter de emerg\u00eancia est\u00e1 associada\u00a0a taxa de mortalidade de 10 a 30%, e de morbidade de 10 a 36%.<\/p>\n<p>Esses dados encorajaram o desenvolvimento de procedimentos alternativos, com maior destaque para o uso endosc\u00f3pico de pr\u00f3tese met\u00e1lica auto-expans\u00edvel (PMAE), que\u00a0permite o al\u00edvio tempor\u00e1rio da obstru\u00e7\u00e3o col\u00f4nica\u00a0aguda (ver figuras abaixo).<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_2760\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/08\/protese-liberada.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-2760\" class=\"size-medium wp-image-2760\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/protese-liberada.jpg\" alt=\"Radioscopia exibindo cintura no meio da pr\u00f3tese dada pela estenose tumoral. \" width=\"300\" height=\"291\" \/><\/a><p id=\"caption-attachment-2760\" class=\"wp-caption-text\">Radioscopia exibindo cintura no meio da pr\u00f3tese dada pela estenose tumoral.<\/p><\/div>\n<div id=\"attachment_2756\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/08\/vis\u00e3o-endsocopica.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-2756\" class=\"size-medium wp-image-2756\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/visC3A3o-endsocopica.jpg\" alt=\"Pr\u00f3tese met\u00e1lica em paciente com c\u00e2ncer estenosante de reto.\" width=\"300\" height=\"225\" \/><\/a><p id=\"caption-attachment-2756\" class=\"wp-caption-text\">Pr\u00f3tese met\u00e1lica em paciente com c\u00e2ncer estenosante de reto.<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>A PMAE pode ser utilizada em <strong>2 indica\u00e7\u00f5es<\/strong>:<\/p>\n<ul>\n<li><em>Como ponte para cirugia;<\/em><\/li>\n<li><em>Para palia\u00e7\u00e3o dos sintomas obstrutivos.<\/em><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Como ponte para cirurgia, a PMAE permite que o paciente possa receber um preparo pr\u00e9-operat\u00f3rio adequado do c\u00f3lon, e tamb\u00e9m possibilita converter uma situa\u00e7\u00e3o de emerg\u00eancia em um cen\u00e1rio eletivo. Com esta conduta, diminui-se a necessidade de realiza\u00e7\u00e3o de\u00a0uma ostomia, bem como aumenta a chance de realiza\u00e7\u00e3o de anastomose prim\u00e1ria em um \u00fanico tempo cir\u00fargico.<\/p>\n<p>No tratamento paliativo da CCR irressec\u00e1vel, a PMAE permite a realiza\u00e7\u00e3o de radio e quimioterapia, e em compara\u00e7\u00e3o com a cirurgia est\u00e1 associada a menor tempo\u00a0interna\u00e7\u00e3o hospitalar, al\u00e9m de evitar a realiza\u00e7\u00e3o de ostomias.<\/p>\n<p>As complica\u00e7\u00f5es a curto prazo que podem ocorrer ap\u00f3s a passagem da PMAE incluem\u00a0perfura\u00e7\u00e3o, sangramento, tenesmo, dor e incontin\u00eancia fecal. E a longo prazo as principais s\u00e3o\u00a0reestenose e migra\u00e7\u00e3o.\u00a0Perfura\u00e7\u00e3o intestinal \u00e9 a complica\u00e7\u00e3o mais grave pois\u00a0pode levar a peritonite fecal, podendo ser fatal.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"text-decoration: underline;\">ESTUDO\u00a0DO INSTITUTO DO C\u00c2NCER DO ESTADO DE S\u00c3O PAULO (ICESP):<\/span><\/strong><\/p>\n<p><em><strong>Objetivo<\/strong><\/em><\/p>\n<p>Reportar a experi\u00eancia do ICESP com o uso de PMAE no manejo da obstru\u00e7\u00e3o col\u00f4nica de origem maligna, tanto para a palia\u00e7\u00e3o dos sintomas, como para ponte antes da cirurgia.<\/p>\n<p><em><strong>Metodologia<\/strong><\/em><\/p>\n<p>An\u00e1lise retrospectiva de dados coletados prospectivamente, cm pacientes com obstru\u00e7\u00e3o col\u00f4nica devido CCR submetidos a passagem de PMAE, entre julho de 2010 e Julho de 2014,\u00a0no ICESP.<\/p>\n<p>Sucesso t\u00e9cnico foi definido como a libera\u00e7\u00e3o correta da PMAE atrav\u00e9s da estenose maligna. E o sucesso cl\u00ednico foi definido como a resolu\u00e7\u00e3o dos sintomas de obstru\u00e7\u00e3o dentro das primeiras 72 horas ap\u00f3s passagem da PMAE.<\/p>\n<p><em><strong>Resultados<\/strong><\/em><\/p>\n<p>Foram realizados 42 procedimentos de passagem de PMAE n\u00e3o coberta em 40 pacientes, com mediana de idade de 60.2 anos, e\u00a0predom\u00ednio\u00a0do sexo feminino (52.5%).<\/p>\n<p>A inten\u00e7\u00e3o do tratamento foi palia\u00e7\u00e3o dos sintomas em 21 pacientes (52.5%), e ponte para cirurgia em 19 pacientes (47.5%).<\/p>\n<p>A localiza\u00e7\u00e3o da obstru\u00e7\u00e3o foi mais predominantemente no: reto (30%), jun\u00e7\u00e3o retossigm\u00f3ide (22.5%), descendente\/sigm\u00f3ide (22.5%).<\/p>\n<p>O\u00a0aparelho de colonoscopia de 12.8 mm n\u00e3o pode traspor a estenose em 92.5% dos casos.<\/p>\n<p>A taxa de <strong>sucesso t\u00e9cnico foi de 97.6%<\/strong>, e de <strong>sucesso cl\u00ednico de 88% <\/strong>(ver gr\u00e1fico 1 abaixo):<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_2827\" style=\"width: 263px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/GRAFICO-NOVO-1.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-2827\" class=\"size-medium wp-image-2827\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/GRAFICO-NOVO-1.png\" alt=\"Gr\u00e1fico 1: Taxas de sucesso t\u00e9cnico e cl\u00ednico, ap\u00f3s passagem de pr\u00f3tese em pacientes com CCR.\" width=\"253\" height=\"300\" \/><\/a><p id=\"caption-attachment-2827\" class=\"wp-caption-text\">Gr\u00e1fico 1: Taxas de sucesso t\u00e9cnico e cl\u00ednico, ap\u00f3s passagem de pr\u00f3tese em pacientes com CCR.<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>Dos 5 pacientes que foram submetidos a cirurgia de urg\u00eancia ap\u00f3s tentativa de PMAE sem sucesso, a taxa de cria\u00e7\u00e3o de ostomia foi de 88% e de anastomose prim\u00e1ria de 40%. Em\u00a0compara\u00e7\u00e3o, dos 16 pacientes que receberam PMAE como ponte para cirurgia com sucesso, a taxa de cria\u00e7\u00e3o de ostomia foi 50% e de anastomose prim\u00e1ria de 75%. Ver gr\u00e1fico 2 abaixo:<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_2829\" style=\"width: 262px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/GRAFICO-NOVO-2.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-2829\" class=\"size-medium wp-image-2829\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/GRAFICO-NOVO-2.png\" alt=\"Gr\u00e1fico 2: Taxas de cria\u00e7\u00e3o de ostomia e anastomose prim\u00e1ria, ap\u00f3s passagem de pr\u00f3tese, com e sem sucesso, em pacientes com CCR.\" width=\"252\" height=\"300\" \/><\/a><p id=\"caption-attachment-2829\" class=\"wp-caption-text\">Gr\u00e1fico 2: Taxas de cria\u00e7\u00e3o de ostomia e anastomose prim\u00e1ria, ap\u00f3s passagem de pr\u00f3tese, com e sem sucesso, em pacientes com CCR.<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>A m\u00e9dia de tempo para realiza\u00e7\u00e3o de cirugia foi de 40 dias, e houveram 3 casos (18.7%) de complica\u00e7\u00f5es pela pr\u00f3tese: 2 perfura\u00e7\u00f5es e 1 ingrowth (ver gr\u00e1fico 3).<\/p>\n<p>Dos 21 pacientes que recebram PMAE para palia\u00e7\u00e3o dos sintomas obstrutivos, a taxa de sucesso foi de 91.3%. Quimio e\/ou radioterapia foi realizada em 18 casos (85.7%).\u00a0Durante uma mediana de acompanhamento de 3.12 meses, observaram-se complica\u00e7\u00f5es em 42.1%: 3 migra\u00e7\u00f5es, 2 ingrowth, 1 dor abdominal severa, 1 hematoquezia e 1 perfura\u00e7\u00e3o.\u00a0A maioria desses casos foram manejados conservadoramente ou com uma segunda pr\u00f3tese, e apenas 1 paciente necessitou de cirurgia devido a perfura\u00e7\u00e3o relacionada \u00e0 pr\u00f3tese. Ver gr\u00e1fico 3 abaixo:<\/p>\n<p>&nbsp;<\/p>\n<div id=\"attachment_2830\" style=\"width: 260px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/GRAFICO-NOVO-3.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-2830\" class=\"size-medium wp-image-2830\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/GRAFICO-NOVO-3.png\" alt=\"Gr\u00e1fico 3: Taxas de complica\u00e7\u00f5es, ap\u00f3s passagem de pr\u00f3tese em pacientes com CCR.\" width=\"250\" height=\"300\" \/><\/a><p id=\"caption-attachment-2830\" class=\"wp-caption-text\">Gr\u00e1fico 3: Taxas de complica\u00e7\u00f5es, ap\u00f3s passagem de pr\u00f3tese em pacientes com CCR.<\/p><\/div>\n<p>&nbsp;<\/p>\n<p><em><strong>Conclus\u00e3o<\/strong><\/em><\/p>\n<p>O\u00a0tratamento da obstru\u00e7\u00e3o col\u00f4nica aguda devido ao CCR com PMAE \u00e9 seguro e efetivo. A PMAE evita a cirurgia de emerg\u00eancia,\u00a0pode reduzir a taxa de cria\u00e7\u00e3o de ostomia e permite a realiza\u00e7\u00e3o de tratamento oncol\u00f3gico de forma segura em pacientes com doen\u00e7a disseminada.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancias:<\/strong><\/p>\n<div id=\"S0016-5107(15)01626-0-title\" class=\"title\">Martins BC, Franco MC, Rios JT, Kawaguti FS, Lima MS, Safatle-Ribeiro AV, Sorbello MP, Pennacchi C, Retes FA, Uemura RS, Gusmon CC, Geiger SN, Baba ER, Marques CFS, Ribeiro U, Nahas SC, Maluf-Filho F. Self-Expanding metallic stents for the treatment of malignant colorectal obstruction are effective and safe.\u00a0<span class=\"journalTitleSp\">Gastrointest Endosc. 2015 May;\u00a0<\/span><span class=\"issueVolSp\">81(<\/span><span class=\"issueNumSp\">5):<\/span><span class=\"pageRange\">AB293.<\/span><\/div>\n<p class=\"cit\">Lujan HJ, Barbosa G, Zeichen MS, Mata WN, Maciel V, Plasencia G, Hartmann RF, Viamonte III M, Fogel R. Self-expanding metallic stents for palliation and as a bridge to minimally invasive surgery in colorectal obstruction. JSLS. 2013 Apr-Jun;17(2):204-11.<\/p>\n<p class=\"title\">Repici A, de Paula Pessoa Ferreira D.\u00a0Expandable metal stents for malignant colorectal strictures.\u00a0<span class=\"jrnl\" title=\"Gastrointestinal endoscopy clinics of North America\">Gastrointest Endosc Clin N Am<\/span>. 2011 Jul;21(3):511-33.<\/p>\n<p class=\"cit\">Tan CJ, Dasari BV, Gardiner K. <span class=\"highlight\">Systematic review<\/span> and <span class=\"highlight\">meta-analysis<\/span> of <span class=\"highlight\">randomized clinical trials<\/span> of self-expanding <span class=\"highlight\">metallic<\/span> <span class=\"highlight\">stents<\/span> as a bridge to surgery versus emergency surgery for malignant left-sided large bowel obstruction.\u00a0Br J Surg. 2012 Apr;99(4):469-76.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"auths\">\n","protected":false},"excerpt":{"rendered":"<p>INTRODU\u00c7\u00c3O: Cerca de 10 a 30% dos pacientes com c\u00e2ncer colorretal (CCR) v\u00e3o apresentar&hellip;<\/p>\n","protected":false},"author":3495,"featured_media":5022,"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-4278","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 v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal &#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\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal\" \/>\n<meta property=\"og:description\" content=\"INTRODU\u00c7\u00c3O: Cerca de 10 a 30% dos pacientes com c\u00e2ncer colorretal (CCR) v\u00e3o apresentar obstru\u00e7\u00e3o col\u00f4nica como apresenta\u00e7\u00e3o inicial. A obstru\u00e7\u00e3o col\u00f4nica\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/\" \/>\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=\"2015-09-02T10:00:05+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-10T12:39:24+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png\" \/>\n\t<meta property=\"og:image:width\" content=\"795\" \/>\n\t<meta property=\"og:image:height\" content=\"772\" \/>\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=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/\"},\"author\":{\"name\":\"Matheus Franco\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/947335f432588c41571b5d1563880b48\"},\"headline\":\"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal\",\"datePublished\":\"2015-09-02T10:00:05+00:00\",\"dateModified\":\"2022-06-10T12:39:24+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/\"},\"wordCount\":1032,\"commentCount\":5,\"publisher\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#organization\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png\",\"articleSection\":[\"Assuntos Gerais\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/\",\"name\":\"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal &#8226; Endoscopia Terapeutica\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png\",\"datePublished\":\"2015-09-02T10:00:05+00:00\",\"dateModified\":\"2022-06-10T12:39:24+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#primaryimage\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png\",\"contentUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png\",\"width\":795,\"height\":772},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/endoscopiaterapeutica.net\/pt\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal\"}]},{\"@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\/947335f432588c41571b5d1563880b48\",\"name\":\"Matheus Franco\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/9e9e053b668ebc9c4c9958dca6218ff0d75c2e73a8ee897cd387683f48f42662?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/9e9e053b668ebc9c4c9958dca6218ff0d75c2e73a8ee897cd387683f48f42662?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/9e9e053b668ebc9c4c9958dca6218ff0d75c2e73a8ee897cd387683f48f42662?s=96&d=mm&r=g\",\"caption\":\"Matheus Franco\"},\"description\":\"Advanced Endoscopy Fellowship na Cleveland Clinic, Ohio, EUA. Doutorado em Gastroenterologia pela FMUSP. Mestrado na Escola Paulista de Medicina \u2013 UNIFESP\/EPM. Membro titular da SOBED e FBG.\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/author\/matheus\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal &#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\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/","og_locale":"pt_BR","og_type":"article","og_title":"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal","og_description":"INTRODU\u00c7\u00c3O: Cerca de 10 a 30% dos pacientes com c\u00e2ncer colorretal (CCR) v\u00e3o apresentar obstru\u00e7\u00e3o col\u00f4nica como apresenta\u00e7\u00e3o inicial. A obstru\u00e7\u00e3o col\u00f4nica","og_url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/","og_site_name":"Endoscopia Terapeutica","article_publisher":"https:\/\/www.facebook.com\/endoscopiaterapeutica","article_published_time":"2015-09-02T10:00:05+00:00","article_modified_time":"2022-06-10T12:39:24+00:00","og_image":[{"width":795,"height":772,"url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png","type":"image\/png"}],"author":"Matheus Franco","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Matheus Franco","Est. tempo de leitura":"5 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#article","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/"},"author":{"name":"Matheus Franco","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/947335f432588c41571b5d1563880b48"},"headline":"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal","datePublished":"2015-09-02T10:00:05+00:00","dateModified":"2022-06-10T12:39:24+00:00","mainEntityOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/"},"wordCount":1032,"commentCount":5,"publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png","articleSection":["Assuntos Gerais"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/","url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/","name":"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal &#8226; Endoscopia Terapeutica","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#primaryimage"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png","datePublished":"2015-09-02T10:00:05+00:00","dateModified":"2022-06-10T12:39:24+00:00","breadcrumb":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#primaryimage","url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png","contentUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/09\/imagem-destacada-ccr.png","width":795,"height":772},{"@type":"BreadcrumbList","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/o-uso-de-proteses-metalicas-no-cancer-colorretal\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/endoscopiaterapeutica.net\/pt\/"},{"@type":"ListItem","position":2,"name":"Uso de pr\u00f3tese met\u00e1lica no c\u00e2ncer colorretal"}]},{"@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\/947335f432588c41571b5d1563880b48","name":"Matheus Franco","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/secure.gravatar.com\/avatar\/9e9e053b668ebc9c4c9958dca6218ff0d75c2e73a8ee897cd387683f48f42662?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/9e9e053b668ebc9c4c9958dca6218ff0d75c2e73a8ee897cd387683f48f42662?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/9e9e053b668ebc9c4c9958dca6218ff0d75c2e73a8ee897cd387683f48f42662?s=96&d=mm&r=g","caption":"Matheus Franco"},"description":"Advanced Endoscopy Fellowship na Cleveland Clinic, Ohio, EUA. Doutorado em Gastroenterologia pela FMUSP. Mestrado na Escola Paulista de Medicina \u2013 UNIFESP\/EPM. Membro titular da SOBED e FBG.","url":"https:\/\/endoscopiaterapeutica.net\/pt\/author\/matheus\/"}]}},"_links":{"self":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4278","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\/3495"}],"replies":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/comments?post=4278"}],"version-history":[{"count":3,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4278\/revisions"}],"predecessor-version":[{"id":9434,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4278\/revisions\/9434"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media\/5022"}],"wp:attachment":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media?parent=4278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/categories?post=4278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tags?post=4278"},{"taxonomy":"ano","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/ano?post=4278"},{"taxonomy":"tipo","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tipo?post=4278"},{"taxonomy":"volume","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/volume?post=4278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}