{"id":4338,"date":"2016-04-11T10:00:01","date_gmt":"2016-04-11T10:00:01","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/resseccoes-endoscopicas\/"},"modified":"2023-03-13T17:43:14","modified_gmt":"2023-03-13T17:43:14","slug":"resseccoes-endoscopicas","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/resseccoes-endoscopicas\/","title":{"rendered":"Ressec\u00e7\u00f5es endosc\u00f3picas"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"4338\" class=\"elementor elementor-4338\">\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-4d3c7914 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4d3c7914\" 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-59507e0e\" data-id=\"59507e0e\" 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-4cc4f73a elementor-widget elementor-widget-text-editor\" data-id=\"4cc4f73a\" 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\tO plano terap\u00eautico, a t\u00e9cnica a ser utilizada, os materiais a serem usados e a forma de realiza\u00e7\u00e3o das ressec\u00e7\u00f5es endosc\u00f3picas est\u00e3o diretamente ligados ao tipo de les\u00e3o a ser ressecada.\n\n&nbsp;\n\n<strong>Defini\u00e7\u00f5es das les\u00f5es do trato gastrointestinal<\/strong>\n<ul>\n \t<li>P\u00f3lipos (s\u00e9ssil, subpediculado, pediculado)<\/li>\n \t<li>Les\u00f5es planas (plano-elevadas, planas, plano-deprimidas)<\/li>\n \t<li>Les\u00e3o plana maior que 10 mm de circunfer\u00eancia = Les\u00e3o de crescimento lateral (LST)<\/li>\n<\/ul>\n&nbsp;\n\nVer mais em: <strong><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/classificacao-de-yamada\/\" target=\"_blank\" rel=\"noopener\">Classifica\u00e7\u00e3o de Yamada<\/a><\/strong>\u00a0e <strong><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/classificacao-do-cancer-gastrico-precoce\/\" target=\"_blank\" rel=\"noopener\">Classifica\u00e7\u00e3o Japonesa das les\u00f5es do trato gastrointestinal<\/a><\/strong>\n\n&nbsp;\n\nO primeiro aspecto a ser avaliado antes de uma ressec\u00e7\u00e3o \u00e9 o tamanho da les\u00e3o, sendo que quando menores que 5 mm podem ser ressecadas com pin\u00e7a de bi\u00f3psia. Les\u00f5es de at\u00e9 7 mm, em casos selecionados, podem ser ressecadas com al\u00e7a sem corrente de coagula\u00e7\u00e3o (&#8220;a frio&#8221;). <strong><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/qual-o-melhor-forma-de-resseccao-para-os-polipos-colonicos-subcentimetricos\/\" target=\"_blank\" rel=\"noopener\">Clique aqui para ver mais sobre o assunto<\/a><\/strong>\n\n&nbsp;\n\nLes\u00f5es maiores que 7 mm geralmente s\u00e3o tratadas com corrente de coaguala\u00e7\u00e3o e conforme a caracter\u00edstica de cada les\u00e3o:\n\n&nbsp;\n\n<strong>P\u00f3lipos pediculados<\/strong>\n\nDo ponto de vista terap\u00eautico, os p\u00f3lipos pediculados s\u00e3o tratados com ressec\u00e7\u00e3o com al\u00e7a diat\u00e9rmica. Geralmente usa-se corrente mais de coagula\u00e7\u00e3o do que de corte, solicitando que o auxiliar feche a al\u00e7a com calma e algumas vezes deixando esta fechada por um bom tempo para estrangular o ped\u00edculo e assim prevenir sangramento p\u00f3s-polipectomia.\n\nQuanto maior e mais grosso o ped\u00edculo maior a chance de sangramento e por isto algumas medidas podem ser realizadas, como a utiliza\u00e7\u00e3o somente de corrente de coagula\u00e7\u00e3o, coloca\u00e7\u00e3o de <em>endoloop<\/em> previamente, clipagem com endoclipe antes ou depois da polipectomia e at\u00e9 mesmo a inje\u00e7\u00e3o de solu\u00e7\u00e3o de adrenalina no ped\u00edculo. Todas estas t\u00e9cnicas tem suas vantagens e desvantagens sendo a decis\u00e3o tomada conforme cada situa\u00e7\u00e3o.\n\nA coloca\u00e7\u00e3o de <em>endoloop<\/em> \u00e0s vezes \u00e9\u00a0invi\u00e1vel em p\u00f3lipo muito grande principalmente pelo fato do la\u00e7o ser muito male\u00e1vel o que dificulta a la\u00e7ada. Nestes casos pode-se optar por clipar o ped\u00edculo, antes ou ap\u00f3s a polipectomia. Se for optado pela clipagem pr\u00e9via deve-se ter cuidado para que al\u00e7a n\u00e3o entre em contato com o clipe e assim transmita corrente podendo causar danos ao tecido normal. \u00a0Se a op\u00e7\u00e3o for a clipagem ap\u00f3s ressec\u00e7\u00e3o, o clipe j\u00e1 deve estar montado e rapidamente acess\u00edvel pra uso caso ocorra um sangramento imediatamente ap\u00f3s a ressec\u00e7\u00e3o. Uma op\u00e7\u00e3o para\u00a0evitar, ou ao menos diminuir, o sagramento p\u00f3s-polipectomia \u00e9 a\u00a0inje\u00e7\u00e3o solu\u00e7\u00e3o de adrenalina no ped\u00edculo, e ap\u00f3s a ressec\u00e7\u00e3o pode-se ou n\u00e3o realizar a coloca\u00e7\u00e3o do clipe. Alguns autores argumentam que o efeito da adrenalina na conten\u00e7\u00e3o do sangramento \u00e9 ef\u00eamero, podendo resultar em sangramento tardio e contra-indicam o seu uso isolado como m\u00e9todo de preven\u00e7\u00e3o de sangramento.\n\n&nbsp;\n\n<strong>P\u00f3lipos subpediculados<\/strong>\n\nNos p\u00f3lipos subpediculados a base da les\u00e3o deve ser avaliada. \u00a0Se o componente que forma o &#8220;subpediculo&#8221; tiver a mesma caracter\u00edstica que a les\u00e3o, sugere-se a realiza\u00e7\u00e3o de inje\u00e7\u00e3o submucosa antes da ressec\u00e7\u00e3o. Isto garante que todo o componente adenomatoso ou anormal seja ressecado. Se a base da les\u00e3o tiver a mesma caracter\u00edsca do c\u00f3lon normal a polipectomia simples sem inje\u00e7\u00e3o na submucosa pode ser realizada.\n\n&nbsp;\n\n<strong>Les\u00f5es planas<\/strong>\n\nAs les\u00f5es planas devem ser ressecadas sempre ap\u00f3s a inje\u00e7\u00e3o submucosa de alguma solu\u00e7\u00e3o (mucosectomia), para afastar a les\u00e3o da muscular pr\u00f3pria do \u00f3rg\u00e3o e assim evitar uma perfura\u00e7\u00e3o. Como nas les\u00f5es planas o risco de perfura\u00e7\u00e3o \u00e9 maior do que o de sangramento, geralmente usa-se mais corrente de corte do que de coagula\u00e7\u00e3o. Deve-se sempre que poss\u00edvel tentar a ressec\u00e7\u00e3o da pe\u00e7a em monobloco. Les\u00f5es at\u00e9 2 cm podem ser ressecadas em fragmentos (<em>piecemeal<\/em>). Segundo a classifica\u00e7\u00e3o de Gotoda, les\u00f5es planas maiores que 2 cm n\u00e3o devem ser ressecadas com al\u00e7a, sendo estes casos reservados para dissec\u00e7\u00e3o endosc\u00f3pica da submucosa (ESD).\n\n&nbsp;\n\n&nbsp;\n<h6 style=\"text-align: center;\"><strong>Para a realiza\u00e7\u00e3o de ressec\u00e7\u00f5es com sucesso, al\u00e9m do conhecimento te\u00f3rico e habilidade t\u00e9cnica deve-se possuir e conhecer os instrumentos de trabalho.<\/strong><\/h6>\n&nbsp;\n\n<strong>Eletrocaut\u00e9rio<\/strong>\n<ul>\n \t<li>Dispositivo que usa alta frequ\u00eancia (300-1000Hz) para n\u00e3o estimular os tecidos neuromusculares do organismo.<\/li>\n \t<li>Voltagem \u00e9 a for\u00e7a de \u201cempurrar\u201d a corrente. Corrente pode ser cont\u00ednua ou oscilar.<\/li>\n \t<li>Pot\u00eancia (watts) \u00e9 o trabalho realizado pela corrente el\u00e9trica em um determinado intervalo de tempo. Fixada pelo operador e constante no caut\u00e9rios tradicionais.<\/li>\n \t<li>Corte puro: alta temperatura em curto espa\u00e7o de tempo, com corrente cont\u00ednua, o que leva a explos\u00e3o celular e \u201cefeito corte\u201d.<\/li>\n \t<li>Coagula\u00e7\u00e3o: a corrente oscila, com tempo para o tecido n\u00e3o esquentar t\u00e3o rapidamente, assim desidrata as c\u00e9lulas, produz dano tecidual mais profundo e \u201cefeito coagula\u00e7\u00e3o\u201d.<\/li>\n<\/ul>\n&nbsp;\n\nA passagem da corrente depende:\n<ul>\n \t<li>\u00c1rea de tecido a ser seccionada (maior \u00e1rea = maior voltagem ou maior tempo necess\u00e1rio)<\/li>\n \t<li>Imped\u00e2ncia do tecido (maior imped\u00e2ncia = maior voltagem ou maior tempo necess\u00e1rio)<\/li>\n<\/ul>\n&nbsp;\n\nEletrocaut\u00e9rios que oscilam sua pot\u00eancia conforme a imped\u00e2ncia do tecido s\u00e3o conhecidos como tendo a fun\u00e7\u00e3o <em>endocut<\/em>:\n<ul>\n \t<li>Ajuste \u00e9 feito da pot\u00eancia m\u00e1xima do ciclo que oscila, por isto recomenda-se usar o dobro da pot\u00eancia usada nos eletrocaut\u00e9rios de pot\u00eancia fixa<\/li>\n \t<li>Deve-se manter o pedal pisado constantemente durante todo o procedimento para que o aparelho consiga ir ajustando a pot\u00eancia ideal<\/li>\n<\/ul>\n&nbsp;\n\nVer mais em: \u00a0<strong><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/corte-ou-coagulacao-que-corrente-utilizar\/\" target=\"_blank\" rel=\"noopener\">Corte ou Coagula\u00e7\u00e3o? Que corrente utilizar?<\/a><\/strong>\n\n&nbsp;\n\n<strong>Al\u00e7as de polipectomia<\/strong>\n<ul>\n \t<li>Multifilamentar: al\u00e7a padr\u00e3o, com tamanho e formatos diferentes para cada caso espec\u00edfico.<\/li>\n \t<li>Monofilamentar: al\u00e7a de um \u00fanico filamento r\u00edgido que por isto tem mais for\u00e7a pra pressionar a mucosa e realizar ressec\u00e7\u00f5es mais profundas. Possui tamb\u00e9m um corte muito r\u00e1pido, tipo &#8220;navalha&#8221;, dessa forma\u00a0o auxiliar deve fech\u00e1-la mais lentamente. Usa-se geralmente apenas corrente de coaugula\u00e7\u00e3o tendo em vista que o efeito de corte da-se pela pr\u00f3pria al\u00e7a.<\/li>\n<\/ul>\n&nbsp;\n\n<strong>T\u00e9cnicas de ressec\u00e7\u00e3o profunda<\/strong>\n\nUsadas em casos espec\u00edficos onde \u00e9 necess\u00e1ria a ressec\u00e7\u00e3o da mucosa e da submucosa, geralmente em les\u00f5es que se originam da mucosa profunda, que s\u00e3o denominadas subepiteliais, por\u00e9m n\u00e3o submucosas (ex: tumores neuroend\u00f3crinos, tumor de c\u00e9lulas granulares).\n\nAs tr\u00eas principais t\u00e9cnicas de ressec\u00e7\u00e3o endosc\u00f3pica profunda s\u00e3o:\n<ul>\n \t<li>Ressec\u00e7\u00e3o com al\u00e7a monofilamentar<\/li>\n \t<li>Ligadura el\u00e1stica da les\u00e3o seguida de resse\u00e7\u00e3o com al\u00e7a<\/li>\n \t<li>Dissec\u00e7\u00e3o endosc\u00f3pica da submucosa (ESD). <strong><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/disseccao-endoscopica-submucosa-esd-dicas-para-iniciar-e-aprimorar-a-tecnica\/\" target=\"_blank\" rel=\"noopener\">Clique aqui para ver mais sobre o assunto<\/a><\/strong><\/li>\n<\/ul>\n&nbsp;\n\n&nbsp;\n\n<strong>Ressec\u00e7\u00e3o underwater<\/strong>\n<ul>\n \t<li>Estudos com ecoendoscopia comprovam que\u00a0ap\u00f3s preencher o \u00f3rg\u00e3o com \u00e1gua ocorre um afastamento da mucosa em rela\u00e7\u00e3o a muscular pr\u00f3pria. Assim atrav\u00e9s deste\u00a0m\u00e9todo algumas les\u00f5es podem ser ressecadas com seguran\u00e7a sem a necessidade de inje\u00e7\u00e3o submucosa.<\/li>\n<\/ul>\n&nbsp;\n<h6 style=\"text-align: center;\"><strong>ASSISTA ALGUNS V\u00cdDEOS DE RESSEC\u00c7\u00d5ES ENDOSC\u00d3PICAS<\/strong><\/h6>\n&nbsp;\n\n<strong>Polipectomia com profilaxia prim\u00e1ria com endoloop<\/strong>\n\n<div style=\"position:relative;padding-top:56.20608899297424%;\"><iframe id=\"panda-1e5d14b9-53c8-4bc8-a3b0-7ba210ba7a8e\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=1e5d14b9-53c8-4bc8-a3b0-7ba210ba7a8e\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n[ddownload id=&#8221;4964&#8243;]\n\n&nbsp;\n\n<strong>Mucosectomia<\/strong>\n\n<div style=\"position:relative;padding-top:56.20608899297424%;\"><iframe id=\"panda-ee194c2e-ce2a-4a18-baee-19931a96be86\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=ee194c2e-ce2a-4a18-baee-19931a96be86\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n[ddownload id=&#8221;4963&#8243;]\n\n&nbsp;\n\n<strong>Ressec\u00e7\u00e3o em piecemeal e profilaxia secund\u00e1ria com endoclipe<\/strong>\n\n<div style=\"position:relative;padding-top:56.25%;\"><iframe id=\"panda-dbc8e5c2-6e29-44e2-b145-1ee00cfdf8f1\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=dbc8e5c2-6e29-44e2-b145-1ee00cfdf8f1\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n[ddownload id=&#8221;5577&#8243;]\n\n&nbsp;\n\n&nbsp;\n\n<strong>Ressec\u00e7\u00e3o underwater<\/strong>\n\n<div style=\"position:relative;padding-top:56.20608899297424%;\"><iframe id=\"panda-fedc8f60-5f16-40f7-80eb-caecb503458d\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=fedc8f60-5f16-40f7-80eb-caecb503458d\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n[ddownload id=&#8221;4954&#8243;]\n\n&nbsp;\n\n&nbsp;\n\n<strong>Ressec\u00e7\u00e3o profunda com al\u00e7a monofilamentar<\/strong>\n\n<div style=\"position:relative;padding-top:56.20608899297424%;\"><iframe id=\"panda-8c0b9e10-b340-4b97-a92c-35c6624567a3\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=8c0b9e10-b340-4b97-a92c-35c6624567a3\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n[ddownload id=&#8221;4960&#8243;]\n\n&nbsp;\n\n&nbsp;\n\n<strong>Ressec\u00e7\u00e3o profunda com ligadura<\/strong>\n\n<div style=\"position:relative;padding-top:56.20608899297424%;\"><iframe id=\"panda-8af7f333-8b0b-47e3-b794-dcba3b7aff4a\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=8af7f333-8b0b-47e3-b794-dcba3b7aff4a\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n[ddownload id=&#8221;4957&#8243;]\n\n&nbsp;\n\n&nbsp;\n\n<strong>Ressec\u00e7\u00e3o profunda com al\u00e7a monofilamentar underwater<\/strong>\n\n<div style=\"position:relative;padding-top:56.20608899297424%;\"><iframe id=\"panda-57ba5c2b-1e78-43bb-acdf-9af12000a9e9\" src=\"https:\/\/player-vz-a75e9d45-986.tv.pandavideo.com.br\/embed\/?v=57ba5c2b-1e78-43bb-acdf-9af12000a9e9\" style=\"border:none;position:absolute;top:0;left:0;\" allow=\"accelerometer;gyroscope;autoplay;encrypted-media;picture-in-picture\" allowfullscreen=true width=\"100%\" height=\"100%\" fetchpriority=\"high\"><\/iframe><\/div>\n\n[ddownload id=&#8221;4971&#8243;]\n\n&nbsp;\n\n&nbsp;\n\n&nbsp;\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>O plano terap\u00eautico, a t\u00e9cnica a ser utilizada, os materiais a serem usados e&hellip;<\/p>\n","protected":false},"author":1772,"featured_media":9066,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[281],"tipo":[156,153],"volume":[263],"class_list":["post-4338","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-281","tipo-colonoscopia","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) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Ressec\u00e7\u00f5es endosc\u00f3picas &#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\" 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