{"id":4447,"date":"2017-04-17T09:00:58","date_gmt":"2017-04-17T09:00:58","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/endoscopia-bariatrica\/"},"modified":"2021-09-21T19:39:57","modified_gmt":"2021-09-21T19:39:57","slug":"endoscopia-bariatrica","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/endoscopia-bariatrica\/","title":{"rendered":"Endoscopia digestiva alta pr\u00e9 cirurgia bari\u00e1trica \u00e9 mandat\u00f3ria ?"},"content":{"rendered":"<p>&#8216;- A obesidade representa importante fator de risco para diversas doen\u00e7as do trato gastrointestinal: Doen\u00e7a do Refluxo Gastroesof\u00e1gico (DRGE), h\u00e9rnia hiatal, es\u00f4fago de Barrett, Doen\u00e7a Hep\u00e1tica Gordurosa N\u00e3o-Alco\u00f3lica, cirrose hep\u00e1tica e carcinoma hepatocelular, entre outras.<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; A cirurgia bari\u00e1trica em pacientes apropriadamente selecionados resulta em perda de peso significativa e duradoura, assim como na resolu\u00e7\u00e3o ou melhora das comorbidades relacionadas;<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>PORQUE REALIZAR<\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&#8211; M\u00faltiplos estudos publicados t\u00eam demonstrado que endoscopia de rotina antes da cirurgia pode identificar uma variedade de condi\u00e7\u00f5es &#8211; incluindo h\u00e9rnia hiatal, esofagite, es\u00f4fago de Barrett, \u00falceras e tumores &#8211; que poderiam alterar o planejamento cir\u00fargico;<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; Embora a maioria dos pacientes com anormalidades nesses estudos fosse assintom\u00e1tica, os achados endosc\u00f3picos resultaram em altera\u00e7\u00e3o da abordagem cir\u00fargica ou adiamento da cirurgia de 1% a 9% dos pacientes;<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; Segundo a ASGE, pacientes com sintomas de DRGE, como queima\u00e7\u00e3o retroesternal, regurgita\u00e7\u00e3o, disfagia ou outros sintomas p\u00f3s-prandiais que sugiram alguma patologia do trato gastrointestinal e\/ou quem faz uso cr\u00f4nico de anti-secretores devem ser submetidos a endoscopia digestiva alta antes da cirurgia bari\u00e1trica;<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; Lembrando ainda que guidelines atuais recomendam endoscopia digestiva alta para todos os pacientes com sintomas disp\u00e9pticos, independente se ir\u00e3o se submeter a cirurgia ou n\u00e3o.<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; O guideline da European Association for Endoscopic Surgery orienta que a endoscopia \u00e9 aconselh\u00e1vel para todos os pacientes que ser\u00e3o submetidos a procedimentos bari\u00e1tricos e recomendam fortemente para os que ser\u00e3o submetidos a Bypass G\u00e1strico em Y de Roux;<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>PORQUE N\u00c3O REALIZAR<\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&#8211; Mesmo com esses estudos, o valor da endoscopia de rotina antes da cirurgia bari\u00e1trica em pacientes assintom\u00e1ticos, como rastreamento, permanece controverso. Considerando a relativa fraca correla\u00e7\u00e3o entre a maioria das les\u00f5es descobertas nas endoscopias de rastreamento com sintomas, o custo do procedimento, o fato de ser invasivo e o incentivo a avalia\u00e7\u00f5es secund\u00e1rias desnecess\u00e1rias por achados irrelevantes, muitos autores advogam por n\u00e3o realizar endoscopia em pacientes assintom\u00e1ticos;<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; Al\u00e9m disso, o risco da seda\u00e7\u00e3o em pacientes obesos m\u00f3rbidos \u00e9 maior devido a maior incid\u00eancia de DPOC, apneia obstrutiva do sono, hipertens\u00e3o pulmonar e doen\u00e7as card\u00edacas. Portanto \u00e9 de extrema import\u00e2ncia que procedimentos endosc\u00f3picos neste grupo de pacientes sejam realizados em locais seguros, com um time de anestesistas bem treinado nas complica\u00e7\u00f5es que estes pacientes apresentam;<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>PESQUISA E TRATAMENTO DO H.PYLORI PR\u00c9-CIRURGIA<\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&#8211; Existem dados conflitantes sobre pesquisar e tratar o H.pylori antes da cirurgia bari\u00e1trica, com rela\u00e7\u00e3o aos resultados cir\u00fargicos, e estudos adicionais s\u00e3o necess\u00e1rios;<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; Um estudo com 422 pacientes submetidos a Bypass G\u00e1strico em Y de Roux por laparoscopia demonstrou que a presen\u00e7a do H.pylori n\u00e3o estava associado ao aumento do risco de \u00falcera marginal ou gastrite do pouch;<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; Outro estudo envolvendo 682 pacientes submetidos a gastrectomia vertical laparosc\u00f3pica falhou em demostrar associa\u00e7\u00e3o entre status do H.pylori e eventos adversos no p\u00f3s-operat\u00f3rio. Portanto, segundo a ASGE, pesquisa e erradica\u00e7\u00e3o do H.pylori antes da cirurgia bari\u00e1trica deve ser individualizada;<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; Por\u00e9m deve ser lembrado que a erradica\u00e7\u00e3o do H.pylori \u00e9 considerada como tratamento de primeira linha para sintomas disp\u00e9pticos, mesmo antes da investiga\u00e7\u00e3o endosc\u00f3pica. Atualmente, a inten\u00e7\u00e3o do tratamento \u00e9 evitar o surgimento de altera\u00e7\u00f5es pr\u00e9-neopl\u00e1sicas (gastrite atr\u00f3fica e\/ou metaplasia intestinal). Considerando que os esquemas antibi\u00f3ticos atuais erradicam a bact\u00e9ria em cerca de 75% dos casos, \u00e9 fortemente sugerido que se deve confirmar a erradica\u00e7\u00e3o.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>POR FIM:<\/strong><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>&#8211; A ASGE sugere que a decis\u00e3o de realizar endoscopia pr\u00e9-operat\u00f3ria deve ser individualizada em pacientes candidatos \u00e0 cirurgia bari\u00e1trica, ap\u00f3s discuss\u00e3o detalhada com a equipe da cirurgia, levando em considera\u00e7\u00e3o o tipo de cirurgia que ser\u00e1 realizada (especialmente se a t\u00e9cnica deixar\u00e1 o est\u00f4mago excluso).<\/p>\n<p>&nbsp;<\/p>\n<p>&#8211; N\u00e3o h\u00e1 evid\u00eancias cient\u00edficas que comprovem associa\u00e7\u00e3o de H.pylori a complica\u00e7\u00f5es no p\u00f3s-operat\u00f3rio. Por\u00e9m, se for conduta do cirurgi\u00e3o investigar o H.pylori antes da cirurgia bari\u00e1trica, a erradica\u00e7\u00e3oo deve ser confirmada, uma vez que cerca de 25% dos pacientes n\u00e3o conseguir\u00e3o erradicar a bact\u00e9ria com o primeiro tratamento.<\/p>\n<p><strong>Refer\u00eancias:<\/strong><\/p>\n<ol>\n<li>De Palma GD, Forestieri P. World J Gastroenterol. Role of endoscopy in the bariatric surgery of patients 2014 Jun 28; 20(24): 7777\u20137784.<\/li>\n<li>Campos JM, Usuy Jr EN, Silva LB, Galv\u00e3o-Neto M, Passos MCF. Gastroenterologia e Endoscopia Bari\u00e1trica Terap\u00eautica 2017 . 59-62.<\/li>\n<li>ASGE guideline: The role of endoscopy in the bariatric surgery patient. Gastrointestinal Endoscopy. 2015 Volume 81, No. 5: 1063-1072.<\/li>\n<li>Papasavas PK, Gagne DJ, Donnelly PE, et al. Prevalence of Helicobacter pylori infection and value of preoperative testing and treatment in patients undergoing laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis 2008;4:383-8.<\/li>\n<li>Almazeedi S, Al-Sabah S, Alshammari D, et al. The impact of Helicobacter pylori on the complications of lapaoscopic sleeve gastrectomy. Obes Surg 2014;24:412-5.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8216;- A obesidade representa importante fator de risco para diversas doen\u00e7as do trato gastrointestinal:&hellip;<\/p>\n","protected":false},"author":3179,"featured_media":3515,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[276],"tipo":[158],"volume":[263],"class_list":["post-4447","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-276","tipo-endoscopia-bariatrica","volume-volume-i"],"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>Endoscopia digestiva alta pr\u00e9 cirurgia bari\u00e1trica \u00e9 mandat\u00f3ria ? &#8226; Endoscopia 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