{"id":4453,"date":"2017-05-22T09:00:59","date_gmt":"2017-05-22T09:00:59","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/manometria-esofagica-de-alta-resolucao\/"},"modified":"2022-06-10T12:54:46","modified_gmt":"2022-06-10T12:54:46","slug":"manometria-esofagica-de-alta-resolucao","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/","title":{"rendered":"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago"},"content":{"rendered":"<p>Recentemente, a manometria de alta resolu\u00e7\u00e3o (MAR) tornou-se dispon\u00edvel para a avalia\u00e7\u00e3o da motilidade esof\u00e1gica. O cateter da MAR \u00e9 composto por v\u00e1rios sensores de press\u00e3o estreitamente espa\u00e7ados (\u22641 cm de intervalo nas regi\u00f5es do esf\u00edncter e 1 a 2 cm de intervalo nas regi\u00f5es do corpo esof\u00e1gico), registrando a press\u00e3o esof\u00e1gica sem lacunas significativas dos dados ao longo do comprimento de todo o es\u00f4fago. As press\u00f5es obtidas s\u00e3o representadas graficamente e depois transformadas em imagens espa\u00e7o-temporais das press\u00f5es esof\u00e1gicas codificadas por cores (\u201cClouse plots\u201d) (Fig. 1). A MAR aumentou substancialmente a resolu\u00e7\u00e3o espacial comparada \u00e0 manometria convencional com 8 sensores de press\u00e3o. Al\u00e9m disso, a apresenta\u00e7\u00e3o dos dados manom\u00e9tricos atrav\u00e9s das \u201cClouse plots\u201d revela a anatomia funcional da jun\u00e7\u00e3o esofagog\u00e1strica (JEG) de maneira visualmente intuitiva (Fig. 2).<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/04\/man1.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-medium wp-image-7709\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg\" alt=\"man1\" width=\"300\" height=\"183\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><strong>Figura 1.<\/strong> \u00c0 esquerda, observa-se a disposi\u00e7\u00e3o do cateter de MAR ao longo do comprimento do es\u00f4fago. No centro, nota-se a representa\u00e7\u00e3o gr\u00e1fica das curvas press\u00e3o x tempo. \u00c0 direita, nota-se a representa\u00e7\u00e3o espa\u00e7o-temporal dos tra\u00e7ados da manometria de alta resolu\u00e7\u00e3o codificada por cores (\u201cClouse plots\u201d)<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man2.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone size-full wp-image-7710\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man2.jpg\" alt=\"man2\" width=\"275\" height=\"261\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><strong>Figura 2.<\/strong> Identifica\u00e7\u00e3o dos marcos anat\u00f4micos atrav\u00e9s da MAR: esf\u00edncter superior do es\u00f4fago (ESE), ponto de invers\u00e3o da press\u00e3o (PIP) e esf\u00edncter inferior do es\u00f4fago (EEI)<\/p>\n<p>As principais vantagens da MAR em rela\u00e7\u00e3o \u00e0 manometria convencional s\u00e3o:<\/p>\n<p>&#8211; \u00a0 Permite localiza\u00e7\u00e3o mais f\u00e1cil e imediata de marcos anat\u00f4micos como os esf\u00edncteres superior e inferior;<\/p>\n<p>&#8211; \u00a0 \u00c9 poss\u00edvel aquisi\u00e7\u00e3o simult\u00e2nea de dados referentes ao esf\u00edncter superior, corpo esof\u00e1gico e esf\u00edncter inferior do es\u00f4fago;<\/p>\n<p>&#8211; \u00a0 Proporciona maior conforto ao paciente devido ao tempo reduzido de exame e pela aus\u00eancia de necessidade de tra\u00e7\u00e3o do cateter a cada cent\u00edmetro;<\/p>\n<p>&#8211; \u00a0 N\u00e3o sofre influ\u00eancia de artefatos de movimento.<\/p>\n<p>&#8211; \u00a0Identifica\u00e7\u00e3o de fen\u00f3tipos clinicamente relevantes, como os subtipos de acal\u00e1sia, que possuem respostas terap\u00eauticas distintas. (Fig. 3)<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/04\/man3.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" class=\"alignnone size-medium wp-image-7711\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man3.jpg\" alt=\"man3\" width=\"300\" height=\"121\" \/><\/a><\/p>\n<p style=\"text-align: center;\"><strong>Figura 3.<\/strong> Subtipos de acal\u00e1sia. Em A, tipo I, com aus\u00eancia de contratilidade; em B, tipo II, com panpressuriza\u00e7\u00e3o esof\u00e1gica e, em C, tipo III, com contra\u00e7\u00f5es prematuras. Nos tr\u00eas casos, observa-se preju\u00edzo do relaxamento da JEG.<\/p>\n<p>A avalia\u00e7\u00e3o da peristalse esof\u00e1gica e do relaxamento do esf\u00edncter inferior do es\u00f4fago (EIE) \u00e9 feita atrav\u00e9s da identifica\u00e7\u00e3o de diferentes vari\u00e1veis, conforme proposto pela Classifica\u00e7\u00e3o de Chicago. Este sistema foi desenvolvido para facilitar a interpreta\u00e7\u00e3o dos estudos de alta resolu\u00e7\u00e3o, concomitante \u00e0 ado\u00e7\u00e3o generalizada desta tecnologia para pr\u00e1tica cl\u00ednica. No \u00faltimo ano, o Grupo de Trabalho\u00a0 Internacional em MAR publicou a terceira vers\u00e3o da classifica\u00e7\u00e3o (CC v.3.0). As principais medidas consideradas s\u00e3o demonstradas a seguir (Tab. 1).<\/p>\n<p style=\"text-align: center;\"><strong>Tabela 1.<\/strong> Medidas utilizadas na Classifica\u00e7\u00e3o de Chicago v. 3.0<\/p>\n<p style=\"text-align: center;\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-8470\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/05\/man3-300x141-1.png\" alt=\"\" width=\"300\" height=\"141\" \/><\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/04\/man4.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7636 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man4.png\" alt=\"\" width=\"300\" height=\"66\" \/><\/a><\/p>\n<p>De acordo com os achados manom\u00e9tricos, s\u00e3o inferidos os dist\u00farbios funcionais e os respectivos diagn\u00f3sticos cl\u00ednicos. Esta etapa deve obedecer a um fluxograma hier\u00e1rquico, que classifica as desordens sequencialmente por ordem de prioridade, a saber (Fig. 4):<\/p>\n<p>1) Desordens que obstruem o fluxo da JEG: caracterizadas por IRP acima do limite superior de normalidade. Dividem-se entre os subtipos de acal\u00e1sia (I, II e III) e obstru\u00e7\u00e3o da via de sa\u00edda da JEG.<\/p>\n<p>2) Desordens maiores da peristalse: nunca encontradas em indiv\u00edduos sadios. Compreendem peristalse ausente, espasmo esofageano distal e <em>Jackhammer esophagus.<\/em><\/p>\n<p>3) Desordens menores da peristalse: caracterizadas por preju\u00edzo da depura\u00e7\u00e3o esof\u00e1gica. Incluem a motilidade esof\u00e1gica ineficaz e a peristalse fragmentada.<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/04\/man5.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7637 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man5.png\" alt=\"\" width=\"300\" height=\"230\" \/><\/a><\/p>\n<p class=\"Texto\" style=\"line-height: 150%; text-align: center;\"><span lang=\"PT\" style=\"font-size: 12.0pt; line-height: 150%; font-family: 'Times New Roman';\"><strong>Figura 4.<\/strong> An\u00e1lise hier\u00e1rquica da motilidade esof\u00e1gica: CC v 3.0. As desordens que obstruem o fluxo da JEG est\u00e3o representadas em vermelho, as desordens maiores da peristalse em laranja e as desordens menores da peristalse em amarelo.<\/span><\/p>\n<p style=\"text-align: left;\"><strong>Refer\u00eancias<\/strong><\/p>\n<ol>\n<li>Fox MR, Bredenoord AJ. Oesophageal high-resolution manometry: moving from research into clinical practice. Gut. 2008;57(3):405-23.<\/li>\n<li>Kahrilas PJ, Bredenoord AJ, Fox M, Gyawali CP, Roman S, Smout AJ, Pandolfino JE; International High Resolution Manometry Working Group. The Chicago Classification of esophageal motility disorders, v3.0. Neurogastroenterol Motil. 2015;27(2):160-74.<\/li>\n<li>Bredenoord AJ, Fox M, Kahrilas PJ, Pandolfino JE, Schwizer W, Smout AJ; International High Resolution Manometry Working Group. Chicago classification criteria of esophageal motility disorders defined in high resolution esophageal pressure topography. Neurogastroenterol Motil. 2012;24 Suppl 1:57-65.<\/li>\n<li>Kahrilas PJ, Ghosh SK, Pandolfino JE. Esophageal motility disorders in terms of pressure topography: the Chicago Classification. J Clin Gastroenterol. 2008;42(5):627-35.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional<\/p>\n","protected":false},"author":3748,"featured_media":4448,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[276],"tipo":[159],"volume":[263],"class_list":["post-4453","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-276","tipo-outros","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>Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago &#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\/manometria-esofagica-de-alta-resolucao\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago\" \/>\n<meta property=\"og:description\" content=\"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/\" \/>\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=\"2017-05-22T09:00:59+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-06-10T12:54:46+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076\" \/>\n\t<meta property=\"og:image:width\" content=\"412\" \/>\n\t<meta property=\"og:image:height\" content=\"252\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Natalia Sousa Freitas\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Natalia Sousa Freitas\" \/>\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\/manometria-esofagica-de-alta-resolucao\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/\"},\"author\":{\"name\":\"Natalia Sousa Freitas\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/374cdddb46205a7548535dee6e1b2e86\"},\"headline\":\"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago\",\"datePublished\":\"2017-05-22T09:00:59+00:00\",\"dateModified\":\"2022-06-10T12:54:46+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/\"},\"wordCount\":781,\"commentCount\":5,\"publisher\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#organization\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076\",\"articleSection\":[\"Assuntos Gerais\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/\",\"name\":\"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago &#8226; Endoscopia Terapeutica\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076\",\"datePublished\":\"2017-05-22T09:00:59+00:00\",\"dateModified\":\"2022-06-10T12:54:46+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#primaryimage\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076\",\"contentUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076\",\"width\":412,\"height\":252,\"caption\":\"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/endoscopiaterapeutica.net\/pt\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago\"}]},{\"@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\/374cdddb46205a7548535dee6e1b2e86\",\"name\":\"Natalia Sousa Freitas\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/0edcd322b2d6358a9fab1bc15260333d1d37c43b95a0ce19150767d1d459ff68?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/0edcd322b2d6358a9fab1bc15260333d1d37c43b95a0ce19150767d1d459ff68?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/0edcd322b2d6358a9fab1bc15260333d1d37c43b95a0ce19150767d1d459ff68?s=96&d=mm&r=g\",\"caption\":\"Natalia Sousa Freitas\"},\"description\":\"- M\u00e9dica Assistente do Laborat\u00f3rio de Investiga\u00e7\u00e3o Funcional do Es\u00f4fago (LIFE) do Hospital das Cl\u00ednicas de S\u00e3o Paulo - Membro titular da FBG e SOBED - Doutoranda do programa de ci\u00eancias em gastroenterologia da USP\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/author\/natalia-sousa-freitas\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago &#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\/manometria-esofagica-de-alta-resolucao\/","og_locale":"pt_BR","og_type":"article","og_title":"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago","og_description":"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional","og_url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/","og_site_name":"Endoscopia Terapeutica","article_publisher":"https:\/\/www.facebook.com\/endoscopiaterapeutica","article_published_time":"2017-05-22T09:00:59+00:00","article_modified_time":"2022-06-10T12:54:46+00:00","og_image":[{"width":412,"height":252,"url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076","type":"image\/jpeg"}],"author":"Natalia Sousa Freitas","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Natalia Sousa Freitas","Est. tempo de leitura":"5 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#article","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/"},"author":{"name":"Natalia Sousa Freitas","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/374cdddb46205a7548535dee6e1b2e86"},"headline":"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago","datePublished":"2017-05-22T09:00:59+00:00","dateModified":"2022-06-10T12:54:46+00:00","mainEntityOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/"},"wordCount":781,"commentCount":5,"publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076","articleSection":["Assuntos Gerais"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/","url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/","name":"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago &#8226; Endoscopia Terapeutica","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#primaryimage"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076","datePublished":"2017-05-22T09:00:59+00:00","dateModified":"2022-06-10T12:54:46+00:00","breadcrumb":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#primaryimage","url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076","contentUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/man1.jpg?v=1628200076","width":412,"height":252,"caption":"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional"},{"@type":"BreadcrumbList","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/manometria-esofagica-de-alta-resolucao\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/endoscopiaterapeutica.net\/pt\/"},{"@type":"ListItem","position":2,"name":"Manometria esof\u00e1gica de alta resolu\u00e7\u00e3o: principais vantagens em rela\u00e7\u00e3o \u00e0 convencional e uma breve interpreta\u00e7\u00e3o da classifica\u00e7\u00e3o de Chicago"}]},{"@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\/374cdddb46205a7548535dee6e1b2e86","name":"Natalia Sousa Freitas","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/secure.gravatar.com\/avatar\/0edcd322b2d6358a9fab1bc15260333d1d37c43b95a0ce19150767d1d459ff68?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/0edcd322b2d6358a9fab1bc15260333d1d37c43b95a0ce19150767d1d459ff68?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/0edcd322b2d6358a9fab1bc15260333d1d37c43b95a0ce19150767d1d459ff68?s=96&d=mm&r=g","caption":"Natalia Sousa Freitas"},"description":"- M\u00e9dica Assistente do Laborat\u00f3rio de Investiga\u00e7\u00e3o Funcional do Es\u00f4fago (LIFE) do Hospital das Cl\u00ednicas de S\u00e3o Paulo - Membro titular da FBG e SOBED - Doutoranda do programa de ci\u00eancias em gastroenterologia da USP","url":"https:\/\/endoscopiaterapeutica.net\/pt\/author\/natalia-sousa-freitas\/"}]}},"_links":{"self":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4453","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\/3748"}],"replies":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/comments?post=4453"}],"version-history":[{"count":3,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4453\/revisions"}],"predecessor-version":[{"id":8471,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4453\/revisions\/8471"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media\/4448"}],"wp:attachment":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media?parent=4453"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/categories?post=4453"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tags?post=4453"},{"taxonomy":"ano","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/ano?post=4453"},{"taxonomy":"tipo","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tipo?post=4453"},{"taxonomy":"volume","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/volume?post=4453"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}