{"id":4488,"date":"2021-01-15T09:00:13","date_gmt":"2021-01-15T09:00:13","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/duplicacao-cistica-de-esofago\/"},"modified":"2022-06-17T13:28:38","modified_gmt":"2022-06-17T13:28:38","slug":"duplicacao-cistica-de-esofago","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/duplicacao-cistica-de-esofago\/","title":{"rendered":"Duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago"},"content":{"rendered":"<h2>INTRODU\u00c7\u00c3O<\/h2>\n<p><span style=\"font-weight: 400;\">Em exames de endoscopia digestiva alta de rotina, o achado de les\u00e3o subepitelial em es\u00f4fago \u00e9 ocasional, por\u00e9m presente com certa frequ\u00eancia.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Geralmente, o paciente se apresenta assintom\u00e1tico quanto \u00e0 les\u00e3o encontrada, e o exame endosc\u00f3pico foi indicado por outras causas, tais como dispepsia, suspeita de refluxo gastroesof\u00e1gico, empachamento, etc (Figura 1).<\/span><\/p>\n<div id=\"attachment_8262\" style=\"width: 243px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/09\/Imagem.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-8262\" class=\"wp-image-8262 size-full\" title=\"Les\u00e3o subepitelial em es\u00f4fago distal\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Imagem.jpg\" alt=\"Les\u00e3o subepitelial em es\u00f4fago distal\" width=\"233\" height=\"196\"><\/a><p id=\"caption-attachment-8262\" class=\"wp-caption-text\">Figura 1: les\u00e3o subepitelial em es\u00f4fago distal.<\/p><\/div>\n<p><span style=\"font-weight: 400;\">Apesar da sintomatologia n\u00e3o estar relacionada \u00e0 les\u00e3o subepitelial encontrada, seu esclarecimento diagn\u00f3stico nos direciona \u00e0 investiga\u00e7\u00e3o mais espec\u00edfica por meio de outros m\u00e9todos de imagem, como a tomografia computadorizada, a resson\u00e2ncia magn\u00e9tica nuclear e a <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntos-gerais\/ag-ecoendoscopia\/\" target=\"_blank\" rel=\"noopener\">ecoendoscopia<\/a>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nas les\u00f5es subepiteliais, as bi\u00f3psias da mucosa n\u00e3o esclarecem o seu diagn\u00f3stico, justamente por estarem recobertas por mucosa \u00edntegra e n\u00e3o serem representativas da les\u00e3o subepitelial.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Por\u00e9m, quando encontramos uma solu\u00e7\u00e3o de continuidade da les\u00e3o subepitelial com a mucosa (por exemplo, em les\u00f5es com ulcera\u00e7\u00f5es ou eros\u00f5es na mucosa que a recobre), as amostras teciduais nas \u00e1reas ulceradas ou erodidas, por meio de bi\u00f3psias endoluminais (pin\u00e7as tipo f\u00f3rceps), merecem ser investidas para o diagn\u00f3stico histol\u00f3gico.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">S\u00e3o v\u00e1rias as hip\u00f3teses diagn\u00f3sticas das les\u00f5es subepiteliais em es\u00f4fago:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Cisto de reten\u00e7\u00e3o;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Lipoma submucoso;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Schwannoma;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Hemangioma;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Leiomioma;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">GIST;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Duplica\u00e7\u00e3o c\u00edstica.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dentre as possibilidades diagn\u00f3sticas, a duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago deve ser considerada.<\/span><\/p>\n<h2 style=\"text-align: left;\">DUPLICA\u00c7\u00c3O C\u00cdSTICA ESOF\u00c1GICA<\/h2>\n<p><span style=\"font-weight: 400;\">A duplica\u00e7\u00e3o c\u00edstica \u00e9 decorrente de altera\u00e7\u00f5es da forma\u00e7\u00e3o do tubo digest\u00f3rio. Na fase embrion\u00e1ria, a endoderme se divide em 3 segmentos distintos:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">intestino primitivo cef\u00e1lico (<\/span><i><span style=\"font-weight: 400;\">foregut<\/span><\/i><span style=\"font-weight: 400;\">);<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">intestino primitivo m\u00e9dio (<\/span><i><span style=\"font-weight: 400;\">midgut<\/span><\/i><span style=\"font-weight: 400;\">);<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">intestino primitivo caudal (<\/span><i><span style=\"font-weight: 400;\">hindgut<\/span><\/i><span style=\"font-weight: 400;\">).<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Para a forma\u00e7\u00e3o do segmento proximal do tubo digestivo (3\u00aa a 8\u00aa semana de gesta\u00e7\u00e3o) [1], o intestino primitivo cef\u00e1lico (<\/span><i><span style=\"font-weight: 400;\">foregut<\/span><\/i><span style=\"font-weight: 400;\">), que se constitui como um \u00fanico tubo, divide-se em 2 tubos paralelos e origina 2 segmentos tubulares:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><b>Segmento anterior:<\/b><span style=\"font-weight: 400;\"> que forma a traqueia e seus ramos segmentares;<\/span><\/li>\n<li style=\"font-weight: 400;\"><b>Segmento posterior:<\/b><span style=\"font-weight: 400;\"> que origina o todo o <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/categoria\/imagens\/orgao\/esofago\/\">es\u00f4fago<\/a>.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Uma grande falha na jun\u00e7\u00e3o da endoderme possibilita uma fus\u00e3o an\u00f4mala e, consequentemente, formam as atresias de es\u00f4fago e de traqueia (total ou parcial) associadas ou n\u00e3o \u00e0 fistula esofagotraqueal.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Esporadicamente, pode haver uma jun\u00e7\u00e3o irregular dos bordos de fus\u00e3o, de maneira a resultar em um recesso intramural no es\u00f4fago, ou mesmo um recesso para-esof\u00e1gico (extramural), o qual origina a duplica\u00e7\u00e3o c\u00edstica do es\u00f4fago (Figura 2).<\/span><\/p>\n<div id=\"attachment_7857\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-7857\" class=\"wp-image-7857 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/01\/Imagem1-300x281.png\" alt=\"\" width=\"300\" height=\"281\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/01\/Imagem1-300x281.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/01\/Imagem1.png 380w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-7857\" class=\"wp-caption-text\">Figura 1a: intestino primitivo cef\u00e1lico com forma\u00e7\u00e3o de traqueia e es\u00f4fago.<\/p><\/div>\n<div id=\"attachment_8289\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/09\/Imagem1_.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-8289\" class=\"wp-image-8289 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Imagem1_.png\" alt=\"\" width=\"300\" height=\"221\"><\/a><p id=\"caption-attachment-8289\" class=\"wp-caption-text\">Figura 1b: intestino primitivo cef\u00e1lico com falha e forma\u00e7\u00e3o de duplica\u00e7\u00e3o c\u00edstica.<\/p><\/div>\n<div id=\"attachment_7858\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7858\" class=\"wp-image-7858 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/01\/Imagem2-1-300x200.png\" alt=\"\" width=\"300\" height=\"200\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/01\/Imagem2-1-300x200.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/01\/Imagem2-1-263x175.png 263w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/01\/Imagem2-1.png 380w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><p id=\"caption-attachment-7858\" class=\"wp-caption-text\">Figura 2: a) Intestino primitivo cef\u00e1lico com forma\u00e7\u00e3o de traqueia e es\u00f4fago. b) Intestino primitivo cef\u00e1lico com falha e forma\u00e7\u00e3o de duplica\u00e7\u00e3o c\u00edstica.<\/p><\/div>\n<p><b>Histologicamente<\/b><span style=\"font-weight: 400;\">, o interior da duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago \u00e9 revestido por epit\u00e9lio escamoso ou ent\u00e9rico, os quais secretam secre\u00e7\u00e3o seromucosa. Externamente, \u00e9 formada por dupla camada de musculatura lisa e, raramente, pode apresentar uma comunica\u00e7\u00e3o n\u00edtida com a luz esof\u00e1gica.<\/span><\/p>\n<p><b>Quanto \u00e0 localiza\u00e7\u00e3o esof\u00e1gica<\/b><span style=\"font-weight: 400;\">, a maior parte das duplica\u00e7\u00f5es c\u00edsticas situam-se na regi\u00e3o posterolateral direita do mediastino inferior e com maior predomin\u00e2ncia no ter\u00e7o distal (2\/3) comparado ao ter\u00e7o proximal e m\u00e9dio (1\/3) [2].<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Por ser uma malforma\u00e7\u00e3o cong\u00eanita, o diagn\u00f3stico \u00e9 mais frequente em crian\u00e7as (80%) [3], as quais apresentam sintomas. No adulto, a sintomatologia geralmente \u00e9 ausente, e, quando se apresenta algum sintoma (&lt; 7%), est\u00e1 relacionado ao efeito compressivo da les\u00e3o em \u00f3rg\u00e3os adjacentes [2]. Assim, a sintomatologia pode variar em fun\u00e7\u00e3o da localiza\u00e7\u00e3o da duplica\u00e7\u00e3o c\u00edstica no es\u00f4fago (tabela 1).<\/span><\/p>\n<div class=\"pcrstb-wrap\"><table>\n<tbody>\n<tr>\n<td width=\"187\"><strong><em>Localiza\u00e7\u00e3o em es\u00f4fago<\/em><\/strong><\/td>\n<td width=\"389\"><strong><em>Sintoma relacionado<\/em><\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"187\"><em>1\/3 proximal<\/em><\/td>\n<td width=\"389\">estridor, tosse<\/td>\n<\/tr>\n<tr>\n<td width=\"187\"><em>1\/3 m\u00e9dio<\/em><\/td>\n<td width=\"389\">dor tor\u00e1cica, disfagia<\/td>\n<\/tr>\n<tr>\n<td width=\"187\"><em>1\/3 distal<\/em><\/td>\n<td width=\"389\">disfagia, epigastralgia, v\u00f4mitos, arritmia card\u00edaca<span style=\"font-weight: 400;\">&nbsp;[4]<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<p>&nbsp;<\/p>\n<h2 style=\"text-align: left;\">INVESTIGA\u00c7\u00c3O DIAGN\u00d3STICA<\/h2>\n<p><b>Tomografia Computadorizada (CT):<\/b><span style=\"font-weight: 400;\"> identifica-se uma imagem de massa homog\u00eanea, com \u00edntimo contato com o es\u00f4fago, arredondada ou ovalada, bem delimitada, de contornos regulares, associada \u00e0 densidade de fluido no seu interior e que n\u00e3o se altera \u00e0 inje\u00e7\u00e3o de contraste.<\/span><\/p>\n<p><b>Resson\u00e2ncia Magn\u00e9tica Nuclear (RMN):<\/b><span style=\"font-weight: 400;\"> demonstra forma\u00e7\u00e3o c\u00edstica, localizada junto \u00e0 parede esof\u00e1gica, com hipossinal em T1, hipersinal em T2 e sem aspecto s\u00f3lido em T1 com contraste.<\/span><\/p>\n<p><b>Ecoendoscopia:<\/b><\/p>\n<p><span style=\"font-weight: 400;\">\u00c9 indicada [5]:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Quando CT ou RMN n\u00e3o definem diagn\u00f3stico;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Em les\u00f5es suspeitas de malignidade;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Em forma\u00e7\u00f5es at\u00edpicas.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">A imagem ecogr\u00e1fica t\u00edpica de duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago tem ecotextura anecoica ou hipoecoica, homog\u00eanea, alongada ou ovalada, de contornos regulares, limites precisos, com refor\u00e7o hiperecoico no seu limite posterior. Situa-se inserida em camada submucosa, muscular pr\u00f3pria ou at\u00e9 mesmo subserosa, com 3 a 5 camadas na parede [3] (Figura 3). Por vezes, podem ser m\u00faltiplas forma\u00e7\u00f5es c\u00edsticas intramurais com lobula\u00e7\u00f5es, e at\u00e9 mesmo, com septa\u00e7\u00f5es em sua parede [6] (Figura 4). O conte\u00fado intrac\u00edstico tamb\u00e9m pode ser heterog\u00eaneo, com imagens de debris ou pontos puntiformes de permeio (Figura 5).<\/span><\/p>\n<div id=\"attachment_7859\" style=\"width: 263px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7859\" class=\"wp-image-7859 size-full\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/01\/Imagem3.jpg\" alt=\"\" width=\"253\" height=\"201\"><p id=\"caption-attachment-7859\" class=\"wp-caption-text\">Figura 3: ecoendoscopia setorial com imagem hipoecoica inserida em camada submucosa e muscular pr\u00f3pria de es\u00f4fago distal.<\/p><\/div>\n<div id=\"attachment_8260\" style=\"width: 267px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/09\/Imagem4.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8260\" class=\"wp-image-8260 size-full\" title=\"Duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Imagem4.jpg\" alt=\"Duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago\" width=\"257\" height=\"215\"><\/a><p id=\"caption-attachment-8260\" class=\"wp-caption-text\">Figura 4: ecoendoscopia radial com imagem anecoica inserida em camada submucosa e muscular pr\u00f3pria de es\u00f4fago com septos finos.<\/p><\/div>\n<div id=\"attachment_8261\" style=\"width: 276px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/09\/Imagem5.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-8261\" class=\"wp-image-8261 size-full\" title=\"Duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Imagem5.jpg\" alt=\"Duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago\" width=\"266\" height=\"217\"><\/a><p id=\"caption-attachment-8261\" class=\"wp-caption-text\">Figura 5: ecoendoscopia setorial com imagem hipoecoica inserida em camada submucosa e muscular pr\u00f3pria de es\u00f4fago distal com pontos hiperecoicos de permeio.<\/p><\/div>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">A princ\u00edpio, a diferencia\u00e7\u00e3o quanto \u00e0 natureza s\u00f3lida ou c\u00edstica da imagem pode ser definida pela ecoendoscopia. Por\u00e9m mesmo ecoendoscopistas experientes podem ter d\u00favidas, uma vez que a secre\u00e7\u00e3o espessa da duplica\u00e7\u00e3o c\u00edstica (muco) pode mimetizar uma imagem s\u00f3lida ecogr\u00e1fica.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nessas situa\u00e7\u00f5es, a <\/span><b>pun\u00e7\u00e3o ecoguiada<\/b><span style=\"font-weight: 400;\"> se faz necess\u00e1ria para possibilitar o diagn\u00f3stico diferencial entre duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago, leiomioma, GIST ou mesmo um conglomerado linfonodal paraesof\u00e1gico. A amostra da pun\u00e7\u00e3o ecoguiada pode revelar material mucoide com c\u00e9lulas epiteliais, semelhantes ao epit\u00e9lio esof\u00e1gico ou ent\u00e9rico. A grande preocupa\u00e7\u00e3o em rela\u00e7\u00e3o \u00e0 pun\u00e7\u00e3o ecoguiada \u00e9 a <\/span><b>infec\u00e7\u00e3o<\/b><span style=\"font-weight: 400;\">. Com taxas de 14% [4] [8], a infec\u00e7\u00e3o intrac\u00edstica p\u00f3s-pun\u00e7\u00e3o ecoguiada se demonstrou com morbidade e mortalidade temer\u00e1rias pela potencial evolu\u00e7\u00e3o para mediastinite, mesmo com uso de antibi\u00f3ticos em doses terap\u00eauticas. Assim, h\u00e1 uma tend\u00eancia dos ecoendoscopistas em reservar a pun\u00e7\u00e3o ecoguiada somente em casos extremamente necess\u00e1rios [9].<\/span><\/p>\n<p><span style=\"font-weight: 400;\">O <\/span><b>tratamento<\/b><span style=\"font-weight: 400;\"> da duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago \u00e9 indicado em pacientes sintom\u00e1ticos. A remo\u00e7\u00e3o ou a enuclea\u00e7\u00e3o cir\u00fargica est\u00e3o sendo os tratamentos de elei\u00e7\u00e3o.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nos pacientes assintom\u00e1ticos, o tratamento conservador \u00e9 predominante frente aos riscos inerentes da cirurgia esof\u00e1gica (f\u00edstula, refluxo gastroesof\u00e1gico) e mortalidade cir\u00fargica de 1% [10]. Outros advogam que a baixa taxa anual de crescimento da duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago n\u00e3o justifica a morbimortalidade da cirurgia [11]. H\u00e1 relatos de indica\u00e7\u00f5es cir\u00fargicas em pacientes assintom\u00e1ticos, justificadas pelo risco de ulcera\u00e7\u00e3o ou perfura\u00e7\u00e3o da duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago, com sucesso no seguimento [12].<\/span><\/p>\n<h2>Saiba mais:<\/h2>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/artigoscomentados\/papel-da-endoscopia-nas-lesoes-subepiteliais-do-trato-gastrointestinal\/\"><span style=\"font-weight: 400;\">Guideline comentado da ASGE sobre les\u00f5es subepiteliais TGI<\/span><\/a><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/tumor-de-celulas-granulares\/\"><span style=\"font-weight: 400;\">Tumor de c\u00e9lulas granulares no es\u00f4fago<\/span><\/a><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/lesao-subepitelial-de-esofago-qual-hipotese-e-conduta\/\"><span style=\"font-weight: 400;\">QUIZ! \u2013 Les\u00e3o subepitelial de es\u00f4fago<\/span><\/a><\/p>\n<h2>Como citar este artigo:<\/h2>\n<p>Matuguma, SE. Duplica\u00e7\u00e3o c\u00edstica de es\u00f4fago. Endoscopia Terap\u00eautica; 2021. Dispon\u00edvel em:&nbsp;https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/duplicacao-cistica-de-esofago<\/p>\n<h2>Refer\u00eancias<\/h2>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nobuhara KK, Gorski YC, La Quaglia MP, Shamberger RC. Bronchogenic cysts and esophageal duplications: common origins and treatment. J Pediatr Surg [Internet]. 1997 Oct;32(10):1408\u201313. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/9349757<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Pisello F, Geraci G, Arnone E, Sciutto A, Modica G, Scium\u00e8 C. Acute onset of esophageal duplication cyst in adult. Case report. G Chir [Internet]. 30(1\u20132):17\u201320. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19272226<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Whitaker JA, Deffenbaugh LD, Cooke AR. Esophageal duplication cyst. Case report. Am J Gastroenterol [Internet]. 1980 Apr;73(4):329\u201332. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/7416128<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Bowton DL, Katz PO. Esophageal cyst as a cause of chronic cough. Chest [Internet]. 1984 Jul;86(1):150\u20132. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/6734280<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Adler D, Liu R. Duplication cysts: Diagnosis, management, and the role of endoscopic ultrasound. Endosc Ultrasound [Internet]. 2014;3(3):152. Available from: http:\/\/www.eusjournal.com\/text.asp?2014\/3\/3\/152\/138783<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Bhatia V, Tajika M, Rastogi A. Upper gastrointestinal submucosal lesions\u2013clinical and endosonographic evaluation and management. Trop Gastroenterol [Internet]. 31(1):5\u201329. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20860221<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Wildi SM, Hoda RS, Fickling W, Schmulewitz N, Varadarajulu S, Roberts SS, et al. Diagnosis of benign cysts of the mediastinum: the role and risks of EUS and FNA. Gastrointest Endosc [Internet]. 2003 Sep;58(3):362\u20138. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/14528209<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Cevasco M, Menard MT, Bafford R, McNamee CJ. Acute Infectious Pseudoaneurysm of the Descending Thoracic Aorta and Review of Infectious Aortitis. Vasc Endovascular Surg [Internet]. 2010 Nov 30;44(8):697\u2013700. Available from: http:\/\/journals.sagepub.com\/doi\/10.1177\/1538574410376449<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">B\u00e9chade D, Desram\u00e9 J, Algayres JP. Gastritis cystica profunda in a patient with no history of gastric surgery. Endoscopy [Internet]. 2007 Dec;39(S 1):E80\u20131. Available from: http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-2006-945070<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Salo JA, Ala-Kulju K V. Congenital esophageal cysts in adults. Ann Thorac Surg [Internet]. 1987 Aug;44(2):135\u20138. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/3619537<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Versleijen MW, Drenth JP, Nagengast FM. A Case of Esophageal Duplication Cyst with a 13-year Follow-up Period. Endoscopy [Internet]. 2005 Sep;37(9):870\u20132. Available from: http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-2005-870219<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Noguchi T, Hashimoto T, Takeno S, Wada S, Tohara K, Uchida Y. Laparoscopic resection of esophageal duplication cyst in an adult. Dis esophagus Off J Int Soc Dis Esophagus [Internet]. 2003;16(2):148\u201350. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/12823217<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">Acesse o <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/\"><span style=\"font-weight: 400;\">Endoscopia Terap\u00eautica<\/span><\/a><span style=\"font-weight: 400;\"> para tomar contato com mais <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/artigos-comentados\/\"><span style=\"font-weight: 400;\">artigos comentados<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntos-gerais\/\"><span style=\"font-weight: 400;\">assuntos gerais<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casos-clinicos\/\"><span style=\"font-weight: 400;\">casos cl\u00ednicos<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quizes\/\"><span style=\"font-weight: 400;\">quizzes<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacoes\/\"><span style=\"font-weight: 400;\">classifica\u00e7\u00f5es<\/span><\/a><span style=\"font-weight: 400;\"> e mais!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>INTRODU\u00c7\u00c3O Em exames de endoscopia digestiva alta de rotina, o achado de les\u00e3o subepitelial&hellip;<\/p>\n","protected":false},"author":4569,"featured_media":7859,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[262],"tipo":[154,153],"volume":[263],"class_list":["post-4488","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-262","tipo-ecoendoscopia","tipo-endoscopia-digestiva-alta","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the 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