{"id":4531,"date":"2018-02-19T09:04:27","date_gmt":"2018-02-19T09:04:27","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/mucosa-gastrica-ectopica-em-esofago-proximal\/"},"modified":"2022-06-17T14:47:58","modified_gmt":"2022-06-17T14:47:58","slug":"mucosa-gastrica-ectopica-em-esofago-proximal","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/mucosa-gastrica-ectopica-em-esofago-proximal\/","title":{"rendered":"Mucosa g\u00e1strica ect\u00f3pica em es\u00f4fago proximal"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/02\/00229414.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-8569 aligncenter\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/00229414.jpg\" alt=\"\" width=\"300\" height=\"199\"><\/a><\/p>\n<div id=\"attachment_8570\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/02\/00229416.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-8570\" class=\"size-medium wp-image-8570\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/00229416.jpg\" alt=\"\" width=\"300\" height=\"199\"><\/a><p id=\"caption-attachment-8570\" class=\"wp-caption-text\">mucosa g\u00e1strica ect\u00f3pica em es\u00f4fago proximal \u00e0 luz branca e com cromoscopia FICE<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>Muitas vezes nos deparamos com ectopia de mucosa g\u00e1strica no es\u00f4fago proximal, especialmente durante a retirada cuidadosa do aparelho. Apesar da certa irrelev\u00e2ncia desse achado na nossa rotina (que muitas vezes nem \u00e9 descrito no laudo), alguns autores atribuem a esta condi\u00e7\u00e3o, sintomas extraesof\u00e1gicos do RGE como globus, pigarro ou rouquid\u00e3o .<\/p>\n<p>Neste post revisaremos brevemente do que se trata esse epit\u00e9lio e lan\u00e7aremos uma pequena pol\u00eamica a respeito do assunto.<\/p>\n<p>Para fazer esta revis\u00e3o, me baseei principalmente no artigo publicado em dez 2016 na GIE por Meining A. e Bajbouj M.: <a href=\"http:\/\/www.giejournal.org\/article\/S0016-5107(16)30479-5\/fulltext\"><strong>link aqui<\/strong><\/a><\/p>\n<p><strong>Apresenta\u00e7\u00e3o<\/strong><\/p>\n<ul>\n<li>Mucosa G\u00e1strica Ect\u00f3pica (MGE) s\u00e3o ilhas de epit\u00e9lio colunar g\u00e1strico heterot\u00f3pico no es\u00f4fago proximal (cervical), com preval\u00eancia estimada de 1-12%<\/li>\n<li>A apresenta\u00e7\u00e3o histol\u00f3gica pode variar. Na maioria dos casos, a MGE assemelha-se a mucosa do tipo c\u00e1rdico, sendo menos comum a mucosa ox\u00edntica do corpo. Ou seja, na maioria dos casos essa mucosa secreta muco, mas n\u00e3o secreta \u00e1cido.<\/li>\n<li>Existe mais de uma teoria para explicar sua etiologia. A mais aceita \u00e9 relacionada com processo embrion\u00e1rio, visto que na 4<sup>a<\/sup> semana de gesta\u00e7\u00e3o, o est\u00f4mago est\u00e1 localizado na regi\u00e3o cervical. Outras teorias sugerem origem de c\u00e9lulas pluripotenciais nesta regi\u00e3o, ou ainda cistos de reten\u00e7\u00e3o esof\u00e1gicos que eclodem e se transformam em epit\u00e9lio colunar.<\/li>\n<li>Interessante que existe uma correla\u00e7\u00e3o entre MGE e Es\u00f4fago de Barrett.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Mucosa g\u00e1strica ect\u00f3pica tem algum significado cl\u00ednico?<\/strong><\/p>\n<p>Visto que at\u00e9 10% das pessoas s\u00e3o portadoras de MGE, fica claro que a grande maioria dos portadores n\u00e3o apresentam sintomas.<\/p>\n<p>No entanto, alguns pacientes com epit\u00e9lio produtor de \u00e1cido podem apresentar eros\u00f5es, ulcera\u00e7\u00f5es e at\u00e9 mesmo estenose local.<\/p>\n<p>A grande quest\u00e3o \u00e9 se a MGE pode ou n\u00e3o estar relacionada com sintomas como globus, bolo na garganta, tosse cr\u00f4nica, rouquid\u00e3o, odinofagia ou laringite, visto que esses sintomas geralmente s\u00e3o atribu\u00eddos a manifesta\u00e7\u00f5es extraesof\u00e1gicas da DRGE.<\/p>\n<p>A investiga\u00e7\u00e3o de globus portanto, fica mais complicada:<\/p>\n<ul>\n<li>Manifesta\u00e7\u00e3o n\u00e3o som\u00e1tica (dist\u00farbio de ansiedade, etc)?<\/li>\n<li>DRGE?<\/li>\n<li>Mucosa g\u00e1strica ect\u00f3pica?<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Nesse caso, n\u00e3o apenas os pacientes com epit\u00e9lio secretor apresentariam o sintoma, mas aqueles produtores de muco tamb\u00e9m poderiam cursar com sensa\u00e7\u00e3o de globus ou pigarro na garganta. Nesses casos, IBP seriam ineficazes e a melhor abordagem seria <strong>abla\u00e7\u00e3o<\/strong> deste epit\u00e9lio (!!!?).<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Que casos deveriam ser tratados?<\/strong><\/p>\n<p>Em um artigo publicado na GIE de dezembro 2016, <a href=\"https:\/\/secure.jbs.elsevierhealth.com\/action\/consumeSsoCookie?redirectUri=http%3A%2F%2Fwww.giejournal.org%2Faction%2FconsumeSharedSessionAction%3FJSESSIONID%3DaaamJbZx_fjY6aBZMpygw%26MAID%3Dcy0p6Iwa6AZmTsDkochSCw%253D%253D%26SERVER%3DWZ6myaEXBLGliB%252BRW%252F74SA%253D%253D%26ORIGIN%3D473738048%26RD%3DRD&amp;code=ymge-site&amp;acw=b0caadeb82869044f5-90df-2a5d9264e68fgxrqa%7C%24%7C1932A20DDFFBB0DA76F51F4F93EB0FA17AEA8ADFEC54294B224F0821E1C51602CD98651CF5ACBF79CEBD503E5327F37801D160A04CA545AD3FBA44D1BD4E4F2EB0469A67597464825D387A21AFA2E514&amp;utt=1f97796435a2c41a5bde145-c13fdb3029dd029d\">Dunn et al<\/a> trataram 10 pacientes portadores de MGE que apresentavam sintomas como globus ou dor. Ap\u00f3s m\u00e9dia de 2 sess\u00f5es de radiofrequ\u00eancia, 8 pacientes tiveram remiss\u00e3o completa deste epit\u00e9lio, dos quais 7 relataram resolu\u00e7\u00e3o completa dos sintomas.<\/p>\n<p>Embora o n\u00famero de pacientes tratados neste estudo tenha sido pequeno, os achados est\u00e3o alinhados com outros relatos mostrando que pacientes com sintomas orofar\u00edngeos e MGE talvez se beneficiem da abla\u00e7\u00e3o endosc\u00f3pica:<\/p>\n<p>&nbsp;<\/p>\n<div class=\"pcrstb-wrap\"><table>\n<tbody>\n<tr>\n<td width=\"113\">Estudo<\/td>\n<td style=\"text-align: center;\" width=\"113\">N Pacientes<\/td>\n<td style=\"text-align: center;\" width=\"113\">Follow-up (m)<\/td>\n<td style=\"text-align: center;\" width=\"113\">M\u00e9todo<\/td>\n<td style=\"text-align: center;\" width=\"113\">Resposta<\/td>\n<\/tr>\n<tr>\n<td width=\"113\">Dunn et al<\/td>\n<td width=\"113\">\n<p style=\"text-align: center;\">10<\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"113\">14<\/td>\n<td style=\"text-align: center;\" width=\"113\">RFA<\/td>\n<td style=\"text-align: center;\" width=\"113\">9\/10<\/td>\n<\/tr>\n<tr>\n<td width=\"113\">Di Nardo et al<\/td>\n<td width=\"113\">\n<p style=\"text-align: center;\">12<\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"113\">36<\/td>\n<td style=\"text-align: center;\" width=\"113\">APC<\/td>\n<td style=\"text-align: center;\" width=\"113\">12\/12<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"113\">\n<p style=\"text-align: left;\">Frieling et al<\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"113\">\n<p style=\"text-align: center;\">14<\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"113\">1<\/td>\n<td style=\"text-align: center;\" width=\"113\">APC<\/td>\n<td width=\"113\">\n<p style=\"text-align: center;\">8\/11<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"113\">Klare et al<\/td>\n<td width=\"113\">\n<p style=\"text-align: center;\">31<\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"113\">27<\/td>\n<td style=\"text-align: center;\" width=\"113\">APC<\/td>\n<td style=\"text-align: center;\" width=\"113\">23\/31<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"113\">\n<p style=\"text-align: left;\">Bajbouj et al<\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"113\">17<\/td>\n<td style=\"text-align: center;\" width=\"113\">17<\/td>\n<td style=\"text-align: center;\" width=\"113\">APC<\/td>\n<td width=\"113\">\n<p style=\"text-align: center;\">13\/17<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"113\">Meining et al<\/td>\n<td width=\"113\">\n<p style=\"text-align: center;\">10<\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"113\">2<\/td>\n<td style=\"text-align: center;\" width=\"113\">APC<\/td>\n<td style=\"text-align: center;\" width=\"113\">10\/10<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"113\">\n<p style=\"text-align: left;\">Alberty et al<\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"113\">5<\/td>\n<td style=\"text-align: center;\" width=\"113\">3<\/td>\n<td style=\"text-align: center;\" width=\"113\">APC<\/td>\n<td width=\"113\">\n<p style=\"text-align: center;\">5\/5<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\" width=\"113\">\n<p style=\"text-align: left;\">Todos<\/p>\n<\/td>\n<td style=\"text-align: center;\" width=\"113\">99<\/td>\n<td style=\"text-align: center;\" width=\"113\"><\/td>\n<td style=\"text-align: center;\" width=\"113\"><\/td>\n<td width=\"113\">\n<p style=\"text-align: center;\">80\/99 (80.8%)<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Vale ressaltar, que os pacientes inclu\u00eddos nestes estudos foram submetidos a terapia endosc\u00f3pica somente ap\u00f3s falha de outros m\u00e9todos como psicoterapia, IBP, procin\u00e9ticos, medidas comportamentais, etc, e dentro de protocolo institucionais bem estabelecidos.<\/p>\n<p>Outro aspecto importante \u00e9 que, apesar de n\u00e3o haver descri\u00e7\u00e3o de complica\u00e7\u00f5es nestes estudos, a aplica\u00e7\u00e3o de arg\u00f4nio no es\u00f4fago pode levar ao risco de estenose. Nesse sentido, a radiofrequ\u00eancia e o cateter h\u00edbrido de arg\u00f4nio (Hybrid-APC, Wilson-Cook) apresentam vantagens em rela\u00e7\u00e3o ao arg\u00f4nio tradicional.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Seria interessante agora uma discuss\u00e3o sobre como encaramos esse achado na nossa rotina:<\/strong><\/p>\n<ul>\n<li>Ignora completamente?<\/li>\n<li>Documenta somente na foto?<\/li>\n<li>Descreve no corpo do laudo?<\/li>\n<li>Descreve na conclus\u00e3o?<\/li>\n<li>Depende do caso?<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Na minha rotina costumo fotografar e descrever no corpo do laudo, especialmente em pacientes com sintomas extraesof\u00e1gicos como globus far\u00edngeo. Ou seja: n\u00e3o concluo e nem descrevo em todos os casos.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancias:<\/strong><\/p>\n<p>Meining A, Bajbouj M. Gastric inlet patches in the cervical esophagus: what they are, what they cause, and how they can be treated. Gastrointest Endosc. 2016 Dec;84(6):1027-1029.<\/p>\n<p>Dunn JM, Sui G, Anggiansah A, et al. Radiofrequency ablation of symptomatic cervical inlet patch using a through-the-scope device: a pilot study. Gastrointest Endosc 2016;84:1022-6.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp; Muitas vezes nos deparamos com ectopia de mucosa g\u00e1strica no es\u00f4fago proximal,&hellip;<\/p>\n","protected":false},"author":712,"featured_media":5211,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[270],"tipo":[153],"volume":[263],"class_list":["post-4531","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-270","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>Mucosa g\u00e1strica ect\u00f3pica em es\u00f4fago proximal &#8226; Endoscopia Terapeutica<\/title>\n<meta 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