{"id":4562,"date":"2018-05-28T09:00:38","date_gmt":"2018-05-28T09:00:38","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/hemorragia-digestiva-media\/"},"modified":"2022-05-27T00:10:35","modified_gmt":"2022-05-27T00:10:35","slug":"hemorragia-digestiva-media","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/","title":{"rendered":"Hemorragia digestiva m\u00e9dia"},"content":{"rendered":"<p>&nbsp;<\/p>\n<h2><strong>Defini\u00e7\u00e3o<\/strong><\/h2>\n<p>Hemorragia do trato gastrointestinal m\u00e9dio \u00e9 definida pelo sangramento localizado entre a papila duodenal maior e a v\u00e1lvula ileocecal. Corresponde a cerca de 5% dos casos de hemorragia digestiva.<\/p>\n<p>O <strong>sangramento gastrointestinal obscuro<\/strong> \u00e9 aquele persistente ou recidivante, n\u00e3o esclarecido ap\u00f3s o exame de esofagogastroduodenoscopia e ileocolonoscopia. O sangramento obscuro pode ser classificado em:<\/p>\n<ul>\n<li><strong>oculto:<\/strong>\u00a0quando h\u00e1 persist\u00eancia ou recorr\u00eancia de anemia ferropriva e\/ou da positividade da pesquisa de sangue oculto nas fezes (PSOF), sem altera\u00e7\u00f5es vis\u00edveis nas fezes<\/li>\n<li><strong>evidente:<\/strong> quando h\u00e1 persist\u00eancia ou recorr\u00eancia de sangramento vis\u00edvel, ap\u00f3s resultados negativos dos estudos endosc\u00f3picos.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Com os avan\u00e7os dos exames de imagem do intestino delgado, como a c\u00e1psula endosc\u00f3pica, os exames angiogr\u00e1ficos e a enteroscopia assistida, foi poss\u00edvel observar o aumento dos casos diagnosticados de hemorragia obscura do trato gastrintestinal e, como resultado disso, foi proposto a mudan\u00e7a do termo sangramento obscuro do trato gastrointestinal para sangramento do intestino delgado.<\/p>\n<p>O termo sangramento obscuro gastrointestinal, dessa forma, deve ser empregado para pacientes nos quais a causa do sangramento n\u00e3o p\u00f4de ser identificada em nenhum local do trato gastrointestinal ap\u00f3s uma avalia\u00e7\u00e3o completa do mesmo, incluindo o estudo do intestino delgado.<\/p>\n<h2><strong>Etiologia<\/strong><\/h2>\n<p>As causas mais comuns de sangramento do trato gastrointestinal m\u00e9dio s\u00e3o: les\u00f5es vasculares, neoplasias prim\u00e1rias e metast\u00e1ticas, s\u00edndromes polipoides, <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/enteroscopia-na-suspeita-de-diverticulo-de-meckel\/\"><strong>divert\u00edculo de Meckel<\/strong><\/a>, les\u00f5es da mucosa por medica\u00e7\u00f5es, doen\u00e7a de Crohn e enteropatia portal hipertensiva.<\/p>\n<p>A incid\u00eancia de cada etiologia est\u00e1 relacionada com a idade, sendo mais comum nos pacientes com menos de 40 anos a seguinte ordem:<\/p>\n<ol>\n<li>tumores do intestino delgado,<\/li>\n<li>doen\u00e7a de Crohn,<\/li>\n<li>divert\u00edculo de Meckel,<\/li>\n<li>s\u00edndromes polipoides e<\/li>\n<li>angioectasias.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>J\u00e1 nos indiv\u00edduos com mais de 40 anos, a ordem que predomina \u00e9 a seguinte:<\/p>\n<ol>\n<li>angioectasias,<\/li>\n<li>ectasia vascular antral,<\/li>\n<li>tumores do intestino delgado,<\/li>\n<li>les\u00f5es de mucosa induzidas por medicamentos e<\/li>\n<li>dieulafoy.<\/li>\n<\/ol>\n<p>&#8211;<\/p>\n<h2><strong>Interven\u00e7\u00e3o diagn\u00f3stica<\/strong><\/h2>\n<p>Pacientes apresentando sangramento oculto ou evidente devem repetir a endoscopia e\/ou colonoscopia a depender da suspeita da origem do sangramento (trato gastrointestinal alto ou baixo). Caso o paciente tenha realizado exame de endoscopia digestiva alta (EDA) recente, uma push enteroscopia poder\u00e1 ser considerada para afastar les\u00f5es no intestino delgado proximal.<\/p>\n<p>Nos pacientes hemodinamicamente est\u00e1veis e com endoscopia alta e baixa normais, a c\u00e1psula endosc\u00f3pica \u00e9 o pr\u00f3ximo exame a ser indicado.<\/p>\n<p>Naqueles com suspeita de obstru\u00e7\u00e3o ou com anatomia alterada cirurgicamente, a enterotomografia ou enterorresson\u00e2ncia dever\u00e1 ser realizada antes.<\/p>\n<p>A enteroscopia assistida \u00e9 recomendada como pr\u00f3ximo passo no seguimento dos pacientes com resultados positivos da c\u00e1psula endosc\u00f3pica ou dos exames radiol\u00f3gicos.<\/p>\n<p>Pacientes hemodinamicamente inst\u00e1veis e com sangramento ativo, devem ser encaminhados \u00e0 angiografia para emboliza\u00e7\u00e3o ou estabilizados para realiza\u00e7\u00e3o de angiotomografia ou cintilografia com hem\u00e1cias marcadas.<\/p>\n<p>Em pacientes com exames negativos e sangramento recorrente, deve-se considerar a repeti\u00e7\u00e3o dos exames endosc\u00f3picos e\/ou radiol\u00f3gicos.<\/p>\n<p><u>\u00a0<\/u><\/p>\n<p>A terapia para o sangramento do intestino delgado vai depender da etiologia do mesmo. Les\u00f5es proximais podem ser tratadas com o endosc\u00f3pio convencional. Les\u00f5es mais distais, como as angioectasias, podem ser tratadas por enteroscopia assistida ou push enteroscopia.<\/p>\n<p><strong><u>\u00a0<\/u><\/strong><\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/hdm.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone wp-image-10879\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/hemorragia-digestiva-media-300x294.png\" alt=\"Hemorragia digestiva m\u00e9dia\" width=\"645\" height=\"632\" \/><\/a><\/p>\n<p>&#8211;<\/p>\n<h2><strong><u>Bibliografia: <\/u><\/strong><\/h2>\n<p>ASGE Standards of Practice Committee, Gurudu SR, Bruining DH, Acosta RD, et al. The role of endoscopy in the management of suspected small-bowel bleeding. Gastrointest Endosc. 2017 Jan;85(1):22-31.<\/p>\n<p>Marco Pennazi<em>,\u00a0<\/em>Cristiano Spada<em>,\u00a0<\/em>Rami Eliakim<em>, et al<\/em>. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline<strong>. <\/strong>Endoscopy 2015; 47(04): 352-386.<\/p>\n<p>Gerson LB, Fidler JL, Cave DR, Leighton JA. ACG Clinical Guideline: Diagnosis and Management of Small Bowel Bleeding. Am J Gastroenterol. 2015 Sep;110(9):1265-87.<\/p>\n<p>&nbsp;<\/p>\n<p>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;<\/p>\n<h2><strong>Como citar esse artigo:<\/strong><\/h2>\n<p><em>Sakai\u00a0CM. Hemorragia Digestiva M\u00e9dia. Endoscopia Terap\u00eautica; 2018. Dispon\u00edvel em:\u00a0<span id=\"sample-permalink\">https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/<span id=\"editable-post-name\">hemorragia-digestiva-media<\/span>\/<\/span>\u200e<\/em><\/p>\n<p>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;..<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Defini\u00e7\u00e3o Hemorragia do trato gastrointestinal m\u00e9dio \u00e9 definida pelo sangramento localizado entre a&hellip;<\/p>\n","protected":false},"author":5709,"featured_media":5267,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[270],"tipo":[157],"volume":[263],"class_list":["post-4562","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-270","tipo-intestino-delgado","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>Hemorragia digestiva m\u00e9dia &#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\/hemorragia-digestiva-media\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hemorragia digestiva m\u00e9dia\" \/>\n<meta property=\"og:description\" content=\"&nbsp; Defini\u00e7\u00e3o Hemorragia do trato gastrointestinal m\u00e9dio \u00e9 definida pelo sangramento localizado entre a papila duodenal maior e a v\u00e1lvula ileocecal.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/\" \/>\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=\"2018-05-28T09:00:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-05-27T00:10:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076\" \/>\n\t<meta property=\"og:image:width\" content=\"881\" \/>\n\t<meta property=\"og:image:height\" content=\"524\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/\"},\"author\":{\"name\":\"Admin\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/9c9bff19a8d5c478ef1f7279392a5d91\"},\"headline\":\"Hemorragia digestiva m\u00e9dia\",\"datePublished\":\"2018-05-28T09:00:38+00:00\",\"dateModified\":\"2022-05-27T00:10:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/\"},\"wordCount\":660,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#organization\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076\",\"articleSection\":[\"Assuntos Gerais\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/\",\"name\":\"Hemorragia digestiva m\u00e9dia &#8226; Endoscopia Terapeutica\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076\",\"datePublished\":\"2018-05-28T09:00:38+00:00\",\"dateModified\":\"2022-05-27T00:10:35+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#primaryimage\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076\",\"contentUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076\",\"width\":881,\"height\":524},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/endoscopiaterapeutica.net\/pt\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Hemorragia digestiva m\u00e9dia\"}]},{\"@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\/9c9bff19a8d5c478ef1f7279392a5d91\",\"name\":\"Admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/secure.gravatar.com\/avatar\/0ce0774c08ae411d8239080c7205c7f2455e4919166dde3873dcf33f29d61af7?s=96&d=mm&r=g\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/0ce0774c08ae411d8239080c7205c7f2455e4919166dde3873dcf33f29d61af7?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/0ce0774c08ae411d8239080c7205c7f2455e4919166dde3873dcf33f29d61af7?s=96&d=mm&r=g\",\"caption\":\"Admin\"},\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/author\/ingastro\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Hemorragia digestiva m\u00e9dia &#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\/hemorragia-digestiva-media\/","og_locale":"pt_BR","og_type":"article","og_title":"Hemorragia digestiva m\u00e9dia","og_description":"&nbsp; Defini\u00e7\u00e3o Hemorragia do trato gastrointestinal m\u00e9dio \u00e9 definida pelo sangramento localizado entre a papila duodenal maior e a v\u00e1lvula ileocecal.","og_url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/","og_site_name":"Endoscopia Terapeutica","article_publisher":"https:\/\/www.facebook.com\/endoscopiaterapeutica","article_published_time":"2018-05-28T09:00:38+00:00","article_modified_time":"2022-05-27T00:10:35+00:00","og_image":[{"width":881,"height":524,"url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076","type":"image\/jpeg"}],"author":"Admin","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Admin","Est. tempo de leitura":"4 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#article","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/"},"author":{"name":"Admin","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/person\/9c9bff19a8d5c478ef1f7279392a5d91"},"headline":"Hemorragia digestiva m\u00e9dia","datePublished":"2018-05-28T09:00:38+00:00","dateModified":"2022-05-27T00:10:35+00:00","mainEntityOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/"},"wordCount":660,"commentCount":0,"publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076","articleSection":["Assuntos Gerais"],"inLanguage":"pt-BR","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/","url":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/","name":"Hemorragia digestiva m\u00e9dia &#8226; Endoscopia Terapeutica","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#primaryimage"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076","datePublished":"2018-05-28T09:00:38+00:00","dateModified":"2022-05-27T00:10:35+00:00","breadcrumb":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#primaryimage","url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076","contentUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/05\/intestino-881x524-1.jpg?v=1628207076","width":881,"height":524},{"@type":"BreadcrumbList","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/hemorragia-digestiva-media\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/endoscopiaterapeutica.net\/pt\/"},{"@type":"ListItem","position":2,"name":"Hemorragia digestiva m\u00e9dia"}]},{"@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\/9c9bff19a8d5c478ef1f7279392a5d91","name":"Admin","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/secure.gravatar.com\/avatar\/0ce0774c08ae411d8239080c7205c7f2455e4919166dde3873dcf33f29d61af7?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/0ce0774c08ae411d8239080c7205c7f2455e4919166dde3873dcf33f29d61af7?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/0ce0774c08ae411d8239080c7205c7f2455e4919166dde3873dcf33f29d61af7?s=96&d=mm&r=g","caption":"Admin"},"url":"https:\/\/endoscopiaterapeutica.net\/pt\/author\/ingastro\/"}]}},"_links":{"self":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4562","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\/5709"}],"replies":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/comments?post=4562"}],"version-history":[{"count":3,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4562\/revisions"}],"predecessor-version":[{"id":9995,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/posts\/4562\/revisions\/9995"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media\/5267"}],"wp:attachment":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media?parent=4562"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/categories?post=4562"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tags?post=4562"},{"taxonomy":"ano","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/ano?post=4562"},{"taxonomy":"tipo","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/tipo?post=4562"},{"taxonomy":"volume","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/volume?post=4562"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}