{"id":4806,"date":"2020-10-02T09:30:43","date_gmt":"2020-10-02T09:30:43","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/gastroplastia-endoscopica\/"},"modified":"2022-01-27T15:01:27","modified_gmt":"2022-01-27T15:01:27","slug":"gastroplastia-endoscopica","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/gastroplastia-endoscopica\/","title":{"rendered":"Gastroplastia Endosc\u00f3pica"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">A t\u00e9cnica de <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/novo-gastropatias\/\" target=\"_blank\" rel=\"noopener\">Gastroplastia<\/a> Endosc\u00f3pica (<\/span><i><span style=\"font-weight: 400;\">ESG \u2013 Endoscopic Sleeve Gastroplasty<\/span><\/i><span style=\"font-weight: 400;\">) consiste na utiliza\u00e7\u00e3o de um dispositivo de sutura endosc\u00f3pica (Apollo Overstitch) acoplado na extremidade de endosc\u00f3pio de duplo canal para confec\u00e7\u00e3o de plicaturas na parede g\u00e1strica, tornando-o com aspecto tubulizado e, portanto, reduzindo seu volume.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As suturas podem ser realizadas em padr\u00f5es distintos, iniciando-se em corpo distal, podendo ser restritas a corpo ou incluir parte do f\u00f3rnix g\u00e1strico. A realiza\u00e7\u00e3o de suturas em antro n\u00e3o est\u00e1 indicada.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><a style=\"font-weight: bold; font-size: 16px;\" href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Square-vs-U.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-11639 size-full\" title=\"Gastroplastia Endosc\u00f3pica (ESG - Endoscopic Sleeve Gastroplasty)\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Square-vs-U.png\" alt=\"Gastroplastia Endosc\u00f3pica (ESG - Endoscopic Sleeve Gastroplasty)\" width=\"558\" height=\"218\" \/><\/a><\/p>\n<p>Imagem esquem\u00e1tica evidenciando o padr\u00e3o de sutura em quadrado\/ret\u00e2ngulo (A) e padr\u00e3o em &#8220;U&#8221; (B) para facilitar a compreens\u00e3o, embora, na pr\u00e1tica, as suturas sejam realizadas com uma dist\u00e2ncia maior entre si.<\/p>\n<p><span style=\"font-weight: 400;\">A popula\u00e7\u00e3o-alvo do procedimento \u00e9 composta por pacientes que, apesar de serem obesos, n\u00e3o s\u00e3o candidatos \u00e0 cirurgia bari\u00e1trica ou recusam o procedimento cir\u00fargico.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A perda de peso associada a ESG varia entre 16 e 19% do peso total e de 47 a 55% do excesso de peso ap\u00f3s um ano do procedimento, de acordo com as maiores s\u00e9ries publicadas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As principais complica\u00e7\u00f5es do procedimento est\u00e3o associadas \u00e0 dor ou v\u00f4mitos que necessitem de prolongamento do internamento hospitalar, sangramento e cole\u00e7\u00f5es perig\u00e1stricas (relato de tratamento conservador e laparoscopia).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Revis\u00e3o sistem\u00e1tica e meta-an\u00e1lise publicada no ano passado abrangeu oito estudos, no per\u00edodo entre 2016 e 2019, envolvendo 1772 pacientes submetidos a ESG:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Perda de peso total de 16,5% em um ano e de 17,2% em dois anos.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Taxa de eventos adversos de 2,2% predominantemente por prolongamento do internamento hospitalar por n\u00e1useas ou dor (1%), sangramento (0,5%) e vazamento perig\u00e1strico\/cole\u00e7\u00e3o (0,48%).<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Nessa publica\u00e7\u00e3o foram avaliados 3 coortes retrospectivas e 5 prospectivas, a maior delas, envolvendo 1000 pacientes, foi de car\u00e1ter prospectivo.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Estudo prospectivo realizado no Brasil envolvendo 233 casos de ESG, todos utilizando mesmo padr\u00e3o de sutura (em U), encontrou valores semelhantes em rela\u00e7\u00e3o \u00e0 perda de peso total ap\u00f3s 6 meses (17,1%) e um ano (19,7%).<\/span><\/p>\n<div id=\"attachment_11405\" style=\"width: 536px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-51.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-11405\" class=\"wp-image-11405 size-full\" title=\"Gastroplastia Endosc\u00f3pica (ESG - Endoscopic Sleeve Gastroplasty)\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Captura-de-Tela-51.png\" alt=\"Gastroplastia Endosc\u00f3pica (ESG - Endoscopic Sleeve Gastroplasty)\" width=\"526\" height=\"418\" \/><\/a><p id=\"caption-attachment-11405\" class=\"wp-caption-text\">Estudo contrastado de ESG: POI e ap\u00f3s 12 meses; ABCD Arq Bras Cirurgia 2017.<\/p><\/div>\n<div id=\"attachment_11425\" style=\"width: 1428px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/ESG-sequencia.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-11425\" class=\"wp-image-11425 size-full\" title=\"Gastroplastia Endosc\u00f3pica (ESG - Endoscopic Sleeve Gastroplasty)\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/ESG-sequencia.png\" alt=\"Gastroplastia Endosc\u00f3pica (ESG - Endoscopic Sleeve Gastroplasty)\" width=\"1418\" height=\"461\" \/><\/a><p id=\"caption-attachment-11425\" class=\"wp-caption-text\">Etapas para realiza\u00e7\u00e3o da sutura: Com o fio j\u00e1 posicionado no porta agulha(*), \u00e9 realizado o posicionamento da h\u00e9lice\/helix (**) na regi\u00e3o desejada. Tra\u00e7\u00e3o da helix trazendo o tecido para dentro do dispositivo de sutura. Na \u00faltima imagem, libera\u00e7\u00e3o do fio(***).<\/p><\/div>\n<div id=\"attachment_11427\" style=\"width: 480px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/ESG.Still006.bmp\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11427\" class=\"wp-image-11427 size-full\" title=\"Gastroplastia Endosc\u00f3pica (ESG - Endoscopic Sleeve Gastroplasty) \" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/ESG.Still006.bmp\" alt=\"Gastroplastia Endosc\u00f3pica (ESG - Endoscopic Sleeve Gastroplasty) \" width=\"470\" height=\"461\" \/><\/a><p id=\"caption-attachment-11427\" class=\"wp-caption-text\">Imagem endosc\u00f3pica de ESG mostrando in\u00edcio da tuneliza\u00e7\u00e3o do est\u00f4mago.<\/p><\/div>\n<p><span style=\"font-weight: 400;\">O Brasil \u00e9 um dos principais expoentes no campo da cirurgia e endoscopia bari\u00e1trica e, recentemente, publicou o Consenso Brasileiro sobre ESG, envolvendo 1828 procedimentos realizados por 47 endoscopistas.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Foi relatado pelo grupo taxa de eventos adversos maiores de 0,8% (15 casos), principalmente por sangramento manejados por tratamento conservador ou endosc\u00f3pico. Dentre as outras causas de eventos adversos foram citados dor abdominal por persist\u00eancia de pneumoperit\u00f4nio (3 casos), v\u00f4mitos persistentes (1 caso), insufici\u00eancia respirat\u00f3ria sem necessidade de ventila\u00e7\u00e3o mec\u00e2nica, no p\u00f3s-operat\u00f3rio imediato (1 caso, paciente com DPOC), e tr\u00eas casos que necessitaram de interven\u00e7\u00e3o cir\u00fargica por laparoscopia: dois abscessos retrog\u00e1stricos e uma perfura\u00e7\u00e3o de ves\u00edcula biliar. Houve um caso de \u00f3bito por tromboembolismo pulmonar no 5\u00ba DPO em paciente hipertenso, com sequela de AVC e IMC de 31 Kg\/m<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dentre os principais pontos de consenso (concord\u00e2ncia de 70% ou mais dos participantes), cita-se:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Indica\u00e7\u00e3o: IMC ideal entre 30 e 35 Kg\/m<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">, com IMC m\u00ednimo de 27 Kg\/m<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">;<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Contraindica\u00e7\u00e3o absoluta: \u00falceras ativas em corpo ou f\u00f3rnix g\u00e1strico (com ou sem sinais de sangramento), gastropatia congestiva, polipose g\u00e1strica, varizes esof\u00e1gicas ou g\u00e1stricas, dist\u00farbios psiqui\u00e1tricos n\u00e3o tratados\/compensados.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><strong>T\u00e9cnica de Gastroplastia Endosc\u00f3pica:<\/strong><\/h2>\n<ul>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Procedimento realizado sob supervis\u00e3o anest\u00e9sica e intuba\u00e7\u00e3o traqueal, uso de antibioticoprofilaxia de rotina, insufla\u00e7\u00e3o g\u00e1strica usando CO<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">, n\u00e3o realizar suturas em antro.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">A t\u00e9cnica de sutura mais utilizada foi em quadrado\/ret\u00e2ngulo, em m\u00e9dia sendo utilizadas 4 a 6 suturas por caso.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">O procedimento pode ser realizado em car\u00e1ter ambulatorial.<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Recomenda-se uso de IBPs, ondansetrona, buscopan, analg\u00e9sicos e dexametasona no p\u00f3s-operat\u00f3rio imediato e manuten\u00e7\u00e3o de IBPs por 1 a 3 meses ap\u00f3s procedimento.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2><strong>Considera\u00e7\u00f5es sobre a T\u00e9cnica de Gastroplastia Endosc\u00f3pica:<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">A t\u00e9cnica \u00e9 bastante promissora, segura, com bons resultados nos primeiros dois anos ap\u00f3s o procedimento, obedecendo aos crit\u00e9rios determinados pela ASGE e ASMBS. Uma das principais limita\u00e7\u00f5es do m\u00e9todo est\u00e1 relacionada ao custo ainda muito elevado do procedimento, tanto pelo custo do pr\u00f3prio dispositivo e do treinamento em manej\u00e1-lo quanto pela necessidade de dispor de aparelho de duplo canal, overtube e insuflador de CO<\/span><span style=\"font-weight: 400;\">2<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Embora j\u00e1 seja realizada h\u00e1 certo tempo, muitos cirurgi\u00f5es e endoscopistas ainda desconhecem a t\u00e9cnica ou n\u00e3o conhecem bem as diversas publica\u00e7\u00f5es sobre o tema, o que acaba gerando compara\u00e7\u00f5es entre a t\u00e9cnica de ESG e a cirurgia de sleeve, sem levar em considera\u00e7\u00e3o que tanto seus resultados como suas indica\u00e7\u00f5es s\u00e3o distintas.<\/span><\/p>\n<p style=\"text-align: center;\"><b>A seguir, teste seus conhecimentos e responda o nosso <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/teste-seus-conhecimentos-sobre-esg-endoscopic-sleeve-gastroplasty\/\">QUIZ<\/a>!<\/b><\/p>\n<h3><strong>Como citar esse artigo:<\/strong><\/h3>\n<p><em>Ferreira\u00a0F. Gastroplastia Endosc\u00f3pica. Endoscopia Terap\u00eautica; 2020. Dispon\u00edvel em: https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/gastroplastia-endoscopica\/<\/em><\/p>\n<p>&nbsp;<\/p>\n<h2><strong>Refer\u00eancias<\/strong><\/h2>\n<ol>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Laparoscopic Sleeve Gastrectomy After Endoscopic Sleeve Gastroplasty: Technical Aspects and Short-Term Outcomes; <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Alqahtani+AR&amp;cauthor_id=31214968\"><span style=\"font-weight: 400;\">Aayed R Alqahtani<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Elahmedi+M&amp;cauthor_id=31214968\"><span style=\"font-weight: 400;\">Mohamed Elahmedi<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Alqahtani+YA&amp;cauthor_id=31214968\"><span style=\"font-weight: 400;\">Yara A Alqahtani<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Al-Darwish+A&amp;cauthor_id=31214968\"><span style=\"font-weight: 400;\">Abdullah Al-Darwish<\/span><\/a><span style=\"font-weight: 400;\">; Obes Surg 2019 Nov;29(11):3547-3552<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Gastroplastia sleeve endosc\u00f3pica para tratamento da obesidade: dois anos de experi\u00eancia; Gontrand Lopez-Nava, MP Galv\u00e3o, I Bautista-Casta\u00f1o, JP Fernandez-Corbelle, M Trell, N Lopez; ABCD Arq Bras Cir Dig 2017;30(1):18-20<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Safety and short\u2011term effectiveness of endoscopic sleeve gastroplasty using overstitch: preliminary report from a multicenter study; Surgical Endoscopy; Manoel Galvao Neto, Rena C. Moon, Luiz Gustavo de Quadros, Eduardo Grecco, Admar Concon Filho, Thiago Ferreira de Souza, Luis Augusto Mattar, Jose Americo Gomides de Sousa, Barham K. Abu Dayyeh, Helmut Morais, Felipe Matz, Muhammad A. Jawad, Andre F. Teixeira; Surgical endoscopy 2019<\/span><\/li>\n<li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Brazilian Consensus on Endoscopic Sleeve Gastroplasty &#8211; Manoel Galv\u00e3o Neto, Lyz Bezerra Silva, Luiz Gustavo de Quadros, Eduardo Grecco, Admar Concon Filho, Artagnan Menezes Barbosa de Amorim, Marcelo Falcao de Santana, Newton Teixeira dos Santos et al; Obesity Surgery 2020<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u00a0Efficacy and Safety of Endoscopic Sleeve Gastroplasty: A Systematic Review and Meta-Analysis &#8211; Abdellah Hedjoudje, Barham Abu Dayyeh, Lawrence J. Cheskin, Atif Adam, Manoel Galv\u00e3o Neto, Dilhana Badurdeen, Javier Graus Morales, Adrian Sartoretto, Gontrand Lopez Nava, Eric Vargas, Sui Zhixian, Lea Fayad, Jad Farha, Mouen A. Khashab, Anthony N. Kalloo, Aayed R. Alqahtani, Christopher Thompson, and Vivek Kumbhari; Clinical Gastroenterology and Hepatology 2019<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Re-suturing after primary endoscopic sleeve gastroplasty (ESG) for obesity &#8211; <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Lopez-Nava+G&amp;cauthor_id=32583068\"><span style=\"font-weight: 400;\">Gontrand Lopez-Nava<\/span><\/a><span style=\"font-weight: 400;\"> , <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Asokkumar+R&amp;cauthor_id=32583068\"><span style=\"font-weight: 400;\">Ravishankar Asokkumar<\/span><\/a><span style=\"font-weight: 400;\"> , <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Negi+A&amp;cauthor_id=32583068\"><span style=\"font-weight: 400;\">Anuradha Negi<\/span><\/a><span style=\"font-weight: 400;\"> , <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Normand+E&amp;cauthor_id=32583068\"><span style=\"font-weight: 400;\">Enrique Normand<\/span><\/a><span style=\"font-weight: 400;\"> , <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Bautista+I&amp;cauthor_id=32583068\"><span style=\"font-weight: 400;\">Inmaculada Bautista<\/span><\/a><span style=\"font-weight: 400;\"> ; Surg Endosc 2020 Jun 24<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Acesse o <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/\"><b>Endoscopia Terap\u00eautica<\/b><\/a><span style=\"font-weight: 400;\"> para tomar contato com mais <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/artigos-comentados\/\"><b>artigos comentados<\/b><\/a><span style=\"font-weight: 400;\">,<\/span> <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntos-gerais\/\"><b>assuntos gerais<\/b><\/a><span style=\"font-weight: 400;\">,<\/span> <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casos-clinicos\/\"><b>casos cl\u00ednicos<\/b><\/a><span style=\"font-weight: 400;\">,<\/span> <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quizes\/\"><b>quiz<\/b><b>zes<\/b><\/a><span style=\"font-weight: 400;\">,<\/span> <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacoes\/\"><b>classifica\u00e7\u00f5es<\/b><\/a> <span style=\"font-weight: 400;\">e mais!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A t\u00e9cnica de Gastroplastia Endosc\u00f3pica (ESG \u2013 Endoscopic Sleeve Gastroplasty) consiste na utiliza\u00e7\u00e3o de&hellip;<\/p>\n","protected":false},"author":1897,"featured_media":4802,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[146],"tipo":[158],"volume":[147],"class_list":["post-4806","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-146","tipo-endoscopia-bariatrica","volume-volume-ii"],"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>Gastroplastia Endosc\u00f3pica &#8226; 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