{"id":11705,"date":"2022-01-24T07:00:00","date_gmt":"2022-01-24T10:00:00","guid":{"rendered":"https:\/\/nutritotal.com.br\/pro?p=11705"},"modified":"2022-04-05T15:49:57","modified_gmt":"2022-04-05T18:49:57","slug":"o-que-a-gastrostomia-endosca-pica-percuta-nea","status":"publish","type":"post","link":"https:\/\/nutritotal.com.br\/pro\/o-que-a-gastrostomia-endosca-pica-percuta-nea\/","title":{"rendered":"O que \u00e9 Gastrostomia Endosc\u00f3pica Percut\u00e2nea?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_75 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Conte\u00fado<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/nutritotal.com.br\/pro\/o-que-a-gastrostomia-endosca-pica-percuta-nea\/#A_gastrostomia_endoscopica_percutanea\" >A gastrostomia endosc\u00f3pica percut\u00e2nea<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/nutritotal.com.br\/pro\/o-que-a-gastrostomia-endosca-pica-percuta-nea\/#Como_e_realizado_o_procedimento\" >Como \u00e9 realizado o procedimento?<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/nutritotal.com.br\/pro\/o-que-a-gastrostomia-endosca-pica-percuta-nea\/#Contraindicacoes_e_complicacoes\" >Contraindica\u00e7\u00f5es e complica\u00e7\u00f5es<\/a><\/li><\/ul><\/nav><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-52690 size-full\" src=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2018\/01\/PR-O-que-e-Gastrostomia-Endoscopica-Percutanea_site.png\" alt=\"Gastrostomia Endosc\u00f3pica Percut\u00e2ne\" width=\"1140\" height=\"460\" srcset=\"https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2018\/01\/PR-O-que-e-Gastrostomia-Endoscopica-Percutanea_site.png 1140w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2018\/01\/PR-O-que-e-Gastrostomia-Endoscopica-Percutanea_site-300x121.png 300w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2018\/01\/PR-O-que-e-Gastrostomia-Endoscopica-Percutanea_site-1024x413.png 1024w, https:\/\/nutritotal.com.br\/pro\/wp-content\/uploads\/2018\/01\/PR-O-que-e-Gastrostomia-Endoscopica-Percutanea_site-768x310.png 768w\" sizes=\"(max-width: 1140px) 100vw, 1140px\" \/><\/p>\n<p>Quando o trato gastrointestinal est\u00e1 funcionando, mas devido alguma altera\u00e7\u00e3o no trato gastrointestinal superior a ingest\u00e3o alimentar por via oral \u00e9 contraindicada, recomenda-se a gastrostomia percut\u00e2nea, podendo ser realizada atrav\u00e9s de uma laparotomia, via endosc\u00f3pica ou por meio de uma laparoscopia. No entanto, o procedimento mais utilizado na pr\u00e1tica \u00e9 a gastrostomia endosc\u00f3pica percut\u00e2nea.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"A_gastrostomia_endoscopica_percutanea\"><\/span>A gastrostomia endosc\u00f3pica percut\u00e2nea<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Tamb\u00e9m conhecida como t\u00e9cnica de Hunter, a gastrostomia percut\u00e2nea endosc\u00f3pica (GPE) \u00e9 hoje a maneira mais indicada pelas diretrizes para a passagem da gastrostomia, por ser de f\u00e1cil execu\u00e7\u00e3o, de baixa morbidade e por ser poss\u00edvel realiz\u00e1-la com seda\u00e7\u00e3o e anestesia local \u00e0 beira leito.<\/p>\n<p>A gastrostomia \u00e9 indicada a pacientes em que a nutri\u00e7\u00e3o enteral (NE) seja superior a um m\u00eas, ou que apresenta disfagia, devido a um tumor na cabe\u00e7a ou com doen\u00e7as neurol\u00f3gicas, contribuindo com a manuten\u00e7\u00e3o do aporte nutricional e com a melhora na qualidade de vida desses indiv\u00edduos.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Como_e_realizado_o_procedimento\"><\/span>Como \u00e9 realizado o procedimento?<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Com a ajuda de um endosc\u00f3pio, \u00e9 feito um pequeno orif\u00edcio entre o est\u00f4mago e a parede abdominal, por onde \u00e9 passado o fio guia que segue at\u00e9 a cavidade oral. Atrav\u00e9s do fio guia, uma sonda \u00e9 inserida na cavidade oral, chega ao est\u00f4mago e, ent\u00e3o, \u00e9 fixada de maneira a permitir a comunica\u00e7\u00e3o entre o est\u00f4mago e o meio externo para recebimento da dieta.<\/p>\n<p>O procedimento geralmente \u00e9 realizado com seda\u00e7\u00e3o ou anestesia local e com uso de antibi\u00f3ticos para minimizar o risco de poss\u00edveis complica\u00e7\u00f5es e, ap\u00f3s a sua realiza\u00e7\u00e3o, o paciente pode receber a alimenta\u00e7\u00e3o pela via em poucas horas.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Contraindicacoes_e_complicacoes\"><\/span>Contraindica\u00e7\u00f5es e complica\u00e7\u00f5es<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>O procedimento \u00e9 contraindicado em casos de obstru\u00e7\u00e3o pil\u00f3rica ou do trato gastrointestinal, pacientes com ascite, com a impossibilidade de acesso endosc\u00f3pico ao est\u00f4mago ou intestino, desordem de coagula\u00e7\u00e3o sangu\u00ednea, e em indiv\u00edduos com psicoses, obesidade m\u00f3rbida e paciente terminal.<\/p>\n<p>Apesar de ser considerado um m\u00e9todo seguro, pode haver algumas complica\u00e7\u00f5es relacionadas \u00e0 migra\u00e7\u00e3o da sonda, dor no local da sua inser\u00e7\u00e3o, obstru\u00e7\u00e3o da sonda, ou ocorr\u00eancia de infec\u00e7\u00e3o da pele ao redor da sonda.<\/p>\n<p>Por\u00e9m, para evitar algumas dessas complica\u00e7\u00f5es \u00e9 indicada a lavagem da sonda com \u00e1gua morna, ap\u00f3s a ingest\u00e3o da alimenta\u00e7\u00e3o, evitar a ingest\u00e3o de alimentos \u00e1cidos ou de bebidas alco\u00f3licas, al\u00e9m de fazer a assepsia e curativo t\u00f3pico no local.<\/p>\n<p>Assim, cabe \u00e0 equipe multidisciplinar aconselhar o paciente e os familiares sobre os cuidados, a fim de evitar poss\u00edveis complica\u00e7\u00f5es em que impactam no sucesso da terapia nutricional.<\/p>\n<p>Veja tamb\u00e9m: <a href=\"https:\/\/nutritotal.com.br\/pro\/material\/ostomia-o-que-e-e-quais-sao-os-cuidados\/\">Ostomia: o que \u00e9? E quais s\u00e3o os cuidados?<\/a><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancia <\/strong><\/p>\n<p>MINICUCCI, Marcos Ferreira. et al. <a href=\"https:\/\/www.scielo.br\/j\/rn\/a\/9NCHLqHPvkdm56HXN5t3CKD\/?format=pdf&amp;lang=pt\" class=\"broken_link\">O uso da gastrostomia percut\u00e2nea endosc\u00f3pica<\/a>. <strong>Revista de Nutri\u00e7\u00e3o<\/strong>, S\u00e3o Paulo, v. 4, n. 18, p. 553-559, ago. 2005.<\/p>\n<p>MELLO, Gustavo; MANSUR, Gilberto (ed.). <strong>Gastrostomia endosc\u00f3pica percut\u00e2nea<\/strong>: t\u00e9cnicas e aplica\u00e7\u00f5es. Rio de Janeiro: Rubio, 2012.<\/p>\n<p style=\"text-align: justify;\">ARAHNEMAI-AZAR, Ata. <a href=\"http:\/\/dx.doi.org\/10.3748\/wjg.v20.i24.7739\" target=\"_blank\" rel=\"noopener\" class=\"broken_link\">Percutaneous endoscopic gastrostomy: Indications, technique, complications and management.<\/a> World Journal Of Gastroenterology, [s.l.], v. 20, n. 24, p.7739-7751, 2014. Baishideng Publishing Group Inc..<\/p>\n<p style=\"text-align: justify;\">Waitzberg, D. L. Nutri\u00e7\u00e3o Oral, Enteral e Parenteral na Pr\u00e1tica Cl\u00ednica. 5.ed. Atheneu, 2017.<\/p>\n<p style=\"text-align: justify;\">WIRTH, Rainer. <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00391-017-1363-7\" target=\"_blank\" rel=\"noopener\">Die perkutane endoskopische Gastrostomie in der Altersmedizin.\u00a0Zeitschrift F\u00fcr Gerontologie Und<\/a><br \/>\nGeriatrie, [s.l.], p.1363-1367, 18 jan. 2018. Springer Nature.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quando o trato gastrointestinal est\u00e1 funcionando, mas devido alguma altera\u00e7\u00e3o no trato gastrointestinal superior a ingest\u00e3o alimentar por via oral \u00e9 contraindicada, recomenda-se a gastrostomia percut\u00e2nea, podendo ser realizada atrav\u00e9s de uma laparotomia, via endosc\u00f3pica ou por meio de uma laparoscopia. No entanto, o procedimento mais utilizado na pr\u00e1tica \u00e9 a gastrostomia endosc\u00f3pica percut\u00e2nea. A [&hellip;]<\/p>\n","protected":false},"author":45,"featured_media":52689,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[194],"divisao":[2185],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>O que \u00e9 Gastrostomia Endosc\u00f3pica Percut\u00e2nea? - Nutritotal PRO<\/title>\n<meta name=\"description\" content=\"Gastrostomia endosc\u00f3pica percut\u00e2nea \u00e9 recomendado pelas principais diretriz cl\u00ednicas. 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