Mucosectomia endoscópica de neoplasia superficial em esófago de barrett

 

S. Rito Nobre ¹, J. E. Pina Cabral ¹, F. Portela ¹, P. Amaro ¹, M. A. Cipriano ², C. Sofia ¹, H. Gouveia ¹, M. Correia Leitão ¹

 

 

Resumo

Os autores apresentam o caso de um doente do sexo masculino, de 80 anos, com neoplasia intra-epitelial de alto grau /carcinoma in situ em esófago de Barrett, submetida a mucosectomia com o “kit” Duette® DT-6-5F (Cook, EUA). Ao cabo de 6 meses de seguimento, o doente mantém-se assintomático e sem displasia nas biopsias de controlo. Salientam-se as características deste sistema, recentemente disponível no mercado, e discutem-se as possibilidades de abordagem terapêutica destes casos.

 

 

Summary

The authors present a case of a 80-year-old man with high degree epithelial neoplasia/carcinoma in situ in Barrett´s esophagus, treated by endoscopic mucosal resection with Duette® DT-6-5F system (Cook, USA). After 6 months of follow-up, the patient is assymptomatic and presents no dysplasia in control biopsies. We reinforce the characteristics of this system, which was recently introduced, and discuss the therapeutic options in these cases.

 

 

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Bibliografia

 

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(1) Serviço de Gastrenterologia.

(2) Serviço de Anatomia Patológica.

Hospitais da Universidade de Coimbra, Portugal.

 

Correspondência:

Sónia Rito Nobre

Serviço de Gastrenterologia

Hospitais da Universidade de Coimbra

Avenida Bissaya Barreto e Praceta Mota Pinto

3000-075 Coimbra

Tel.: (+351) 239 400 483

Fax: (+351) 239 701 517

e-mail: soninobre@hotmail.com

Recebido para publicação: 21/08/2007

Aceite para publicação: 29/02/2008