{"id":16644,"date":"2023-06-29T11:33:00","date_gmt":"2023-06-29T11:33:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/es\/?post_type=classificacao&p=16644"},"modified":"2023-08-15T22:57:15","modified_gmt":"2023-08-15T22:57:15","slug":"cdeis-crohns-disease-index-of-severity","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/","title":{"rendered":"CDEIS\u00a0(Crohn\u2019s Disease Index of Severity)"},"content":{"rendered":"\n

O CDEIS \u00e9 um \u00edndice desenvolvido pelo grupo de estudo GETAID (Groupe d’\u00c9tude des Affections Th\u00e9rapeutique Inflammatoires du tube Digestif) que busca determinar de maneira objetiva a intensidade dos achados endosc\u00f3picos da doen\u00e7a de Crohn. Na sua configura\u00e7\u00e3o, o CDEIS leva em considera\u00e7\u00e3o quatro par\u00e2metros, cada um avaliado em cinco segmentos pr\u00e9-definidos: \u00edleo, c\u00f3lon ascendente, c\u00f3lon transverso, c\u00f3lon descendente\/ sigmoide e reto. Os par\u00e2metros avaliados s\u00e3o:<\/p>\n\n\n\n

    \n
  1. Superf\u00edcie ulcerada: avalia a presen\u00e7a e extens\u00e3o das \u00falceras em cada segmento do c\u00f3lon.<\/li>\n\n\n\n
  2. Superf\u00edcie afetada pela doen\u00e7a: Avalia a \u00e1rea superficial afetada pela inflama\u00e7\u00e3o, enantema e outros sinais de atividade da doen\u00e7a em cada segmento.<\/li>\n\n\n\n
  3. Presen\u00e7a de estenoses: a presen\u00e7a de estenoses, seja associado a \u00falceras ou a outras causas, \u00e9 avaliada e registrada em cada segmento.<\/li>\n\n\n\n
  4. Intensidade das les\u00f5es: Esse par\u00e2metro quantifica a intensidade das les\u00f5es, levando em considera\u00e7\u00e3o fatores como profundidade das \u00falceras e grau de inflama\u00e7\u00e3o.<\/li>\n<\/ol>\n\n\n\n

    Cada par\u00e2metro recebe uma pontua\u00e7\u00e3o com base na intensidade ou extens\u00e3o dos achados em cada segmento. As pontua\u00e7\u00f5es de todos os par\u00e2metros s\u00e3o somadas para obter o escore total do CDEIS. O indice pode ser calculado mesmo se a investiga\u00e7\u00e3o endosc\u00f3pica for incompleta, pois os resultados dos segmentos individuais s\u00e3o divididos pelo n\u00famero de segmentos investigados.<\/p>\n\n\n\n

    A pontua\u00e7\u00e3o do CDEIS \u00e9 calculada da seguinte maneira:<\/p>\n\n\n\n

      \n
    1. Os resultados das quatro categorias (Totais 1, 2, 3 e 4) s\u00e3o somados para obter o Total A.<\/li>\n\n\n\n
    2. O n\u00famero de segmentos visualizados em parte ou totalmente (n) \u00e9 registrado.<\/li>\n\n\n\n
    3. O Total A \u00e9 dividido por n para obter o Total B.<\/li>\n\n\n\n
    4. Se houver estenose ulcerada em qualquer segmento, \u00e9 adicionado 3 ao Total B, obtendo o Total C.<\/li>\n\n\n\n
    5. Se houver estenose n\u00e3o ulcerada em qualquer segmento, \u00e9 adicionado 3 ao Total B, obtendo o Total D.<\/li>\n\n\n\n
    6. A pontua\u00e7\u00e3o final do CDEIS \u00e9 calculada somando-se os Totais B, C e D.<\/li>\n<\/ol>\n\n\n\n
      <\/th>\u00cdleo<\/th>C\u00f3lon Direito<\/th>C\u00f3lon Transverso<\/th>C\u00f3lon Esquerdo e Sigmoide<\/th>Reto<\/th>Total<\/th><\/tr><\/thead>
      \u00dalceras Profundas<\/td>__ +<\/td>__ +<\/td>__ +<\/td>__ +<\/td>__ +<\/td>Total 1<\/td><\/tr>
      \u00dalceras Superficiais<\/td>__ +<\/td>__ +<\/td>__ +<\/td>__ +<\/td>__ +<\/td>Total 2<\/td><\/tr>
      Superf\u00edcie Afetada pela Doen\u00e7a (cm VAS*)<\/td>__ +<\/td>__ +<\/td>__ +<\/td>__ +<\/td>__ +<\/td>Total 3<\/td><\/tr>
      Superf\u00edcie Afetada por \u00dalceras (cm VAS*)<\/td>__ +<\/td>__ +<\/td>__ +<\/td>__ +<\/td>__ +<\/td>Total 4<\/td><\/tr>
      Soma dos Totais 1+2+3+4<\/td>Total A<\/td><\/td><\/td><\/td><\/td><\/td><\/tr>
      N\u00famero de Segmentos Visualizados (de 1 a 5)<\/td>n<\/td><\/td><\/td><\/td><\/td><\/td><\/tr>
      Total A\/n<\/td>Total B<\/td><\/td><\/td><\/td><\/td><\/td><\/tr>
      Presen\u00e7a de estenose associada a \u00falcera em qualquer segmento (adicionar 3 pontos)<\/td>Total C<\/td><\/td><\/td><\/td><\/td><\/td><\/tr>
      Presen\u00e7a de estenose n\u00e3o associada a \u00falcera em qualquer segmento (adicionar 3 pontos)<\/td>Total D<\/td><\/td><\/td><\/td><\/td><\/td><\/tr>
      Total B + C + D<\/td>Escore CDEIS<\/td><\/td><\/td><\/td><\/td><\/td><\/tr><\/tbody><\/table><\/div>
      *VAS = Escala Visual Anal\u00f3gica<\/figcaption><\/figure>\n\n\n\n

      Sugere-se usar a escala visual em percentual de acometimento, por exemplo, quando houver um segmento acometido em cerca de 35% , o escore correspondente \u00e9 3,5 (35\/10).<\/p>\n\n\n\n

      Embora os par\u00e2metros de remiss\u00e3o usando o CDEIS n\u00e3o estejam formalmente validados, a resposta endosc\u00f3pica completa tem sido considerada em valores menores do que 3 pontos.<\/p>\n\n\n\n

        \n
      • Remiss\u00e3o: < 3 pontos<\/li>\n\n\n\n
      • Atividade endosc\u00f3pica leve: 3 – 8 pontos<\/li>\n\n\n\n
      • Atividade endosc\u00f3pica moderada: 9 – 12 pontos<\/li>\n\n\n\n
      • Atividade endosc\u00f3pica intensa: > 12 pontos<\/li>\n<\/ul>\n\n\n\n

        Refer\u00eancias:<\/h2>\n\n\n\n

        Mary JY, Modigliani R. Development and validation of an endoscopic index of the severity for Crohn’s disease: a prospective multicentre study. Gut 1989; 30 (7): 983-989.<\/p>\n\n\n\n

        <\/p>\n","protected":false},"excerpt":{"rendered":"

        O CDEIS \u00e9 um \u00edndice desenvolvido pelo grupo de estudo GETAID (Groupe d’\u00c9tude des…<\/p>\n","protected":false},"featured_media":16645,"template":"","categoria_de_classificacao":[182],"class_list":["post-16644","classificacao","type-classificacao","status-publish","has-post-thumbnail","hentry","categoria_de_classificacao-colon"],"yoast_head":"\nCDEIS\u00a0(Crohn\u2019s Disease Index of Severity) • 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\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CDEIS\u00a0(Crohn\u2019s Disease Index of Severity)\" \/>\n<meta property=\"og:description\" content=\"O CDEIS \u00e9 um \u00edndice desenvolvido pelo grupo de estudo GETAID (Groupe d’\u00c9tude des…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/\" \/>\n<meta property=\"og:site_name\" content=\"Endoscopia Terapeutica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoscopiaterapeuticaes\" \/>\n<meta property=\"article:modified_time\" content=\"2023-08-15T22:57:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/07\/image-2.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1764\" \/>\n\t<meta property=\"og:image:height\" content=\"937\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/cdeis-crohns-disease-index-of-severity\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/cdeis-crohns-disease-index-of-severity\\\/\",\"name\":\"CDEIS\u00a0(Crohn\u2019s Disease Index of Severity) • Endoscopia Terapeutica\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/cdeis-crohns-disease-index-of-severity\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/cdeis-crohns-disease-index-of-severity\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/wp-content\\\/uploads\\\/2023\\\/07\\\/image-2.png\",\"datePublished\":\"2023-06-29T11:33:00+00:00\",\"dateModified\":\"2023-08-15T22:57:15+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/cdeis-crohns-disease-index-of-severity\\\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/cdeis-crohns-disease-index-of-severity\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/cdeis-crohns-disease-index-of-severity\\\/#primaryimage\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/wp-content\\\/uploads\\\/2023\\\/07\\\/image-2.png\",\"contentUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/wp-content\\\/uploads\\\/2023\\\/07\\\/image-2.png\",\"width\":1764,\"height\":937},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/cdeis-crohns-disease-index-of-severity\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"CDEIS\u00a0(Crohn\u2019s Disease Index of Severity)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/#website\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/\",\"name\":\"Endoscopia Terapeutica\",\"description\":\"Uniendo conocimiento acad\u00e9mico con habilidad cl\u00ednica, Endoscopia Terap\u00eautica es tu gu\u00eda para el progreso en endoscopia digestiva. Educa y enriquece tu pr\u00e1ctica con nosotros.\",\"publisher\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/#organization\",\"name\":\"Endoscopia Terapeutica\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/endter.jpg\",\"contentUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/wp-content\\\/uploads\\\/2023\\\/09\\\/endter.jpg\",\"width\":720,\"height\":721,\"caption\":\"Endoscopia Terapeutica\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/endoscopiaterapeuticaes\",\"https:\\\/\\\/www.instagram.com\\\/endoscopia_terapeutica\\\/\",\"https:\\\/\\\/www.youtube.com\\\/@endoscopyonline\"]}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"CDEIS\u00a0(Crohn\u2019s Disease Index of Severity) • 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\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/","og_locale":"es_ES","og_type":"article","og_title":"CDEIS\u00a0(Crohn\u2019s Disease Index of Severity)","og_description":"O CDEIS \u00e9 um \u00edndice desenvolvido pelo grupo de estudo GETAID (Groupe d’\u00c9tude des…","og_url":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/","og_site_name":"Endoscopia Terapeutica","article_publisher":"https:\/\/www.facebook.com\/endoscopiaterapeuticaes","article_modified_time":"2023-08-15T22:57:15+00:00","og_image":[{"width":1764,"height":937,"url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/07\/image-2.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Tiempo de lectura":"3 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/","url":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/","name":"CDEIS\u00a0(Crohn\u2019s Disease Index of Severity) • Endoscopia Terapeutica","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#website"},"primaryImageOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/#primaryimage"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/07\/image-2.png","datePublished":"2023-06-29T11:33:00+00:00","dateModified":"2023-08-15T22:57:15+00:00","breadcrumb":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/#primaryimage","url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/07\/image-2.png","contentUrl":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/07\/image-2.png","width":1764,"height":937},{"@type":"BreadcrumbList","@id":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/cdeis-crohns-disease-index-of-severity\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/endoscopiaterapeutica.net\/es\/"},{"@type":"ListItem","position":2,"name":"CDEIS\u00a0(Crohn\u2019s Disease Index of Severity)"}]},{"@type":"WebSite","@id":"https:\/\/endoscopiaterapeutica.net\/es\/#website","url":"https:\/\/endoscopiaterapeutica.net\/es\/","name":"Endoscopia Terapeutica","description":"Uniendo conocimiento acad\u00e9mico con habilidad cl\u00ednica, Endoscopia Terap\u00eautica es tu gu\u00eda para el progreso en endoscopia digestiva. Educa y enriquece tu pr\u00e1ctica con nosotros.","publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/endoscopiaterapeutica.net\/es\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Organization","@id":"https:\/\/endoscopiaterapeutica.net\/es\/#organization","name":"Endoscopia Terapeutica","url":"https:\/\/endoscopiaterapeutica.net\/es\/","logo":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/logo\/image\/","url":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/09\/endter.jpg","contentUrl":"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2023\/09\/endter.jpg","width":720,"height":721,"caption":"Endoscopia Terapeutica"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/es\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/endoscopiaterapeuticaes","https:\/\/www.instagram.com\/endoscopia_terapeutica\/","https:\/\/www.youtube.com\/@endoscopyonline"]}]}},"_links":{"self":[{"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/classificacao\/16644","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/classificacao"}],"about":[{"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/types\/classificacao"}],"version-history":[{"count":4,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/classificacao\/16644\/revisions"}],"predecessor-version":[{"id":16743,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/classificacao\/16644\/revisions\/16743"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/media\/16645"}],"wp:attachment":[{"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/media?parent=16644"}],"wp:term":[{"taxonomy":"categoria_de_classificacao","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/es\/wp-json\/wp\/v2\/categoria_de_classificacao?post=16644"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}