{"id":5558,"date":"2018-12-10T08:00:58","date_gmt":"2018-12-10T08:00:58","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/publish-31\/"},"modified":"2021-08-10T01:13:26","modified_gmt":"2021-08-10T01:13:26","slug":"classificacao-de-rutgeerts","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/classificacao-de-rutgeerts\/","title":{"rendered":"Classifica\u00e7\u00e3o de Rutgeerts"},"content":{"rendered":"<p>&nbsp;<\/p>\n<p>A Classifica\u00e7\u00e3o de Rutgeerts \u00e9 aplicada em pacientes portadores de Doen\u00e7a de Crohn que foram submetidos a\u00a0<u>hemicolectomia direita<\/u>.<\/p>\n<p>Quanto maior o escore de Rutgeerts maior a chance dos pacientes apresentarem recidiva da doen\u00e7a.<\/p>\n<p>O endoscopista precisa conhecer essa classifica\u00e7\u00e3o e caso n\u00e3o sinta seguro em aplic\u00e1-la deve ao menos descrever minuciosamente a regi\u00e3o da anastomose e \u00edleo neoterminal quanto a presen\u00e7a\/aus\u00eancia de eros\u00f5es\/\u00falceras\/estenose assim como caracteriz\u00e1-las quanto a quantidade e localiza\u00e7\u00e3o destas.<\/p>\n<p>A classifica\u00e7\u00e3o original descrita por Rutgeerts em 1990 (vista abaixo) \u00e9 descrita como:<\/p>\n<ul>\n<li>I0: \u00a0\u00a0\u00a0\u00a0\u00a0 Quando n\u00e3o h\u00e1 eros\u00f5es\/\u00falceras em anastomose\/\u00edleo neoterminal<\/li>\n<li>I1:\u00a0 \u00a0 \u00a0 \u00a0Menor ou igual a 5 eros\u00f5es\/\u00falceras aftoides em anastomose<\/li>\n<li>I2: \u00a0\u00a0\u00a0\u00a0\u00a0 &gt; 5 \u00falceras aftoides em anastomose e\/ou \u00falceras maiores intercaladas por mucosa normal ou les\u00f5es confinadas \u00e0 anastomose<\/li>\n<li>I3: \u00a0\u00a0\u00a0\u00a0\u00a0 Inflama\u00e7\u00e3o difusa de \u00edleo terminal<\/li>\n<li>I4: \u00a0\u00a0\u00a0\u00a0\u00a0 Inflama\u00e7\u00e3o difusa do \u00edleo terminal com \u00falceras maiores e\/ou estenoses ileo\/anastomose<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<div id=\"attachment_9712\" style=\"width: 435px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/08\/Rutgeerts1.jpg\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" aria-describedby=\"caption-attachment-9712\" class=\"wp-image-9712 size-full\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/08\/Rutgeerts1.jpg\" alt=\"\" width=\"425\" height=\"319\" \/><\/a><p id=\"caption-attachment-9712\" class=\"wp-caption-text\">RUTGEERTS I0 &#8211; ANASTOMOSE E \u00cdLEO NEOTERMINAL SEM LES\u00d5ES<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_9713\" style=\"width: 435px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/08\/Rutgeerts2.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-9713\" class=\"wp-image-9713 size-full\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/08\/Rutgeerts2.jpg\" alt=\"\" width=\"425\" height=\"319\" \/><\/a><p id=\"caption-attachment-9713\" class=\"wp-caption-text\">RUTGEERTS I1 &#8211; 1 \u00daLCERA ANASTOMOSE<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_9714\" style=\"width: 435px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/08\/Rutgeerts3.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" aria-describedby=\"caption-attachment-9714\" class=\"wp-image-9714 size-full\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/08\/Rutgeerts3.jpg\" alt=\"\" width=\"425\" height=\"328\" \/><\/a><p id=\"caption-attachment-9714\" class=\"wp-caption-text\">RUTGEERTS I2 &#8211; \u00daLCERAS MAIORES EM ANASTOMOSE<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_9715\" style=\"width: 435px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/04\/Rutgeerts4.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9715\" class=\"wp-image-9715 size-full\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/04\/Rutgeerts4.jpg\" alt=\"\" width=\"425\" height=\"319\" \/><\/a><p id=\"caption-attachment-9715\" class=\"wp-caption-text\">RUTGEERTS I3 &#8211; INFLAMA\u00c7\u00c3O DIFUSA DE \u00cdLEO TERMINAL<\/p><\/div>\n<p>&nbsp;<\/p>\n<div id=\"attachment_9716\" style=\"width: 435px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/08\/Rutgeerts5.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9716\" class=\"wp-image-9716 size-full\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2021\/08\/Rutgeerts5.jpg\" alt=\"\" width=\"425\" height=\"319\" \/><\/a><p id=\"caption-attachment-9716\" class=\"wp-caption-text\">RUTGEERTS I4 &#8211; ESTENOSE INFLAMAT\u00d3RIA (\u00daLCERAS PROFUNDAS EM ANASTOMOSE)<\/p><\/div>\n<p>&nbsp;<\/p>\n<p>Pacientes com escore I0 e I1 est\u00e3o em remiss\u00e3o endosc\u00f3pica, enquanto os classificados como I2, I3 e I4 apresentam recorr\u00eancia p\u00f3s-operat\u00f3ria e esta informa\u00e7\u00e3o\u00a0obriga a otimiza\u00e7\u00e3o do tratamento cl\u00ednico.<\/p>\n<p>As limita\u00e7\u00f5es dessa classifica\u00e7\u00e3o s\u00e3o:<\/p>\n<ul>\n<li>A estenose \u00e9 definida apenas como presente\/ausente sem diferenci\u00e1-la em inflamat\u00f3ria (Rutgeerts i4) fibr\u00f3tica, o que tem implica\u00e7\u00f5es cl\u00ednicas diferentes.<\/li>\n<li>A distin\u00e7\u00e3o entre eros\u00f5es, \u00falceras aft\u00f3ides e maiores nem sempre \u00e9 f\u00e1cil.<\/li>\n<li>N\u00e3o h\u00e1 diferencia\u00e7\u00e3o entre \u00falceras inflamat\u00f3rias do Crohn e \u00falceras isqu\u00eamicas.\u00a0Da\u00ed a\u00a0import\u00e2ncia de descrever bem as caracter\u00edsticas das \u00falceras. Pensar em etiologia isqu\u00eamica quando confinadas \u00e0 anastomose.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong><u>Refer\u00eancias bibliogr\u00e1ficas:<\/u><\/strong><\/p>\n<p>Rutgeerts P, Geboes K, Vantrappen G, Beyls J, Kerremans R, Hiele M. Predictability of the postoperative course of Crohn&#8217;s disease. Gastroenterology.1990;99:956-63<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; A Classifica\u00e7\u00e3o de Rutgeerts \u00e9 aplicada em pacientes portadores de Doen\u00e7a de Crohn&hellip;<\/p>\n","protected":false},"featured_media":5559,"template":"","categoria_de_classificacao":[182],"class_list":["post-5558","classificacao","type-classificacao","status-publish","has-post-thumbnail","hentry","categoria_de_classificacao-colon"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Classifica\u00e7\u00e3o de Rutgeerts &#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\/es\/classificacao\/classificacao-de-rutgeerts\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Classifica\u00e7\u00e3o de Rutgeerts\" \/>\n<meta property=\"og:description\" content=\"&nbsp; A Classifica\u00e7\u00e3o de Rutgeerts \u00e9 aplicada em pacientes portadores de Doen\u00e7a de Crohn&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/classificacao-de-rutgeerts\/\" \/>\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=\"2021-08-10T01:13:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2018\/12\/Rutgeers.png\" \/>\n\t<meta property=\"og:image:width\" content=\"513\" \/>\n\t<meta property=\"og:image:height\" content=\"451\" \/>\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=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/classificacao-de-rutgeerts\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/classificacao-de-rutgeerts\\\/\",\"name\":\"Classifica\u00e7\u00e3o de Rutgeerts &#8226; Endoscopia Terapeutica\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/classificacao-de-rutgeerts\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/classificacao-de-rutgeerts\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/wp-content\\\/uploads\\\/2018\\\/12\\\/Rutgeers.png\",\"datePublished\":\"2018-12-10T08:00:58+00:00\",\"dateModified\":\"2021-08-10T01:13:26+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/classificacao-de-rutgeerts\\\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/classificacao-de-rutgeerts\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/classificacao-de-rutgeerts\\\/#primaryimage\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/wp-content\\\/uploads\\\/2018\\\/12\\\/Rutgeers.png\",\"contentUrl\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/wp-content\\\/uploads\\\/2018\\\/12\\\/Rutgeers.png\",\"width\":513,\"height\":451},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/classificacao\\\/classificacao-de-rutgeerts\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/es\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Classifica\u00e7\u00e3o de Rutgeerts\"}]},{\"@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. 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