{"id":5568,"date":"2018-04-19T01:08:14","date_gmt":"2018-04-19T01:08:14","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/publish-34\/"},"modified":"2026-10-29T09:02:39","modified_gmt":"2026-10-29T09:02:39","slug":"classificacao-de-kudo","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/classificacao-de-kudo\/","title":{"rendered":"Clasificaci\u00f3n de Kudo &#8211; Pit pattern"},"content":{"rendered":"<p><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-14230 size-large\" src=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01-1024x993.png\" alt=\"kudo classification\" width=\"1024\" height=\"993\" srcset=\"https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01-1024x993.png 1024w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01-300x291.png 300w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01-768x745.png 768w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01-1536x1490.png 1536w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01-2048x1986.png 2048w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01-1920x1862.png 1920w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01-1170x1135.png 1170w, https:\/\/endoscopiaterapeutica.net\/es\/wp-content\/uploads\/2017\/08\/03-classificacoes-endoscopia-171022_v5-01-585x567.png 585w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/p>\n<p>La clasificaci\u00f3n de Kudo es muy importante en la evaluaci\u00f3n de los p\u00f3lipos colorrectales, pues presenta una \u00f3ptima correlaci\u00f3n con la histolog\u00eda de la lesi\u00f3n y, especialmente, para la definici\u00f3n de la conducta en aquellas lesiones en las que existe duda entre resecci\u00f3n endosc\u00f3pica vs. resecci\u00f3n quir\u00fargica.<\/p>\n<p>Es importante destacar que, para utilizar correctamente esta clasificaci\u00f3n, es necesario emplear colorantes (por ejemplo: \u00edndigo carm\u00edn) y magnificaci\u00f3n.<\/p>\n<h2><strong>A continuaci\u00f3n la Clasificaci\u00f3n de Kudo \u2013 Pit pattern\u00a0<\/strong><\/h2>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>\n<p><span class=\"font-semibold\" data-streamdown=\"strong\"><strong>Tipo I<\/strong> (normal o redondeado):<\/span> criptas regulares en tama\u00f1o y disposici\u00f3n. Se observan en la mucosa normal.<\/p>\n<\/li>\n<li>\n<p><span class=\"font-semibold\" data-streamdown=\"strong\"><strong>Tipo II<\/strong> (estrellado):<\/span> apertura de las criptas en forma de estrella y con disposici\u00f3n uniforme. Se observan en p\u00f3lipos hiperpl\u00e1sicos (y lesiones serradas).<\/p>\n<\/li>\n<li>\n<p><span class=\"font-semibold\" data-streamdown=\"strong\"><strong>Tipo IIIS<\/strong> (tubular peque\u00f1o):<\/span> las criptas presentan un di\u00e1metro de apertura menor y una disposici\u00f3n compacta. Se observa con mayor frecuencia en lesiones deprimidas. La mayor\u00eda de estas lesiones son adenomas tubulares con bajo grado de displasia.<\/p>\n<\/li>\n<li>\n<p><span class=\"font-semibold\" data-streamdown=\"strong\"><strong>Tipo IIIL<\/strong> (tubular grande):<\/span> muestra criptas cuya apertura luminal tiene forma tubular y alargada, con disposici\u00f3n regular. Es el patr\u00f3n de criptas m\u00e1s frecuentemente asociado a lesiones polipoideas (protrusas) o plano-elevadas, de histolog\u00eda adenomatosa y con bajo grado de displasia.<\/p>\n<\/li>\n<li>\n<p><span class=\"font-semibold\" data-streamdown=\"strong\"><strong>Tipo IV<\/strong> (ramificado):<\/span> refleja la presencia de criptas tortuosas, exuberantes y ramificadas. Se trata de un patr\u00f3n de criptas asociado a lesiones protrusas, siendo la mayor\u00eda adenomas con componente velloso.<\/p>\n<\/li>\n<li>\n<p><span class=\"font-semibold\" data-streamdown=\"strong\"><strong>Tipo V<\/strong> (desestructurado):<\/span> se subdivide en dos grupos, Vi y Vn. Es un patr\u00f3n de criptas asociado a carcinoma.<\/p>\n<ul>\n<li>\n<p><strong><span class=\"font-semibold\" data-streamdown=\"strong\">Vi<\/span><\/strong> (i, del ingl\u00e9s <em>irregular<\/em>): se observan con mayor frecuencia en adenomas con displasia de alto grado y tambi\u00e9n en carcinomas con m\u00ednima invasi\u00f3n de la submucosa. Se observa un patr\u00f3n m\u00e1s estructurado de criptas irregulares u ocultas.<\/p>\n<\/li>\n<li>\n<p><strong><span class=\"font-semibold\" data-streamdown=\"strong\">Vn<\/span><\/strong> (n, del ingl\u00e9s <em>non-structural<\/em>): generalmente son carcinomas no precoces, donde la superficie de la lesi\u00f3n es m\u00e1s frecuentemente rugosa y presenta ulceraciones. Hay un borramiento de las criptas.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>Referencia<\/h2>\n<p>Kudo S, Tamura S, Nakajima T, Yamano H, Kusaka H, Watanabe H. Diagnosis of colorectal tumorous lesions by magnifying endoscopy. <span class=\"ref-journal\">Gastrointest Endosc. <\/span>1996;<span class=\"ref-vol\">44<\/span>:8\u201314<\/p>\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/atlas-imagem\/classificacao-de-kudo\/\" target=\"_blank\" rel=\"noreferrer noopener\">Consulte aqui las imagenes endosc\u00f3picas de la clasificaci\u00f3n de Kudo<\/a><\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>La clasificaci\u00f3n de Kudo es muy importante en la evaluaci\u00f3n de los p\u00f3lipos colorrectales,&hellip;<\/p>\n","protected":false},"featured_media":14230,"template":"","categoria_de_classificacao":[182],"class_list":["post-5568","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 v28.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Clasificaci\u00f3n de Kudo - Pit pattern &#8226; 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