{"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":"2022-12-06T12:43:33","modified_gmt":"2022-12-06T12:43:33","slug":"classificacao-de-kudo","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/classificacao-de-kudo\/","title":{"rendered":"Classifica\u00e7\u00e3o de Kudo &#8211; Pit pattern"},"content":{"rendered":"<p>\u00a0<\/p>\n<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>A classifica\u00e7\u00e3o de Kudo \u00e9 muito importante na avalia\u00e7\u00e3o dos p\u00f3lipos colorretais pois apresenta\u00a0\u00f3tima correla\u00e7\u00e3o com a histologia da les\u00e3o e especialmente para defini\u00e7\u00e3o de conduta nas les\u00f5es em que h\u00e1 d\u00favida entre a ressec\u00e7\u00e3o endosc\u00f3pica vs ressec\u00e7\u00e3o cir\u00fargica.<\/p>\n<p>Importante frisar que para utilizarmos corretamente esta classifica\u00e7\u00e3o, h\u00e1 a necessidade de utilizarmos corantes (exemplo: \u00edndigo-carmim) e magnifica\u00e7\u00e3o.<\/p>\n<h2><strong>Confira abaixo a Classifica\u00e7\u00e3o de Kudo \u2013 Pit pattern<\/strong><\/h2>\n<ul>\n<li><strong>Tipo I<\/strong> (normal ou arredondado): criptas regulares em tamanho e arranjo. Observados na mucosa normal.<\/li>\n<li><strong>Tipo II (<\/strong>estrelado): abertura das criptas em forma de estrela e com arranjo uniforme. Observados em p\u00f3lipos hiperpl\u00e1sicos (e les\u00f5es serrilhadas).<\/li>\n<li><strong>Tipo IIIS<\/strong> (tubular pequeno): as criptas t\u00eam di\u00e2metro menor de sua abertura e com arranjo compactado. Mais frequentemente observado em les\u00f5es deprimidas. A maioria destas les\u00f5es s\u00e3o adenomas tubulares com baixo grau de displasia.<\/li>\n<li><strong>Tipo IIIL<\/strong> (tubular grande): exibe criptas cuja abertura luminal tem forma tubular e alongada com arranjo regular. Padr\u00e3o de criptas mais frequentemente associado a les\u00f5es polipoides (protrusas) ou plano-elevadas de histologia adenomatosa e com baixo grau de displasia.<\/li>\n<li><strong>Tipo IV<\/strong> (ramificado): reflete presen\u00e7a de criptas tortuosas, exuberantes e ramificadas. Trata-se de padr\u00e3o de criptas associado a les\u00f5es protrusas, sendo a maioria adenomas com componente viloso.<\/li>\n<li><strong>T<\/strong><strong>ipo V<\/strong> (desestruturado): subdivide-se em dois grupos, <strong>Vi<\/strong>\u00a0e <strong>Vn<\/strong>. Trata-se de padr\u00e3o de criptas associado a carcinoma.\n<ul>\n<li><strong>Vi (i, do ingl\u00eas irregular) \u2013 <\/strong>s\u00e3o mais frequentemente observados nos adenomas com displasia de alto grau e tamb\u00e9m para os carcinomas com m\u00ednima invas\u00e3o da submucosa. Observa-se um padr\u00e3o mais estruturado de criptas irregulares ou encobertas.<\/li>\n<li><strong>Vn (n, do ingl\u00eas non-structural)<\/strong> &#8211; s\u00e3o geralmente carcinomas n\u00e3o precoces, onde a superf\u00edcie da les\u00e3o est\u00e1 mais frequentemente rugosa e exibe ulcera\u00e7\u00f5es. H\u00e1 apagamento das criptas.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2>Refer\u00eancia<\/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><a href=\"https:\/\/endoscopiaterapeutica.net\/es\/atlas-imagem\/classificacao-de-kudo\/\" target=\"_blank\" rel=\"noreferrer noopener\">Confira aqui as imagens endosc\u00f3picas da classifica\u00e7\u00e3o de Kudo<\/a><\/p>\n<\/blockquote>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 A classifica\u00e7\u00e3o de Kudo \u00e9 muito importante na avalia\u00e7\u00e3o dos p\u00f3lipos colorretais pois&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 v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Classifica\u00e7\u00e3o de Kudo - Pit pattern &#8226; 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