{"id":5627,"date":"2019-11-19T18:29:53","date_gmt":"2019-11-19T18:29:53","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/publish-41\/"},"modified":"2021-08-10T01:13:38","modified_gmt":"2021-08-10T01:13:38","slug":"classificacao-de-atlanta-revisada-colecoes-fluidas-peripancreaticas","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/es\/classificacao\/classificacao-de-atlanta-revisada-colecoes-fluidas-peripancreaticas\/","title":{"rendered":"Classifica\u00e7\u00e3o de Atlanta Revisada – Cole\u00e7\u00f5es Fluidas Peripancre\u00e1ticas"},"content":{"rendered":"

 <\/p>\n

A classifica\u00e7\u00e3o de Atlanta para pancreatite aguda foi revisada em 2012 e feita uma distin\u00e7\u00e3o importante entre cole\u00e7\u00f5es compostas somente de fluido versus\u00a0<\/em>aquelas que surgem da necrose e cont\u00eam um componente s\u00f3lido (e que tamb\u00e9m podem conter quantidades vari\u00e1veis de fluido)<\/p>\n

As Cole\u00e7\u00f5es Fluidas Peripancre\u00e1ticas s\u00e3o atualmente classificadas como cole\u00e7\u00e3o fluida peripancre\u00e1tica aguda, pseudocisto pancre\u00e1tico, cole\u00e7\u00e3o necr\u00f3tica aguda e walled-off necrosis\u00a0<\/em>(WON).<\/p>\n

A cole\u00e7\u00e3o fluida peripancre\u00e1tica aguda<\/u>\u00a0(< 4 semanas) e o pseudocisto pancre\u00e1tico\u00a0<\/u>(cr\u00f4nica > 4 semanas) evoluem a partir da pancreatite aguda intersticial.<\/p>\n

A cole\u00e7\u00e3o necr\u00f3tica aguda<\/u>\u00a0(< 4 semanas) e a walled-off necrosis<\/u><\/em>\u00a0(cr\u00f4nica > 4 semanas) evoluem a partir da pancreatite aguda necrotizante.<\/p>\n

O tratamento das Cole\u00e7\u00f5es Fluidas Peripancre\u00e1ticas \u00e9 discutido no Guia Atualizado do Tratamento das Cole\u00e7\u00f5es Flu\u00eddas Peripancre\u00e1ticas\u00a0https:\/\/endoscopiaterapeutica.net\/es\/assuntosgerais\/papel-da-endoscopia-no-manejo-das-colecoes-fluidas-peripancreaticas\/<\/a><\/p>\n

 <\/p>\n

 <\/p>\n

DEFINI\u00c7\u00c3O:<\/strong><\/p>\n

\n\n\n\n\n
\u00a0<\/strong><\/td>\nAguda (< 4 semanas)<\/td>\nCr\u00f4nica (> 4 semanas)<\/td>\n<\/tr>\n
Pancreatite aguda intersticial<\/td>\nCole\u00e7\u00e3o Fluida Pancre\u00e1tica Aguda<\/u><\/strong><\/p>\n

– L\u00edquido peripancre\u00e1tico sem necrose peripancre\u00e1tica associada<\/td>\n

Pseudocisto Pancre\u00e1tico<\/u><\/strong><\/p>\n

– Cole\u00e7\u00e3o encapsulada de fluido com uma parede inflamat\u00f3ria bem definida, geralmente fora do p\u00e2ncreas, sem necrose<\/td>\n<\/tr>\n

Pancreatite aguda necrotizante<\/td>\nCole\u00e7\u00e3o necr\u00f3tica aguda<\/u><\/strong><\/p>\n

– Cole\u00e7\u00e3o contendo quantidades vari\u00e1veis de l\u00edquido e necrose associadas \u00e0 pancreatite necrosante; a necrose pode envolver o par\u00eanquima pancre\u00e1tico e\/ou os tecidos peripancre\u00e1ticos<\/td>\n

Walled-off necrosis<\/u><\/em><\/strong><\/p>\n

– Cole\u00e7\u00e3o madura e encapsulada de necrose pancre\u00e1tica e\/ou peripancre\u00e1tica que desenvolveu uma parede inflamat\u00f3ria bem definida.<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

ACHADOS TOMOGR\u00c1FICOS:<\/strong><\/p>\n

\n\n\n\n\n
\u00a0<\/strong><\/td>\nAguda (< 4 semanas)<\/td>\nCr\u00f4nica (> 4 semanas)<\/td>\n<\/tr>\n
Pancreatite aguda intersticial<\/td>\nCole\u00e7\u00e3o Fluida Pancre\u00e1tica Aguda<\/u><\/strong><\/p>\n

– Cole\u00e7\u00e3o homog\u00eanea com densidade fluida<\/p>\n

– Confinado por planos fasciais peripancre\u00e1ticos normais<\/p>\n

– Sem parede definida (n\u00e3o encapsulada)<\/p>\n

-Adjacente ao p\u00e2ncreas (sem extens\u00e3o intrapancre\u00e1tica)<\/p>\n

 <\/td>\n

Pseudocisto Pancre\u00e1tico<\/u><\/strong><\/p>\n

– Cole\u00e7\u00e3o homog\u00eanea com densidade fluida<\/p>\n

– Bem circunscrito, geralmente redondo ou oval<\/p>\n

– Nenhum componente n\u00e3o l\u00edquido<\/p>\n

– Parede bem definida; ou seja, completamente encapsulado<\/p>\n

 <\/td>\n<\/tr>\n

Pancreatite aguda necrotizante<\/td>\nCole\u00e7\u00e3o necr\u00f3tica aguda<\/u><\/strong><\/p>\n

– Densidade heterog\u00eanea e n\u00e3o l\u00edquida de graus variados em locais diferentes (alguns parecem homog\u00eaneos no in\u00edcio do curso)<\/p>\n

– Sem parede definida (n\u00e3o encapsulada)<\/p>\n

– Localiza\u00e7\u00e3o intrapancre\u00e1tica e\/ou extrapancre\u00e1tica<\/td>\n

Walled-off necrosis<\/u><\/em><\/strong><\/p>\n

– Graus vari\u00e1veis de locula\u00e7\u00e3o (alguns podem parecer homog\u00eaneos)<\/p>\n

– Parede bem definida, ou seja, completamente encapsulada<\/p>\n

– Localiza\u00e7\u00e3o intrapancre\u00e1tica e\/ou extrapancre\u00e1tica<\/td>\n<\/tr>\n<\/tbody>\n<\/table><\/div>\n

 <\/p>\n

 <\/p>\n

REFER\u00caNCIAS:<\/p>\n

\n
\n
\n
    \n
  • Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancrea- titisd2012: revision of the Atlanta classification and definitions by in- ternational consensus. Gut 2013;62:102-11.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n

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

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