{"id":16851,"date":"2023-07-28T19:47:38","date_gmt":"2023-07-28T19:47:38","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?post_type=atlas&#038;p=16851"},"modified":"2023-07-28T19:47:43","modified_gmt":"2023-07-28T19:47:43","slug":"pneumatose-intestinal-2","status":"publish","type":"atlas","link":"https:\/\/endoscopiaterapeutica.net\/pt\/atlas\/pneumatose-intestinal-2\/","title":{"rendered":"Pneumatose intestinal 2"},"content":{"rendered":"<p><strong>PNEUMATOSE INTESTINAL<\/strong><\/p>\n<p>A pneumatose intestinal (PI) pode ser um achado incidental em um paciente assintom\u00e1tico e que se resolve espontaneamente ou pode ser visto em condi\u00e7\u00f5es associadas \u00e0 necrose intestinal e indica a necessidade de cirurgia de emerg\u00eancia.<\/p>\n<p>A PI \u00e9 idiop\u00e1tica (15 %) ou secund\u00e1ria (85%) a uma ampla variedade de doen\u00e7as gastrointestinais e n\u00e3o gastrointestinais:<\/p>\n<ul>\n<li><strong>Abdome agudo: <\/strong>isquemia\/infarto intestinal, perfura\u00e7\u00e3o, obstru\u00e7\u00e3o, tiflite;<\/li>\n<li><strong>Perda de barreira mucosa<\/strong>: \u00falcera p\u00e9ptica, doen\u00e7a de crohn, retocolite ulcerativa, ingest\u00e3o de c\u00e1usticos;<\/li>\n<li><strong>Infec\u00e7\u00f5es: <\/strong>clostridium difficile, tuberculose, AIDS, Citomegalov\u00edrus;<\/li>\n<li><strong>Causas pulmonares<\/strong>: asma, DPOC, fibrose c\u00edstica, ventila\u00e7\u00e3o mec\u00e2nica;<\/li>\n<li><strong>Procedimentos endosc\u00f3picos<\/strong>: EDA, colonoscopia, escleroterapia, CPRE;<\/li>\n<li><strong>Dismotilidade gastrointestinal<\/strong>: diabetes, esclerodermia, estenose pil\u00f3rica, pseudobstru\u00e7\u00e3o intestinal;<\/li>\n<li><strong>Causas imunol\u00f3gicas<\/strong>: cortic\u00f3ide, quimioterapia, transplante, <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casosclinicos\/doenca-linfoproliferativa-pos-transplante\/\">doen\u00e7as linfoproliferativas<\/a>, sarcoidose.<\/li>\n<\/ul>\n<p>A PI pode afetar o intestino delgado, c\u00f3lon ou ambos. Os cistos podem estar confinados \u00e0 mucosa, submucosa ou subserosa, ou envolver todas as tr\u00eas camadas. Cistos subserosos s\u00e3o mais comumente vistos na pneumatose do intestino delgado, enquanto os cistos submucosos s\u00e3o mais comumente vistos na pneumatose c\u00f3lica (como no caso em quest\u00e3o).<\/p>\n<p>A maioria dos pacientes com PI \u00e9 assintom\u00e1tica. Os principais sintomas relacionados \u00e0 PI c\u00f3lica s\u00e3o: diarr\u00e9ia, hematoquezia, dor abdominal, distens\u00e3o abdominal e constipa\u00e7\u00e3o. A avalia\u00e7\u00e3o de pacientes com suspeita de PI deve incluir uma hist\u00f3ria, exame f\u00edsico, laborat\u00f3rio, exames de imagens e endosc\u00f3picos.<\/p>\n<p>A PI pode ser descoberta incidentalmente na colonoscopia e deve-se prosseguir a investiga\u00e7\u00e3o com ultrassonografia endosc\u00f3pica. Cistos variam em tamanho de alguns mil\u00edmetros a v\u00e1rios cent\u00edmetros. Os cistos da submucosa costumam ter uma apar\u00eancia p\u00e1lida ou azulada e, quando biopsiados, podem desinflar rapidamente com um chiado aud\u00edvel.<\/p>\n<p>A explora\u00e7\u00e3o cir\u00fargica de emerg\u00eancia \u00e9 indicada para pacientes com PI e sinais de peritonite, acidose metab\u00f3lica e aertoportia.Em pacientes que n\u00e3o necessitam de laparotomia exploradora de emerg\u00eancia, o manejo \u00e9 baseado na gravidade dos sintomas. A causa subjacente da PI deve ser tratada em todos os pacientes, independentemente da presen\u00e7a de sintomas. Pacientes assintom\u00e1ticos n\u00e3o necessitam de terapia adicional. Pacientes com sintomas leves podem ser tratados como pacientes ambulatoriais, com uma combina\u00e7\u00e3o de antibi\u00f3ticos e uma dieta elementar. Para pacientes com sintomas moderados a graves que necessitam de hospitaliza\u00e7\u00e3o, sugere-se combina\u00e7\u00e3o de antibi\u00f3ticos, dieta elementar e oxigenoterapia.<\/p>\n","protected":false},"featured_media":16698,"template":"","categoria_atlas":[580],"subcategoria_atlas":[677],"tipo_atlas":[578],"class_list":["post-16851","atlas","type-atlas","status-publish","has-post-thumbnail","hentry","categoria_atlas-acalasia-megaesofago","subcategoria_atlas-acantose-glicogenica","tipo_atlas-cpre"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Pneumatose intestinal 2 &#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\/pt\/atlas\/pneumatose-intestinal-2\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pneumatose intestinal 2\" \/>\n<meta property=\"og:description\" content=\"PNEUMATOSE INTESTINAL A pneumatose intestinal (PI) pode ser um achado incidental em um paciente&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/atlas\/pneumatose-intestinal-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Endoscopia Terapeutica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoscopiaterapeutica\" \/>\n<meta property=\"article:modified_time\" content=\"2023-07-28T19:47:43+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/07\/100H0104-1.jpg?v=1689365464\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"1024\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. tempo de leitura\" \/>\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\/pt\/atlas\/pneumatose-intestinal-2\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/atlas\/pneumatose-intestinal-2\/\",\"name\":\"Pneumatose intestinal 2 &#8226; 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