{"id":20571,"date":"2025-09-14T16:03:55","date_gmt":"2025-09-14T16:03:55","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?post_type=classificacao&#038;p=20571"},"modified":"2025-09-14T16:09:49","modified_gmt":"2025-09-14T16:09:49","slug":"classificacao-da-integridade-da-juncao-esofagogastrica-egj-american-foregut-society","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/classificacao-da-integridade-da-juncao-esofagogastrica-egj-american-foregut-society\/","title":{"rendered":"Classifica\u00e7\u00e3o da Integridade da Jun\u00e7\u00e3o Esofagog\u00e1strica (EGJ) \u2013 American Foregut Society"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">Objetivo<\/h3>\n\n\n\n<p>A jun\u00e7\u00e3o esofagog\u00e1strica (EGJ) representa a principal barreira antirrefluxo, formada pela intera\u00e7\u00e3o do esf\u00edncter esofagiano inferior e das estruturas diafragm\u00e1ticas. Altera\u00e7\u00f5es anat\u00f4micas, especialmente a h\u00e9rnia hiatal, impactam diretamente no desenvolvimento e na gravidade da doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE).<br>Com o objetivo de padronizar a descri\u00e7\u00e3o endosc\u00f3pica e radiol\u00f3gica dessas altera\u00e7\u00f5es, a&nbsp;<em>American Foregut Society<\/em> (AFS) publicou uma proposta de&nbsp;<strong>classifica\u00e7\u00e3o objetiva da integridade da EGJ<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Crit\u00e9rios<\/h3>\n\n\n\n<p>A classifica\u00e7\u00e3o estratifica a integridade da EGJ em&nbsp;<strong>quatro graus<\/strong>, com deteriora\u00e7\u00e3o progressiva da anatomia:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Grau 1<\/strong>&nbsp;\u2013 EGJ \u00edntegra, sem evid\u00eancia de h\u00e9rnia hiatal ou ruptura crural.<\/li>\n\n\n\n<li><strong>Grau 2<\/strong>&nbsp;\u2013 Pequeno desarranjo anat\u00f4mico, como discreta separa\u00e7\u00e3o entre esf\u00edncter e crura diafragm\u00e1tica.<\/li>\n\n\n\n<li><strong>Grau 3<\/strong>&nbsp;\u2013 H\u00e9rnia hiatal evidente, com comprometimento parcial da barreira antirrefluxo.<\/li>\n\n\n\n<li><strong>Grau 4<\/strong>&nbsp;\u2013 Disrup\u00e7\u00e3o estrutural importante, incluindo h\u00e9rnias volumosas ou falha crural acentuada.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"596\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-1-1024x596.png\" alt=\"\" class=\"wp-image-20572\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-1-1024x596.png 1024w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-1-300x175.png 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-1-768x447.png 768w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-1-1536x893.png 1536w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-1-1170x681.png 1170w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-1-585x340.png 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-1.png 1910w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">Aplica\u00e7\u00e3o<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Padroniza\u00e7\u00e3o de relat\u00f3rios<\/strong>: fornece linguagem comum entre endoscopistas, radiologistas e cirurgi\u00f5es.<\/li>\n\n\n\n<li><strong>Estratifica\u00e7\u00e3o de risco<\/strong>: relaciona o grau de altera\u00e7\u00e3o anat\u00f4mica com sintomas cl\u00ednicos e falha da barreira antirrefluxo.<\/li>\n\n\n\n<li><strong>Planejamento terap\u00eautico<\/strong>: auxilia na indica\u00e7\u00e3o de fundoplicatura, t\u00e9cnicas endosc\u00f3picas ou seguimento cl\u00ednico.<\/li>\n\n\n\n<li><strong>Ensino e pesquisa<\/strong>: promove uniformidade em estudos comparativos e em treinamentos de endoscopia e cirurgia do es\u00f4fago.<\/li>\n<\/ul>\n\n\n\n<p>A&nbsp;<strong>Classifica\u00e7\u00e3o AFS da Integridade da EGJ<\/strong>&nbsp;\u00e9 uma ferramenta pr\u00e1tica que aproxima a descri\u00e7\u00e3o endosc\u00f3pica da realidade cl\u00ednica e cir\u00fargica, permitindo maior uniformidade na comunica\u00e7\u00e3o entre especialistas e melhor direcionamento terap\u00eautico para pacientes com DRGE e h\u00e9rnia hiatal.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Refer\u00eancia<\/h2>\n\n\n\n<p>Nguyen NT, Thosani NC, Canto MI, et al. The American Foregut Society White Paper on the Endoscopic Classification of Esophagogastric Junction Integrity.&nbsp;<em>Foregut<\/em>. 2022;2(4):339-348. doi:<a href=\"https:\/\/doi.org\/10.1177\/26345161221126961\">10.1177\/26345161221126961<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objetivo A jun\u00e7\u00e3o esofagog\u00e1strica (EGJ) representa a principal barreira antirrefluxo, formada pela intera\u00e7\u00e3o do&hellip;<\/p>\n","protected":false},"author":726,"featured_media":20572,"template":"","categoria_de_classificacao":[184],"class_list":["post-20571","classificacao","type-classificacao","status-publish","has-post-thumbnail","hentry","categoria_de_classificacao-esofago"],"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>Classifica\u00e7\u00e3o da Integridade da Jun\u00e7\u00e3o Esofagog\u00e1strica (EGJ) \u2013 American Foregut Society &#8226; 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