{"id":20663,"date":"2025-09-14T19:27:07","date_gmt":"2025-09-14T19:27:07","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?post_type=classificacao&#038;p=20663"},"modified":"2025-09-14T19:27:12","modified_gmt":"2025-09-14T19:27:12","slug":"lesao-mural-profunda-em-colon-sydney","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/lesao-mural-profunda-em-colon-sydney\/","title":{"rendered":"Les\u00e3o mural profunda em c\u00f3lon &#8211; Sydney"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Objetivo<\/h2>\n\n\n\n<p><br>Padronizar a descri\u00e7\u00e3o endosc\u00f3pica da integridade da muscular pr\u00f3pria ap\u00f3s ressec\u00e7\u00e3o de les\u00f5es col\u00f4nicas \u226520 mm, estratificando o risco de perfura\u00e7\u00e3o imediata ou tardia e guiando a conduta endosc\u00f3pica.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><br>Crit\u00e9rios<\/h2>\n\n\n\n<p>Classifica\u00e7\u00e3o em cinco tipos (I\u2013V):<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tipo 0: Defeito normal p\u00f3s-resse\u00e7\u00e3o, com submucosa exposta e sem les\u00e3o da muscular pr\u00f3pria.<\/li>\n\n\n\n<li>Tipo I: Muscular pr\u00f3pria exposta, mas \u00edntegra (\u201csinal da baleia\u201d).<\/li>\n\n\n\n<li>Tipo II: Submucosa com fibrose, dificultando distin\u00e7\u00e3o entre submucosa e muscular pr\u00f3pria.<\/li>\n\n\n\n<li>Tipo III: Les\u00e3o parcial da muscular pr\u00f3pria, com sinal-alvo (&#8220;target sign&#8221;) na pe\u00e7a ou no leito.<\/li>\n\n\n\n<li>Tipo IV: Perfura\u00e7\u00e3o transmural \u201climpa\u201d (sem contamina\u00e7\u00e3o fecal).<\/li>\n\n\n\n<li>Tipo V: Perfura\u00e7\u00e3o transmural com contamina\u00e7\u00e3o fecal.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"413\" height=\"122\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-6.png\" alt=\"\" class=\"wp-image-20664\" style=\"width:463px;height:auto\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-6.png 413w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-6-300x89.png 300w\" sizes=\"(max-width: 413px) 100vw, 413px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><br>Aplica\u00e7\u00e3o<\/h2>\n\n\n\n<p><br>Tipo I\u2013II (les\u00f5es potenciais da muscular pr\u00f3pria): podem ser clipadas a crit\u00e9rio do endoscopista. Recomenda\u00e7\u00e3o atual: clipar especialmente o Tipo II, dado risco de perfura\u00e7\u00e3o tardia.<br>Tipo III\u2013V (les\u00e3o confirmada\/perfura\u00e7\u00e3o): devem sempre ser fechadas com clipes; na presen\u00e7a de Tipo V ou instabilidade cl\u00ednica, indicar avalia\u00e7\u00e3o cir\u00fargica.<\/p>\n\n\n\n<p>A classifica\u00e7\u00e3o permite definir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Estrat\u00e9gia de manejo imediato (clipagem seletiva ou mandat\u00f3ria).<\/li>\n\n\n\n<li>Crit\u00e9rios de alta: pacientes com les\u00e3o mural profunda adequadamente clipados e est\u00e1veis podem receber alta no mesmo dia em muitos casos.<\/li>\n\n\n\n<li>Impacto pr\u00e1tico: o uso da classifica\u00e7\u00e3o em protocolo reduziu perfura\u00e7\u00e3o cl\u00ednica significativa para 0,2% no estudo, abaixo da m\u00e9dia de s\u00e9ries hist\u00f3ricas.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><br>Refer\u00eancia<\/h2>\n\n\n\n<p><br>Burgess NG, Bassan MS, McLeod D, Williams SJ, Byth K, Bourke MJ. Deep mural injury and perforation after colonic endoscopic mucosal resection: a new classification and analysis of risk factors. Gut. 2017;66(10):1779\u20131789. doi:10.1136\/gutjnl-2015-309848<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objetivo Padronizar a descri\u00e7\u00e3o endosc\u00f3pica da integridade da muscular pr\u00f3pria ap\u00f3s ressec\u00e7\u00e3o de les\u00f5es&hellip;<\/p>\n","protected":false},"author":726,"featured_media":20664,"template":"","categoria_de_classificacao":[],"class_list":["post-20663","classificacao","type-classificacao","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Les\u00e3o mural profunda em c\u00f3lon - Sydney &#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\/classificacao\/lesao-mural-profunda-em-colon-sydney\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les\u00e3o mural profunda em c\u00f3lon - Sydney\" \/>\n<meta property=\"og:description\" content=\"Objetivo Padronizar a descri\u00e7\u00e3o endosc\u00f3pica da integridade da muscular pr\u00f3pria ap\u00f3s ressec\u00e7\u00e3o de les\u00f5es&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/lesao-mural-profunda-em-colon-sydney\/\" \/>\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=\"2025-09-14T19:27:12+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2025\/09\/image-6.png\" \/>\n\t<meta property=\"og:image:width\" content=\"413\" \/>\n\t<meta property=\"og:image:height\" content=\"122\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\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\\\/classificacao\\\/lesao-mural-profunda-em-colon-sydney\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/classificacao\\\/lesao-mural-profunda-em-colon-sydney\\\/\",\"name\":\"Les\u00e3o mural profunda em c\u00f3lon - Sydney &#8226; 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