{"id":5550,"date":"2017-08-17T02:39:58","date_gmt":"2017-08-17T02:39:58","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/publish-29\/"},"modified":"2025-09-05T01:14:25","modified_gmt":"2025-09-05T01:14:25","slug":"varizes-esofagicas-sociedade-japonesa-de-pesquisa-em-hipertensao-portal","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/varizes-esofagicas-sociedade-japonesa-de-pesquisa-em-hipertensao-portal\/","title":{"rendered":"Varizes esof\u00e1gicas – Sociedade Japonesa de Pesquisa em Hipertens\u00e3o Portal"},"content":{"rendered":"\n

Objetivo <\/h2>\n\n\n\n

Padronizar a descri\u00e7\u00e3o endosc\u00f3pica das varizes esof\u00e1gicas e identificar fatores de risco para sangramento, permitindo estratifica\u00e7\u00e3o de risco e indica\u00e7\u00e3o mais precisa de tratamento profil\u00e1tico. <\/p>\n\n\n\n

Crit\u00e9rios <\/h2>\n\n\n\n

A classifica\u00e7\u00e3o inclui as seguintes categorias:<\/p>\n\n\n\n


1 – Cor\u00a0<\/strong>
a) Branca (Cw)- varizes brancas ou com a mesma cor da mucosa;
b) Azul (Cb) – \u00a0varizes azuladas, acinzentadas ou arroxeadas.<\/p>\n\n\n\n

2 – Sinal da cor vermelha<\/strong>
a) Mucosa em verg\u00e3o vermelho (red wale marking – RWM): v\u00eanulas dilatadas, orientadas com aspecto de marcas de a\u00e7oite;
b) Manchas em cor de cereja (cherry red spot – CRS): manchas avermelhadas, arredondadas com cerca de 2 mm;
c) Mancha hematoc\u00edstica (hematocystic spot – HCS): pequenas proje\u00e7\u00f5es arredondadas de cor vermelha ou arroxeadas com cerca de 4 mm de di\u00e2metro e semelhantes a uma bolha de sangue, geralmente solit\u00e1ria em cord\u00e3o tortuoso e de grosso calibre;
d) Rubor difuso (diffuse redness – DR): \u00e1reas avermelhadas difusas, sem eleva\u00e7\u00f5es ou depress\u00f5es.<\/p>\n\n\n\n

3 – Forma<\/strong>
a) Forma 1 (F1): varizes retas;
b) Forma 2 (F2): tortuosas, calibre pouco aumentado (menor que 1\/3 da luz);
c) Forma 3 (F3): tortuosas, de grosso calibre (maior que 1\/3 da luz).<\/p>\n\n\n\n

4 – Localiza\u00e7\u00e3o<\/strong>
a) Locus superior (Ls): acima da bifurca\u00e7\u00e3o traqueal;
b) Locus medial (Lm): na \u00e1rea da bifurca\u00e7\u00e3o traqueal;
c) Locus inferior (Li): ter\u00e7o distal de es\u00f4fago.<\/p>\n\n\n\n

5 – Esofagite<\/strong>
a) Presente (E+);
b) Ausente (E-).<\/p>\n\n\n\n

6 – Locus g\u00e1strico (Lg) – prolongamento<\/strong>
a) Ausente (Lg-);
b) C\u00e1rdia (Lgc);
c) Fundo (Lgf).<\/p>\n\n\n\n

Exemplo (pouco utilizado dessa forma em nossa pr\u00e1tica di\u00e1ria)<\/strong>:
Varizes esof\u00e1gicas azuladas, com sinal da cor vermelha presente (cherry red spot e red wale marking) e em grande n\u00famero, de grosso calibre, a partir de ter\u00e7o proximal, sem esofagite e com varizes g\u00e1stricas em c\u00e1rdia: CbRc+(CRS+++ RWM+++)F3LsE-Lgc+\u00a0<\/p>\n\n\n\n

Aplica\u00e7\u00e3o Cl\u00ednica <\/h2>\n\n\n\n
    \n
  • Permite estratifica\u00e7\u00e3o de risco de sangramento varicoso. <\/li>\n\n\n\n
  • Orienta decis\u00e3o sobre profilaxia prim\u00e1ria (ex.: ligadura el\u00e1stica, betabloqueadores). <\/li>\n<\/ul>\n\n\n\n

    Refer\u00eancia <\/h2>\n\n\n\n

    Beppu K, Inokuchi K, Koyanagi N, Nakayama S, Sakata H, Kitano S, Kobayashi M. Prediction of variceal hemorrhage by esophageal endoscopy.<\/em> Gastrointest Endosc. 1981;27(4):213 218. doi:10.1016\/S0016-5107(81)72959-0<\/p>\n\n\n\n

     <\/p>\n\n\n\n

     <\/p>\n\n\n\n

     <\/p>\n\n\n\n

     <\/p>\n\n\n\n

     <\/p>\n\n\n\n

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

    Objetivo Padronizar a descri\u00e7\u00e3o endosc\u00f3pica das varizes esof\u00e1gicas e identificar fatores de risco para…<\/p>\n","protected":false},"author":726,"featured_media":5551,"template":"","categoria_de_classificacao":[184],"class_list":["post-5550","classificacao","type-classificacao","status-publish","has-post-thumbnail","hentry","categoria_de_classificacao-esofago"],"yoast_head":"\nVarizes esof\u00e1gicas - Sociedade Japonesa de Pesquisa em Hipertens\u00e3o Portal • 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\/varizes-esofagicas-sociedade-japonesa-de-pesquisa-em-hipertensao-portal\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Varizes esof\u00e1gicas - Sociedade Japonesa de Pesquisa em Hipertens\u00e3o Portal\" \/>\n<meta property=\"og:description\" content=\"Objetivo Padronizar a descri\u00e7\u00e3o endosc\u00f3pica das varizes esof\u00e1gicas e identificar fatores de risco para…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/varizes-esofagicas-sociedade-japonesa-de-pesquisa-em-hipertensao-portal\/\" \/>\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=\"2025-09-05T01:14:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/08\/varices.png\" \/>\n\t<meta property=\"og:image:width\" content=\"322\" \/>\n\t<meta property=\"og:image:height\" content=\"304\" \/>\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\\\/varizes-esofagicas-sociedade-japonesa-de-pesquisa-em-hipertensao-portal\\\/\",\"url\":\"https:\\\/\\\/endoscopiaterapeutica.net\\\/pt\\\/classificacao\\\/varizes-esofagicas-sociedade-japonesa-de-pesquisa-em-hipertensao-portal\\\/\",\"name\":\"Varizes esof\u00e1gicas - 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