{"id":5587,"date":"2018-10-01T09:00:59","date_gmt":"2018-10-01T09:00:59","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/publish-36\/"},"modified":"2021-09-29T20:18:48","modified_gmt":"2021-09-29T20:18:48","slug":"escala-de-preparo-de-colon-de-boston","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/escala-de-preparo-de-colon-de-boston\/","title":{"rendered":"Como reportar o preparo intestinal no laudo da colonoscopia?"},"content":{"rendered":"<p>A maioria dos guidelines e consensos\u00a0sobre qualidade em colonoscopia recomendam que a situa\u00e7\u00e3o do preparo intestinal seja \u00a0reportada no laudo do exame.\u00a0 \u00a0Tamb\u00e9m \u00e9 recomendado que para este fim seja utilizada uma escala validada, permitindo a qualquer m\u00e9dico que analisar o exame uma\u00a0clara no\u00e7\u00e3o sobre\u00a0a qualidade do preparo.<\/p>\n<p>A escala de Boston \u00e9 uma das preferidas para este fim.\u00a0 A sua avalia\u00e7\u00e3o\u00a0deve ser iniciada apenas ap\u00f3s a aspira\u00e7\u00e3o dos l\u00edquidos e lavagem dos res\u00edduos remov\u00edveis.<\/p>\n<p>&nbsp;<\/p>\n<h5>Como utilizar a Escala de Boston para preparo intestinal?<\/h5>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Escala-de-Bostom-preparo-intestinal.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-full wp-image-9453\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/Escala-de-Bostom-preparo-intestinal.png\" alt=\"\" width=\"883\" height=\"504\" \/><\/a><\/p>\n<ul class=\"simple\">\n<li>\n<div>0 = Segmento n\u00e3o preparado com impossibilidade de visualiza\u00e7\u00e3o da\u00a0 mucosa devido \u00e0 fezes s\u00f3lidas que n\u00e3o podem ser removidas.<\/div>\n<\/li>\n<li>\n<div>1 = Por\u00e7\u00e3o da mucosa do segmento col\u00f4nico visualizada mas com outras partes n\u00e3o avaliadas devido \u00e0 presen\u00e7a de fezes ou l\u00edquido opaco espesso.<\/div>\n<\/li>\n<li>\n<div>2 = Pequena quantidade de res\u00edduos, pequenos fragmentos de fezes ou l\u00edquido opaco mas com mucosa bem avaliada.<\/div>\n<\/li>\n<li>\n<div>3 = Mucosa avaliada completamente com aus\u00eancia de res\u00edduos ou l\u00edquido\u00a0opaco.<\/div>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>Cada regi\u00e3o do c\u00f3lon (c\u00f3lon direito, transverso e c\u00f3lon esquerdo) recebe uma pontua\u00e7\u00e3o variando de 0-3.\u00a0 A pontua\u00e7\u00e3o de cada segmento ent\u00e3o \u00e9 somada resultando em um escore que varia de 0-9 pontos.<\/p>\n<p>A pontua\u00e7\u00e3o m\u00e1xima \u00e9 de 9 para um c\u00f3lon perfeitamente limpo e a m\u00ednima \u00e9 0 para um c\u00f3lon n\u00e3o preparado.\u00a0 Se o exame for interrompido antes do fim devido ao preparo inadequado, os segmentos n\u00e3o avaliados recebem pontua\u00e7\u00e3o 0.<\/p>\n<h5><\/h5>\n<h5><strong>Por que \u00e9 importante reportarmos o preparo?<\/strong><\/h5>\n<p>A qualidade do preparo \u00e9 fundamental para que seja realizada a recomenda\u00e7\u00e3o de seguimento ap\u00f3s a realiza\u00e7\u00e3o da colonoscopia de screening do c\u00e2ncer colorretal.\u00a0 Um preparo ruim aumenta a chance de les\u00f5es passarem despercebidas resultando em c\u00e2ncer de intervalo.<\/p>\n<p>No caso do preparo de\u00a0c\u00f3lon ser considerado inadequado \u00e9 recomendado que a colonoscopia seja repetida em um intervalo menor do que 1 ano.<\/p>\n<h5><\/h5>\n<h5><strong>Refer\u00eancias<\/strong><\/h5>\n<p class=\"content-title\"><span style=\"color: #000000;\"><a style=\"color: #000000;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Lai%20EJ%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=19136102\">Edwin J. Lai<\/a>, MD,\u00a0<a style=\"color: #000000;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Calderwood%20AH%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=19136102\">Audrey H. Calderwood<\/a>, MD,\u00a0<a style=\"color: #000000;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Doros%20G%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=19136102\">Gheorghe Doros<\/a>, PhD,\u00a0<a style=\"color: #000000;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Fix%20OK%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=19136102\">Oren K. Fix<\/a>, MD, MSc, and\u00a0<a style=\"color: #000000;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=Jacobson%20BC%5BAuthor%5D&amp;cauthor=true&amp;cauthor_uid=19136102\">Brian C. Jacobson<\/a>. <strong>The Boston Bowel Preparation Scale: A valid and reliable instrument for colonoscopy-oriented research.\u00a0<\/strong><a style=\"color: #000000;\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/entrez\/eutils\/elink.fcgi?dbfrom=pubmed&amp;retmode=ref&amp;cmd=prlinks&amp;id=19136102\" target=\"pmc_ext\" rel=\"noopener\"><span class=\"cit\">Gastrointest Endosc. 2009 Mar; 69(3 Pt 2): 620\u2013625.<\/span><\/a><\/span><\/p>\n<div class=\"half_rhythm\">\n<p class=\"contrib-group fm-author\">Rodrigo Jover, Evelien Dekker, Robert E. Schoen, Cesare Hassan, Maria Pellise, Uri Ladabaum.\u00a0<strong>Colonoscopy quality requisites for selecting surveillance intervals: A World Endoscopy Organization Delphi Recommendation.\u00a0<\/strong>Digestive Endoscopy 2018;\u00a0doi: 10.1111\/den.13229<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A maioria dos guidelines e consensos\u00a0sobre qualidade em colonoscopia recomendam que a situa\u00e7\u00e3o do&hellip;<\/p>\n","protected":false},"author":2464,"featured_media":9991,"template":"","categoria_de_classificacao":[182],"class_list":["post-5587","classificacao","type-classificacao","status-publish","has-post-thumbnail","hentry","categoria_de_classificacao-colon"],"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>Como reportar o preparo intestinal no laudo da colonoscopia? &#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\/escala-de-preparo-de-colon-de-boston\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Como reportar o preparo intestinal no laudo da colonoscopia?\" \/>\n<meta property=\"og:description\" content=\"A maioria dos guidelines e consensos\u00a0sobre qualidade em colonoscopia recomendam que a situa\u00e7\u00e3o do&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/escala-de-preparo-de-colon-de-boston\/\" \/>\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=\"2021-09-29T20:18:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2018\/10\/3.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"640\" \/>\n\t<meta property=\"og:image:height\" content=\"480\" \/>\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\/classificacao\/escala-de-preparo-de-colon-de-boston\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/escala-de-preparo-de-colon-de-boston\/\",\"name\":\"Como reportar o preparo intestinal no laudo da colonoscopia? 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