{"id":5625,"date":"2019-10-12T04:01:56","date_gmt":"2019-10-12T04:01:56","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/publish-40\/"},"modified":"2023-07-18T00:38:13","modified_gmt":"2023-07-18T00:38:13","slug":"todani-doenca-cistica-da-via-biliar","status":"publish","type":"classificacao","link":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/","title":{"rendered":"Classifica\u00e7\u00e3o de Todani – Doen\u00e7a c\u00edstica da via biliar"},"content":{"rendered":"\n

Os cistos biliares s\u00e3o dilata\u00e7\u00f5es c\u00edsticas que podem ocorrer isoladamente ou ser m\u00faltiplos ao longo da via biliar. Podem ocasionar complica\u00e7\u00f5es significativas, como estenoses ductais, forma\u00e7\u00e3o de c\u00e1lculos, colangite, cirrose biliar secund\u00e1ria e colangiocarcinoma.<\/p>\n\n\n\n

A apresenta\u00e7\u00e3o cl\u00e1ssica inclui a tr\u00edade de dor abdominal, icter\u00edcia e massa palp\u00e1vel. No entanto, a maioria dos pacientes ter\u00e1 apenas um ou dois elementos da tr\u00edade. Os cistos biliares tamb\u00e9m podem ser um achado incidental durante exames de imagem ou CPRE.<\/p>\n\n\n\n

Os cistos biliares s\u00e3o classificados de acordo com a classifica\u00e7\u00e3o de Todani. O tipo I \u00e9 o mais frequente (50-85%), seguido pelo tipo IVA.<\/p>\n\n\n\n

\"\"<\/a><\/figure>\n\n\n\n
Tipo<\/td>Caracter\u00edstica<\/td><\/tr>
I<\/strong>\n

 <\/p>\n

A<\/p>\n

B<\/p>\n

C<\/p>\n<\/td>

Cisto limitado ao trato biliar extra-hep\u00e1tico\n

 <\/p>\n

Dilata\u00e7\u00e3o c\u00edstica sacular de toda via biliar extra-hep\u00e1tica<\/p>\n

Dilata\u00e7\u00e3o focal de um segmento da via biliar extra-hep\u00e1tica<\/p>\n

Dilata\u00e7\u00e3o fusiforme de toda via biliar extra-hep\u00e1tica<\/p>\n<\/td><\/tr>

II<\/strong><\/td>Divert\u00edculo verdadeiro de ducto extra-hep\u00e1tico<\/td><\/tr>
III<\/strong><\/td>Coledocele ou duplica\u00e7\u00e3o duodenal<\/td><\/tr>
IV<\/strong>\n

 <\/p>\n

A<\/p>\n

B<\/p>\n<\/td>

M\u00faltiplos cistos\n

 <\/p>\n

Cistos na via biliar intra e extra-hep\u00e1tica<\/p>\n

Cistos na via biliar extra-hep\u00e1tica<\/p>\n<\/td><\/tr>

V<\/strong><\/td>Cistos intra-hep\u00e1ticos, sem acometimento extra-hep\u00e1tico (doen\u00e7a de Caroli)<\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n\n\n\n

Os cistos biliares est\u00e3o associados a um risco aumentado de c\u00e2ncer, particularmente colangiocarcinoma. No geral, a incid\u00eancia de c\u00e2ncer est\u00e1 entre 10% e 30%. O c\u00e2ncer \u00e9 mais comum em pacientes idosos e naqueles com cistos tipo I e IV.<\/p>\n\n\n\n

O tratamento vai depender do tipo de doen\u00e7a c\u00edstica:<\/strong><\/p>\n\n\n\n

    \n
  • Tipo I ou IV – excis\u00e3o cir\u00fargica completa do cisto com hepatojejunostomia em Y de Roux;<\/li>\n\n\n\n
  • Tipo II – excis\u00e3o simples do cisto;<\/li>\n\n\n\n
  • Tipo III \u2013 esfincterotomia nos casos sintom\u00e1ticos ou assintom\u00e1ticos jovens (realizar bi\u00f3psias do epit\u00e9lio do cisto para excluir displasia;<\/li>\n\n\n\n
  • Tipo V \u2013 transplante de f\u00edgado.<\/li>\n<\/ul>\n\n\n\n

    Refer\u00eancias: <\/strong><\/h2>\n\n\n\n
      \n
    1. Todani T, Watanabe Y, Toki A, Morotomi Y. Classification of congenital biliary cystic disease: special reference to type Ic and IVA cysts with primary ductal stricture. J Hepatobiliary Pancreat Surg. 2003;10(5):340-4.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

      Os cistos biliares s\u00e3o dilata\u00e7\u00f5es c\u00edsticas que podem ocorrer isoladamente ou ser m\u00faltiplos ao…<\/p>\n","protected":false},"author":712,"featured_media":16567,"template":"","categoria_de_classificacao":[181],"class_list":["post-5625","classificacao","type-classificacao","status-publish","has-post-thumbnail","hentry","categoria_de_classificacao-vias-biliares"],"yoast_head":"\nClassifica\u00e7\u00e3o de Todani - Doen\u00e7a c\u00edstica da via biliar • 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\/todani-doenca-cistica-da-via-biliar\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Classifica\u00e7\u00e3o de Todani - Doen\u00e7a c\u00edstica da via biliar\" \/>\n<meta property=\"og:description\" content=\"Os cistos biliares s\u00e3o dilata\u00e7\u00f5es c\u00edsticas que podem ocorrer isoladamente ou ser m\u00faltiplos ao…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/\" \/>\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=\"2023-07-18T00:38:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/10\/Todani-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1010\" \/>\n\t<meta property=\"og:image:height\" content=\"1112\" \/>\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\/todani-doenca-cistica-da-via-biliar\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/\",\"name\":\"Classifica\u00e7\u00e3o de Todani - Doen\u00e7a c\u00edstica da via biliar • Endoscopia Terapeutica\",\"isPartOf\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/10\/Todani-1.png\",\"datePublished\":\"2019-10-12T04:01:56+00:00\",\"dateModified\":\"2023-07-18T00:38:13+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#primaryimage\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/10\/Todani-1.png\",\"contentUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/10\/Todani-1.png\",\"width\":1010,\"height\":1112},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/endoscopiaterapeutica.net\/pt\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Classifica\u00e7\u00e3o de Todani – Doen\u00e7a c\u00edstica da via biliar\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#website\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/\",\"name\":\"Endoscopia Terapeutica\",\"description\":\"O Jornal Endoscopia Terap\u00eautica tem como objetivo compartilhar experi\u00eancias da pr\u00e1tica di\u00e1ria, al\u00e9m de prover atualiza\u00e7\u00f5es e discuss\u00f5es sobre endoscopia digestiva.\",\"publisher\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/endoscopiaterapeutica.net\/pt\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#organization\",\"name\":\"Endoscopia Terapeutica\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/09\/endter.jpg\",\"contentUrl\":\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/09\/endter.jpg\",\"width\":720,\"height\":721,\"caption\":\"Endoscopia Terapeutica\"},\"image\":{\"@id\":\"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/endoscopiaterapeutica\",\"https:\/\/www.instagram.com\/endoscopy\/\",\"https:\/\/www.youtube.com\/@endoscopyonline\"]}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Classifica\u00e7\u00e3o de Todani - Doen\u00e7a c\u00edstica da via biliar • Endoscopia Terapeutica","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/","og_locale":"pt_BR","og_type":"article","og_title":"Classifica\u00e7\u00e3o de Todani - Doen\u00e7a c\u00edstica da via biliar","og_description":"Os cistos biliares s\u00e3o dilata\u00e7\u00f5es c\u00edsticas que podem ocorrer isoladamente ou ser m\u00faltiplos ao…","og_url":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/","og_site_name":"Endoscopia Terapeutica","article_publisher":"https:\/\/www.facebook.com\/endoscopiaterapeutica","article_modified_time":"2023-07-18T00:38:13+00:00","og_image":[{"width":1010,"height":1112,"url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/10\/Todani-1.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Est. tempo de leitura":"2 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/","url":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/","name":"Classifica\u00e7\u00e3o de Todani - Doen\u00e7a c\u00edstica da via biliar • Endoscopia Terapeutica","isPartOf":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#primaryimage"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#primaryimage"},"thumbnailUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/10\/Todani-1.png","datePublished":"2019-10-12T04:01:56+00:00","dateModified":"2023-07-18T00:38:13+00:00","breadcrumb":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#primaryimage","url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/10\/Todani-1.png","contentUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2019\/10\/Todani-1.png","width":1010,"height":1112},{"@type":"BreadcrumbList","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/classificacao\/todani-doenca-cistica-da-via-biliar\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/endoscopiaterapeutica.net\/pt\/"},{"@type":"ListItem","position":2,"name":"Classifica\u00e7\u00e3o de Todani – Doen\u00e7a c\u00edstica da via biliar"}]},{"@type":"WebSite","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#website","url":"https:\/\/endoscopiaterapeutica.net\/pt\/","name":"Endoscopia Terapeutica","description":"O Jornal Endoscopia Terap\u00eautica tem como objetivo compartilhar experi\u00eancias da pr\u00e1tica di\u00e1ria, al\u00e9m de prover atualiza\u00e7\u00f5es e discuss\u00f5es sobre endoscopia digestiva.","publisher":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/endoscopiaterapeutica.net\/pt\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#organization","name":"Endoscopia Terapeutica","url":"https:\/\/endoscopiaterapeutica.net\/pt\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/logo\/image\/","url":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/09\/endter.jpg","contentUrl":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2023\/09\/endter.jpg","width":720,"height":721,"caption":"Endoscopia Terapeutica"},"image":{"@id":"https:\/\/endoscopiaterapeutica.net\/pt\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/endoscopiaterapeutica","https:\/\/www.instagram.com\/endoscopy\/","https:\/\/www.youtube.com\/@endoscopyonline"]}]}},"_links":{"self":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/classificacao\/5625","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/classificacao"}],"about":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/types\/classificacao"}],"author":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/users\/712"}],"version-history":[{"count":6,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/classificacao\/5625\/revisions"}],"predecessor-version":[{"id":16721,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/classificacao\/5625\/revisions\/16721"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media\/16567"}],"wp:attachment":[{"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/media?parent=5625"}],"wp:term":[{"taxonomy":"categoria_de_classificacao","embeddable":true,"href":"https:\/\/endoscopiaterapeutica.net\/pt\/wp-json\/wp\/v2\/categoria_de_classificacao?post=5625"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}