{"id":13388,"date":"2022-09-06T08:39:00","date_gmt":"2022-09-06T08:39:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=13388"},"modified":"2022-09-06T11:39:05","modified_gmt":"2022-09-06T11:39:05","slug":"cpre-precoce-urgente-de-rotina-x-pancreatite-biliar-aguda","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/cpre-precoce-urgente-de-rotina-x-pancreatite-biliar-aguda\/","title":{"rendered":"Quiz ! CPRE PRECOCE (URGENTE) DE ROTINA x PANCREATITE BILIAR AGUDA."},"content":{"rendered":"\n

Voc\u00ea \u00e9 o endoscopista de plant\u00e3o e foi acionado pela equipe de cirurgia geral do hospital para realizar uma CPRE de urg\u00eancia<\/strong> para o seguinte caso:<\/p>\n\n\n\n

Mulher, 40 anos,  previamente h\u00edgida, inicia quadro de dor abdominal s\u00fabita em faixa no andar superior do abdome com irradia\u00e7\u00e3o para dorso. Par\u00e2metros cl\u00ednicos sem altera\u00e7\u00f5es e exame f\u00edsico normal, exceto pela presen\u00e7a de dor abdominal.<\/p>\n\n\n\n

Exames laboratoriais: Leuco 8.400, Amilase 1.200 U\/L, Bilirrubina total 1mg\/dL,  FA 50 U\/L  (46-120U\/L), GGT 15 U\/L (at\u00e9 38U\/L).<\/p>\n\n\n\n

USG Abd evidencia colelit\u00edase, sem dilata\u00e7\u00e3o das vias biliares.<\/p>\n\n\n\n

Escores cl\u00ednicos de estratifica\u00e7\u00e3o de risco realizados n\u00e3o evidenciam sinais de pancreatite grave.<\/p>\n\n\n\n\n\n\n\n

Refer\u00eancias Bibliogr\u00e1fica<\/strong><\/h2>\n\n\n\n

– Tse F, Yuan Y. Early routine endoscopic retrograde cholangiopancreatography strategy versus early conservative management strategy in acute gallstone pancreatitis. Cochrane Database of Systematic Reviews 2012, Issue 5. Art. No.: CD009779. DOI: 10.1002\/14651858.CD009779.pub2.<\/p>\n\n\n\n

– Lepp\u00e4niemi et al. 2019 WSES guidelines for the management of severe acute pancreatitisWorld Journal of Emergency Surgery (2019) 14:27. https:\/\/doi.org\/10.1186\/s13017-019-0247-0<\/a>.<\/p>\n\n\n\n

– Buxbaum J et al. ASGE guideline on the role of endoscopy in the evaluation and<\/p>\n\n\n\n

management of choledocholithiasis. Gastrointest Endosc 2019;89:1075-105.).<\/p>\n","protected":false},"excerpt":{"rendered":"

Voc\u00ea \u00e9 o endoscopista de plant\u00e3o e foi acionado pela equipe de cirurgia geral…<\/p>\n","protected":false},"author":3701,"featured_media":13391,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[143],"tags":[],"ano":[309],"tipo":[155],"volume":[147],"class_list":["post-13388","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-quiz","ano-309","tipo-cpre","volume-volume-ii"],"yoast_head":"\nQuiz ! 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