{"id":13398,"date":"2022-09-08T06:00:00","date_gmt":"2022-09-08T06:00:00","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=13398"},"modified":"2022-11-11T22:13:25","modified_gmt":"2022-11-11T22:13:25","slug":"tratamento-do-volvo-de-colon-e-da-pseudo-obstrucao-aguda-do-colon-sindrome-de-ogilvie","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/tratamento-do-volvo-de-colon-e-da-pseudo-obstrucao-aguda-do-colon-sindrome-de-ogilvie\/","title":{"rendered":"Tratamento do Volvo de C\u00f3lon e da Pseudo-Obstru\u00e7\u00e3o Aguda do C\u00f3lon (S\u00edndrome de Ogilvie)"},"content":{"rendered":"\n<p class=\"has-normal-font-size\">As obstru\u00e7\u00f5es de c\u00f3lon podem ser mec\u00e2nicas ou n\u00e3o mec\u00e2nicas e constituem cerca de 25% de todas as obstru\u00e7\u00f5es intestinais. Entre as causas mec\u00e2nicas, as mais comuns s\u00e3o:<\/p>\n\n\n\n<ol type=\"1\" class=\"has-normal-font-size wp-block-list\"><li>tumor obstrutivo no c\u00f3lon ou reto (60%);<\/li><li>estenose cicatricial por diverticulites pr\u00e9vias (10%);<\/li><li>volvo do c\u00f3lon (15 a 20%).<\/li><\/ol>\n\n\n\n<p>O volvo do c\u00f3lon \u00e9 a tor\u00e7\u00e3o de um segmento redundante do c\u00f3lon em seu mesent\u00e9rio que pode levar \u00e0 oclus\u00e3o luminal do segmento torcido e isquemia por rota\u00e7\u00e3o do mesoc\u00f3lon e, consequentemente, \u00e0 perfura\u00e7\u00e3o.<\/p>\n\n\n\n<p>Embora o volvo do c\u00f3lon possa ocorrer em qualquer segmento redundante, envolve mais comumente o sigm\u00f3ide (60%\u201375% de todos os casos) e ceco (25%\u201340% de todos os casos).<\/p>\n\n\n\n<p>O volvo de sigm\u00f3ide ocorre principalmente durante a 6\u00aa a 8\u00aa d\u00e9cadas de vida, sendo mais comum em homens, pacientes institucionalizados, pacientes com constipa\u00e7\u00e3o cr\u00f4nica, comprometimento neuropsicol\u00f3gico ou comorbidades descompensadas. Por outro lado, o volvo de ceco, geralmente se apresenta em pacientes mais jovens e tem predomin\u00e2ncia do sexo feminino.<\/p>\n\n\n\n<p>J\u00e1 a pseudo-obstru\u00e7\u00e3o aguda do c\u00f3lon, ou s\u00edndrome de Ogilvie, \u00e9 uma causa funcional n\u00e3o mec\u00e2nica de obstru\u00e7\u00e3o que se acredita ser uma consequ\u00eancia da desregula\u00e7\u00e3o dos impulsos aut\u00f4nomos da inerva\u00e7\u00e3o do c\u00f3lon. H\u00e1 grande distens\u00e3o do c\u00f3lon sem fator obstrutivo, mas que tamb\u00e9m pode evoluir para isquemia e perfura\u00e7\u00e3o. As apresenta\u00e7\u00f5es cl\u00ednicas variam de acordo com o grau de distens\u00e3o, se a v\u00e1lvula ileocecal \u00e9 competente ou n\u00e3o e a condi\u00e7\u00e3o cl\u00ednica do paciente. Mais comumente, a s\u00edndrome de Ogilvie afeta pacientes idosos ou pacientes internados por motivos n\u00e3o relacionados, incluindo cirurgia eletiva, trauma ou tratamento de uma condi\u00e7\u00e3o m\u00e9dica aguda.<\/p>\n\n\n\n<p>Aqui apresentamos algumas recomenda\u00e7\u00f5es das diretrizes da Sociedade Americana de Cirurgia Colorretal para a condu\u00e7\u00e3o desses casos.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Volvo de C\u00f3lon<\/strong><\/h2>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>Avalia\u00e7\u00e3o inicial com hist\u00f3ria, exame f\u00edsico e exames laboratoriais b\u00e1sicos. Os sintomas podem incluir c\u00f3licas, n\u00e1useas, v\u00f4mitos, desconforto abdominal. O volvo de sigm\u00f3ide geralmente tem apresenta\u00e7\u00e3o mais indolente, enquanto o volvo de ceco costuma ter apresenta\u00e7\u00e3o mais aguda. No exame f\u00edsico, em geral h\u00e1 distens\u00e3o abdominal com diferentes graus de dor \u00e0 palpa\u00e7\u00e3o, at\u00e9 peritonite. O toque retal revela uma ampola retal vazia. Apresenta\u00e7\u00e3o na emerg\u00eancia com peritonite e sinais de choque acontecem em 25 a 35% dos casos.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>Em pacientes hemodinamicamente est\u00e1veis, uma radiografia de abdome auxilia na avalia\u00e7\u00e3o inicial (achado de \u201cgr\u00e3o de caf\u00e9\u201d e, em pacientes com v\u00e1lvula ileocecal incompetente, distens\u00e3o de delgado). Tomografia \u00e9 usada para confirmar o diagn\u00f3stico.<\/li><\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"580\" height=\"672\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/09\/volvo-3.jpg\" alt=\"\" class=\"wp-image-8868\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/09\/volvo-3.jpg?v=1632304907 580w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/09\/volvo-3-259x300.jpg?v=1632304907 259w\" sizes=\"(max-width: 580px) 100vw, 580px\" \/><figcaption><em>RX de abdomen mostrando o sinal do &#8220;gr\u00e3o de caf\u00e9&#8221;, indicativo de volvo de c\u00f3lon<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>Volvo de Sigm\u00f3ide<\/strong><\/h2>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>Pacientes hemodinamicamente est\u00e1veis, sem sinais de peritonite ou evid\u00eancia de perfura\u00e7\u00e3o devem ser submetidos a retossigmoidoscopia para avaliar a viabilidade do sigmoide, desfazer a tor\u00e7\u00e3o e descomprimir o c\u00f3lon, terapia efetiva em 60 a 95% dos casos. \u00c9 poss\u00edvel manter uma sonda para descompress\u00e3o ap\u00f3s a retossigmoidoscopia. A taxa de recorr\u00eancia \u00e9 de 43 a 75% nos casos que n\u00e3o s\u00e3o submetidos a interven\u00e7\u00e3o cir\u00fargica posterior.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>Sigmoidectomia de urg\u00eancia \u00e9 indicada quando a distor\u00e7\u00e3o endosc\u00f3pica n\u00e3o \u00e9 bem-sucedida e nos casos de sofrimento do c\u00f3lon ou perfura\u00e7\u00e3o, assim como em pacientes com sinais de peritonite ou choque s\u00e9ptico. Ap\u00f3s a ressec\u00e7\u00e3o do segmento torcido, a decis\u00e3o de realizar uma anastomose prim\u00e1ria, colostomia terminal ou anastomose com deriva\u00e7\u00e3o deve ser individualizada considerando o contexto cl\u00ednico do paciente no momento da cirurgia, as condi\u00e7\u00f5es do c\u00f3lon remanescente e as comorbidades.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>Pacientes submetidos \u00e0 distor\u00e7\u00e3o endosc\u00f3pica bem-sucedida s\u00e3o candidatos \u00e0 colectomia segmentar durante a mesma interna\u00e7\u00e3o hospitalar para evitar volvo recorrente e suas complica\u00e7\u00f5es. As opera\u00e7\u00f5es sem ressec\u00e7\u00e3o, incluindo apenas distor\u00e7\u00e3o, sigmoidopexia e mesosigmoidoplastia, s\u00e3o inferiores \u00e0 colectomia para a preven\u00e7\u00e3o de volvo recorrente.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>A fixa\u00e7\u00e3o endosc\u00f3pica do sigm\u00f3ide pode ser considerada em pacientes selecionados nos quais a interven\u00e7\u00e3o cir\u00fargica tem risco proibitivo.<\/li><\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"720\" height=\"720\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Volvo.jpg\" alt=\"\" class=\"wp-image-5765\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Volvo.jpg?v=1628558758 720w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Volvo-300x300.jpg?v=1628558758 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Volvo-150x150.jpg?v=1628558758 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Volvo-70x70.jpg?v=1628558758 70w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/03\/Volvo-585x585.jpg?v=1628558758 585w\" sizes=\"(max-width: 720px) 100vw, 720px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><strong>Volvo de Ceco<\/strong><\/h2>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>Tentativas de redu\u00e7\u00e3o endosc\u00f3pica do volvo de ceco n\u00e3o s\u00e3o recomendadas.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>Ressec\u00e7\u00e3o segmentar \u00e9 o tratamento de escolha para pacientes com volvo de ceco. Ceco invi\u00e1vel ou isqu\u00eamico est\u00e1 presente em 18% a 44% dos pacientes com volvo de ceco e est\u00e1 associado a uma taxa de mortalidade significativa.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>No caso de volvo de ceco com intestino vi\u00e1vel, o uso de procedimentos cir\u00fargicos sem ressec\u00e7\u00e3o deve ser limitado a pacientes sem condi\u00e7\u00f5es cl\u00ednicas para ressec\u00e7\u00e3o.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Pseudo-Obstru\u00e7\u00e3o Aguda do C\u00f3lon (S\u00edndrome de Ogilvie)<\/strong><\/h2>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>A avalia\u00e7\u00e3o inicial deve incluir hist\u00f3ria e exame f\u00edsico, exames laboratoriais e diagn\u00f3stico por imagem. <br>Na aus\u00eancia de febre, leucocitose, peritonite, pneumoperit\u00f4neo ou di\u00e2metro do ceco &gt; 12\u2009cm, a terapia inicial consiste na corre\u00e7\u00e3o de dist\u00farbios hidroeletrol\u00edticos, reposi\u00e7\u00e3o vol\u00eamica, evitar ou minimizar uso de opi\u00f3ides, evitar medicamentos anticolin\u00e9rgicos e identificar e tratar infec\u00e7\u00f5es concomitantes. Tamb\u00e9m \u00e9 recomend\u00e1vel deambula\u00e7\u00e3o, jejum, manobras de posicionamento (genu-peitoral ou prona) para promover a motilidade intestinal e descompress\u00e3o com sondas nasog\u00e1stricas e retais. Laxantes osm\u00f3ticos orais devem ser evitados porque podem piorar a dilata\u00e7\u00e3o do c\u00f3lon. Radiografias de abdome fazem parte da avalia\u00e7\u00e3o di\u00e1ria, acompanhado do exame f\u00edsico.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>O tratamento inicial \u00e9 de suporte cl\u00ednico e inclui a exclus\u00e3o ou corre\u00e7\u00e3o de condi\u00e7\u00f5es que predisp\u00f5em os pacientes ao quadro ou prolongam seu curso.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>O tratamento farmacol\u00f3gico com neostigmina \u00e9 indicado quando o quadro n\u00e3o se resolve com terapia de suporte.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>A descompress\u00e3o endosc\u00f3pica do c\u00f3lon deve ser considerada em pacientes com Ogilvie nos quais a terapia com neostigmina \u00e9 contraindicada ou ineficaz.<\/li><\/ul>\n\n\n\n<ul class=\"has-normal-font-size wp-block-list\"><li>O tratamento cir\u00fargico \u00e9 recomendado nos casos complicados por isquemia ou perfura\u00e7\u00e3o do c\u00f3lon ou refrat\u00e1rios a terapias farmacol\u00f3gicas e endosc\u00f3picas.<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">Teste seus conhecimentos respondendo esses <strong><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/em-relacao-ao-volvo-de-sigmoide-definida-a-alternativa-correta\/\" target=\"_blank\" rel=\"noreferrer noopener\">QUIZ<\/a><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/em-relacao-ao-volvo-de-sigmoide-definida-a-alternativa-correta\/\">!<\/a><\/strong><\/h2>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-endoscopia-terapeutica wp-block-embed-endoscopia-terapeutica\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"R7q9pZaBvN\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/quiz-qual-o-diagnostico-e-conduta\/\">QUIZ! Qual o diagn\u00f3stico e conduta?<\/a><\/blockquote><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;QUIZ! Qual o diagn\u00f3stico e conduta?&#8221; &#8212; Endoscopia Terapeutica\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/quiz-qual-o-diagnostico-e-conduta\/embed\/#?secret=XcRUgdMyPL#?secret=R7q9pZaBvN\" data-secret=\"R7q9pZaBvN\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<figure class=\"wp-block-embed is-type-wp-embed is-provider-endoscopia-terapeutica wp-block-embed-endoscopia-terapeutica\"><div class=\"wp-block-embed__wrapper\">\n<blockquote class=\"wp-embedded-content\" data-secret=\"5z9qobLQ0E\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/em-relacao-ao-volvo-de-sigmoide-definida-a-alternativa-correta\/\">Em rela\u00e7\u00e3o ao volvo de sigm\u00f3ide, defina a alternativa correta:<\/a><\/blockquote><iframe class=\"wp-embedded-content\" sandbox=\"allow-scripts\" security=\"restricted\" style=\"position: absolute; visibility: hidden;\" title=\"&#8220;Em rela\u00e7\u00e3o ao volvo de sigm\u00f3ide, defina a alternativa correta:&#8221; &#8212; Endoscopia Terapeutica\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/em-relacao-ao-volvo-de-sigmoide-definida-a-alternativa-correta\/embed\/#?secret=EXdjifLjhK#?secret=5z9qobLQ0E\" data-secret=\"5z9qobLQ0E\" width=\"600\" height=\"338\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancias<\/strong>:<\/h2>\n\n\n\n<ol type=\"1\" class=\"has-normal-font-size wp-block-list\"><li>Alavi K, Poylin V, Davids JS, Patel SV, Felder S, Valente MA, Paquette IM, Feingold DL; Prepared on behalf of the Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons. The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Colonic Volvulus and Acute Colonic Pseudo-Obstruction. Dis Colon Rectum. 2021 Sep 1;64(9):1046-1057. doi: 10.1097\/DCR.0000000000002159. PMID: 34016826.<\/li><li>Yeo HL, Lee SW. Colorectal emergencies: review and controversies in the management of large bowel obstruction. J Gastrointest Surg. 2013;17:2007\u20132012.<\/li><li>Bauman ZM, Evans CH. Volvulus. Surg Clin North Am. 2018;98:973\u2013993.<\/li><li>Qu\u00e9n\u00e9herv\u00e9 L, Dagouat C, Le Rhun M, et al. Outcomes of first-line endoscopic management for patients with sigmoid volvulus. Dig Liver Dis. 2019;51:386\u2013390.<\/li><\/ol>\n","protected":false},"excerpt":{"rendered":"<p>As obstru\u00e7\u00f5es de c\u00f3lon podem ser mec\u00e2nicas ou n\u00e3o mec\u00e2nicas e constituem cerca de&hellip;<\/p>\n","protected":false},"author":5590,"featured_media":13401,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[469,468],"ano":[309],"tipo":[156],"volume":[147],"class_list":["post-13398","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-ogilvie","tag-volvo","ano-309","tipo-colonoscopia","volume-volume-ii"],"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>Tratamento do Volvo de C\u00f3lon e da Pseudo-Obstru\u00e7\u00e3o Aguda do C\u00f3lon (S\u00edndrome de Ogilvie) &#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\/assuntosgerais\/tratamento-do-volvo-de-colon-e-da-pseudo-obstrucao-aguda-do-colon-sindrome-de-ogilvie\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tratamento do Volvo de C\u00f3lon e da Pseudo-Obstru\u00e7\u00e3o Aguda do C\u00f3lon (S\u00edndrome de Ogilvie)\" \/>\n<meta property=\"og:description\" content=\"As obstru\u00e7\u00f5es de c\u00f3lon podem ser mec\u00e2nicas ou n\u00e3o mec\u00e2nicas e constituem cerca de 25% de todas as obstru\u00e7\u00f5es intestinais. Entre as causas mec\u00e2nicas, as\" \/>\n<meta property=\"og:url\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/tratamento-do-volvo-de-colon-e-da-pseudo-obstrucao-aguda-do-colon-sindrome-de-ogilvie\/\" \/>\n<meta property=\"og:site_name\" content=\"Endoscopia Terapeutica\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/endoscopiaterapeutica\" \/>\n<meta property=\"article:published_time\" content=\"2022-09-08T06:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-11-11T22:13:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2022\/09\/cancer-de-colon-732x450-1.jpg?v=1662565803\" \/>\n\t<meta property=\"og:image:width\" content=\"732\" \/>\n\t<meta property=\"og:image:height\" content=\"450\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Mariane Gouvea Monteiro de Camargo\" \/>\n<meta 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