{"id":4267,"date":"2021-11-19T06:00:46","date_gmt":"2021-11-19T06:00:46","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/?p=4267"},"modified":"2023-07-29T12:24:07","modified_gmt":"2023-07-29T12:24:07","slug":"fundoplicatura-gastrica","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/fundoplicatura-gastrica\/","title":{"rendered":"Fundoplicatura g\u00e1strica: como avaliar?"},"content":{"rendered":"\n<p><span style=\"font-weight: 400;\">Frequentemente, recebemos pacientes submetidos \u00e0 fundoplicatura (FPL) para avalia\u00e7\u00e3o p\u00f3s-operat\u00f3ria.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Apesar de parecer um exame relativamente simples, muitas vezes temos dificuldade em avaliar corretamente todas as caracter\u00edsticas das fundoplicaturas, especialmente quando encontramos anormalidades ou complica\u00e7\u00f5es cir\u00fargicas.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Primeiramente, \u00e9 preciso entender alguns princ\u00edpios b\u00e1sicos da cirurgia:<\/strong><\/h2>\n\n\n\n<ul class=\"has-pale-ocean-gradient-background has-background wp-block-list\">\n<li><span style=\"font-weight: 400;\">A v\u00e1lvula \u00e9 confeccionada com o fundo g\u00e1strico que passa posteriormente ao est\u00f4mago;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">A FPL deve envolver cerca de 2 a 3 cm do es\u00f4fago distal;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">O ponto que segura a v\u00e1lvula deve \u201cbeliscar\u201d a parede anterior do es\u00f4fago, para evitar que ela deslize para baixo;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Aproxima\u00e7\u00e3o dos pilares diafragm\u00e1ticos (hiatoplastia).<\/span><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><b><strong>Aspecto endosc\u00f3pico da fundoplicatura Nissen (360\u00b0)<\/strong><\/b><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Vis\u00e3o Frontal<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">TEG deve estar sob zona de press\u00e3o, ou seja, envolta pela fundoplicatura (admite-se como normal at\u00e9 1 cm acima);<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Transposi\u00e7\u00e3o do endosc\u00f3pio pela FPL ocorre com leve resist\u00eancia, sem desvio do eixo e sem \u201cdegrau\u201d.<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><b>\u00c0 retrovis\u00e3o (fundoplicatura Nissen \u2013 360\u00b0)<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Prega g\u00e1strica transversal envolvendo circunferencialmente a c\u00e1rdia, justa ao aparelho e sem tor\u00e7\u00f5es;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Sem tor\u00e7\u00f5es significa: estar paralela \u00e0s linhas brancas demarcat\u00f3rias do endosc\u00f3pio;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Fundoplicatura intra-abdominal;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Aus\u00eancia de h\u00e9rnia paraesof\u00e1gica (hiatoplastia \u00edntegra).<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><b>\u00c0 retrovis\u00e3o (fundoplicatura Toupet-Lind \u2013 270\u00b0)<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Prega g\u00e1strica transversal envolvendo parcialmente a c\u00e1rdia;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Prega posterior menos robusta que a Nissen;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Com os movimentos respirat\u00f3rios, podem ocorrer breves per\u00edodos de abertura da v\u00e1lvula, expondo a linha Z.<\/span><\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/08\/vis\u00e3o-frontal.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/visC3A3o-frontal.png\" alt=\"\u00c0 retrovis\u00e3o (fundoplicatura Toupet-Lind \u2013 270\u00b0)\" class=\"wp-image-2481\"\/><\/a><figcaption class=\"wp-element-caption\">Na vis\u00e3o frontal, a TEG deve estar sob zona de press\u00e3o, ou seja, envolta pela fundoplicatura.<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/08\/retrovis\u00e3o-nissen.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/retrovisC3A3o-nissen.png\" alt=\"Na retrovis\u00e3o, a FPL deve envolver a c\u00e1rdia\" class=\"wp-image-2480\"\/><\/a><figcaption class=\"wp-element-caption\">Na retrovis\u00e3o, a FPL deve envolver a c\u00e1rdia, abra\u00e7ando o aparelho em quase 360\u00b0. Avaliar se a v\u00e1lvula est\u00e1 paralela \u00e0 demarca\u00e7\u00e3o do aparelho ou se n\u00e3o est\u00e1 torcida.<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/08\/Retrovis\u00e3o-Lind_.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/RetrovisC3A3o-Lind_.png\" alt=\"Fundoplicatura\" class=\"wp-image-2479\"\/><\/a><figcaption class=\"wp-element-caption\">FPL parcial envolve o aparelho em menos de 360 graus, por\u00e9m em mais de 180 graus (ou estaria desgarrada). O formato da FPL \u00e9 da letra grega \u00f4mega. Com base nesses conhecimentos, fica mais f\u00e1cil entender as anormalidades da cirurgia.<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><b><strong>Com base nesses conhecimentos, fica mais f\u00e1cil entender as anormalidades da cirurgia<\/strong><\/b><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Fundoplicatura desgarrada<\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">A prega g\u00e1strica transversal n\u00e3o envolve o aparelho. A prega faz uma linha reta e um \u00e2ngulo de 180\u00ba na c\u00e1rdia. \u00c9 comum a recidiva dos sintomas do refluxo nessa situa\u00e7\u00e3o.<\/span><\/p>\n\n\n<div class=\"wp-block-image wp-image-10246 size-full\">\n<figure class=\"aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" width=\"640\" height=\"428\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/Imagemdes.jpg\" alt=\"Fundoplicatura Desgarrada\" class=\"wp-image-10246\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/Imagemdes.jpg 640w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/Imagemdes-300x201.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/Imagemdes-585x391.jpg 585w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/Imagemdes-263x175.jpg 263w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><figcaption class=\"wp-element-caption\">Fundoplicatura desgarrada. N\u00e3o envolve o aparelho.<\/figcaption><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><b>Fundoplicatura torcida<\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Prega g\u00e1strica (FPL) n\u00e3o est\u00e1 paralela \u00e0s linhas de demarca\u00e7\u00e3o do endosc\u00f3pio. Geralmente, isso se deve a um erro t\u00e9cnico no qual n\u00e3o houve libera\u00e7\u00e3o adequada do fundo g\u00e1strico. Podem ocorrer sintomas, como disfagia ou refluxo.<\/span><\/p>\n\n\n<div class=\"wp-block-image wp-image-10242 size-full\">\n<figure class=\"aligncenter\"><img decoding=\"async\" width=\"640\" height=\"291\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPL-torc.jpg\" alt=\"Fundoplicatura torcida\" class=\"wp-image-10242\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPL-torc.jpg 640w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPL-torc-300x136.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPL-torc-585x266.jpg 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><figcaption class=\"wp-element-caption\">FPL torcida. A prega g\u00e1strica deveria estar paralela \u00e0s linhas brancas de demarca\u00e7\u00e3o do endosc\u00f3pio. Nesse caso, est\u00e1 correndo em um sentido cr\u00e2nio-caudal, ou seja, torcida.<\/figcaption><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><b>Fundoplicatura migrada<\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">A FPL encontra-se \u00edntegra, por\u00e9m a hiatoplastia se abriu, permitindo a migra\u00e7\u00e3o cranial da fundoplicatura e da TEG em dire\u00e7\u00e3o ao t\u00f3rax. Muitas vezes, apesar dessa complica\u00e7\u00e3o, os pacientes permanecem assintom\u00e1ticos.<\/span><\/p>\n\n\n<div class=\"wp-block-image wp-image-10243 size-full\">\n<figure class=\"aligncenter\"><img decoding=\"async\" width=\"640\" height=\"302\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPL-mig.jpg\" alt=\"Fundoplicatura migrada\" class=\"wp-image-10243\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPL-mig.jpg 640w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPL-mig-300x142.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPL-mig-585x276.jpg 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><figcaption class=\"wp-element-caption\">FPL migrada. Na vis\u00e3o endosc\u00f3pica, observa-se tamb\u00e9m uma h\u00e9rnia para-hiatal.<\/figcaption><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><b>Fundoplicatura deslizada (FPL gastrog\u00e1strica ou est\u00f4mago bicompartimentado)<\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Essa situa\u00e7\u00e3o \u00e9 relativamente comum, mas as pessoas t\u00eam dificuldade em diagnosticar \u2013 talvez por desconhecerem o termo.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">A FPL deve envolver o es\u00f4fago distal e a linha Z. Mas ela pode deslizar (descer) e ficar abra\u00e7ando o pr\u00f3prio est\u00f4mago. Na vis\u00e3o endosc\u00f3pica frontal, observa-se a TEG 2 cm ou mais acima da zona de constri\u00e7\u00e3o (como uma h\u00e9rnia hiatal). Na retrovis\u00e3o, observa-se a fundoplicatura intra-abdominal, ou seja, ela n\u00e3o est\u00e1 migrada nem desgarrada.<\/span><\/p>\n\n\n<div class=\"wp-block-image wp-image-10245 size-medium\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"213\" height=\"300\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/slipped-213x300.jpg\" alt=\"Fundoplicatura deslizada\" class=\"wp-image-10245\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/slipped-213x300.jpg 213w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/slipped.jpg 454w\" sizes=\"(max-width: 213px) 100vw, 213px\" \/><figcaption class=\"wp-element-caption\">Fundoplicatura deslizada. A TEG est\u00e1 acima da zona de constri\u00e7\u00e3o.<\/figcaption><\/figure>\n<\/div>\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2015\/08\/deslizada.png\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/deslizada.png\" alt=\"Fundoplicatura deslizada\" class=\"wp-image-10562\"\/><\/a><figcaption class=\"wp-element-caption\">Fundoplicatura deslizada. A TEG est\u00e1 acima da zona de constri\u00e7\u00e3o. Nota-se c\u00e2mara g\u00e1strica herniada, e \u00e0 retrovis\u00e3o o aspecto da fundoplicatura \u00e9 normal.<\/figcaption><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\"><b>Presen\u00e7a, ou n\u00e3o, de h\u00e9rnia paraesof\u00e1gica<\/b><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">A FPL pode estar \u00edntegra, em posi\u00e7\u00e3o intra-abdominal, n\u00e3o desgarrada, mas a hiatoplastia pode ter se alargado, permitindo a hernia\u00e7\u00e3o de parte do fundo g\u00e1strico para o t\u00f3rax. Notam-se pregas g\u00e1stricas correndo em dire\u00e7\u00e3o \u00e0 hiatoplastia e \u201ccaindo\u201d na cavidade tor\u00e1cica.<\/span><\/p>\n\n\n<div class=\"wp-block-image wp-image-10244 size-full\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"301\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPLHPE.jpg\" alt=\"Fundoplicatura com presen\u00e7a de h\u00e9rnia paraesof\u00e1gica\" class=\"wp-image-10244\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPLHPE.jpg 640w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPLHPE-300x141.jpg 300w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/10\/FPLHPE-585x275.jpg 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><figcaption class=\"wp-element-caption\">Fundoplicatura intra-abdominal e n\u00e3o desgarrada, por\u00e9m com h\u00e9rnia paraesof\u00e1gica.<\/figcaption><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><b><strong>Resumo da avalia\u00e7\u00e3o endosc\u00f3pica<\/strong><\/b><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><b>TEG x fundoplicatura<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">TEG est\u00e1 sob zona de press\u00e3o, ou seja, envolta pela fundoplicatura;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">TEG est\u00e1 fora da zona de press\u00e3o, ou seja, acima da fundoplicatura. Se &gt; 2 cm acima, conclu\u00edmos como FPL deslizada.<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Posi\u00e7\u00e3o da fundoplicatura<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Fundoplicatura intra-abdominal;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Fundoplicatura parcialmente migrada;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Fundoplicatura totalmente migrada.<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Descri\u00e7\u00e3o da fundoplicatura<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Fundoplicatura envolve completamente a c\u00e1rdia;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Fundoplicatura envolve parcialmente a c\u00e1rdia;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Fundoplicatura completamente desgarrada;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Fundoplicatura torcida.<\/span><\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><b>Presen\u00e7a de h\u00e9rnia paraesof\u00e1gica<\/b><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><span style=\"font-weight: 400;\">Presente;<\/span><\/li>\n\n\n\n<li><span style=\"font-weight: 400;\">Ausente.<\/span><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Veja tamb\u00e9m<\/h2>\n\n\n\n<p><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/desafio-quiz-voce-reconhece-essas-anormalidades-das-fundoplicaturas\/\"><span style=\"font-weight: 400;\">Quiz! Voc\u00ea conhece essas anormalidades das fundoplicaturas?<\/span><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\"><span style=\"font-weight: 400;\">Martins B. Fundoplicatura g\u00e1strica: como avaliar? Endoscopia Terap\u00eautica; 2021. Dispon\u00edvel em: <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/fundoplicatura-gastrica-como-avaliar\/\"><span style=\"font-weight: 400;\">https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/fundoplicatura-gastrica-como-avaliar\/<\/span><\/a><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Acesse o <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/\"><span style=\"font-weight: 400;\">Endoscopia Terap\u00eautica<\/span><\/a><span style=\"font-weight: 400;\"> para tomar contato com mais <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/artigos-comentados\/\"><span style=\"font-weight: 400;\">artigos comentados<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntos-gerais\/\"><span style=\"font-weight: 400;\">assuntos gerais<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/casos-clinicos\/\"><span style=\"font-weight: 400;\">casos cl\u00ednicos<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/quiz\/\"><span style=\"font-weight: 400;\">quizzes<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/classificacoes\/\"><span style=\"font-weight: 400;\">classifica\u00e7\u00f5es<\/span><\/a><span style=\"font-weight: 400;\"> e mais!<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Frequentemente, recebemos pacientes submetidos \u00e0 fundoplicatura (FPL) para avalia\u00e7\u00e3o p\u00f3s-operat\u00f3ria. Apesar de parecer um&hellip;<\/p>\n","protected":false},"author":712,"featured_media":5016,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[295],"ano":[262],"tipo":[153],"volume":[147],"class_list":["post-4267","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","tag-fundoplicatura","ano-262","tipo-endoscopia-digestiva-alta","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Fundoplicatura g\u00e1strica: como avaliar? &#8226; Endoscopia Terapeutica<\/title>\n<meta name=\"description\" content=\"Aprenda como avaliar o aspecto endosc\u00f3pico da fundoplicatura. 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