{"id":4551,"date":"2020-09-01T09:30:54","date_gmt":"2020-09-01T09:30:54","guid":{"rendered":"https:\/\/endoscopiaterapeutica.net\/pt\/uncategorized\/achados-ecograficos-na-pancreatite-cronica\/"},"modified":"2023-08-07T21:29:54","modified_gmt":"2023-08-07T21:29:54","slug":"achados-ecograficos-na-pancreatite-cronica","status":"publish","type":"post","link":"https:\/\/endoscopiaterapeutica.net\/pt\/assuntosgerais\/achados-ecograficos-na-pancreatite-cronica\/","title":{"rendered":"Achados Ecogr\u00e1ficos na Pancreatite Cr\u00f4nica"},"content":{"rendered":"<p>As pancreatites cr\u00f4nicas (PC) se caracterizam, do ponto de vista an\u00e1tomo-patol\u00f3gico, pela fibrose progressiva do par\u00eanquima glandular, inicialmente focal e, a seguir, difusa por todo o p\u00e2ncreas. Do ponto de vista evolutivo, geralmente, h\u00e1 persist\u00eancia das les\u00f5es, mesmo com a retirada do fator causal, determinando altera\u00e7\u00f5es pancre\u00e1ticas residuais anat\u00f4micas e funcionais.<\/p>\n<p>A <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/assuntos-gerais\/ag-ecoendoscopia\/\" target=\"_blank\" rel=\"noopener\">ecoendoscopia<\/a> tem um papel importante no diagn\u00f3stico dessa patologia, sobretudo das formas mais leves e iniciais da doen\u00e7a, que n\u00e3o s\u00e3o identificadas pelos m\u00e9todos de imagem convencionais e para as quais os testes funcionais pancre\u00e1ticos apresentam uma sensibilidade relativamente baixa.<\/p>\n<p>O \u00faltimo consenso relativo aos crit\u00e9rios necess\u00e1rios para estabelecer o diagn\u00f3stico ultrassonogr\u00e1fico de pancreatite cr\u00f4nica\u00a0foi designado de Crit\u00e9rios de Rosemont. Essa classifica\u00e7\u00e3o baseou-se na experi\u00eancia de autoridades na mat\u00e9ria. Foram estabelecidos crit\u00e9rios <strong>maiores<\/strong> (<strong>A<\/strong> e <strong>B<\/strong>) e <strong>menores<\/strong>.<\/p>\n<h2><strong>Crit\u00e9rios maiores A:<\/strong><\/h2>\n<ul>\n<li>Focos hiperecoicos com cone de sombra;<\/li>\n<li>C\u00e1lculos do ducto pancre\u00e1tico principal.<\/li>\n<\/ul>\n<h2><strong>Crit\u00e9rio maior B:<\/strong><\/h2>\n<ul>\n<li>Lobularidade cont\u00edgua do par\u00eanquima.<\/li>\n<\/ul>\n<h2><strong>Crit\u00e9rios menores:<\/strong><\/h2>\n<ul>\n<li>Cistos;<\/li>\n<li>Ducto pancre\u00e1tico principal com contorno irregular;<\/li>\n<li>Ducto pancre\u00e1tico principal dilatado;<\/li>\n<li>Ramos secund\u00e1rios dilatados;<\/li>\n<li>Parede ductal hiperecoica;<\/li>\n<li>Faixas hiperecoicas;<\/li>\n<li>Focos hiperecoicos sem cone de sombra;<\/li>\n<li>Lobularidade n\u00e3o cont\u00edgua do par\u00eanquima.<\/li>\n<\/ul>\n<p>Apesar dessa classifica\u00e7\u00e3o ser muito complexa, ainda \u00e9 a mais utilizada na pr\u00e1tica. E para que o diagn\u00f3stico de pancreatite cr\u00f4nica seja estabelecido, os crit\u00e9rios ultrassonogr\u00e1ficos s\u00e3o analisados da seguinte forma:<\/p>\n<h2><strong>Diagn\u00f3stico de certeza:<\/strong><\/h2>\n<ul>\n<li>presen\u00e7a de dois crit\u00e9rios maiores A;<\/li>\n<li>presen\u00e7a de um crit\u00e9rio maior A + um crit\u00e9rio maior B;<\/li>\n<li>presen\u00e7a de um crit\u00e9rio maior A + pelo menos tr\u00eas crit\u00e9rios menores.<\/li>\n<\/ul>\n<h3><strong>Os achados s\u00e3o sugestivos de PC quando\u00a0h\u00e1:<\/strong><\/h3>\n<ul>\n<li>presen\u00e7a de, pelo menos, 5 crit\u00e9rios menores;<\/li>\n<li>presen\u00e7a de um crit\u00e9rio maior B + pelo menos 3 crit\u00e9rios menores;<\/li>\n<li>presen\u00e7a de um crit\u00e9rio maior A + menos tr\u00eas crit\u00e9rios menores.<\/li>\n<\/ul>\n<h3><strong>Os achados s\u00e3o indeterminados para PC quando\u00a0h\u00e1 pelo menos:<\/strong><\/h3>\n<ul>\n<li>presen\u00e7a de 3 a 4 crit\u00e9rios menores e nenhum crit\u00e9rio maior;<\/li>\n<li>presen\u00e7a apenas de um crit\u00e9rio maior B ou com menos tr\u00eas crit\u00e9rios menores.<\/li>\n<\/ul>\n<h3><strong>Os achados s\u00e3o NEGATIVOS\u00a0<\/strong><strong>para PC quando h\u00e1:<\/strong><\/h3>\n<ul>\n<li>presen\u00e7a de apenas 2 crit\u00e9rios menores e nenhum crit\u00e9rio maior.<\/li>\n<\/ul>\n<p>O achados ultrassonogr\u00e1ficos usualmente encontrados nos casos de PC s\u00e3o:<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-7934\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.15-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.15-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.15-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img decoding=\"async\" class=\"alignnone size-medium wp-image-7935\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.26-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.26-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.26-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img decoding=\"async\" class=\"alignnone size-medium wp-image-7936\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.38-1-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.38-1-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.38-1-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7937\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.59-1-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.59-1-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.57.59-1-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7938\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.16-1-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.16-1-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.16-1-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7939\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.26-1-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.26-1-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.26-1-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7940\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.36-1-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.36-1-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.36-1-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7941\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.48-1-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.48-1-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.58.48-1-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7942\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.05-1-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.05-1-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.05-1-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7943\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.15-1-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.15-1-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.15-1-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7944\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.26-e1598728587852-1-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.26-e1598728587852-1-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.26-e1598728587852-1-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7945\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.38-e1598728420762-2-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.38-e1598728420762-2-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.38-e1598728420762-2-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7946\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.57-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.57-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-15.59.57-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/> <img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-7947\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-16.00.11-150x150-1.png\" alt=\"\" width=\"150\" height=\"150\" srcset=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-16.00.11-150x150-1.png 150w, https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2020\/09\/Captura-de-Tela-2020-08-29-a\u0300s-16.00.11-150x150-1-70x70.png 70w\" sizes=\"(max-width: 150px) 100vw, 150px\" \/><\/p>\n<p>As imagens ultrassonogr\u00e1ficas abaixo s\u00e3o\u00a0de um\u00a0paciente com pancreatite cr\u00f4nica. Nas imagens, notamos alguns crit\u00e9rios que corroboram com esse diagn\u00f3stico.<\/p>\n<div id=\"attachment_7547\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/03\/QUIZ.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7547\" class=\"wp-image-7547 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/QUIZ.png\" alt=\"Ecoendoscopia setorial exibindo lobularidade difusa do corpo pancre\u00e1tico associada a estrias longitudinais hiperecoicas.\" width=\"300\" height=\"226\" \/><\/a><p id=\"caption-attachment-7547\" class=\"wp-caption-text\">Ecoendoscopia setorial exibindo lobularidade difusa do corpo pancre\u00e1tico associada a estrias longitudinais hiperecoicas.<\/p><\/div>\n<div id=\"attachment_7549\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2017\/03\/QUIZ2.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-7549\" class=\"wp-image-7549 size-medium\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/QUIZ2.png\" alt=\"\" width=\"300\" height=\"257\" \/><\/a><p id=\"caption-attachment-7549\" class=\"wp-caption-text\">Mesmos achados da figura anterior, por\u00e9m com range maior.<\/p><\/div>\n<div id=\"attachment_9761\" style=\"width: 307px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/pc.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9761\" class=\"wp-image-9761\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/pc.png\" alt=\"\" width=\"297\" height=\"257\" \/><\/a><p id=\"caption-attachment-9761\" class=\"wp-caption-text\">Focos hiperecoicos com sombra ac\u00fastica posterior.<\/p><\/div>\n<div id=\"attachment_9764\" style=\"width: 310px\" class=\"wp-caption aligncenter\"><a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/pc4.png\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-9764\" class=\"wp-image-9764\" src=\"https:\/\/endoscopiaterapeutica.net\/pt\/wp-content\/uploads\/2021\/08\/pc4.png\" alt=\"\" width=\"300\" height=\"216\" \/><\/a><p id=\"caption-attachment-9764\" class=\"wp-caption-text\">Lobularidade difusa do par\u00eanquima.<\/p><\/div>\n<p>Clique nos links abaixo e assista aos v\u00eddeos de alguns pacientes com pancreatite cr\u00f4nica submetidos \u00e0 EUS:<\/p>\n<p><span style=\"color: #008000;\"><em><strong><a style=\"color: #008000;\" href=\"https:\/\/www.cookmedical.com\/esc\/feature\/echovideos\/pancreas\/pancreas_11.html\" target=\"_blank\" rel=\"noopener noreferrer\">EUS Pancreatite cr\u00f4nica 1<\/a><\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #008000;\"><em><strong><a style=\"color: #008000;\" href=\"https:\/\/www.cookmedical.com\/esc\/feature\/echovideos\/pancreas\/pancreas_9.html\" target=\"_blank\" rel=\"noopener noreferrer\">EUS Pancreatite cr\u00f4nica 2<\/a><\/strong><\/em><\/span><\/p>\n<p><span style=\"color: #008000;\"><em><strong><a style=\"color: #008000;\" href=\"https:\/\/www.cookmedical.com\/esc\/feature\/echovideos\/pancreas\/pancreas_11.html\" target=\"_blank\" rel=\"noopener noreferrer\">EUS Pancreatite cr\u00f4nica 3<\/a><\/strong><\/em><\/span><\/p>\n<h3><a href=\"https:\/\/gastropedia.com.br\/gastroenterologia\/insuficiencia-pancreatica-exocrina-um-olhar-alem-do-obvio\/\">Para saber mais sobre este tema e outros relacionados, acesse o site Gastropedia clicando aqui!<\/a><\/h3>\n","protected":false},"excerpt":{"rendered":"<p>As pancreatites cr\u00f4nicas (PC) se caracterizam, do ponto de vista an\u00e1tomo-patol\u00f3gico, pela fibrose progressiva&hellip;<\/p>\n","protected":false},"author":4256,"featured_media":5217,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[151],"tags":[],"ano":[146],"tipo":[154],"volume":[147],"class_list":["post-4551","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-assuntosgerais","ano-146","tipo-ecoendoscopia","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>Achados Ecogr\u00e1ficos na Pancreatite Cr\u00f4nica &#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\" 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