{"id":7994,"date":"2020-05-07T17:39:08","date_gmt":"2020-05-07T20:39:08","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/gastroblog\/?p=7994"},"modified":"2024-05-09T15:50:46","modified_gmt":"2024-05-09T18:50:46","slug":"dilatacao-do-piloro","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroblog\/procedimentos-endoscopicos\/dilatacao-do-piloro\/","title":{"rendered":"Dilata\u00e7\u00e3o do Piloro"},"content":{"rendered":"\r\n

O que \u00e9 o piloro ?<\/h2>\r\n\r\n\r\n\r\n

Piloro \u00e9 o esfincter que fica na po\u00e7\u00e3o final do est\u00f4mago, na sua transi\u00e7\u00e3o com o duodeno. Com os movimentos de contra\u00e7\u00e3o do est\u00f4mago o piloro se abre a permite que o conte\u00fado estomacal passe para o duodeno.<\/p>\r\n\r\n\r\n\r\n

Estenose de piloro<\/h2>\r\n\r\n\r\n\r\n

Estenose do piloro \u00e9 o estreitamento parcial ou total do mesmo que impede a progress\u00e3o do conte\u00fado do est\u00f4mago para o duodeno.<\/p>\r\n\r\n\r\n\r\n

Estenose do piloro pode acontecer por 3 causas principais:<\/p>\r\n\r\n\r\n\r\n

1-<\/strong>\u00a0Estenose hipertr\u00f3fica do piloro: condi\u00e7\u00e3o que acontece em alguns rec\u00e9m nascidos onde o m\u00fasculo do esf\u00edncter fica muito \u201capertado\u201d e impede que o conte\u00fado estomacal passe para o intestino. Nestas casos as crian\u00e7as tem crises de v\u00f4mitos e ficam desnutridas. A resolu\u00e7\u00e3o deste problema \u00e9 feita por cirurgia atrav\u00e9s do procedimento de piloroplastia.<\/p>\r\n\r\n\r\n\r\n

2-<\/strong>\u00a0Tumores do est\u00f4mago: alguns tumores do est\u00f4mago podem crescer ao ponto de causar a obstru\u00e7\u00e3o do piloro impedindo a progress\u00e3o do conte\u00fado estomacal. Nestes casos geralmente realiza-se cirurgia para se retirar a parte do est\u00f4mago acometida. Nos casos muito avan\u00e7ados pode-se passar atrav\u00e9s de endoscopia uma pr\u00f3tese autoexpans\u00edvel para desobstru\u00e7\u00e3o.<\/p>\r\n\r\n\r\n\r\n

Alguns casos onde a coloca\u00e7\u00e3o da pr\u00f3tese n\u00e3o \u00e9 possivel realiza-se o procedimento de deriva\u00e7\u00e3o g\u00e1strica, ligando o est\u00f4mago com o intestino.<\/p>\r\n\r\n\r\n\r\n

3-<\/strong>\u00a0Estenose benignas: algumas \u00falceras do est\u00f4mago ou do piloro podem ao cicatrizar levar a retra\u00e7\u00e3o da parede do \u00f3rg\u00e3o e fechamento do piloro. Nestes casos realiza-se a dilata\u00e7\u00e3o endosc\u00f3pica da regi\u00e3o com bal\u00e3o do tipo hidrost\u00e1tico.<\/p>\r\n\r\n\r\n\r\n

Nos casos onde n\u00e3o h\u00e1 melhora com as dilata\u00e7\u00f5es realiza-se o tratamento cir\u00fargico do problema.<\/p>\r\n\r\n\r\n\r\n

Complica\u00e7\u00f5es<\/h2>\r\n\r\n\r\n\r\n

A dilata\u00e7\u00e3o do piloro geralmente \u00e9 realizada de forma eficaz e sem problemas. Algumas complica\u00e7\u00f5es que podem ocorrer s\u00e3o:<\/p>\r\n\r\n\r\n\r\n

    \r\n
  • Uma pequena quantidade de sangramento quase sempre acontece quando a dilata\u00e7\u00e3o \u00e9 realizada. Se este sangramento for excessivo pode exigir um tratamento mais agressivo.<\/li>\r\n\r\n\r\n\r\n
  • Outra complica\u00e7\u00e3o \u00e9 a perfura\u00e7\u00e3o (buraco na parede do \u00f3rg\u00e3o). Se isso acontecer, uma opera\u00e7\u00e3o pode ser necess\u00e1ria para reparar o problema.<\/li>\r\n\r\n\r\n\r\n
  • Raramente uma pequena perfura\u00e7\u00e3o pode levar a infec\u00e7\u00e3o, que pode ficar apenas no local ou at\u00e9 mesmo se espalhar para os \u00f3rg\u00e3o vizinhos.<\/li>\r\n<\/ul>\r\n","protected":false},"excerpt":{"rendered":"

    O que \u00e9 o piloro ? Piloro \u00e9 o esfincter que fica na po\u00e7\u00e3o final do est\u00f4mago, na sua transi\u00e7\u00e3o com o duodeno. Com os movimentos de contra\u00e7\u00e3o do est\u00f4mago…<\/p>\n","protected":false},"author":1781,"featured_media":8070,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[1,443],"tags":[],"ano":[],"tipo":[],"volume":[],"class_list":["post-7994","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-procedimentos-endoscopicos","category-traducao"],"yoast_head":"\nDilata\u00e7\u00e3o do Piloro - Gastroblog<\/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:\/\/gastropedia.pub\/pt\/gastroblog\/procedimentos-endoscopicos\/dilatacao-do-piloro\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dilata\u00e7\u00e3o do Piloro - Gastroblog\" \/>\n<meta property=\"og:description\" content=\"O que \u00e9 o piloro ? 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