{"id":11027,"date":"2026-03-26T06:35:00","date_gmt":"2026-03-26T09:35:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=11027"},"modified":"2026-03-26T09:07:27","modified_gmt":"2026-03-26T12:07:27","slug":"distensao-abdominal-funcional-na-classificacao-roma-v","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/distensao-abdominal-funcional-na-classificacao-roma-v\/","title":{"rendered":"Distens\u00e3o abdominal funcional na classifica\u00e7\u00e3o Roma V"},"content":{"rendered":"
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Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n

Os dist\u00farbios intestinais constituem condi\u00e7\u00f5es gastrointestinais cr\u00f4nicas que integram o grupo dos\u00a0dist\u00farbios de intera\u00e7\u00e3o intestino-c\u00e9rebro<\/strong>, caracterizados por sintomas como dor ou desconforto abdominal, distens\u00e3o e altera\u00e7\u00f5es do h\u00e1bito intestinal.<\/p>\n\n\n\n

Recentemente foi publicado o artigo que mostra a atualiza\u00e7\u00e3o do Consenso Roma V, que organiza os dist\u00farbios intestinais em seis categorias distintas: s\u00edndrome do intestino irrit\u00e1vel, constipa\u00e7\u00e3o cr\u00f4nica, diarreia funcional, distens\u00e3o abdominal funcional, dist\u00farbio intestinal n\u00e3o classificado e constipa\u00e7\u00e3o induzida por opioides.<\/p>\n\n\n\n

Entre essas entidades, destaca-se a distens\u00e3o abdominal funcional<\/strong>, frequentemente observada na pr\u00e1tica cl\u00ednica e associada a impacto significativo na qualidade de vida. Essa condi\u00e7\u00e3o \u00e9 caracterizada pela sensa\u00e7\u00e3o recorrente de plenitude abdominal, press\u00e3o ou aprisionamento de gases (bloating<\/em>) e\/ou aumento mensur\u00e1vel da circunfer\u00eancia abdominal (distens\u00e3o)<\/strong>.<\/p>\n\n\n\n


Epidemiologia e diagn\u00f3stico<\/strong><\/h2>\n\n\n\n

A distens\u00e3o abdominal \u00e9 um sintoma frequente na popula\u00e7\u00e3o geral, sendo mais comum em mulheres<\/strong> e apresentando aumento progressivo com a idade<\/strong>.<\/p>\n\n\n\n

Estudos epidemiol\u00f3gicos globais estimam que aproximadamente 3,5% da popula\u00e7\u00e3o preenche crit\u00e9rios diagn\u00f3sticos espec\u00edficos para distens\u00e3o abdominal funcional<\/strong>. A preval\u00eancia pode ser ainda maior entre pacientes com outros dist\u00farbios de intera\u00e7\u00e3o intestino-c\u00e9rebro.<\/p>\n\n\n\n

Para o diagn\u00f3stico, os sintomas devem ser predominantes e o paciente n\u00e3o deve preencher crit\u00e9rios diagn\u00f3sticos para outros dist\u00farbios intestinais, como a s\u00edndrome do intestino irrit\u00e1vel. Os sintomas devem ter in\u00edcio h\u00e1 pelo menos seis meses, com presen\u00e7a predominante nos tr\u00eas meses que antecedem o diagn\u00f3stico.<\/strong><\/p>\n\n\n\n

Os crit\u00e9rios diagn\u00f3sticos incluem:<\/strong><\/p>\n\n\n\n

    \n
  1. Estufamento abdominal recorrente e\/ou distens\u00e3o vis\u00edvel<\/strong>, ocorrendo em m\u00e9dia pelo menos um dia por semana<\/strong>, sendo o sintoma predominante.<\/li>\n\n\n\n
  2. Aus\u00eancia de crit\u00e9rios diagn\u00f3sticos para outros dist\u00farbios funcionais<\/strong>, como s\u00edndrome do intestino irrit\u00e1vel, constipa\u00e7\u00e3o cr\u00f4nica, dispepsia funcional com s\u00edndrome do desconforto p\u00f3s-prandial ou disfun\u00e7\u00f5es anorretais.<\/li>\n<\/ol>\n\n\n\n


    Avalia\u00e7\u00e3o cl\u00ednica<\/strong><\/h2>\n\n\n\n

    O diagn\u00f3stico \u00e9 essencialmente\u00a0cl\u00ednico\u00a0<\/strong>e baseado na caracteriza\u00e7\u00e3o dos sintomas e na exclus\u00e3o de outras condi\u00e7\u00f5es gastrointestinais funcionais ou org\u00e2nicas.<\/p>\n\n\n\n

    Na pr\u00e1tica cl\u00ednica, a abordagem deve seguir princ\u00edpios semelhantes aos utilizados na avalia\u00e7\u00e3o de pacientes com s\u00edndrome do intestino irrit\u00e1vel ou constipa\u00e7\u00e3o cr\u00f4nica, priorizando a identifica\u00e7\u00e3o de sinais de alarme e a exclus\u00e3o de causas org\u00e2nicas relevantes quando indicado.<\/p>\n\n\n\n


    Fisiopatologia<\/strong><\/h2>\n\n\n\n

    A fisiopatologia \u00e9 considerada multifatorial e heterog\u00eanea<\/strong>. Entre os mecanismos propostos destacam-se hipersensibilidade visceral, altera\u00e7\u00f5es no tr\u00e2nsito ou na elimina\u00e7\u00e3o de gases intestinais, fermenta\u00e7\u00e3o col\u00f4nica de substratos alimentares, altera\u00e7\u00f5es da microbiota intestinal e dist\u00farbios da homeostase gasosa.<\/p>\n\n\n\n

    Um mecanismo recentemente descrito \u00e9 a dissinergia abdominofr\u00eanica<\/strong>, caracterizada por contra\u00e7\u00e3o paradoxal do diafragma associada ao relaxamento da musculatura abdominal diante da distens\u00e3o intestinal, resultando em aumento vis\u00edvel do volume abdominal. Al\u00e9m disso, fatores psicol\u00f3gicos, como ansiedade e depress\u00e3o, parecem desempenhar papel relevante na modula\u00e7\u00e3o dos sintomas.<\/p>\n\n\n\n


    Tratamento<\/strong><\/h2>\n\n\n\n

    As evid\u00eancias terap\u00eauticas espec\u00edficas para essa condi\u00e7\u00e3o ainda s\u00e3o limitadas, sendo grande parte dos dados derivada de estudos conduzidos em pacientes com s\u00edndrome do intestino irrit\u00e1vel ou constipa\u00e7\u00e3o cr\u00f4nica. Estrat\u00e9gias diet\u00e9ticas, particularmente dietas com baixo teor de FODMAPs<\/strong>, podem reduzir os sintomas em alguns pacientes. Abordagens baseadas em biofeedback toracoabdominal<\/strong> tamb\u00e9m t\u00eam demonstrado benef\u00edcio em indiv\u00edduos com distens\u00e3o abdominal vis\u00edvel relacionada \u00e0s refei\u00e7\u00f5es.<\/p>\n\n\n\n

    Entre as op\u00e7\u00f5es farmacol\u00f3gicas, simeticona, \u03b1-galactosidase e peppermint oil<\/em><\/strong> podem proporcionar al\u00edvio sintom\u00e1tico em alguns casos. Neuromoduladores do eixo intestino-c\u00e9rebro<\/strong>, como antidepressivos tric\u00edclicos ou inibidores seletivos da recapta\u00e7\u00e3o de serotonina, e agentes procin\u00e9ticos<\/strong>, como a prucaloprida, tamb\u00e9m t\u00eam sido avaliados em estudos cl\u00ednicos.<\/p>\n\n\n\n

    A rifaximina<\/strong>, antibi\u00f3tico de a\u00e7\u00e3o intestinal e m\u00ednima absor\u00e7\u00e3o sist\u00eamica, demonstrou em estudos cl\u00ednicos redu\u00e7\u00e3o dos sintomas de estufamento, particularmente quando utilizada na dose de 550 mg tr\u00eas vezes ao dia por 14 dias, em pacientes com quadro de s\u00edndrome do intestino irrit\u00e1vel predom\u00ednio diarreia em compara\u00e7\u00e3o ao placebo. Outras interven\u00e7\u00f5es voltadas \u00e0 modula\u00e7\u00e3o da microbiota intestinal, incluindo probi\u00f3ticos, apresentam resultados vari\u00e1veis e evid\u00eancia ainda limitada.<\/p>\n\n\n\n


    Conclus\u00e3o<\/strong><\/h2>\n\n\n\n

    A distens\u00e3o abdominal funcional \u00e9 uma condi\u00e7\u00e3o cr\u00f4nica pertencente ao grupo dos dist\u00farbios de intera\u00e7\u00e3o intestino-c\u00e9rebro e representa um desafio frequente na pr\u00e1tica cl\u00ednica. Seu manejo deve ser individualizado considerando fatores diet\u00e9ticos, ambientais, psicossom\u00e1ticos e altera\u00e7\u00f5es da motilidade intestinal, visando melhor controle dos sintomas e melhora da qualidade de vida dos pacientes.<\/p>\n\n\n\n


    Refer\u00eancia<\/strong><\/h2>\n\n\n\n
      \n
    1. Corsetti M, Shin A, Lacy BE, Cash BD, Simren M, Schmulson MJ, Hou X, Lembo A, BOWEL DISORDERS, Gastroenterology (2026), doi: https:\/\/doi.org\/10.1053\/ j.gastro.2026.02<\/li>\n<\/ol>\n\n\n\n

      Como citar este artigo<\/strong><\/h2>\n\n\n\n

      Cardoso ACFL. Distens\u00e3o abdominal funcional na classifica\u00e7\u00e3o Roma V. Gastropedia 2026; Vol I. Dispon\u00edvel em: https:\/\/gastropedia.pub\/pt\/gastroenterologia\/distensao-abdominal-funcional-na-classificacao-roma-v\/<\/a><\/p>\n\n\n\n

      <\/p>\n","protected":false},"excerpt":{"rendered":"

      Introdu\u00e7\u00e3o Os dist\u00farbios intestinais constituem condi\u00e7\u00f5es gastrointestinais cr\u00f4nicas que integram o grupo dos\u00a0dist\u00farbios de intera\u00e7\u00e3o intestino-c\u00e9rebro, caracterizados por sintomas como dor ou desconforto abdominal, distens\u00e3o e altera\u00e7\u00f5es do h\u00e1bito intestinal.…<\/p>\n","protected":false},"author":5895,"featured_media":11041,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[18,22],"tags":[],"ano":[423],"tipo":[121],"volume":[57],"class_list":["post-11027","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologia","category-intestino","ano-423","tipo-assuntos-gerais","volume-volume-i"],"yoast_head":"\nDistens\u00e3o abdominal funcional na classifica\u00e7\u00e3o Roma V - Gastropedia<\/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\/gastroenterologia\/distensao-abdominal-funcional-na-classificacao-roma-v\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Distens\u00e3o abdominal funcional na classifica\u00e7\u00e3o Roma V\" \/>\n<meta property=\"og:description\" content=\"Introdu\u00e7\u00e3o Os dist\u00farbios intestinais constituem condi\u00e7\u00f5es gastrointestinais cr\u00f4nicas que integram o grupo dos\u00a0dist\u00farbios de intera\u00e7\u00e3o intestino-c\u00e9rebro, caracterizados por sintomas como dor ou desconforto abdominal, distens\u00e3o e altera\u00e7\u00f5es do h\u00e1bito intestinal.…\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/distensao-abdominal-funcional-na-classificacao-roma-v\/\" \/>\n<meta property=\"og:site_name\" content=\"Gastropedia\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-26T09:35:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-03-26T12:07:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/03\/CAPA-ROMA-V.png\" \/>\n\t<meta property=\"og:image:width\" content=\"493\" \/>\n\t<meta property=\"og:image:height\" content=\"341\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Annita Cavalcante Farias Leoncio Cardoso\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Annita Cavalcante Farias Leoncio Cardoso\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/distensao-abdominal-funcional-na-classificacao-roma-v\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/distensao-abdominal-funcional-na-classificacao-roma-v\\\/\"},\"author\":{\"name\":\"Annita Cavalcante Farias Leoncio Cardoso\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#\\\/schema\\\/person\\\/1fb562b905c81df69e600be5a1049d43\"},\"headline\":\"Distens\u00e3o abdominal funcional na classifica\u00e7\u00e3o Roma V\",\"datePublished\":\"2026-03-26T09:35:00+00:00\",\"dateModified\":\"2026-03-26T12:07:27+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/distensao-abdominal-funcional-na-classificacao-roma-v\\\/\"},\"wordCount\":862,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/distensao-abdominal-funcional-na-classificacao-roma-v\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2026\\\/03\\\/CAPA-ROMA-V.png\",\"articleSection\":[\"Gastroenterologia\",\"Intestino\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/distensao-abdominal-funcional-na-classificacao-roma-v\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/distensao-abdominal-funcional-na-classificacao-roma-v\\\/\",\"url\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/distensao-abdominal-funcional-na-classificacao-roma-v\\\/\",\"name\":\"Distens\u00e3o abdominal funcional na classifica\u00e7\u00e3o Roma V - 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