{"id":11097,"date":"2026-04-16T06:00:00","date_gmt":"2026-04-16T09:00:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=11097"},"modified":"2026-04-16T09:49:18","modified_gmt":"2026-04-16T12:49:18","slug":"roma-v-nos-disturbios-esofagicos-funcionais-o-que-mudou","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/roma-v-nos-disturbios-esofagicos-funcionais-o-que-mudou\/","title":{"rendered":"Roma V nos dist\u00farbios esof\u00e1gicos funcionais: o que mudou?"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/11097?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/11097?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<p>Os dist\u00farbios esof\u00e1gicos funcionais, agora denominados&nbsp;<strong>dist\u00farbios esof\u00e1gicos da intera\u00e7\u00e3o intestino-c\u00e9rebro (E-DGBI)<\/strong>, passaram por uma atualiza\u00e7\u00e3o conceitual relevante no&nbsp;<strong>Roma V<\/strong>, refletindo avan\u00e7os diagn\u00f3sticos e fisiopatol\u00f3gicos recentes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-principais-mudancas-do-roma-v\"><br><strong>Principais mudan\u00e7as do Roma V<\/strong><\/h2>\n\n\n\n<p><strong>1. Integra\u00e7\u00e3o formal com crit\u00e9rios fisiol\u00f3gicos modernos<\/strong><\/p>\n\n\n\n<p>Uma das mudan\u00e7as mais importantes \u00e9 a incorpora\u00e7\u00e3o expl\u00edcita de dois consensos fundamentais:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Classifica\u00e7\u00e3o de Chicago 4.0<\/strong>&nbsp;\u2192 avalia\u00e7\u00e3o de motilidade esof\u00e1gica (<a href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/classificacao-de-chicago-4-0-o-que-ha-de-novo-na-manometria-de-alta-resolucao\/\">veja aqui<\/a>)<\/li>\n\n\n\n<li><strong>Lyon Consensus 2.0<\/strong>&nbsp;\u2192 diagn\u00f3stico de DRGE (<a href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/atualizacoes-no-diagnostico-de-drge-consenso-de-lyon-2-0-2023\/\">veja aqui<\/a>)<\/li>\n<\/ul>\n\n\n\n<p>Ou seja: O diagn\u00f3stico de E-DGBI passa a ser&nbsp;<strong>fortemente baseado em exclus\u00e3o objetiva<\/strong>, utilizando testes fisiol\u00f3gicos e n\u00e3o apenas crit\u00e9rios cl\u00ednicos.&nbsp;<\/p>\n\n\n\n<p><strong>2. Diagn\u00f3stico mais rigoroso (e mais \u201cexcludente\u201d)<\/strong><\/p>\n\n\n\n<p>O Roma V refor\u00e7a que o diagn\u00f3stico s\u00f3 deve ser feito ap\u00f3s excluir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Doen\u00e7a estrutural (endoscopia)<\/li>\n\n\n\n<li>DRGE significativa (pHmetria\/imped\u00e2ncia)<\/li>\n\n\n\n<li>Dist\u00farbios motores maiores (manometria esof\u00e1gica): Aten\u00e7\u00e3o que motilidade esof\u00e1gica ineficaz (MEI) n\u00e3o exclui E-DGBI<\/li>\n\n\n\n<li>Esofagite eosinof\u00edlica (com bi\u00f3psia esof\u00e1gica, quando indicado)<\/li>\n<\/ul>\n\n\n\n<p>Isso reduz o risco de&nbsp;<strong>sobrediagn\u00f3stico de dist\u00farbios funcionais<\/strong>, problema frequente no Roma IV.&nbsp;<\/p>\n\n\n\n<p><strong>3. Maior valoriza\u00e7\u00e3o da esofagite eosinof\u00edlica como diagn\u00f3stico diferencial<\/strong><\/p>\n\n\n\n<p>O Roma V enfatiza que a&nbsp;<strong>esofagite eosinof\u00edlica deve ser ativamente exclu\u00edda<\/strong>, especialmente em:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Disfagia<\/li>\n\n\n\n<li>Dor tor\u00e1cica relacionada \u00e0 alimenta\u00e7\u00e3o<\/li>\n<\/ul>\n\n\n\n<p>A aus\u00eancia de bi\u00f3psia adequada pode levar a diagn\u00f3stico incorreto de E-DGBI.&nbsp;<\/p>\n\n\n\n<p><strong>4. Papel crescente de novas ferramentas diagn\u00f3sticas<\/strong><\/p>\n\n\n\n<p>Especialmente na disfagia funcional:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Introdu\u00e7\u00e3o do&nbsp;<strong>FLIP (Functional Lumen Imaging Probe) <\/strong>\u2013 <a href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/endoluminal-functional-lumen-imaging-probe-endofliptm-conhecendo-tecnologia-e-seus-potenciais-usos\/\">veja mais aqui<\/a> <\/li>\n\n\n\n<li>Maior uso de:\n<ul class=\"wp-block-list\">\n<li>Teste com alimento s\u00f3lido na manometria esof\u00e1gica<\/li>\n\n\n\n<li>Esofagograma (EED)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p><strong>5. Crit\u00e9rios temporais mantidos, mas refor\u00e7ados<\/strong><\/p>\n\n\n\n<p>Para diagn\u00f3stico:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sintomas \u2265 3 meses<\/li>\n\n\n\n<li>In\u00edcio \u2265 6 meses antes<\/li>\n<\/ul>\n\n\n\n<p>Com esse crit\u00e9rio temporal, refor\u00e7a o car\u00e1ter&nbsp;<strong>cr\u00f4nico e n\u00e3o transit\u00f3rio<\/strong>&nbsp;dessas condi\u00e7\u00f5es.&nbsp;<\/p>\n\n\n\n<p><strong>6. Redefini\u00e7\u00e3o e melhor separa\u00e7\u00e3o dos fen\u00f3tipos cl\u00ednicos<\/strong><\/p>\n\n\n\n<p>O Roma V mant\u00e9m os principais subgrupos, mas com crit\u00e9rios mais claros, conforme descrito na Tabela 1:<\/p>\n\n\n\n<figure class=\"wp-block-table is-style-regular\"><div class=\"pcrstb-wrap\"><table class=\"has-pale-ocean-gradient-background has-background has-fixed-layout\"><thead><tr><th><strong>Dist\u00farbio esof\u00e1gico da intera\u00e7\u00e3o intestino-c\u00e9rebro<\/strong>:<\/th><th class=\"has-text-align-center\" data-align=\"center\"><strong>Crit\u00e9rios diagn\u00f3sticos<\/strong>:<\/th><\/tr><\/thead><tbody><tr><td><\/td><td class=\"has-text-align-center\" data-align=\"center\"><strong>Crit\u00e9rio temporal (para TODOS):<\/strong><br>Sintomas \u2265 3 meses<br>In\u00edcio \u2265 6 meses<br>Frequ\u00eancia: \u2265 1x\/semana, apesar de terapia antissecretora por pelo menos 8 semanas<br><br><strong>Crit\u00e9rio de exclus\u00e3o (para TODOS):<\/strong><br>1. Aus\u00eancia de evid\u00eancia de que a doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE) ou esofagite n\u00e3o relacionada ao refluxo sejam a causa dos sintomas (conforme crit\u00e9rios do Consenso Lyon 2.0; considerar bi\u00f3psias de mucosa se disfagia ou se a dor tor\u00e1cica ocorrer durante as refei\u00e7\u00f5es)<br><br>2. Aus\u00eancia de dist\u00farbios do esvaziamento da jun\u00e7\u00e3o esofagog\u00e1strica (JEG) e\/ou de dist\u00farbios da peristalse esof\u00e1gica. Obs: Presen\u00e7a de motilidade esof\u00e1gica ineficaz (MEI) n\u00e3o exclui o diagn\u00f3stico funcional<\/td><\/tr><tr><td>Dor tor\u00e1cica funcional<\/td><td class=\"has-text-align-center\" data-align=\"center\"><strong>Deve incluir todos os seguintes crit\u00e9rios:<\/strong><br>1. Dor ou desconforto retroesternal (causas card\u00edacas devem ser exclu\u00eddas)<br>2. Aus\u00eancia de sintomas esof\u00e1gicos associados, como pirose ou disfagia<\/td><\/tr><tr><td>Pirose funcional<\/td><td class=\"has-text-align-center\" data-align=\"center\">1. Sensa\u00e7\u00e3o de queima\u00e7\u00e3o retroesternal<br>2. Aus\u00eancia de al\u00edvio dos sintomas apesar de terapia antissecretora otimizada por pelo menos 8 semanas<\/td><\/tr><tr><td>Hipersensibilidade ao refluxo<\/td><td class=\"has-text-align-center\" data-align=\"center\">1. Queima\u00e7\u00e3o retroesternal e\/ou dor tor\u00e1cica<br>2. Regurgita\u00e7\u00e3o e eructa\u00e7\u00e3o n\u00e3o s\u00e3o consideradas nesta defini\u00e7\u00e3o quando ocorrem isoladamente ou em conjunto<br>3. Evid\u00eancia de desencadeamento dos sintomas por epis\u00f3dios de refluxo<\/td><\/tr><tr><td>Globus<\/td><td class=\"has-text-align-center\" data-align=\"center\">1. Sensa\u00e7\u00e3o persistente ou intermitente, n\u00e3o dolorosa, de \u201cbolo\u201d ou corpo estranho na garganta, sem les\u00e3o estrutural identificada ao exame f\u00edsico e \u00e0 laringoscopia<br>a. Ocorre entre as refei\u00e7\u00f5es<br>b. Aus\u00eancia de disfagia ou odinofagia<br>c. Aus\u00eancia de&nbsp;<em>gastric inlet patch<\/em>&nbsp;(mucosa g\u00e1strica ect\u00f3pica) no es\u00f4fago proximal<\/td><\/tr><tr><td>Disfagia funcional<\/td><td class=\"has-text-align-center\" data-align=\"center\">1. Sensa\u00e7\u00e3o de que alimentos s\u00f3lidos e\/ou l\u00edquidos ficam presos, impactados ou apresentam tr\u00e2nsito anormal pelo es\u00f4fago<br>2. Aus\u00eancia de evid\u00eancia de que anormalidade mucosa ou estrutural esof\u00e1gica seja a causa do sintoma<br>\u00b0 Esofagograma normal com comprimido\/marshmallow ou FLIP normal podem apoiar o diagn\u00f3stico de disfagia funcional)<br>\u00b0 Teste com refei\u00e7\u00e3o s\u00f3lida normal durante a manometria pode apoiar o diagn\u00f3stico de disfagia funcional<\/td><\/tr><\/tbody><\/table><\/div><figcaption class=\"wp-element-caption\"><br>Tabela 1: Crit\u00e9rios diagn\u00f3sticos para dist\u00farbios esof\u00e1gicos da intera\u00e7\u00e3o intestino-c\u00e9rebro, conforme Roma V.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-conclusao\"><br><strong>Conclus\u00e3o<\/strong><\/h2>\n\n\n\n<p><br>O Roma V representa um avan\u00e7o ao propor uma <strong>abordagem mais estruturada para o diagn\u00f3stico dos dist\u00farbios esof\u00e1gicos da intera\u00e7\u00e3o intestino-c\u00e9rebro<\/strong>, integrando consensos modernos como Lyon 2.0 e Chicago v4.0 e refinando a distin\u00e7\u00e3o entre os diferentes fen\u00f3tipos cl\u00ednicos. Essa padroniza\u00e7\u00e3o \u00e9 particularmente <strong>importante porque<\/strong>, apesar da alta preval\u00eancia e do reconhecimento crescente dessas condi\u00e7\u00f5es, os <strong>E-DGBI ainda permanecem subestudados<\/strong>, principalmente <strong>devido \u00e0 aus\u00eancia de algoritmos diagn\u00f3sticos amplamente aplic\u00e1veis e pela heterogeneidade na avalia\u00e7\u00e3o sintom\u00e1tica e nos testes fisiol\u00f3gicos<\/strong>. Como consequ\u00eancia, o desenvolvimento de estrat\u00e9gias terap\u00eauticas baseadas em evid\u00eancias ainda \u00e9 limitado. Nesse cen\u00e1rio, os avan\u00e7os futuros passam necessariamente pela consolida\u00e7\u00e3o de crit\u00e9rios diagn\u00f3sticos mais robustos, melhor compreens\u00e3o dos mecanismos fisiopatol\u00f3gicos e incorpora\u00e7\u00e3o de uma abordagem multidisciplinar no manejo desses pacientes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencia\"><strong>Refer\u00eancia<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Gyawali CP, Roman S, Zerbib F, Savarino EV, Bhatia S, Fass R, Pandolfino JE. Functional esophageal disorders. Gastroenterology. 2026. doi:10.1053\/j.gastro.2026.02.005.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\"><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\">Lages RB. Roma V nos dist\u00farbios esof\u00e1gicos funcionais: o que mudou? Gastropedia 2026, Vol II. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=11097\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/gastroenterologia\/roma-v-nos-disturbios-esofagicos-funcionais-o-que-mudou\/<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Os dist\u00farbios esof\u00e1gicos funcionais, agora denominados&nbsp;dist\u00farbios esof\u00e1gicos da intera\u00e7\u00e3o intestino-c\u00e9rebro (E-DGBI), passaram por uma atualiza\u00e7\u00e3o conceitual relevante no&nbsp;Roma V, refletindo avan\u00e7os diagn\u00f3sticos e fisiopatol\u00f3gicos recentes. Principais mudan\u00e7as do Roma V&hellip;<\/p>\n","protected":false},"author":4165,"featured_media":11098,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[19,18],"tags":[],"ano":[423],"tipo":[121],"volume":[57],"class_list":["post-11097","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-esofago","category-gastroenterologia","ano-423","tipo-assuntos-gerais","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Roma V nos dist\u00farbios esof\u00e1gicos funcionais: o que mudou? - 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\/roma-v-nos-disturbios-esofagicos-funcionais-o-que-mudou\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Roma V nos dist\u00farbios esof\u00e1gicos funcionais: o que mudou?\" \/>\n<meta property=\"og:description\" content=\"Os dist\u00farbios esof\u00e1gicos funcionais, agora denominados&nbsp;dist\u00farbios esof\u00e1gicos da intera\u00e7\u00e3o intestino-c\u00e9rebro (E-DGBI), passaram por uma atualiza\u00e7\u00e3o conceitual relevante no&nbsp;Roma V, refletindo avan\u00e7os diagn\u00f3sticos e fisiopatol\u00f3gicos recentes. 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