{"id":11255,"date":"2026-06-04T06:23:00","date_gmt":"2026-06-04T09:23:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=11255"},"modified":"2026-06-01T09:38:07","modified_gmt":"2026-06-01T12:38:07","slug":"quiz-obstrucao-duodenal-e-pancreatite-cronica","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/quiz-obstrucao-duodenal-e-pancreatite-cronica\/","title":{"rendered":"Quiz Obstru\u00e7\u00e3o duodenal e pancreatite cr\u00f4nica"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/11255?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\/11255?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>Paciente masculino de 41 anos, etilista e tabagista, e tamb\u00e9m ex-usu\u00e1rio de coca\u00edna e crack (parou h\u00e1 cerca de 4 meses), j\u00e1 em seguimento por pancreatite cr\u00f4nica alco\u00f3lica. Procura o ambulat\u00f3rio com quadro de v\u00f4mitos di\u00e1rios p\u00f3s alimentares e emagrecimento de 15 Kg nos \u00faltimos 3 meses. Negava altera\u00e7\u00e3o nas fezes, negava febre ou outros sintomas constitucionais.<\/p>\n\n\n\n<p>Ao exame f\u00edsico, apresentava-se muito emagrecido, Peso foi de 65,4 Kg para 50,1 Kg. Descorado e um pouco desidratado. Abdome escavado, doloroso a palpa\u00e7\u00e3o de epig\u00e1strio e com hipertimpanismo nesta regi\u00e3o.<\/p>\n\n\n\n<p>Encaminhado ao pronto-socorro, onde realizou uma imagem:<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/gastropedia.pub\/pt\/?attachment_id=11189\"><img fetchpriority=\"high\" decoding=\"async\" width=\"512\" height=\"778\" data-id=\"11189\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-1-Quiz-Obstrucao-duodenal-e-pancreatite-cronica.jpg\" alt=\"\" class=\"wp-image-11189\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-1-Quiz-Obstrucao-duodenal-e-pancreatite-cronica.jpg?v=1779221154 512w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-1-Quiz-Obstrucao-duodenal-e-pancreatite-cronica-197x300.jpg?v=1779221154 197w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/><\/a><figcaption class=\"wp-element-caption\">Figura 1<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/gastropedia.pub\/pt\/?attachment_id=11188\"><img decoding=\"async\" width=\"512\" height=\"512\" data-id=\"11188\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-2-Quiz-Obstrucao-duodenal-e-pancreatite-cronica.jpg\" alt=\"\" class=\"wp-image-11188\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-2-Quiz-Obstrucao-duodenal-e-pancreatite-cronica.jpg?v=1779221151 512w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-2-Quiz-Obstrucao-duodenal-e-pancreatite-cronica-300x300.jpg?v=1779221151 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-2-Quiz-Obstrucao-duodenal-e-pancreatite-cronica-150x150.jpg?v=1779221151 150w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-2-Quiz-Obstrucao-duodenal-e-pancreatite-cronica-70x70.jpg?v=1779221151 70w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-2-Quiz-Obstrucao-duodenal-e-pancreatite-cronica-330x330.jpg?v=1779221151 330w\" sizes=\"(max-width: 512px) 100vw, 512px\" \/><\/a><figcaption class=\"wp-element-caption\">Figura 2<\/figcaption><\/figure>\n<\/figure>\n\n\n\n<p><strong>Figura 1:<\/strong> P\u00e2ncreas com atrofia parenquimatosa difusa, atenua\u00e7\u00e3o heterog\u00eanea com m\u00faltiplos c\u00e1lculos calcificados no ducto pancre\u00e1tico principal em toda a sua extens\u00e3o e em ductos secund\u00e1rios.<\/p>\n\n\n\n<p><strong>Figura 2:<\/strong> (Pancreatite cr\u00f4nica calcificante). Densifica\u00e7\u00e3o dos planos entre a segunda por\u00e7\u00e3o do duodeno e a cabe\u00e7a do p\u00e2ncreas, identificando-se acentuado afilamento da segunda por\u00e7\u00e3o duodenal, completamente envolto por extens\u00e3o do processo inflamat\u00f3rio cr\u00f4nico pancre\u00e1tico, caracterizando-se 2 pseudocistos com cerca de 3,0 cm cada situados um deles na intimidade da parede lateral e o outro na intimidade da parede medial da segunda por\u00e7\u00e3o duodenal. H\u00e1 uma comunica\u00e7\u00e3o entre esses dois pseudocistos nas suas por\u00e7\u00f5es mais inferiores. Tal extens\u00e3o do processo inflamat\u00f3rio com o afilamento duodenal tem caracter\u00edsticas de cronicidade demonstrada particularmente pelo acentuado &#8220;alongamento&#8221; do est\u00f4mago com distens\u00e3o e ac\u00famulo de res\u00edduos alimentares.<\/p>\n\n\n\n\n    <!-- Custom CSS for Quiz -->\n    <style type=\"text\/css\">\n\n    \/* Fixes *\/\n    #advq_quiz_11191 ul.advq_question_list {\n        padding:10px 0;\n        margin:0;\n    }\n\n    #advq_quiz_11191 {\n        font-family: ;\n        font-size: 1em;\n        line-height: 1.5em;\n        font-weight: 400;\n        font-style: ;\n    }\n\n    #advq_quiz_11191 .advq_button,\n    #advq_quiz_11191 .advq_validade_ck,\n    #advq_quiz_11191 .advq_next_button,\n    #advq_quiz_11191 .advq_start_quiz_button,\n    #advq_quiz_11191 .advq-restart,\n    #advq_quiz_11191 .advq-restart a {\n        color:#FFFFFF;\n        background-color:rgba(231,76,60,1);\n        font-family: ;\n    }\n\n    #advq_quiz_11191 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Correct Answer *\/\n    #advq_quiz_11191 .advq_question_container li.quiz_selected_answer.quiz_correct_answer {\n        background-color: rgba(158,208,100,1);\n        color: rgba(0,0,0,1);\n    }\n    \/* Unselected Correct Answer *\/\n    #advq_quiz_11191 .advq_question_container li.quiz_unselected_answer.quiz_unselected_correct_answer {\n        background-color: rgba(158,208,100,1);\n        color: rgba(0,0,0,1);\n    }\n    \/* Wrong Answer *\/\n    #advq_quiz_11191 .advq_question_container li.quiz_selected_answer.quiz_incorrect_answer {\n        background-color: rgba(243,134,129,1);\n        color: rgba(0,0,0,1);\n    }\n\n    \/* Answer Information *\/\n    #advq_quiz_11191 .advq_answer_commentary {\n        background-color: rgba(244,244,244,1);\n        color: rgba(0,0,0,1);\n    }\n\n    \/* Answers Container *\/\n    #advq_quiz_11191 .advq_results_wrapper {\n        background-color: rgba(249,249,249,1);\n        color: rgba(0,0,0,1);\n        padding-top: 20px;\n        padding-right: 20px;\n        padding-bottom: 20px;\n        padding-left: 20px;\n        margin-top: 20px;\n        margin-right: 0;\n        margin-bottom: 0;\n        margin-left: 0;\n        border:1px solid #f5f5f5;\n    }\n    #advq_quiz_11191 .advq_review_answers {\n        padding-top: 20px;\n        padding-right: 20px;\n        padding-bottom: 20px;\n        padding-left: 20px;\n    }\n    \n    <\/style><div style='opacity:0' class='advq_quiz_wrap advq_minimal advq_hasprogbar' data-quiz-id='11191' id='advq_quiz_11191' data-qtype='trivia' data-qlayout='minimal' data-unique-visitor='false' data-start-time='1780806717' data-options='{\"provide_result\":false,\"allow_change\":false,\"result_position\":\"inline\",\"one_page\":true,\"scroll_to_next\":false,\"progress_bar\":\"disabled\",\"back_button\":false,\"list_mode\":false,\"relation\":\"AND\",\"answerstags\":false}'><div  data-mandatory=\"\" class=\"advq_question_container \" ><div class=\"advq_question_wrap\"><div class=\"advq_question\" data-question-id=\"question-1\" >Qual o diagn\u00f3stico mais prov\u00e1vel?<\/div><ul data-priority=\"normal\" data-type=\"radio\" data-relation=\"ignore\" class=\"advq_question_list\" data-question-id=\"question-1\"><li class=\"quiz_unselected_answer\"><input data-value='Neoplasia de duodeno' data-rule='0' id='question-1_0' name='question-1' type='radio' data-points='1'> <label for='question-1_0'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Neoplasia de duodeno<\/label><\/li><li class=\"quiz_unselected_answer\"><input data-value='Neoplasia de cabe&ccedil;a de p&acirc;ncreas' data-rule='0' id='question-1_1' name='question-1' type='radio' data-points='1'> <label for='question-1_1'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Neoplasia de cabe\u00e7a de p\u00e2ncreas<\/label><\/li><li class=\"quiz_unselected_answer\"><input data-value='Pancreatite do sulco pancreato-duodenal (groove pancreatitis)' data-rule='1' id='question-1_2' name='question-1' type='radio' data-points='1'> <label for='question-1_2'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Pancreatite do sulco pancreato-duodenal (groove pancreatitis)<\/label><\/li><li class=\"quiz_unselected_answer\"><input data-value='Sequela de &uacute;lcera duodenal distorcendo a anatomia local' data-rule='0' id='question-1_3' name='question-1' type='radio' data-points='1'> <label for='question-1_3'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Sequela de \u00falcera duodenal distorcendo a anatomia local<\/label><\/li><li class=\"quiz_unselected_answer\"><input data-value='Neoplasia estromal - GIST' data-rule='0' id='question-1_4' name='question-1' type='radio' data-points='1'> <label for='question-1_4'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Neoplasia estromal - GIST<\/label><\/li><\/ul><\/div><\/div><div  data-mandatory=\"\" class=\"advq_question_container \" ><div class=\"advq_question_wrap\"><div class=\"advq_question\" data-question-id=\"question-2\" >Qual seria o pr\u00f3ximo passo para estabelecer o diagn\u00f3stico?<\/div><ul data-priority=\"normal\" data-type=\"radio\" data-relation=\"ignore\" class=\"advq_question_list\" data-question-id=\"question-2\"><li class=\"quiz_unselected_answer\"><input data-value='Realizar endoscopia digestiva alta com bi&oacute;psias de duodeno para exclus&atilde;o de neoplasia e avalia&ccedil;&atilde;o de grau de obstru&ccedil;&atilde;o' data-rule='1' id='question-2_0' name='question-2' type='radio' data-points='1'> <label for='question-2_0'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Realizar endoscopia digestiva alta com bi\u00f3psias de duodeno para exclus\u00e3o de neoplasia e avalia\u00e7\u00e3o de grau de obstru\u00e7\u00e3o<\/label><\/li><li class=\"quiz_unselected_answer\"><input data-value='Realizar ecoendoscopia com bi&oacute;psias de cabe&ccedil;a de p&acirc;ncreas &agrave;s cegas (sem n&oacute;dulo vis&iacute;vel)' data-rule='0' id='question-2_1' name='question-2' type='radio' data-points='1'> <label for='question-2_1'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Realizar ecoendoscopia com bi\u00f3psias de cabe\u00e7a de p\u00e2ncreas \u00e0s cegas (sem n\u00f3dulo vis\u00edvel)<\/label><\/li><li class=\"quiz_unselected_answer\"><input data-value='Realizar litotripsia e retirada de c&aacute;lculos pancre&aacute;ticos via CPRE' data-rule='0' id='question-2_2' name='question-2' type='radio' data-points='1'> <label for='question-2_2'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Realizar litotripsia e retirada de c\u00e1lculos pancre\u00e1ticos via CPRE<\/label><\/li><li class=\"quiz_unselected_answer\"><input data-value='Hidratar, deixar com sintom&aacute;ticos e liberar, j&aacute; que n&atilde;o h&aacute; necessidade de nenhum procedimento adicional' data-rule='0' id='question-2_3' name='question-2' type='radio' data-points='1'> <label for='question-2_3'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Hidratar, deixar com sintom\u00e1ticos e liberar, j\u00e1 que n\u00e3o h\u00e1 necessidade de nenhum procedimento adicional<\/label><\/li><li class=\"quiz_unselected_answer\"><input data-value='Programar duodeno-pancreatectomia j&aacute; que a chance de neoplasia &eacute; alta neste paciente' data-rule='0' id='question-2_4' name='question-2' type='radio' data-points='1'> <label for='question-2_4'><span class=\"advq_a_input\"><i class=\"fa fa-square-o\" aria-hidden=\"true\"><\/i><\/span>Programar duodeno-pancreatectomia j\u00e1 que a chance de neoplasia \u00e9 alta neste paciente<\/label><\/li><\/ul><\/div><\/div><div class=\"advq_before_results\"><div 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href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fgastropedia.pub%2Fpt%2Fwp-json%2Fwp%2Fv2%2Fposts%2F11255%3Fqid%3D11191qr%7Brid%7D\" target=\"_blank\" title=\"Share on Facebook\"><i class=\"fa fa-facebook-square\" aria-hidden=\"true\"><\/i> <span>Compartilhe seu resultado<\/span><\/a><\/div>\n\t \t\t\t \t<div class=\"advq-twitter-link\">\n\t \t\t\t \t\t<a data-social-network=\"twitter\" href=\"https:\/\/twitter.com\/intent\/tweet?source=https%3A%2F%2Fgastropedia.pub%2Fpt%2Fwp-json%2Fwp%2Fv2%2Fposts%2F11255%3Fqid%3D11191qr%7Brid%7D&text={result}Quiz Obstru\u00e7\u00e3o duodenal e pancreatite cr\u00f4nica: https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/11255?qid=11191qr{rid} \" target=\"_blank\" title=\"Tweet\"><i class=\"fa fa-twitter\" aria-hidden=\"true\"><\/i><span> Compartilhe seu resultado<\/span><\/a><\/div>\n\t\t\t\t\t<div class=\"advq-linkedin-link\">\n\t  \t\t\t\t\t<a data-social-network=\"linkedin\" href=\"https:\/\/www.linkedin.com\/sharing\/share-offsite\/?url=https%3A%2F%2Fgastropedia.pub%2Fpt%2Fwp-json%2Fwp%2Fv2%2Fposts%2F11255%3Fqid%3D11191qr%7Brid%7D\" target=\"_blank\" title=\"Share on Linkedin\"><i class=\"fa fa-linkedin-square\" aria-hidden=\"true\"><\/i> <span>Compartilhe seu resultado<\/span><\/a><\/div>\n\t\t\t\t<\/div><\/div>\n                <div class=\"advq-restart\">\n                    <a href=\"\/pt\/wp-json\/wp\/v2\/posts\/11255\" title=\"Refazer o teste\"><i class=\"fa fa-refresh\" aria-hidden=\"true\"><\/i> <span>Refazer o teste<\/span><\/a>\n                <\/div><\/div><!-- Closing div for results --><\/div><!-- Closing div for quiz -->\n\n\n\n<p><br>Foi internado para hidrata\u00e7\u00e3o e controle dos sintomas. Durante a interna\u00e7\u00e3o realizou uma endoscopia digestiva alta devido a v\u00f4mitos persistentes e programa\u00e7\u00e3o de passagem de sonda naso-ent\u00e9rica &#8211; necessitou de 3 dias de dieta l\u00edquida com passagem de sonda de Fouchet antes do procedimento. Teve os seguintes achados:<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/gastropedia.pub\/pt\/?attachment_id=11256\"><img decoding=\"async\" width=\"981\" height=\"375\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Bulbo-duodenal.jpeg\" alt=\"\" class=\"wp-image-11256\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Bulbo-duodenal.jpeg?v=1780011570 981w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Bulbo-duodenal-300x115.jpeg?v=1780011570 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Bulbo-duodenal-768x294.jpeg?v=1780011570 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Bulbo-duodenal-585x224.jpeg?v=1780011570 585w\" sizes=\"(max-width: 981px) 100vw, 981px\" \/><\/a><figcaption class=\"wp-element-caption\">Nota-se bulbo duodenal deformado, com compress\u00e3o extr\u00ednseca e retra\u00e7\u00f5es cicatriciais que geram importante angula\u00e7\u00e3o e subestenose, permitindo a passagem do aparelho convencional (9.8mm) com dificuldade at\u00e9 a segunda por\u00e7\u00e3o duodenal. Mucosa de bulbo e segunda por\u00e7\u00e3o duodenal \u00edntegra, em \u00e1rea de subestenose aus\u00eancia de les\u00f5es infiltrativos ou de aspecto neopl\u00e1sico.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-discussao\"><br><strong>Discuss\u00e3o<\/strong><\/h2>\n\n\n\n<p>Esse \u00e9 um caso de prov\u00e1vel Pancreatite do Sulco Pancreato-duodenal ou Groove Pancreatitis: uma forma caprichosa de pancreatite cr\u00f4nica que envolve o sulco pancreato-duodenal, e pode acometer duodeno, cabe\u00e7a pancre\u00e1tica e col\u00e9doco. \u00c9 mais comum em homens, entre a 4a e 5a d\u00e9cada de vida, e se relaciona com o abuso de \u00e1lcool e tabaco.<\/p>\n\n\n\n<p>A fisiopatologia \u00e9 pouco compreendida ainda hoje. O acometimento envolve a hiperplasia das gl\u00e2ndulas de Brunner (gl\u00e2ndulas localizadas nessa regi\u00e3o do sulco), gerando inflama\u00e7\u00e3o e fibrose. Esse processo inflamat\u00f3rio pode extravasar para a parede duodenal e gerar um quadro de obstru\u00e7\u00e3o intestinal, al\u00e9m de poder acometer a cabe\u00e7a do p\u00e2ncreas e o col\u00e9doco distal, promovendo obstru\u00e7\u00e3o biliar e colestase.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><a href=\"https:\/\/gastropedia.pub\/pt\/?attachment_id=11257\"><img loading=\"lazy\" decoding=\"async\" width=\"521\" height=\"364\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/figura-quiz-discussao.png\" alt=\"\" class=\"wp-image-11257\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/figura-quiz-discussao.png 521w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/figura-quiz-discussao-300x210.png 300w\" sizes=\"(max-width: 521px) 100vw, 521px\" \/><\/a><\/figure>\n<\/div>\n\n\n<p><\/p>\n\n\n\n<p>O quadro cl\u00ednico mais t\u00edpico \u00e9 dor abdominal associada a n\u00e1useas e v\u00f4mitos, decorrentes do acometimento duodenal, podendo evoluir com perda de peso. Em alguns casos, pode haver icter\u00edcia se houver extens\u00e3o para regi\u00e3o do col\u00e9doco distal. O diagn\u00f3stico diferencial envolve a exclus\u00e3o de neoplasias da regi\u00e3o periampular e as neoplasias bilio-pancre\u00e1ticas, que podem mimetizar a <em>groove pancreatitis<\/em>.<\/p>\n\n\n\n<p>O diagn\u00f3stico \u00e9 realizado atrav\u00e9s de exames de imagem, como tomografia de abdome e resson\u00e2ncia de abdome, associados a exames endosc\u00f3picos, com Endoscopia Digestiva Alta (para retirada de fragmentos de bi\u00f3psias). A Ecoendoscopia Alta pode trazer mais informa\u00e7\u00f5es e permite a pun\u00e7\u00e3o e esvaziamento das gl\u00e2ndulas de Brunner, o que pode amenizar os sintomas obstrutivos.<\/p>\n\n\n\n<p>O tratamento pode ser manejo conservador de sintomas e orienta\u00e7\u00e3o para cessa\u00e7\u00e3o de tabagismo e etilismo. Se os sintomas forem muito intensos, por\u00e9m, s\u00e3o necess\u00e1rias interven\u00e7\u00f5es, que podem ser endosc\u00f3picas ou cir\u00fargicas, e que iremos dissecar melhor no pr\u00f3ximo post! N\u00e3o perca!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Dahiya DS, Shah YR, Canakis A, Parikh C, Chandan S, Ali H, Gangwani MK, Pinnam BSM, Singh S, Sohail AH, Patel R, Ramai D, Al-Haddad M, Baron T, Rastogi A. Groove pancreatitis: From enigma to future directions-A comprehensive review. J Gastroenterol Hepatol. 2024 Nov;39(11):2260-2271. doi: 10.1111\/jgh.16683.<\/li>\n\n\n\n<li>Arora A, Rajesh S, Mukund A, Patidar Y, Thapar S, Arora A, Bhatia V. Clinicoradiological appraisal of &#8216;paraduodenal pancreatitis&#8217;: Pancreatitis outside the pancreas!<br>Indian J Radiol Imaging. 2015 Jul-Sep;25(3):303-14. doi: 10.4103\/0971-3026.<\/li>\n<\/ol>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Paciente masculino de 41 anos, etilista e tabagista, e tamb\u00e9m ex-usu\u00e1rio de coca\u00edna e crack (parou h\u00e1 cerca de 4 meses), j\u00e1 em seguimento por pancreatite cr\u00f4nica alco\u00f3lica. Procura o&hellip;<\/p>\n","protected":false},"author":3341,"featured_media":11188,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[18,23],"tags":[],"ano":[423],"tipo":[126],"volume":[57],"class_list":["post-11255","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologia","category-pancreas","ano-423","tipo-quiz","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>Quiz Obstru\u00e7\u00e3o duodenal e pancreatite cr\u00f4nica - Gastropedia<\/title>\n<meta name=\"description\" content=\"Pancreatite de sulco pancreato-duodenal pode acometer duodeno, cabe\u00e7a pancre\u00e1tica e col\u00e9doco. \u00c9 mais comum em homens e se relaciona com o abuso de \u00e1lcool e tabaco.\" \/>\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\/quiz-obstrucao-duodenal-e-pancreatite-cronica\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quiz Obstru\u00e7\u00e3o duodenal e pancreatite cr\u00f4nica\" \/>\n<meta property=\"og:description\" content=\"Pancreatite de sulco pancreato-duodenal pode acometer duodeno, cabe\u00e7a pancre\u00e1tica e col\u00e9doco. \u00c9 mais comum em homens e se relaciona com o abuso de \u00e1lcool e tabaco.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/quiz-obstrucao-duodenal-e-pancreatite-cronica\/\" \/>\n<meta property=\"og:site_name\" content=\"Gastropedia\" \/>\n<meta property=\"article:published_time\" content=\"2026-06-04T09:23:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/05\/Figura-2-Quiz-Obstrucao-duodenal-e-pancreatite-cronica.jpg?v=1779221151\" \/>\n\t<meta property=\"og:image:width\" content=\"512\" \/>\n\t<meta property=\"og:image:height\" content=\"512\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Maira Marzinotto\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maira Marzinotto\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/quiz-obstrucao-duodenal-e-pancreatite-cronica\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/quiz-obstrucao-duodenal-e-pancreatite-cronica\\\/\"},\"author\":{\"name\":\"Maira Marzinotto\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#\\\/schema\\\/person\\\/bc9eb1d348f7591af72ba0facb603c11\"},\"headline\":\"Quiz Obstru\u00e7\u00e3o duodenal e pancreatite cr\u00f4nica\",\"datePublished\":\"2026-06-04T09:23:00+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/quiz-obstrucao-duodenal-e-pancreatite-cronica\\\/\"},\"wordCount\":772,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/quiz-obstrucao-duodenal-e-pancreatite-cronica\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2026\\\/05\\\/Figura-2-Quiz-Obstrucao-duodenal-e-pancreatite-cronica.jpg?v=1779221151\",\"articleSection\":[\"Gastroenterologia\",\"P\u00e2ncreas\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/quiz-obstrucao-duodenal-e-pancreatite-cronica\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/quiz-obstrucao-duodenal-e-pancreatite-cronica\\\/\",\"url\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/quiz-obstrucao-duodenal-e-pancreatite-cronica\\\/\",\"name\":\"Quiz Obstru\u00e7\u00e3o duodenal e pancreatite cr\u00f4nica - 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