{"id":11356,"date":"2026-07-09T06:59:00","date_gmt":"2026-07-09T09:59:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=11356"},"modified":"2026-07-08T17:01:50","modified_gmt":"2026-07-08T20:01:50","slug":"colite-microscopica-diagnostico-e-tratamento-clinico","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/colite-microscopica-diagnostico-e-tratamento-clinico\/","title":{"rendered":"Colite Microsc\u00f3pica: Diagn\u00f3stico e Tratamento Cl\u00ednico"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/11356?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\/11356?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<h2 id=\"h-conceito-o-que-e-colite-microscopica\" class=\"wp-block-heading\"><br><strong>Conceito &#8211; O que \u00e9 colite microsc\u00f3pica?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A <strong>colite microsc\u00f3pica<\/strong> \u00e9 uma patologia cr\u00f4nica do c\u00f3lon caracterizada por <strong>diarreia cr\u00f4nica, aquosa e n\u00e3o-sanguinolenta<\/strong>. Ocorre habitualmente em <strong>pacientes de meia idade<\/strong>, sobretudo do <strong>sexo feminino<\/strong>. Uma das suas principais caracter\u00edsticas \u00e9 a <strong>apar\u00eancia normal da mucosa \u00e0 colonoscopia<\/strong>. Por ser subdiagnosticada, muito frequentemente estes pacientes circulam durante anos com o diagn\u00f3stico de s\u00edndrome do intestino irrit\u00e1vel (SII) antes de receberem o diagn\u00f3stico correto.<\/p>\n\n\n\n<h2 id=\"h-etiologia-fisiopatologia-e-epidemiologia\" class=\"wp-block-heading\"><br><strong>Etiologia, fisiopatologia e epidemiologia:<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Uma das principais peculiaridades desta patologia, descrita pela primeira vez em 1980, \u00e9 a presen\u00e7a de <strong>altera\u00e7\u00f5es inflamat\u00f3rias somente identific\u00e1veis \u00e0 avalia\u00e7\u00e3o histol\u00f3gica<\/strong>. Apesar de mais subtipos terem sido descritos, dois principais se destacam:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Colite Colagenosa (ou colag\u00eanica \/ col\u00e1gena):<\/strong> \u00c9 hipotetizado que o metabolismo anormal do col\u00e1geno na matriz subepitelial seja respons\u00e1vel pela s\u00edntese de <strong>bandas anormalmente espessas<\/strong> (<strong>> 10 \u00b5m<\/strong>) desta prote\u00edna estrutural.<br><br><\/li>\n\n\n\n<li><strong>Colite Linfoc\u00edtica:<\/strong> H\u00e1 aumento na express\u00e3o de linf\u00f3citos subepiteliais (<strong>\u2265 20 linf\u00f3citos por 100 c\u00e9lulas epiteliais de superf\u00edcie<\/strong>), sem altera\u00e7\u00f5es das fibras de col\u00e1geno.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/gastropedia.pub\/pt\/?attachment_id=11357\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/07\/Colite-Microscopica-Diagnostico-e-Tratamento-Clinico-1024x683.png\" alt=\"\" class=\"wp-image-11357\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/07\/Colite-Microscopica-Diagnostico-e-Tratamento-Clinico-1024x683.png 1024w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/07\/Colite-Microscopica-Diagnostico-e-Tratamento-Clinico-300x200.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/07\/Colite-Microscopica-Diagnostico-e-Tratamento-Clinico-768x512.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/07\/Colite-Microscopica-Diagnostico-e-Tratamento-Clinico-1170x780.png 1170w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/07\/Colite-Microscopica-Diagnostico-e-Tratamento-Clinico-585x390.png 585w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/07\/Colite-Microscopica-Diagnostico-e-Tratamento-Clinico-263x175.png 263w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/07\/Colite-Microscopica-Diagnostico-e-Tratamento-Clinico-1080x720.png 1080w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2026\/07\/Colite-Microscopica-Diagnostico-e-Tratamento-Clinico.png 1264w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\">Imagem gerada por IA. Adaptado de: Langner, C., Aust, D., Enzari, A. Villanacci, V., Becheanu, G., Miehlke, S. et al.<br>Histology of microscopic colitis-review with a practical approach for pathologists.<br><em>Histopathology<\/em>. 2015; 66: 613\u2013626.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Sua patog\u00eanese n\u00e3o \u00e9 clara, sendo a hip\u00f3tese mais aceita de que seja multifatorial, com a conjun\u00e7\u00e3o de <strong>fatores de risco (tabagismo, etilismo e uso de anti-inflamat\u00f3rios n\u00e3o esteroidais \u2014 AINEs).<\/strong> Outros medicamentos, apesar de n\u00e3o apresentarem rela\u00e7\u00e3o de causalidade estabelecida, j\u00e1 foram associados:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inibidores de bomba de pr\u00f3tons \u2014 IBPs<\/li>\n\n\n\n<li>Estatinas<\/li>\n\n\n\n<li>Inibidores seletivos da recapta\u00e7\u00e3o de serotonina \u2014 ISRS<\/li>\n\n\n\n<li>Inibidores de <em>checkpoint<\/em> imunol\u00f3gico &#8211; muito utilizados em tratamentos oncol\u00f3gicos.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A incid\u00eancia relatada varia de forma ampla entre os estudos \u2014 aproximadamente 1,8 a 16,4\/100.000\/ano para a colite col\u00e1gena e 1,3 a 11,1\/100.000\/ano para a linfoc\u00edtica \u2014 refletindo diferen\u00e7as de popula\u00e7\u00e3o e de pr\u00e1tica de bi\u00f3psia. <strong>O perfil cl\u00e1ssico \u00e9 a mulher acima dos 50\u201360 anos<\/strong>, mas a doen\u00e7a ocorre em ambos os sexos e em faixas et\u00e1rias mais jovens.<\/p>\n\n\n\n<h2 id=\"h-quando-suspeitar\" class=\"wp-block-heading\"><br><strong>Quando suspeitar?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">O quadro t\u00edpico \u00e9 de <strong>diarreia aquosa cr\u00f4nica, n\u00e3o sanguinolenta<\/strong>, de in\u00edcio por vezes abrupto, frequentemente acompanhada de urg\u00eancia evacuat\u00f3ria, evacua\u00e7\u00f5es noturnas, dor abdominal, incontin\u00eancia fecal e perda ponderal leve. \u00c9 justamente a sobreposi\u00e7\u00e3o com a SII de predom\u00ednio diarreico (SII-D) que motiva o subdiagn\u00f3stico.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alguns elementos auxiliam na inclina\u00e7\u00e3o da suspeita para colite microsc\u00f3pica em vez de SII:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Diarreia <strong>noturna<\/strong>, que <strong>desperta o paciente<\/strong>.<\/li>\n\n\n\n<li>In\u00edcio dos sintomas em paciente de meia-idade ou idoso, sobretudo mulheres.<\/li>\n\n\n\n<li>Presen\u00e7a de fatores de risco (f\u00e1rmacos, tabagismo, autoimunidade).<\/li>\n\n\n\n<li>Perda de peso ou sintomas que destoam de um quadro puramente funcional.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-diagnostico\" class=\"wp-block-heading\"><br><strong>Diagn\u00f3stico:<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A colonoscopia com <strong>bi\u00f3psias rand\u00f4micas e escalonadas <\/strong>constitui m\u00e9todo padr\u00e3o para diagn\u00f3stico. O papel de biomarcadores, como a calprotectina fecal, ainda \u00e9 incerto &#8211; apesar de ser bem estabelecido que resultados normais n\u00e3o afastam um diagn\u00f3stico. O achado das altera\u00e7\u00f5es histol\u00f3gicas descritas acima (banda col\u00e1gena espessada ou linfocitose intraepitelial) \u00e9 o que confirma o diagn\u00f3stico.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c9 recomendada tamb\u00e9m a investiga\u00e7\u00e3o de doen\u00e7a cel\u00edaca (enquanto poss\u00edvel diagn\u00f3stico diferencial).<\/p>\n\n\n\n<h2 id=\"h-tratamento-e-prognostico\" class=\"wp-block-heading\"><br><strong>Tratamento e Progn\u00f3stico:<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">O tratamento deve ser escalonado, conforme intensidade dos sintomas:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Medidas Iniciais:<\/strong> Revis\u00e3o e, quando poss\u00edvel, suspens\u00e3o dos f\u00e1rmacos potencialmente associados e orientar a cessa\u00e7\u00e3o do tabagismo. Em sintomas leves, antidiarr\u00e9icos como a loperamida podem ser suficientes para controle dos sintomas.<\/li>\n\n\n\n<li><strong>Indu\u00e7\u00e3o da remiss\u00e3o:<\/strong> Pacientes com sintomas moderados a intensos, a <strong>budesonida oral<\/strong> (na dose de 9 mg\/dia) durante 6 a 8 semanas \u00e9 o tratamento de primeira linha, seguida por desmame gradual (primeiro para 6 mg\/dia por 2 semanas e 3 mg\/dia por 2 semanas at\u00e9 retirada definitiva).<\/li>\n\n\n\n<li><strong>Recidiva e tratamento de manuten\u00e7\u00e3o:<\/strong> Aproximadamente metade dos pacientes pode ter recorr\u00eancia de sintomas ap\u00f3s suspender a budesonida. Nestes casos, orienta-se manuten\u00e7\u00e3o com a <strong>menor dose eficaz<\/strong>, pelo menor tempo necess\u00e1rio. Em uso prolongado, considerar suplementa\u00e7\u00e3o de c\u00e1lcio\/vitamina D e monitora\u00e7\u00e3o da densidade mineral \u00f3ssea, individualizando conforme o risco de osteoporose.<\/li>\n\n\n\n<li><strong>Doen\u00e7a refrat\u00e1ria:<\/strong> Em pacientes refrat\u00e1rios \u00e0 budesonida ou que necessitam de mais de 6 mg\/dia para manter remiss\u00e3o, devemos considerar escalonamento para terapia imunomoduladora (tiopurinas) ou biol\u00f3gicos como as drogas anti-TNF (infliximabe ou adalimumabe) e o pr\u00f3prio vedolizumabe \u2014 vale destacar que nenhuma dessas op\u00e7\u00f5es biol\u00f3gicas tem indica\u00e7\u00e3o em bula espec\u00edfica para colite microsc\u00f3pica no Brasil, sendo seu uso baseado em extrapola\u00e7\u00e3o de dados de doen\u00e7a inflamat\u00f3ria intestinal.<\/li>\n<\/ol>\n\n\n\n<h2 id=\"h-referencias\" class=\"wp-block-heading\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Miehlke S, Guagnozzi D, Zabana Y, et al. European guidelines on microscopic colitis: United European Gastroenterology (UEG) and European Microscopic Colitis Group (EMCG) statements and recommendations. <em>United European Gastroenterol J.<\/em> 2021.<\/li>\n\n\n\n<li>Tome J, Tariq R, Hassett LC, Khanna S, Pardi DS. Effectiveness and Safety Profile of Budesonide Maintenance in Microscopic Colitis: A Systematic Review and Meta-Analysis. Inflamm Bowel Dis. 2024 Jul 3;30(7):1178-1188. doi: 10.1093\/ibd\/izad178. PMID: 37589651.<\/li>\n<\/ol>\n\n\n\n<h2 id=\"h-como-citar-este-artigo\" class=\"wp-block-heading\"><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 wp-block-paragraph\">Obregon CA.Colite Microsc\u00f3pica: Diagn\u00f3stico e Tratamento Cl\u00ednico. Gastropedia 2026, Vol II. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=11356\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/gastroenterologia\/colite-microscopica-diagnostico-e-tratamento-clinico\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Conceito &#8211; O que \u00e9 colite microsc\u00f3pica? A colite microsc\u00f3pica \u00e9 uma patologia cr\u00f4nica do c\u00f3lon caracterizada por diarreia cr\u00f4nica, aquosa e n\u00e3o-sanguinolenta. Ocorre habitualmente em pacientes de meia idade,&hellip;<\/p>\n","protected":false},"author":5890,"featured_media":11357,"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":[44],"class_list":["post-11356","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologia","category-intestino","ano-423","tipo-assuntos-gerais","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Colite Microsc\u00f3pica: Diagn\u00f3stico e Tratamento Cl\u00ednico - Gastropedia<\/title>\n<meta name=\"description\" content=\"Saiba como diagnosticar e tratar a colite microsc\u00f3pica, incluindo crit\u00e9rios histol\u00f3gicos, diagn\u00f3stico 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