{"id":2564,"date":"2022-09-01T07:00:00","date_gmt":"2022-09-01T10:00:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\/"},"modified":"2023-10-15T10:52:13","modified_gmt":"2023-10-15T13:52:13","slug":"highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\/","title":{"rendered":"Highlights sobre diagn\u00f3stico de doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE) \u2013 novo guideline do American College of Gastroenterology (ACG) 2022"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/2564?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\/2564?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>\u201c<em>A lot has changed, much remains the same<\/em>\u201d. Com essa premissa, o <em>American College of Gastroenterology (ACG)<\/em> publicou o seu mais novo <em>Guideline<\/em> para diagn\u00f3stico e conduta em Doen\u00e7a do Refluxo Gastroesof\u00e1gico (DRGE) no in\u00edcio de 2022, atualizando as suas recomenda\u00e7\u00f5es gerais neste tema ap\u00f3s quase 10 anos.<\/p>\n\n\n\n<p>Sabemos que o diagn\u00f3stico de certeza de DRGE pode ser desafiador. N\u00e3o h\u00e1 um padr\u00e3o-ouro e, portanto, por vezes \u00e9 necess\u00e1rio que montemos um quebra-cabe\u00e7a com manifesta\u00e7\u00f5es cl\u00ednicas, resposta \u00e0 terapia, achados endosc\u00f3picos e monitoriza\u00e7\u00e3o prolongada do refluxo. A Tabela 1 resume as principais recomenda\u00e7\u00f5es dessa diretriz, ao passo que o Fluxograma 1 sugere a abordagem sugerida para diagn\u00f3stico de DRGE.<\/p>\n\n\n\n<p><em><strong>Tabela 1: Recomenda\u00e7\u00f5es diagnosticas<\/strong><\/em><\/p>\n\n\n\n<figure class=\"wp-block-table\"><div class=\"pcrstb-wrap\"><table><tbody><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Abordagem diagn\u00f3stica<\/strong><\/td><td><strong>Coment\u00e1rios<\/strong><\/td><td><strong>Recomenda\u00e7\u00e3o ACG 2022<\/strong><\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Diagn\u00f3stico cl\u00ednico (sintomas + terapia emp\u00edrica)<\/strong><\/td><td>&#8211; Pirose e regurgita\u00e7\u00e3o s\u00e3o os principais sintomas t\u00edpicos- Manifesta\u00e7\u00f5es extra-esof\u00e1gicas incluem rouquid\u00e3o, pigarro, tosse cr\u00f4nica, globus, laringite, faringite, fibrose pulmonar e exacerba\u00e7\u00e3o de asma. A avalia\u00e7\u00e3o deles \u00e9 desafiadora: mesmo em pacientes com diagn\u00f3stico estabelecido de DRGE, pode ser dif\u00edcil estabelecer que a DRGE \u00e9 realmente a causa desses problemas<\/td><td>&#8211; Para pacientes com sintomas t\u00edpicos sem sinais de alarme*: prescrever terapia emp\u00edrica com IBP 1x\/dia (em jejum) por 8 semanas<br>&#8211; Em pacientes com dor tor\u00e1cica n\u00e3o card\u00edaca sem pirose: recomendado teste objetivo para DRGE** ao inv\u00e9s de terapia emp\u00edrica<br>&#8211; Sintomas extraesof\u00e1gicos isolados n\u00e3o s\u00e3o suficientes para diagn\u00f3stico de DRGE: \u00e9 necess\u00e1rio realizar teste objetivo**<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Esofagograma (EED)<\/strong><\/td><td>&#8211; Em um estudo prospectivo, apenas metade dos pacientes com refluxo anormal no exame baritado apresentavam altera\u00e7\u00e3o na pHmetria.<\/td><td>&#8211; N\u00e3o recomendado como teste diagn\u00f3stico em DRGE<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Endoscopia digestiva alta (EDA)<\/strong><\/td><td>&#8211; Esofagite erosiva (EE) grau A de Los Angeles n\u00e3o \u00e9 suficiente para diagn\u00f3stico<br>&#8211; EE grau B pode ser diagn\u00f3stica se presen\u00e7a de sintomas t\u00edpicos e resposta ao IBP<br>&#8211; EE graus C e D ou Barrett longo (&gt; 3 cm) confirmam o diagn\u00f3stico de DRGE<\/td><td>&#8211; Primeiro exame a ser realizado se presen\u00e7a de sinais de alarme* ou em pacientes com m\u00faltiplos fatores de risco para Es\u00f4fago de Barrett<br>&#8211; Realizar se aus\u00eancia de resposta ao IBP emp\u00edrico por 8 semanas <br>&#8211; Realizar se recidiva dos sintomas ap\u00f3s suspens\u00e3o do IBP&nbsp;<br>&#8211; Exame diagn\u00f3stico deve ser realizado idealmente 2-4 semanas ap\u00f3s suspens\u00e3o de IBP<br>&#8211; Em pacientes com EE graus C e D, deve-se repetir a EDA ap\u00f3s terapia para assegurar que houve cicatriza\u00e7\u00e3o e para avaliar a presen\u00e7a de poss\u00edvel Es\u00f4fago de Barrett (que pode ser dif\u00edcil de detectar em casos de esofagite grave)<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Manometria esof\u00e1gica<\/strong><\/td><td>&#8211; Pode avaliar altera\u00e7\u00f5es de motilidade associadas \u00e0 DRGE (hipotonia da jun\u00e7\u00e3o esofagog\u00e1strica e motilidade esof\u00e1gica ineficaz), mas n\u00e3o s\u00e3o achados espec\u00edficos<\/td><td>&#8211; N\u00e3o recomendada como teste diagn\u00f3stico em DRGE<br>&#8211; Necess\u00e1ria antes de exames de monitoriza\u00e7\u00e3o de refluxo para definir a posi\u00e7\u00e3o da sonda<br>&#8211; Necess\u00e1ria antes de indicar procedimentos antirrefluxo, principalmente para descartar acal\u00e1sia<\/td><\/tr><tr><td class=\"has-text-align-left\" data-align=\"left\"><strong>Monitoriza\u00e7\u00e3o prolongada de refluxo (pHmetria e imped\u00e2ncio-pHmetria)<\/strong><\/td><td>&#8211; A vari\u00e1vel mais importante \u00e9 o tempo total de exposi\u00e7\u00e3o \u00e1cida<br>&#8211; O uso de sondas de pHmetria com dois canais para documentar o refluxo em es\u00f4fago proximal \u00e9 question\u00e1vel (resultados muito vari\u00e1veis)<\/td><td>&#8211; Realizar SEM IBP por pelo menos 7 dias se endoscopia sem evid\u00eancia objetiva de DRGE***<br>&#8211; Realizar EM USO DE IBP se j\u00e1 h\u00e1 evid\u00eancia objetiva de DRGE*** para avaliar sintomas refrat\u00e1rios (preferencialmente a imped\u00e2ncio-pHmetria, pois permite a avalia\u00e7\u00e3o de refluxo n\u00e3o \u00e1cido)<\/td><\/tr><\/tbody><\/table><\/div><figcaption class=\"wp-element-caption\">*Sinais de alarme: Disfagia, perda de peso, sangramento, v\u00f4mitos, anemia<br>**Teste objetivo para DRGE: EDA ou monitoriza\u00e7\u00e3o prolongada de refluxo<br>***Evid\u00eancia objetiva de DRGE em endoscopia: Esofagite erosiva Los Angeles C ou D, Barrett longo (&gt; 3 cm)<br><\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p><em><strong>Fluxograma 1: Abordagem diagn\u00f3stica para Doen\u00e7a do Refluxo Gastroesof\u00e1gico (American College of Gastroenterology, 2022)<\/strong><\/em><\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p><img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2022\/09\/image1.png\" alt=\"Diagrama\n\nDescri\u00e7\u00e3o gerada automaticamente\" width=\"567\" height=\"357\"><\/p><\/blockquote><\/figure>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\"><strong>Sugest\u00e3o de leitura: <\/strong><a href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/atualizacoes-no-diagnostico-de-drge-consenso-de-lyon-2-0-2023\/\">atualiza\u00e7\u00e3o do consenso de Lyon em 2023 sobre diagn\u00f3stico de DRGE<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencia\"><strong>Refer\u00eancia <\/strong><\/h2>\n\n\n\n<p>[1] Katz PO, Dunbar KB, Schnoll-Sussman FH, Greer KB, Yadlapati R, Spechler SJ. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease. Am J Gastroenterol 2022;117:27\u201356. doi:10.14309\/ajg.0000000000001538.<\/p>\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-background\" style=\"background-color:#abb7c280\">Lages, RB.<span id=\"docs-internal-guid-9338776a-7fff-0794-f1fe-bbb98c3e31cf\" style=\"font-weight:normal;\"><span style=\"font-size: 12pt; font-family: Times, serif; color: rgb(0, 0, 0); background-color: transparent; font-variant-numeric: normal; font-variant-east-asian: normal; vertical-align: baseline;\"> <\/span><\/span>Highlights Sobre Diagn\u00f3stico De Doen\u00e7a Do Refluxo Gastroesof\u00e1gico (Drge) \u2013 Novo Guideline Do <em>American College Of Gastroenterology<\/em> (Acg)&nbsp; 2022. Gastropedia 2022, vol II. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia\/gastroenterologia\/esofago\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cA lot has changed, much remains the same\u201d. Com essa premissa, o American College of Gastroenterology (ACG) publicou o seu mais novo Guideline para diagn\u00f3stico e conduta em Doen\u00e7a do&hellip;<\/p>\n","protected":false},"author":4165,"featured_media":2109,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[19,18],"tags":[],"ano":[43],"tipo":[121],"volume":[44],"class_list":["post-2564","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-esofago","category-gastroenterologia","ano-43","tipo-assuntos-gerais","volume-volume-ii"],"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>Highlights sobre diagn\u00f3stico de doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE) \u2013 novo guideline do American College of Gastroenterology (ACG) 2022 - 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\/esofago\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Highlights sobre diagn\u00f3stico de doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE) \u2013 novo guideline do American College of Gastroenterology (ACG) 2022\" \/>\n<meta property=\"og:description\" content=\"\u201cA lot has changed, much remains the same\u201d. Com essa premissa, o American College of Gastroenterology (ACG) publicou o seu mais novo Guideline para diagn\u00f3stico e conduta em Doen\u00e7a do&hellip;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\/\" \/>\n<meta property=\"og:site_name\" content=\"Gastropedia\" \/>\n<meta property=\"article:published_time\" content=\"2022-09-01T10:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-15T13:52:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2021\/08\/drge1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"885\" \/>\n\t<meta property=\"og:image:height\" content=\"504\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Rafael Bandeira Lages\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Rafael Bandeira Lages\" \/>\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\\\/esofago\\\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/esofago\\\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\\\/\"},\"author\":{\"name\":\"Rafael Bandeira Lages\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#\\\/schema\\\/person\\\/48ba087ef8fdab3580c45612c766447d\"},\"headline\":\"Highlights sobre diagn\u00f3stico de doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE) \u2013 novo guideline do American College of Gastroenterology (ACG) 2022\",\"datePublished\":\"2022-09-01T10:00:00+00:00\",\"dateModified\":\"2023-10-15T13:52:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/esofago\\\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\\\/\"},\"wordCount\":789,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/esofago\\\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/wp-content\\\/uploads\\\/2021\\\/08\\\/drge1.png\",\"articleSection\":[\"Es\u00f4fago\",\"Gastroenterologia\"],\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/esofago\\\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/esofago\\\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\\\/\",\"url\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/esofago\\\/highlights-sobre-diagnostico-de-doenca-do-refluxo-gastroesofagico-drge-novo-guideline-do-american-college-of-gastroenterology-acg-2022\\\/\",\"name\":\"Highlights sobre diagn\u00f3stico de doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE) \u2013 novo guideline do American College of Gastroenterology (ACG) 2022 - 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