{"id":4156,"date":"2023-02-02T06:30:00","date_gmt":"2023-02-02T09:30:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=4156"},"modified":"2023-01-28T20:09:14","modified_gmt":"2023-01-28T23:09:14","slug":"pancreatite-aguda-recorrente","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/pancreas\/pancreatite-aguda-recorrente\/","title":{"rendered":"<strong>Pancreatite Aguda Recorrente &#8211; Etiologia e Diagn\u00f3stico<\/strong>"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/4156?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\/4156?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 class=\"has-background\" style=\"background-color:#abb7c287\">Pancreatite Aguda Recorrente (PAR) \u00e9 definida como dois ou mais epis\u00f3dios de pancreatite aguda (PA), com intervalo de no m\u00ednimo 3 meses entre os eventos, na aus\u00eancia de sinais de pancreatite cr\u00f4nica (PC).&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>No geral, a etiologia dos epis\u00f3dios de pancreatite consegue ser elucidada em 70-90% dos casos, com a investiga\u00e7\u00e3o adequada. <\/li>\n\n\n\n<li>Ainda assim, com todas as armas diagn\u00f3sticas dispon\u00edveis hoje, 10-30% dos casos permanecem sem etiologia definida. <\/li>\n\n\n\n<li>O risco de recorr\u00eancia ap\u00f3s um epis\u00f3dio de pancreatite aguda \u00e9 de 11-32%<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Etologia<\/strong><\/h2>\n\n\n\n<p>As principais causas de pancreatite aguda de repeti\u00e7\u00e3o s\u00e3o:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lit\u00edase biliar &#8211; assim como em epis\u00f3dios \u00fanicos, a lit\u00edase biliar \u00e9 a principal causa de PAR, sendo respons\u00e1vel por cerca de 40% dos casos.<\/li>\n\n\n\n<li>\u00c1lcool: o consumo de \u00e1lcool \u00e9 fator de risco para pancreatite aguda, pancreatite aguda recorrente e pancreatite cr\u00f4nica. Nos EUA, estima-se que 30% das PAR sejam causadas por liba\u00e7\u00e3o alco\u00f3lica, geralmente em indiv\u00edduos j\u00e1 etilistas.<\/li>\n\n\n\n<li>Tabagismo: o tabagismo atualmente \u00e9 reconhecido como fator de risco independente para PA e PAR<\/li>\n\n\n\n<li>Obstru\u00e7\u00f5es ductais por neoplasias de p\u00e2ncreas ou peri-ampulares.<\/li>\n\n\n\n<li>Medica\u00e7\u00f5es: algumas medica\u00e7\u00f5es s\u00e3o causadoras de PA e PAR, embora seja dif\u00edcil estabelecer a rela\u00e7\u00e3o causa\/efeito. Nos casos suspeitos, \u00e9 recomendado que se afaste outras etiologias mais frequentes.<\/li>\n\n\n\n<li>Hipertrigliceridemia: o aumento de triglic\u00e9rides s\u00e9ricos (&gt; 1000 mg\/dL) est\u00e1 relacionado com epis\u00f3dios \u00fanicos ou recorrentes de PA.<\/li>\n\n\n\n<li>Pancreatite auto-imune: a PAI tipo II (doen\u00e7a restrita ao p\u00e2ncreas) pode ser causa de PAR, embora n\u00e3o se saiba a real preval\u00eancia. A doen\u00e7a por IgG4 (Pancreatite auto-imune tipo I) raramente \u00e9 causa de PAR<\/li>\n\n\n\n<li>Anormalidades gen\u00e9ticas: a gen\u00e9tica envolvida em doen\u00e7as pancre\u00e1ticas \u00e9 bastante complexa. Sabe-se que variantes patog\u00eanicas de alguns genes como: CFTR, PRRS-1, CTRC, SPINK-1 est\u00e3o mais presentes em pacientes com PAR, sugerindo que possam ter rela\u00e7\u00e3o com o aparecimento do quadro cl\u00ednico<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Poss\u00edveis etiologias controversas<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><em>Pancreas divisum<\/em>: a varia\u00e7\u00e3o anat\u00f4mica de domin\u00e2ncia do ducto dorsal \u00e9 presente em at\u00e9 10% da popula\u00e7\u00e3o, e 95% n\u00e3o apresenta nenhum sintoma pancre\u00e1tico. Entretanto, ao estudar a popula\u00e7\u00e3o com PAR, a preval\u00eancia do <em>pancreas divisum<\/em> pode chegar a 50%. Ainda assim, n\u00e3o est\u00e1 estabelecido como causa de PAR.<\/li>\n\n\n\n<li>Disfun\u00e7\u00e3o do esf\u00edncter de Oddi (SOD): a anormalidade est\u00e1 presente em apenas 1,5% da popula\u00e7\u00e3o, entretanto \u00e9 muito mais frequente nas PAR idiop\u00e1ticas (at\u00e9 72%). A suspeita deve ser levantada quando, al\u00e9m da dor e eleva\u00e7\u00e3o de enzimas pancre\u00e1ticas, observamos eleva\u00e7\u00e3o de enzimas canaliculares.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como investigar<\/strong><\/h2>\n\n\n\n<p>O primeiro passo diante de um quadro de PAR \u00e9 a exclus\u00e3o de malignidades e da pr\u00f3pria pancreatite cr\u00f4nica. Uma boa hist\u00f3ria cl\u00ednica e exame f\u00edsico podem nos direcionar para alguns fatores de risco, como etilismo e tabagismo ou uso de medica\u00e7\u00f5es, ou sintomas sugestivos de pancreatite cr\u00f4nica.&nbsp;<\/p>\n\n\n\n<p>Uma imagem adequada da gl\u00e2ndula, atrav\u00e9s da resson\u00e2ncia magn\u00e9tica com colangio-pancreato resson\u00e2ncia pode afastar a possibilidade de neoplasias pancre\u00e1ticas ou peri-ampulares.&nbsp;<\/p>\n\n\n\n<p>A ecoendoscopia tem acur\u00e1cia semelhante \u00e0 RM para exclus\u00e3o de tumores, entretanto pode auxiliar no diagn\u00f3stico de pancreatite cr\u00f4nica precoce, al\u00e9m de afastar o diagn\u00f3stico de microl\u00edtiase, que pode ser a etiologia da PAR. Em lugares em que h\u00e1 disponibilidade, \u00e9 interessante realizar o exame.&nbsp;<\/p>\n\n\n\n<p>A pesquisa gen\u00e9tica pode ser realizada nos pacientes com PAR, especialmente se o quadro cl\u00ednico se der em pacientes jovens ou com hist\u00f3rico familiar de pancreatite. Entretanto deve-se atentar para o real benef\u00edcio da testagem, visto que n\u00e3o h\u00e1 terapia espec\u00edfica poss\u00edvel no caso de diagn\u00f3stico de muta\u00e7\u00e3o, e o custo da pesquisa ainda \u00e9 elevado.&nbsp;<\/p>\n\n\n\n<p>A manometria do esf\u00edncter de Oddi \u00e9 o exame adequado para os casos de suspeita de disfun\u00e7\u00e3o do esf\u00edncter, entretanto esse exame \u00e9 pouco dispon\u00edvel no Brasil, al\u00e9m do risco de 25% de pancreatite aguda p\u00f3s procedimento. Al\u00e9m disso, nos casos de SOD sem dilata\u00e7\u00e3o de ductos na imagem (SOD tipo III), a sensibilidade do exame \u00e9 apenas 42%.&nbsp;<\/p>\n\n\n\n<p>Abaixo, um algoritmo para investiga\u00e7\u00e3o de casos de pancreatite aguda recorrente:<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/01\/image1.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"545\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/01\/image1-1024x545.png\" alt=\"\" class=\"wp-image-4158\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/01\/image1-1024x545.png 1024w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/01\/image1-300x160.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/01\/image1-768x409.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/01\/image1-1170x623.png 1170w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/01\/image1-585x311.png 585w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/01\/image1.png 1291w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p class=\"has-text-align-center\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancias Bibliogr\u00e1ficas<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Guda MN et al. Recurrent Acute Pancreatitis International State-of-the-Science Conference With Recommendations. Pancreas 2018;47: 653\u2013666<\/li>\n\n\n\n<li>Jagannath S, Garg PK. Recurrent Acute Pancreatitis: Current Concepts in the Diagnosis and Management. Curr Treat Options Gastro (2018) 16:449\u2013465.&nbsp;<\/li>\n\n\n\n<li>Rehman A et al. Sphincter of Oddi dysfunction: an evidence-based review. Curr Treat Options Gastro (2018) 16:449\u2013465.&nbsp;<\/li>\n\n\n\n<li>Somogyi L et al. Recurrent Acute Pancreatitis: An Algorithmic Approach to Identification and Elimination of Inciting Factors. Gastroenterology 2001;120:708\u2013717<\/li>\n\n\n\n<li><a href=\"https:\/\/br.freepik.com\/vetores-gratis\/conjunto-de-orgaos-humanos-de-desenho-animado_9586470.htm#query=pancreas&amp;position=0&amp;from_view=search&amp;track=sph\">Imagem de macrovector<\/a> no Freepik<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong><em>Como citar este artigo<\/em><\/strong><\/h2>\n\n\n\n<p class=\"has-background\" style=\"background-color:#abb7c287\">Marzinotto, M. Pancreatite Aguda Recorrente &#8211; Etiologia e Diagn\u00f3stico. Gastropedia 2023, vol 1. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=4156\" target=\"_blank\" rel=\"noreferrer noopener\">gastropedia.pub\/pt\/gastroenterologia\/pancreas\/pancreatite-aguda-recorrente<\/a><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pancreatite Aguda Recorrente (PAR) \u00e9 definida como dois ou mais epis\u00f3dios de pancreatite aguda (PA), com intervalo de no m\u00ednimo 3 meses entre os eventos, na aus\u00eancia de sinais de&hellip;<\/p>\n","protected":false},"author":3341,"featured_media":4209,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[18,23],"tags":[],"ano":[137],"tipo":[121],"volume":[57],"class_list":["post-4156","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastroenterologia","category-pancreas","ano-137","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>Pancreatite Aguda Recorrente - Etiologia e Diagn\u00f3stico - Gastropedia<\/title>\n<meta name=\"description\" content=\"Pancreatite Aguda Recorrente \u00e9 definida como dois ou mais epis\u00f3dios de pancreatite aguda, com intervalo de no m\u00ednimo 3 meses entre os eventos\" \/>\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\/pancreas\/pancreatite-aguda-recorrente\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pancreatite Aguda Recorrente - Etiologia e Diagn\u00f3stico\" \/>\n<meta property=\"og:description\" content=\"Pancreatite Aguda Recorrente \u00e9 definida como dois ou mais epis\u00f3dios de pancreatite aguda, com intervalo de no m\u00ednimo 3 meses entre os eventos\" \/>\n<meta property=\"og:url\" content=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/pancreas\/pancreatite-aguda-recorrente\/\" \/>\n<meta property=\"og:site_name\" content=\"Gastropedia\" \/>\n<meta property=\"article:published_time\" content=\"2023-02-02T09:30:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/02\/pancreas.png\" \/>\n\t<meta property=\"og:image:width\" content=\"568\" \/>\n\t<meta property=\"og:image:height\" content=\"436\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\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\\\/pancreas\\\/pancreatite-aguda-recorrente\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/gastroenterologia\\\/pancreas\\\/pancreatite-aguda-recorrente\\\/\"},\"author\":{\"name\":\"Maira Marzinotto\",\"@id\":\"https:\\\/\\\/gastropedia.pub\\\/pt\\\/#\\\/schema\\\/person\\\/bc9eb1d348f7591af72ba0facb603c11\"},\"headline\":\"Pancreatite Aguda Recorrente &#8211; 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