{"id":5693,"date":"2023-05-18T06:30:51","date_gmt":"2023-05-18T09:30:51","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=5693"},"modified":"2023-05-17T20:23:22","modified_gmt":"2023-05-17T23:23:22","slug":"sindrome-de-dumping","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/cirurgia\/esofago-estomago-duodeno\/sindrome-de-dumping\/","title":{"rendered":"S\u00edndrome de Dumping"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/5693?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\/5693?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>A S\u00edndrome de Dumping \u00e9 uma combina\u00e7\u00e3o de sintomas gastrointestinais e vasomotores devido ao esvaziamento g\u00e1strico p\u00f3s-prandial r\u00e1pido<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Os <strong>sintomas gastrointestinais<\/strong> incluem dor abdominal, saciedade precoce, n\u00e1usea, v\u00f4mito, diarreia e distens\u00e3o abdominal.<\/li>\n\n\n\n<li>Os <strong>sintomas vasomotores<\/strong> sist\u00eamicos incluem sudorese, taquicardia, palpita\u00e7\u00f5es, dor de cabe\u00e7a e s\u00edncope.<\/li>\n<\/ul>\n\n\n\n<p>Esta s\u00edndrome pode se desenvolver ap\u00f3s qualquer opera\u00e7\u00e3o no est\u00f4mago, mas \u00e9 mais comum ap\u00f3s a gastrectomia parcial com a reconstru\u00e7\u00e3o de Billroth II. Tamb\u00e9m pode ocorrer ap\u00f3s gastroplastia redutora (bypass) com incid\u00eancia entre 10-20%. \u00c9 menos comum ap\u00f3s reconstru\u00e7\u00e3o a Billroth I e Gastrectomia Vertical (Sleeve). Ainda n\u00e3o existem dados confi\u00e1veis sobre a preval\u00eancia exata da s\u00edndrome de dumping no p\u00f3s-operat\u00f3rio. Estima-se que 5 a 10% dos pacientes com Sd dumping apresentam uma forma incapacitante grave.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Fisiopatologia<\/strong><\/h2>\n\n\n\n<p>A S\u00edndrome de Dumping pode ser dividida em precoce e tardia.<\/p>\n\n\n\n<p>A <strong>S\u00edndrome de Dumping<\/strong> <strong>precoce<\/strong> ocorre dentro de 30 minutos ap\u00f3s refei\u00e7\u00e3o e \u00e9 resultado da r\u00e1pida passagem de alimentos de alta osmolaridade do est\u00f4mago para o intestino delgado.<\/p>\n\n\n\n<p>Isso ocorre porque a gastrectomia (ou qualquer interrup\u00e7\u00e3o do mecanismo do esf\u00edncter pil\u00f3rico), impede o est\u00f4mago de preparar o seu conte\u00fado e entreg\u00e1-los ao intestino proximal na forma de pequenas part\u00edculas em solu\u00e7\u00e3o isot\u00f4nica. O bolo alimentar hipert\u00f4nico passa para o intestino delgado, induzindo:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>um r\u00e1pido deslocamento de l\u00edquido extracelular para o l\u00famen intestinal para atingir isotonicidade. O deslocamento do l\u00edquido extracelular provoca distens\u00e3o luminal e induz os sintomas gastrointestinais.<\/li>\n\n\n\n<li>libera\u00e7\u00e3o de v\u00e1rios horm\u00f4nios gastrointestinais, como tais como subst\u00e2ncias vasoativas (neurotensina, pept\u00eddeo vasoativo intestinal (VIP), incretinas (GIP, GLP1) e moduladores da glicose (insulina, glucagon), que induzem sintomas vasomotores (ver abaixo).<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/dumping.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"676\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/dumping.png\" alt=\"\" class=\"wp-image-5800\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/dumping.png 800w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/dumping-300x254.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/dumping-768x649.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/dumping-585x494.png 585w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>S\u00edndrome de dumping precoce<\/em><\/figcaption><\/figure>\n\n\n\n<p><\/p>\n\n\n\n<p>A <strong>S\u00edndrome de Dumping tardia<\/strong> ocorre de 1 a 3 horas ap\u00f3s uma refei\u00e7\u00e3o e \u00e9 menos comum (corresponde a 25% das sd dumping). A causa da S\u00edndrome de Dumping tardia tamb\u00e9m \u00e9 o esvaziamento g\u00e1strico r\u00e1pido, no entanto, est\u00e1 relacionado especificamente \u00e0 chegada r\u00e1pida de carboidratos no intestino proximal.<\/p>\n\n\n\n<p>Quando os carboidratos chegam ao intestino delgado, eles s\u00e3o rapidamente absorvidos, resultando em hiperglicemia, que desencadeia a libera\u00e7\u00e3o de grandes quantidades de insulina para controlar o aumento do n\u00edvel de a\u00e7\u00facar no sangue. Essa supercompensa\u00e7\u00e3o resulta em hipoglicemia, causando sintomas neuroglicop\u00eanicos (ver abaixo). A hipoglicemia estimula a gl\u00e2ndula adrenal a liberar catecolaminas, resultando em sudorese, tremores, tontura, taquicardia e confus\u00e3o (reatividade auton\u00f4mica).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Sintomas<\/strong><\/h2>\n\n\n\n<p>Os sintomas de dumping precoce e tardio apresentam algumas diferen\u00e7as.<\/p>\n\n\n\n<p><strong><em>Dumping precoce:<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ocorre dentro de 1 h, tipicamente 30 min ap\u00f3s a ingest\u00e3o de uma refei\u00e7\u00e3o<\/li>\n\n\n\n<li>sintomas gastrointestinais: dor abdominal, \u00a0distens\u00e3o abdominal, borborigmo, n\u00e1useas, diarreia<\/li>\n\n\n\n<li>sintomas vasomotores: fadiga, desejo de deitar-se, rubor, palpita\u00e7\u00f5es, transpira\u00e7\u00e3o, taquicardia, hipotens\u00e3o e s\u00edncope (raro)<\/li>\n<\/ul>\n\n\n\n<p><em><strong>Dumping tardio:<\/strong><\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>1-3 h ap\u00f3s refei\u00e7\u00e3o<\/li>\n\n\n\n<li>Sintomas neuroglicopenicos: fadiga, fraqueza, confus\u00e3o, fome e s\u00edncope<\/li>\n\n\n\n<li>reatividade auton\u00f4mica: transpira\u00e7\u00e3o, palpita\u00e7\u00f5es, tremor e irritabilidade<\/li>\n<\/ul>\n\n\n\n<p>Devido \u00e0 sobreposi\u00e7\u00e3o de sintomas na apresenta\u00e7\u00e3o cl\u00ednica, muitas vezes \u00e9 dif\u00edcil diferenciar entre as duas apresenta\u00e7\u00f5es, e a co-ocorr\u00eancia \u00e9 frequentemente encontrada.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tratamento<\/strong><\/h2>\n\n\n\n<p><strong>Medidas diet\u00e9ticas<\/strong> geralmente s\u00e3o suficientes para tratar a maioria dos pacientes.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>evitar alimentos com grandes quantidades de a\u00e7\u00facar<\/li>\n\n\n\n<li>alimentar com maior frequ\u00eancia (6\/dia) com pequenas refei\u00e7\u00f5es ricas em prote\u00ednas, gorduras e fibras<\/li>\n\n\n\n<li>separar l\u00edquidos de s\u00f3lidos durante a refei\u00e7\u00e3o. A ingest\u00e3o de l\u00edquidos deve ser adiada em pelo menos 30 minutos.<\/li>\n<\/ul>\n\n\n\n<p>Em alguns pacientes sem resposta a medidas diet\u00e9ticas, tratamentos farmacol\u00f3gicos direcionados a sintomas espec\u00edficos podem ser eficazes, como <strong>loperamida <\/strong>para diarreia e <strong>antiem\u00e9ticos <\/strong>para n\u00e1useas.<\/p>\n\n\n\n<p>Os <strong>anticolin\u00e9rgicos <\/strong>(diciclomina, hiosciamina, propantelina) podem retardar o esvaziamento g\u00e1strico e tratar espasmos.<\/p>\n\n\n\n<p><strong>An\u00e1logos da somatostatina<\/strong> podem melhorar a s\u00edndrome de dumping por meio de v\u00e1rios mecanismos:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>retardando o esvaziamento g\u00e1strico<\/li>\n\n\n\n<li>diminui\u00e7\u00e3o do tr\u00e2nsito do intestino delgado<\/li>\n\n\n\n<li>diminui\u00e7\u00e3o da libera\u00e7\u00e3o de horm\u00f4nios gastrointestinais, incluindo a secre\u00e7\u00e3o de insulina<\/li>\n\n\n\n<li>inibi\u00e7\u00e3o da vasodilata\u00e7\u00e3o p\u00f3s-prandial<\/li>\n<\/ul>\n\n\n\n<p>An\u00e1logos da somastotatina (ex: <strong>octreotide<\/strong>) podem ser administrados via subcut\u00e2nea (a\u00e7\u00e3o curta) imediatamente antes das refei\u00e7\u00f5es (3x\/dia) ou atrav\u00e9s de uma formula\u00e7\u00e3o intramuscular de longa dura\u00e7\u00e3o (cada 2-4 semanas). Octreotide \u00e9 o medicamento mais bem estudado para a s\u00edndrome de dumping e pode ser muito eficaz. No entanto, os pept\u00eddeos s\u00e3o caros e, portanto, normalmente n\u00e3o s\u00e3o considerados tratamento de primeira linha.<\/p>\n\n\n\n<p>A <strong>acarbose <\/strong>\u00e9 um inibidor da alfa-glucosidase que diminui a digest\u00e3o intraluminal de carboidratos no duodeno. Portanto, \u00e9 usado para tratar a hipoglicemia p\u00f3s-prandial na s\u00edndrome de dumping tardia<\/p>\n\n\n\n<p>Os pacientes com sintomas graves podem necessitar de uma <strong>reopera\u00e7\u00e3o <\/strong>se o tratamento conservador for malsucedido. A escolha da cirurgia depende da cirurgia g\u00e1strica original.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Em pacientes com gastrectomia distal \u00e9 recomendada a convers\u00e3o de uma gastrojejunostomia em al\u00e7a para uma reconstru\u00e7\u00e3o em Y-de-Roux<\/li>\n\n\n\n<li>Para pacientes com gastrojejunostomia sem gastrectomia, a desmontagem da gastrojejunostomia pode ser realizada se a fun\u00e7\u00e3o do piloro estiver mantida<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Refer\u00eancia<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Mahvi, DA e Mahvi, DM. Em Sabiston: Textbook of Surgery, 21\u00aa. Edi\u00e7\u00e3o.<\/li>\n\n\n\n<li>Emous M, Wolffenbuttel BHR, Tott\u00e9 E, van Beek AP. The short- to mid-term symptom prevalence of dumping syndrome after primary gastric-bypass surgery and its impact on health-related quality of life. Surg Obes Relat Dis. 2017 Sep;13(9):1489-1500.<\/li>\n\n\n\n<li>Vavricka SR, Greuter T. Gastroparesis and Dumping Syndrome: Current Concepts and Management. J Clin Med. 2019 Jul 29;8(8):1127. doi: 10.3390\/jcm8081127. PMID: 31362413; PMCID: PMC6723467.<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-background\" style=\"background-color:#c9d0d6\">Martins BC. S\u00edndrome de Dumping. Gastropedia 2023; vol 1. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=5693\" target=\"_blank\" rel=\"noreferrer noopener\"><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/?p=5693\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/cirurgia\/esofago-estomago-duodeno\/sindrome-de-dumping\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A S\u00edndrome de Dumping \u00e9 uma combina\u00e7\u00e3o de sintomas gastrointestinais e vasomotores devido ao esvaziamento g\u00e1strico p\u00f3s-prandial r\u00e1pido Esta s\u00edndrome pode se desenvolver ap\u00f3s qualquer opera\u00e7\u00e3o no est\u00f4mago, mas \u00e9&hellip;<\/p>\n","protected":false},"author":722,"featured_media":5800,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[24,27,30],"tags":[],"ano":[137],"tipo":[121],"volume":[57],"class_list":["post-5693","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia","category-esofago-estomago-duodeno","category-obesidade","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) - 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