{"id":7046,"date":"2023-08-17T06:38:00","date_gmt":"2023-08-17T09:38:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=7046"},"modified":"2025-03-03T18:23:08","modified_gmt":"2025-03-03T21:23:08","slug":"hemorragia-diverticular-quadro-clinico-e-tratamento","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/cirurgia\/colorretal\/hemorragia-diverticular-quadro-clinico-e-tratamento\/","title":{"rendered":"Hemorragia Diverticular: quadro cl\u00ednico e tratamento"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/7046?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\/7046?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><\/p>\n\n\n\n<p>A <strong>hemorragia<\/strong> de um divert\u00edculo do c\u00f3lon \u00e9 a causa mais comum de HDB em doentes com mais de 60 anos, por\u00e9m menos de 5% dos doentes com diverticulose ter\u00e1 hemorragia gastrointestinal <sup>1<\/sup>.<\/p>\n\n\n\n<p class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Nesse artigo revisaremos as causas e quadro cl\u00ednico do sangramento diverticular. Se quiser saber mais sobre doen\u00e7a diverticular confira esse post:<a href=\" https:\/\/gastropedia.pub\/pt\/cirurgia\/doenca-diverticular-do-colon-epidemiologia-e-fisiopatologia\/\"> https:\/\/gastropedia.pub\/pt\/cirurgia\/doenca-diverticular-do-colon-epidemiologia-e-fisiopatologia\/<\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fisiopatologia-do-sangramento-diverticular\"><strong>Fisiopatologia do sangramento diverticular<\/strong><strong><\/strong><\/h2>\n\n\n\n<p>Com a hernia\u00e7\u00e3o diverticular no ponto de fraqueza dos vasos, a vasa recta fica mais exposta ao conte\u00fado do c\u00f3lon, levando a espessamento da camada \u00edntima e adelga\u00e7amento da camada m\u00e9dia, que predisp\u00f5e a ruptura do vaso para o lumen.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/07\/Slide4.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"960\" height=\"540\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/07\/Slide4.png\" alt=\"\" class=\"wp-image-6568\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/07\/Slide4.png 960w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/07\/Slide4-300x169.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/07\/Slide4-768x432.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/07\/Slide4-585x329.png 585w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>Fisiopatologia do sangramento diverticular<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:34px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quadro-clinico-da-hemorragia-diverticular\"><strong>Quadro cl\u00ednico da hemorragia diverticular<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tipicamente apresenta-se como sangramento volumoso e indolor, geralmente autolimitado, mas pode ser fatal.<\/li>\n\n\n\n<li>O c\u00f3lon direito \u00e9 o foco do sangramento em 50 a 90% dos casos (proximal ao \u00e2ngulo espl\u00eanico).<\/li>\n\n\n\n<li>Cerca de 80% destas cessam espontaneamente.<\/li>\n\n\n\n<li>A recorr\u00eancia \u00e9 comum e ocorre em 25 a 50% dos casos.<\/li>\n<\/ul>\n\n\n\n<p>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; O exame de escolha no diagn\u00f3stico da hemorragia diverticular \u00e9 a colonoscopia, a qual pode ser diagn\u00f3stica e terap\u00eautica. &nbsp;Importante realizar o preparo do c\u00f3lon mesmo no contexto de sangramento para aumentar a efic\u00e1cia do exame <sup>2<\/sup>. A anuscopia deve ser realizada mesmo sem preparo de col\u00f3n para excluir causas de sangramento anorretais. Em casos em que n\u00e3o \u00e9 poss\u00edvel o preparo do c\u00f3lon, pode-se realizar a arteriografia, a cintilografia ou a angio tomografia.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-medium\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-26-29.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" width=\"300\" height=\"225\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-26-29-300x225.jpg?v=1692233736\" alt=\"\" class=\"wp-image-7254\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-26-29-300x225.jpg?v=1692233736 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-26-29-768x577.jpg?v=1692233736 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-26-29-585x439.jpg?v=1692233736 585w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-26-29.jpg?v=1692233736 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>Co\u00e1gulo aderido em um divert\u00edculo, indicando local de sangramento recente<\/em>.<em> Imagem cedida pela Dra. Renata Nobre<\/em><\/figcaption><\/figure>\n<\/div>\n\n\n<div style=\"height:36px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tratamento-da-hemorragia-diverticular\"><strong>Tratamento da hemorragia diverticular<\/strong><\/h2>\n\n\n\n<p>O manejo da hemorragia digestiva baixa aguda de acordo com as recomenda\u00e7\u00f5es da associa\u00e7\u00e3o de gastroenterologia americana (ACG) (Strate LL, et al. Am J Gastroenterol. 2016) incluem:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Abordagem inicial em casos de HDB: hist\u00f3ria cl\u00ednica, exame f\u00edsico e laboratoriais, simultaneamente com a ressuscita\u00e7\u00e3o vol\u00eamica.<\/li>\n\n\n\n<li>a ressuscita\u00e7\u00e3o vol\u00eamica tem como meta a normaliza\u00e7\u00e3o da PA e da FC antes do procedimento endosc\u00f3pico.<\/li>\n\n\n\n<li>Pacientes com Hb&lt;7 devem ser transfundidos. Pacientes cardiopatas pode-se estabelecer 9 g\/dl como meta de Hb.<\/li>\n\n\n\n<li>a <strong>COLONOSCOPIA<\/strong> \u00e9 o melhor m\u00e9todo diagn\u00f3stico para avali\u00e7\u00e3o destes pacientes e deve ser realizada <strong>ap\u00f3s estabiliza\u00e7\u00e3o hemodin\u00e2mica<\/strong> incluindo <strong>preparo de c\u00f3lon para limpeza de co\u00e1gulos e fezes residuais<\/strong> a fim de permitir a avalia\u00e7\u00e3o adequada da mucosa visando encontrar o local do sangramento. \u00c9 importante a intuba\u00e7\u00e3o da v\u00e1lvula ileocecal para avalia\u00e7\u00e3o de poss\u00edvel sangramento de intestino delgado ou trato digestivo alto.<\/li>\n\n\n\n<li>o momento ideal da colonoscopia em pacientes de alto risco ou com sinais de sangramento \u00e9 a realiza\u00e7\u00e3o de preparo de c\u00f3lon imediatamente ap\u00f3s a ressuscita\u00e7\u00e3o vol\u00eamica e a realiza\u00e7\u00e3o da colonoscopia em at\u00e9 24 horas ap\u00f3s in\u00edcio do quadro e confirma\u00e7\u00e3o de preparo de c\u00f3lon adequado, o qual aumenta as taxas diagn\u00f3stica e de sucesso terap\u00eautico. Entretanto, duas recentes metan\u00e1lises de estudos rand\u00f4micos (evidencia 1A) demonstraram que a realiza\u00e7\u00e3o de colonoscopia nas primeiras 24 horas n\u00e3o reduz a mortalidade ou o ressangramento em pacientes com HDB, de forma que a decis\u00e3o do momento da colonoscopia deve avaliada individualmente <sup>4,5<\/sup>.<\/li>\n\n\n\n<li>o <strong>TRATAMENTO ENDOSC\u00d3PICO<\/strong> deve ser realizado em pacientes com estigmas de sangramento incluindo sangramento ativo, vaso vis\u00edvel e co\u00e1gulo aderido.<ul><li>a inje\u00e7\u00e3o de adrenalina (1:10000 ou 1:20000) pode ser utilizada como m\u00e9todo inicial para redu\u00e7\u00e3o do sangramento ativo, por\u00e9m deve ser sempre associada a outro m\u00e9todo seja ele mec\u00e2nico ou t\u00e9rmico.Em sangramento diverticular recomenda-se o tratamento com hemoclips por serem mais seguros que m\u00e9todos t\u00e9rmicos e mais simples que a ligadura el\u00e1stica.<\/li><\/ul>\n<ul class=\"wp-block-list\">\n<li>Em casos de sangramento mais severos em divert\u00edculos, a realiza\u00e7\u00e3o de tatuagem ap\u00f3s o tratamento pode ser \u00fatil em casos de recidivas para facilitar a identifica\u00e7\u00e3o na reabordagem, seja ela endosc\u00f3pica ou cir\u00fargica.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>a <strong>EMBOLIZA\u00c7\u00c3O POR RADIOLOGIA INTERVENCIONISTA<\/strong> deve ser considerada em pacientes com sangramento ativo severo com EDA sem sinais de sangramento os quais n\u00e3o conseguem tolerar o preparo de c\u00f3lon pois n\u00e3o responderam adequadamente a ressuscita\u00e7\u00e3o vol\u00eamica. Em pacientes que falharam ao tratamento endosc\u00f3pico a emboliza\u00e7\u00e3o por angiografia tamb\u00e9m est\u00e1 indicada.<\/li>\n\n\n\n<li>a <strong>CIRURGIA<\/strong> est\u00e1 indicada apenas em casos de falha de tratamentos menos invasivos como colonoscopia e angiografia terap\u00eautica.<\/li>\n\n\n\n<li>\u00c9 importante antes da cirurgia localizar o <strong>local exato<\/strong> do sangramento a fim de evitar a ressec\u00e7\u00e3o de local inadequado ou necessidade de ressec\u00e7\u00e3o extensa do c\u00f3lon. A colectomia total apenas deve ser realizada quando n\u00e3o h\u00e1 correta identifica\u00e7\u00e3o do local do sangramento. Ressec\u00e7\u00f5es em pacientes com hemorragia diverticular com localiza\u00e7\u00e3o do sangramento incerta mostraram uma mortalidade p\u00f3s-operat\u00f3ria de 43% em compara\u00e7\u00e3o com 7% em pacientes com localiza\u00e7\u00e3o bem definida do sangramento <sup>6<\/sup>.<\/li>\n<\/ul>\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-full\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19.jpg\" data-rel=\"penci-gallery-image-content\" ><img decoding=\"async\" width=\"640\" height=\"480\" data-id=\"7255\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19.jpg\" alt=\"\" class=\"wp-image-7255\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19.jpg?v=1692233914 640w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19-300x225.jpg?v=1692233914 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19-585x439.jpg?v=1692233914 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>Sangramento diverticular<\/em><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19-2.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"480\" data-id=\"7256\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19-2.jpg\" alt=\"\" class=\"wp-image-7256\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19-2.jpg?v=1692233914 640w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19-2-300x225.jpg?v=1692233914 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-22-19-2-585x439.jpg?v=1692233914 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>Inje\u00e7\u00e3o de adrenalina<\/em><\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-23-16.jpg\" data-rel=\"penci-gallery-image-content\" ><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"480\" data-id=\"7257\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-23-16.jpg\" alt=\"\" class=\"wp-image-7257\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-23-16.jpg?v=1692233914 640w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-23-16-300x225.jpg?v=1692233914 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/08\/PHOTO-2023-08-16-21-23-16-585x439.jpg?v=1692233914 585w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>Aplica\u00e7\u00e3o de hemoclipe. Imagens cedidas pela Dra. Renata Nobre<\/em><\/figcaption><\/figure>\n<\/figure>\n\n\n\n<div style=\"height:48px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<blockquote class=\"wp-block-quote has-pale-ocean-gradient-background has-background is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Conhe\u00e7a nosso curso <strong><a href=\"https:\/\/gastropedia.pub\/pt\/cursos\/gastroenterologia-do-consultorio\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gastroenterologia do Consult\u00f3rio<\/a><\/strong> e saiba como lidar com as queixas mais comuns que encontramos no dia a dia<\/p>\n<\/blockquote>\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>Tursi A, Scarpignato C, Strate LL, Lanas A, Kruis W, Lahat A, Danese S. Colonic diverticular disease. Nat Rev Dis Primers. 2020 Mar 26;6(1):20. doi: 10.1038\/s41572-020-0153-5.<\/li>\n\n\n\n<li>Pasha SF et al. The role of endoscopy in the patient with lower GI bleeding. Gastrointestinal Endoscopy 79, 875\u2013885 (2014). [PubMed: 24703084]<\/li>\n\n\n\n<li>Strate LL, Gralnek IM. ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding. Am J Gastroenterol. 2016 Apr;111(4):459-74. doi: 10.1038\/ajg.2016.41.<\/li>\n\n\n\n<li>Tsay C, Shung D, Stemmer Frumento K, Laine L. Early Colonoscopy Does Not Improve Outcomes of Patients With Lower Gastrointestinal Bleeding: Systematic Review of Randomized Trials. Clin Gastroenterol Hepatol. 2020 Jul;18(8):1696-1703.e2. doi: 10.1016\/j.cgh.2019.11.061.<\/li>\n\n\n\n<li>Anvari S, Lee Y, Yu J, Doumouras AG, Khan KJ, Hong D. Urgent Versus Standard Colonoscopy for Management of Acute Lower Gastrointestinal Bleeding: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. J Clin Gastroenterol. 2020 Jul;54(6):493-502. doi: 10.1097\/MCG.0000000000001329. PMID: 32091447.<\/li>\n\n\n\n<li>Parkes BM, Obeid FN, Sorensen VJ, Horst HM &amp; Fath JJ The management of massive lower gastrointestinal bleeding. Am Surg 59, 676\u2013678 (1993). [PubMed: 8214970]<\/li>\n<\/ol>\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:#d5dde5\">Martins BC. Hemorragia Diverticular: quadro cl\u00ednico e tratamento Gastropedia 2023; vol 2. Dispon\u00edvel em: <br>gastropedia.pub\/pt\/cirurgia\/hemorragia-diverticular-quadro-clinico-e-tratamento\/<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A hemorragia de um divert\u00edculo do c\u00f3lon \u00e9 a causa mais comum de HDB em doentes com mais de 60 anos, por\u00e9m menos de 5% dos doentes com diverticulose ter\u00e1&hellip;<\/p>\n","protected":false},"author":722,"featured_media":7254,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[24,26],"tags":[],"ano":[137],"tipo":[121],"volume":[44],"class_list":["post-7046","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cirurgia","category-colorretal","ano-137","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>Hemorragia Diverticular: quadro cl\u00ednico e tratamento - Gastropedia<\/title>\n<meta name=\"description\" content=\"A hemorragia diverticular do c\u00f3lon \u00e9 a causa mais comum de HDB em doentes com mais de 60 anos. 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