{"id":7666,"date":"2023-10-10T06:35:00","date_gmt":"2023-10-10T09:35:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=7666"},"modified":"2025-03-03T18:21:29","modified_gmt":"2025-03-03T21:21:29","slug":"atualizacoes-no-diagnostico-de-drge-consenso-de-lyon-2-0-2023","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/atualizacoes-no-diagnostico-de-drge-consenso-de-lyon-2-0-2023\/","title":{"rendered":"Atualiza\u00e7\u00f5es no diagn\u00f3stico de DRGE: Consenso de Lyon 2.0 (2023)"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/7666?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\/7666?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>Desde 2018, o consenso de Lyon tornou-se a principal refer\u00eancia para <strong>defini\u00e7\u00e3o de crit\u00e9rios para diagn\u00f3stico de certeza da doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE)<\/strong>. Contudo, a ci\u00eancia est\u00e1 em constante evolu\u00e7\u00e3o e, portanto, <strong>acaba de ser publicada a vers\u00e3o 2.0<\/strong> deste consenso, atualizando as recomenda\u00e7\u00f5es conforme os resultados de estudos dos \u00faltimos cinco anos. Caso queira acesso a esta nova vers\u00e3o na \u00edntegra, basta <a href=\"https:\/\/gut.bmj.com\/content\/gutjnl\/early\/2023\/09\/20\/gutjnl-2023-330616.full.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">clicar aqui<\/a>. O Gastropedia, contudo, traz aqui os <em>highlights<\/em> para facilitar sua vida.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-qual-a-relevancia\"><strong>Qual a relev\u00e2ncia?<\/strong><\/h2>\n\n\n\n<p>A presen\u00e7a de sintomas t\u00edpicos de DRGE, por vezes, \u00e9 suficiente para a prescri\u00e7\u00e3o de terapia medicamentosa com antissecretores (ex: inibidores de bomba de pr\u00f3tons, bloqueadores \u00e1cidos competitivos de pot\u00e1ssio). Contudo, <strong>um diagn\u00f3stico inquestion\u00e1vel de DRGE \u00e9 recomendado para investigar sintomas n\u00e3o t\u00edpicos, avaliar adequadamente pacientes com sintomas refrat\u00e1rios, justificar o uso prolongado de medicamentos ou indicar terapia invasiva<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-quais-as-principais-mudancas\"><strong>Quais as principais mudan\u00e7as?<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">\n<li>Esofagite erosiva <strong>Los Angeles grau B passa a ser evid\u00eancia conclusiva<\/strong> para diagn\u00f3stico de DRGE, seguindo tend\u00eancia das publica\u00e7\u00f5es dos guidelines de 2022 da AGA <em>(American Gastroenterological Association<\/em>) e da ACG (<em>American College of Gastroenterology <\/em>&#8211; <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\/\">clique aqui e veja resumo que publicamos previamente no Gastropedia!<\/a>);<\/li>\n\n\n\n<li>Defini\u00e7\u00e3o de <strong>m\u00e9tricas para usar na pHmetria prolongada sem fio<\/strong>;<\/li>\n\n\n\n<li>Defini\u00e7\u00e3o de <strong>par\u00e2metros para diagn\u00f3stico de DRGE refrat\u00e1ria<\/strong> em exames realizados <strong>em uso de tratamento antissecretor<\/strong>;<\/li>\n\n\n\n<li>Refor\u00e7a que pacientes com <strong>sintomas at\u00edpicos isolados<\/strong> t\u00eam uma menor probabilidade de associa\u00e7\u00e3o com DRGE e que, portanto, devem preferencialmente ser <strong>investigados com endoscopia e monitoriza\u00e7\u00e3o prolongada de refluxo<\/strong> em detrimento de terapia emp\u00edrica (voc\u00ea pode ler mais sobre o tema <a href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/minha-tosse-e-por-causa-do-refluxo\/\">clicando aqui<\/a>);<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-quando-eu-tenho-um-diagnostico-de-certeza-de-drge\"><strong>Quando eu tenho um diagn\u00f3stico de certeza de DRGE?<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">\n<li>Crit\u00e9rios em endoscopia digestiva alta (para maximizar o rendimento diagn\u00f3stico, realizar 2 a 4 semanas ap\u00f3s suspender terapia antissecretora):\n<ul class=\"wp-block-list\">\n<li>Esofagite erosiva graus B, C ou D;<\/li>\n\n\n\n<li>Es\u00f4fago de Barrett confirmado em bi\u00f3psia;<\/li>\n\n\n\n<li>Estenose esof\u00e1gica p\u00e9ptica.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Crit\u00e9rios em exames de monitoriza\u00e7\u00e3o prolongada de refluxo\n<ul class=\"wp-block-list\">\n<li>Tempo de exposi\u00e7\u00e3o \u00e1cida total (AET) &gt; 6%<\/li>\n\n\n\n<li>&gt; 80 epis\u00f3dios de refluxo<\/li>\n\n\n\n<li>M\u00e9dia noturna basal da imped\u00e2ncia (MNBI) &lt; 1500 \u03a9<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Quando h\u00e1 evid\u00eancias lim\u00edtrofes ou inconclusivas nos exames de endoscopia e de monitoriza\u00e7\u00e3o prolongada de refluxo apoiadas por evid\u00eancias adjuvantes.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-devo-suspender-ou-nao-o-ibp-para-realizar-a-phmetria\"><strong>Devo suspender ou n\u00e3o o IBP para realizar a pHmetria?<\/strong><\/h3>\n\n\n\n<p>Na maioria das vezes, o exame de monitoriza\u00e7\u00e3o prolongada do refluxo deve ser realizado ap\u00f3s a suspens\u00e3o da terapia antissecretora por pelo menos 7 dias. Contudo, <strong>suspender ou n\u00e3o o IBP ir\u00e1 depender dos exames pr\u00e9vios e do objetivo do exame<\/strong>, conforme descrito a seguir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Exame <strong>SEM terapia antissecretora<\/strong> por pelo menos 7 dias: Utilizar <strong>quando eu ainda quero confirmar DRGE <\/strong>(no caso, por exemplo, de investiga\u00e7\u00e3o em paciente com endoscopia sem esofagite erosiva ou com Los Angeles A);<\/li>\n\n\n\n<li>Exame <strong>EM terapia antissecretora<\/strong>: Utilizar quando eu j\u00e1 tenho certeza de que tem DRGE, mas quero investigar porque os sintomas persistem. Neste caso, o uso de imped\u00e2ncio-pHmetria pode ser superior, uma vez que possibilita a identifica\u00e7\u00e3o de refluxos n\u00e3o-\u00e1cidos ou fracamente \u00e1cidos.<\/li>\n<\/ul>\n\n\n\n<p>A seguir, segue um resumo dos achados que estabelecem evid\u00eancia conclusivas para DRGE conforme Consenso de Lyon 2.0.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/10\/Post-9-Figura-1.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"1432\" height=\"767\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/10\/Post-9-Figura-1.png\" alt=\"\" class=\"wp-image-7668\" style=\"width:780px;height:417px\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/10\/Post-9-Figura-1.png 1432w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/10\/Post-9-Figura-1-300x161.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/10\/Post-9-Figura-1-1024x548.png 1024w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/10\/Post-9-Figura-1-768x411.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/10\/Post-9-Figura-1-1170x627.png 1170w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/10\/Post-9-Figura-1-585x313.png 585w\" sizes=\"(max-width: 1432px) 100vw, 1432px\" \/><\/a><figcaption class=\"wp-element-caption\"><br><strong>Figura 1<\/strong>: Defini\u00e7\u00f5es para diagn\u00f3stico de certeza da doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE) conforme Consenso de Lyon 2.0. Adaptado de Gyawali CP et al, 2023.<\/figcaption><\/figure>\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>Gyawali CP, Yadlapati R, Fass R, et al. Updates to the modern diagnosis of GERD: Lyon consensus 2.0. <em>Gut.<\/em> Epub ahead of print 21 Sep 2023. doi: 10.1136\/gutjnl-2023-330616<\/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:#cfd3d9\">Lages RB. Atualiza\u00e7\u00f5es no diagn\u00f3stico de DRGE: Consenso de Lyon 2.0 (2023) Gastropedia 2023, vol. 2. Dispon\u00edvel em:&nbsp;gastropedia.pub\/pt\/gastroenterologia\/esofago\/atualizacoes-no-diagnostico-de-drge-consenso-de-lyon-2-0-2023\/<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Desde 2018, o consenso de Lyon tornou-se a principal refer\u00eancia para defini\u00e7\u00e3o de crit\u00e9rios para diagn\u00f3stico de certeza da doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE). Contudo, a ci\u00eancia est\u00e1 em constante&hellip;<\/p>\n","protected":false},"author":4165,"featured_media":7672,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[19,18],"tags":[],"ano":[137],"tipo":[121],"volume":[44],"class_list":["post-7666","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-esofago","category-gastroenterologia","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>Atualiza\u00e7\u00f5es no diagn\u00f3stico de DRGE: Consenso de Lyon 2.0 (2023) - 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\/atualizacoes-no-diagnostico-de-drge-consenso-de-lyon-2-0-2023\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Atualiza\u00e7\u00f5es no diagn\u00f3stico de DRGE: Consenso de Lyon 2.0 (2023)\" \/>\n<meta property=\"og:description\" content=\"Desde 2018, o consenso de Lyon tornou-se a principal refer\u00eancia para defini\u00e7\u00e3o de crit\u00e9rios para diagn\u00f3stico de certeza da doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE). 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