{"id":8846,"date":"2024-10-16T06:30:00","date_gmt":"2024-10-16T09:30:00","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=8846"},"modified":"2025-03-03T18:08:59","modified_gmt":"2025-03-03T21:08:59","slug":"gastroenterite-eosinofilica","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/gastroenterite-eosinofilica\/","title":{"rendered":"Gastroenterite Eosinof\u00edlica"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/8846?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\/8846?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<h2 class=\"wp-block-heading\" id=\"h-introducao\"><strong>Introdu\u00e7\u00e3o<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A gastroenterite eosinof\u00edlica (GEE) \u00e9 uma condi\u00e7\u00e3o cl\u00ednica rara e heterog\u00eanea, que pode envolver qualquer segmento do trato gastrointestinal.[1]<\/li>\n\n\n\n<li>O pico de incid\u00eancia ocorre entre a terceira e quinta d\u00e9cadas, com discreto predom\u00ednio entre mulheres.[1]<\/li>\n\n\n\n<li>A patog\u00eanese ainda n\u00e3o \u00e9 bem estabelecida, mas h\u00e1 associa\u00e7\u00e3o com quadros at\u00f3picos, como asma, rinite e eczema.[1]<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quadro-clinico\"><strong>Quadro cl\u00ednico<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>O quadro cl\u00ednico da GEE \u00e9 inespec\u00edfico e pode mimetizar outras patologias gastrointestinais.[2] Estima-se que h\u00e1 um atraso de 4 a 9 anos entre o in\u00edcio do sintomas e o diagn\u00f3stico.[1]<\/li>\n\n\n\n<li>A apresenta\u00e7\u00e3o depender\u00e1 da localiza\u00e7\u00e3o, extens\u00e3o e profundidade da doen\u00e7a no trato gastrointestinal. S\u00e3o descritos tr\u00eas principais padr\u00f5es de acometimento, conforme descrito abaixo: [3\u20135]\n<ul class=\"wp-block-list\">\n<li>Envolvimento predominante das camadas mucosa e submucosa: mais comum. Caracteriza-se por dor abdominal, n\u00e1useas, v\u00f4mitos, dispepsia, saciedade precoce, diarreia, anemia, enteropatia perdedora de prote\u00ednas, m\u00e1 absor\u00e7\u00e3o e perda ponderal; [3,4]<\/li>\n\n\n\n<li>Envolvimento da camada muscular: segundo mais comum. Pode cursar com espessamento da parede intestinal e sintomas obstrutivos, como distens\u00e3o e dor abdominais, n\u00e1useas e v\u00f4mitos. [3,4]<\/li>\n\n\n\n<li>Envolvimento da camada serosa: mais raro. Apresenta-se tipicamente com ascite eosinof\u00edlica, podendo ocorrer peritonite e at\u00e9 perfura\u00e7\u00e3o em casos mais graves. [3,4]<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>O curso da doen\u00e7a pode se apresentar tanto como: [6]\n<ul class=\"wp-block-list\">\n<li>Surto \u00fanico em cerca de 40% dos casos<\/li>\n\n\n\n<li>Sintomas recorrentes (per\u00edodos de crises e remiss\u00f5es) em 40%<\/li>\n\n\n\n<li>Sintomas cr\u00f4nicos (persistentes por mais de 6 meses) em 20%<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico\"><strong>Diagn\u00f3stico<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>O Quadro 1 resume crit\u00e9rios sugeridos para o diagn\u00f3stico. [7\u20139]<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-table is-style-stripes\"><div class=\"pcrstb-wrap\"><table class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background has-fixed-layout\"><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\"><strong>Crit\u00e9rios diagn\u00f3sticos para gastroenterite eosinof\u00edlica<\/strong><br><br><em><strong>Deve preencher os 3 crit\u00e9rios<\/strong><\/em><\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">1.Sintomas gastrointestinais (dor abdominal, diarreia, n\u00e1useas, <em>bloating<\/em>)<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">2.Densa infiltra\u00e7\u00e3o de eosin\u00f3filos em um ou mais segmentos do trato gastrointestinal <strong>OU<\/strong> alto n\u00famero de eosin\u00f3filos no l\u00edquido asc\u00edtico<\/td><\/tr><tr><td class=\"has-text-align-center\" data-align=\"center\">3.Exclus\u00e3o de outras causas de eosinofilia (rea\u00e7\u00f5es a drogas, alergias alimentares, doen\u00e7a cel\u00edaca, parasitoses, colagenoses, vasculites, s\u00edndrome hipereosinof\u00edlica e doen\u00e7a inflamat\u00f3ria intestinal)<\/td><\/tr><\/tbody><\/table><\/div><figcaption class=\"wp-element-caption\">Quadro 1: Crit\u00e9rios sugeridos para o diagn\u00f3stico de GEE&nbsp; [7,8]<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Os exames laboratoriais apresentam eosinofilia no sangue perif\u00e9rico em 70 a 80% dos casos e aumento de IgE s\u00e9rico em at\u00e9 dois ter\u00e7os dos pacientes.[10]<\/li>\n\n\n\n<li>Caso a contagem de eosin\u00f3filos perif\u00e9ricos seja maior que 1500 c\u00e9lulas\/\u03bcL, deve-se descartar o acometimento card\u00edaco ou de outros \u00f3rg\u00e3os para excluir a s\u00edndrome hipereosinof\u00edlica.[9,11]<\/li>\n\n\n\n<li>Exames radiol\u00f3gicos geralmente s\u00e3o inespec\u00edficos, podendo apresentar espessamento mucoso ou mesmo ascite. [4]<\/li>\n\n\n\n<li><strong>A principal utilidade da endoscopia \u00e9 a obten\u00e7\u00e3o de fragmentos de bi\u00f3psia, uma vez que a mucosa pode ser normal \u00e0 avalia\u00e7\u00e3o endosc\u00f3pica ou apresentar achados inespec\u00edficos, tais como edema, enantema, eros\u00f5es e \u00falceras<\/strong>.[3] <strong>Se voc\u00ea n\u00e3o suspeitar clinicamente e n\u00e3o pedir as bi\u00f3psias endosc\u00f3picas, provavelmente o diagn\u00f3stico n\u00e3o ser\u00e1 realizado.<\/strong><\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-group\"><div class=\"wp-block-group__inner-container is-layout-constrained wp-block-group-is-layout-constrained\">\n<figure class=\"wp-block-table aligncenter\"><div class=\"pcrstb-wrap\"><table class=\"has-very-light-gray-to-cyan-bluish-gray-gradient-background has-background has-fixed-layout\"><tbody><tr><td class=\"has-text-align-center\" data-align=\"center\">At\u00e9 o momento,&nbsp;<strong>n\u00e3o h\u00e1 consenso sobre um crit\u00e9rio histol\u00f3gico bem estabelecido,<\/strong> sem defini\u00e7\u00e3o de um ponto de corte para contagem de eosin\u00f3filos, uma vez que, com exce\u00e7\u00e3o do es\u00f4fago, a presen\u00e7a de eosin\u00f3filos no nosso trato digestivo pode ser fisiol\u00f3gica.[7]<br>Baseado em estudos em pessoas saud\u00e1veis, contagens de eosin\u00f3filos &gt; 30 por campo de grande aumento (CGA) no est\u00f4mago, &gt; 50 no duodeno e &gt; 30 no c\u00f3lon (dependendo da localiza\u00e7\u00e3o) sugeririam GEE.[12,13] <br>Alguns autores, contudo, sugerem menor \u00eanfase na quantidade de eosin\u00f3filos e maior foco nas outras altera\u00e7\u00f5es patol\u00f3gicas adicionais.[8]<\/td><\/tr><\/tbody><\/table><\/div><\/figure>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tratamento\"><strong>Tratamento<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>O tratamento da Gastroenterite Eosinof\u00edlica \u00e9 um desafio, uma vez que as recomenda\u00e7\u00f5es s\u00e3o baseadas apenas em relatos e s\u00e9ries de casos.&nbsp; <\/li>\n\n\n\n<li>Pacientes com doen\u00e7a leve podem ser tratados inicialmente com sintom\u00e1ticos, ao passo que os demais necessitam de terapia mais agressiva. <\/li>\n\n\n\n<li>Em caso de complica\u00e7\u00f5es, como estenoses ou perfura\u00e7\u00f5es, o tratamento cir\u00fargico pode ser necess\u00e1rio.[4,8,9] O fluxograma 1 resume uma abordagem sugerida.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/gastropedia.pub\/pt\/?attachment_id=8851\"><img fetchpriority=\"high\" decoding=\"async\" width=\"947\" height=\"540\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2024\/09\/Post-13-Foto-capa-e-Fluxograma.png\" alt=\"\" class=\"wp-image-8851\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2024\/09\/Post-13-Foto-capa-e-Fluxograma.png 947w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2024\/09\/Post-13-Foto-capa-e-Fluxograma-300x171.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2024\/09\/Post-13-Foto-capa-e-Fluxograma-768x438.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2024\/09\/Post-13-Foto-capa-e-Fluxograma-585x334.png 585w\" sizes=\"(max-width: 947px) 100vw, 947px\" \/><\/a><figcaption class=\"wp-element-caption\">Fluxograma 1: Abordagem terap\u00eautica sugerida para GEE. Adaptado de Walker et al., 2018 [8]<\/figcaption><\/figure>\n\n\n\n<p>De modo an\u00e1logo \u00e0 esofagite eosinof\u00edlica, as <strong>dietas com elimina\u00e7\u00e3o de alimentos<\/strong> tamb\u00e9m s\u00e3o recomendadas como primeira linha de tratamento para a GEE. A retirada emp\u00edrica dos ant\u00edgenos alimentares mais comumente implicados como potenciais al\u00e9rgenos (leite, trigo, soja, ovos, nozes e frutos do mar) \u00e9 uma op\u00e7\u00e3o v\u00e1lida. Por sua vez, a retirada de alimentos baseada em testes al\u00e9rgicos (<em>prick test<\/em> e IgE s\u00e9rico espec\u00edfico para alimentos), apesar de ser teoricamente melhor toler\u00e1vel, tem resultados controversos.[8]<\/p>\n\n\n\n<p>Os <strong>corticoides<\/strong> s\u00e3o a primeira linha de terapia medicamentosa, principalmente em pacientes com sintomas mais relevantes. <strong>Prednisona oral<\/strong> 20 a 40 mg ao dia por 2 semanas mostrou induzir remiss\u00e3o na maioria dos pacientes, apesar que doses maiores (0,5 a 1,0 mg\/kg) s\u00e3o sugeridas em alguns relatos. Sugere-se manter a medica\u00e7\u00e3o por 6 a 8 semanas, com diversos esquemas de desmame.[8,9,14] Pacientes que apresentam recidiva dos sintomas durante ou ap\u00f3s o desmame da medica\u00e7\u00e3o podem necessitar de terapia de manuten\u00e7\u00e3o. A <strong>budesonida<\/strong> (3 a 9 mg\/dia) pode ser uma alternativa interessante por apresentar menos efeitos sist\u00eamicos.[8]<\/p>\n\n\n\n<p>Outras op\u00e7\u00f5es que podem ser utilizadas como adjuvantes (geralmente em combina\u00e7\u00e3o com corticoides) s\u00e3o os <strong>estabilizadores de mast\u00f3citos<\/strong> (cromoglicato de s\u00f3dio e cetotifeno) e os <strong>antagonistas do receptor de leucotrieno <\/strong>(montelucaste). Os estabilizadores de mast\u00f3citos bloqueiam a degranula\u00e7\u00e3o dos mast\u00f3citos e assim estabilizam as c\u00e9lulas e evitam a libera\u00e7\u00e3o de histamina e mediadores relacionados. <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>A dose de <strong>cromoglicato de s\u00f3dio<\/strong> varia de 100 a 300 mg tr\u00eas ou quatro vezes ao dia. <\/li>\n\n\n\n<li>O <strong>cetotifeno<\/strong>, por sua vez, que tamb\u00e9m \u00e9 um anti-histam\u00ednico, \u00e9 usado na dose de 1 a 2 mg duas vezes ao dia. <\/li>\n\n\n\n<li>O <strong>montelucaste <\/strong>j\u00e1 \u00e9 comumente utilizado na asma e em doen\u00e7a eosinof\u00edlicas e sua dose habitual \u00e9 de 5 a 10 mg\/dia.[4]<\/li>\n<\/ul>\n\n\n\n<p>No caso de doen\u00e7a recidivante ou refrat\u00e1ria, pode haver resposta a imunossupressores (azatioprina, 6-mercaptopurina) e a biol\u00f3gicos, como o infliximabe (anti-TNF\u03b1) e o vedolizumabe (antiintegrina \u03b14\u03b27).[4,7,8]<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p class=\"has-pale-ocean-gradient-background has-background\">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>Li K, Ruan G, Liu S, Xu T, Guan K, Li J, et al. Eosinophilic gastroenteritis: Pathogenesis, diagnosis, and treatment. Chin Med J (Engl) 2023;136:899\u2013909. doi:10.1097\/CM9.0000000000002511.<\/li>\n\n\n\n<li>Mansoor E, Saleh MA, Cooper GS. Prevalence of Eosinophilic Gastroenteritis and Colitis in a Population-Based Study, From 2012 to 2017. Clin Gastroenterol Hepatol 2017;15:1733\u201341. doi:10.1016\/j.cgh.2017.05.050.<\/li>\n\n\n\n<li>Zhang MM, Li YQ. Eosinophilic gastroenteritis: A state-of-the-art review. J Gastroenterol Hepatol 2017;32:64\u201372. doi:10.1111\/jgh.13463.<\/li>\n\n\n\n<li>Sunkara T, Rawla P, Yarlagadda KS, Gaduputi V. Eosinophilic gastroenteritis: diagnosis and clinical perspectives. Clin Exp Gastroenterol 2019;Volume 12:239\u201353. doi:10.2147\/CEG.S173130.<\/li>\n\n\n\n<li>Klein NC, Hargrove RL, Sleisenger MH, Jeffries GH. Eosinophilic Gastroenteritis. Med 1970;49:299\u2013319. doi:10.1097\/00005792-197007000-00003.<\/li>\n\n\n\n<li>De Chambrun GP, Gonzalez F, Canva JY, Gonzalez S, Houssin L, Desreumaux P, et al. Natural History of Eosinophilic Gastroenteritis. Clin Gastroenterol Hepatol 2011;9:950-956.e1. doi:10.1016\/j.cgh.2011.07.017.<\/li>\n\n\n\n<li>Grandinetti T, Biedermann L, Bussmann C, Straumann A, Hruz P. Eosinophilic Gastroenteritis: Clinical Manifestation, Natural Course, and Evaluation of Treatment with Corticosteroids and Vedolizumab. Dig Dis Sci 2019;64:2231\u201341. doi:10.1007\/s10620-019-05617-3.<\/li>\n\n\n\n<li>Walker MM, Potter M, Talley NJ. Eosinophilic gastroenteritis and other eosinophilic gut diseases distal to the oesophagus. Lancet Gastroenterol Hepatol 2018;3:271\u201380. doi:10.1016\/S2468-1253(18)30005-0.<\/li>\n\n\n\n<li>Halland M, Talley NJ. Eosinophilic Gastroenteritis. Pract. Gastroenterol. Hepatol. Board Rev. Toolkit, Oxford, UK: John Wiley &amp; Sons, Ltd; 2016, p. 152\u20135. doi:10.1002\/9781119127437.ch24.<\/li>\n\n\n\n<li>Kinoshita Y, Ishihara S. Eosinophilic gastroenteritis: epidemiology, diagnosis, and treatment. Curr Opin Allergy Clin Immunol 2020;20:311\u20135. doi:10.1097\/ACI.0000000000000635.<\/li>\n\n\n\n<li>Abassa KK, Lin XY, Xuan JY, Zhou HX, Guo YW. Diagnosis of eosinophilic gastroenteritis is easily missed. World J Gastroenterol 2017;23:3556\u201364. doi:10.3748\/wjg.v23.i19.3556.<\/li>\n\n\n\n<li>Egan M, Furuta GT. Eosinophilic gastrointestinal diseases beyond eosinophilic esophagitis. Ann Allergy, Asthma Immunol 2018;121:162\u20137. doi:10.1016\/j.anai.2018.06.013.<\/li>\n\n\n\n<li>Collins MH. Histopathology Associated with Eosinophilic Gastrointestinal Diseases. Immunol Allergy Clin North Am 2009;29:109\u201317. doi:10.1016\/j.iac.2008.10.005.<\/li>\n\n\n\n<li>Rached AA, Hajj W El. Eosinophilic gastroenteritis: Approach to diagnosis and management. World J Gastrointest Pharmacol Ther 2016;7:513. doi:10.4292\/wjgpt.v7.i4.513.<\/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-very-light-gray-to-cyan-bluish-gray-gradient-background has-background\">Lages RB. Gastroenterite Eosinof\u00edlica Gastropedia 2024, Vol. 2. Dispon\u00edvel em: https:\/\/gastropedia.pub\/pt\/gastroenterologia\/gastroenterite-eosinofilica\/<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introdu\u00e7\u00e3o Quadro cl\u00ednico Diagn\u00f3stico Crit\u00e9rios diagn\u00f3sticos para gastroenterite eosinof\u00edlica Deve preencher os 3 crit\u00e9rios 1.Sintomas gastrointestinais (dor abdominal, diarreia, n\u00e1useas, bloating) 2.Densa infiltra\u00e7\u00e3o de eosin\u00f3filos em um ou mais segmentos&hellip;<\/p>\n","protected":false},"author":4165,"featured_media":8851,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[20,18],"tags":[],"ano":[396],"tipo":[121],"volume":[44],"class_list":["post-8846","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-estomago","category-gastroenterologia","ano-396","tipo-assuntos-gerais","volume-volume-ii"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - 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