{"id":1558,"date":"2025-10-30T11:18:40","date_gmt":"2025-10-30T08:18:40","guid":{"rendered":"https:\/\/wiki.dev.voka.io\/diseases\/uncategorized\/colecistite\/"},"modified":"2025-12-09T12:37:21","modified_gmt":"2025-12-09T09:37:21","slug":"colecistite","status":"publish","type":"diseases_post","link":"https:\/\/wiki.dev.voka.io\/pt\/doencas\/hepatologia\/colecistite\/","title":{"rendered":"Colecistite: etiologia, classifica\u00e7\u00e3o, sintomas, diagn\u00f3stico e tratamento"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p>A colecistite<strong><\/strong>\u00e9 uma doen\u00e7a caracterizada pela inflama\u00e7\u00e3o da ves\u00edcula biliar em resultado da sua obstru\u00e7\u00e3o (calculosa) e dist\u00farbio do fluxo biliar ou por outras raz\u00f5es (n\u00e3o calculosa).<\/p>\n<h2 class=\"wp-block-heading\" id=\"classificacao-de-colecistites\"><strong>Classifica\u00e7\u00e3o de colecistites<\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"segundo-a-evolucao-da-doenca\"><strong>Segundo a evolu\u00e7\u00e3o da doen\u00e7a<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Aguda;<\/li>\n<li>Cr\u00f3nica.<\/li>\n<\/ul>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/1-multiple-mixed-stones-in-gallbladder.webp\" alt=\"Colecistite catarral aguda associada a colelit\u00edase\"><figcaption class=\"wp-element-caption\">Colecistite catarral aguda associada a colelit\u00edase<a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/83f9c9a2-3f38-4a1d-9a68-4178c5be50b7\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/2-chronic-cholecystitis.webp\" alt=\"Colecistite cr\u00f3nica no contexto de colelit\u00edase\"><figcaption class=\"wp-element-caption\">Colecistite cr\u00f3nica no contexto de colelit\u00edase <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/22186819-5288-4cb5-a57e-22129597be47\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h3 class=\"wp-block-heading\" id=\"segundo-etiologia\"><strong>Segundo etiologia<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Colecistite calculosa;<\/li>\n<li>Colecistite aliti\u00e1sica.<\/li>\n<\/ul>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/3-calculous-gallstone-cholecystitis.webp\" alt=\"Colecistite aguda calculosa catarral\"><figcaption class=\"wp-element-caption\">Colecistite aguda catarral calculosa<a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/5e669c24-c738-4bb2-a319-c6600c5497f5\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/4-acalculous-cholecystitis.webp\" alt=\"Colecistite aguda catarral aliti\u00e1sica\"><figcaption class=\"wp-element-caption\">Colecistite aguda catarral aliti\u00e1sica<a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/c994bb61-7e44-4324-81d7-0359f525c1f1\/1e24f8fb-fcec-4fd5-989c-8d2a7a8b1e59\/9d2bbb4e-492d-45c6-ac7b-98459b777aac\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h3 class=\"wp-block-heading\" id=\"segundo-a-forma-clinica-e-morfologica\"><strong>Segundo a forma cl\u00ednica e morfol\u00f3gica<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Catarral;<\/li>\n<li>Flegmonosa;<\/li>\n<li>Gangrenosa.<\/li>\n<\/ul>\n<p><a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/c994bb61-7e44-4324-81d7-0359f525c1f1\/1e24f8fb-fcec-4fd5-989c-8d2a7a8b1e59\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a>de colecistite segundo a forma cl\u00ednica e morfol\u00f3gica:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69efa96b55067\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/5-catarrhal-cholecystitis.webp\" alt=\"Colecistite aguda catarral\"><span class=\"small-text-article text-main-text-color\">Colecistite aguda catarral<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/6-cholecystitis-phlegmonous.webp\" alt=\"Colecistite aguda flegmonosa\"><span class=\"small-text-article text-main-text-color\">Colecistite aguda flegmonosa<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/7-gangrenous-cholecystitiswebp\" alt=\"Colecistite aguda gangrenosa\"><span class=\"small-text-article text-main-text-color\">Colecistite aguda gangrenosa<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_69efa96b55067\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_69efa96b55067\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_69efa96b55067\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_69efa96b55067', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_69efa96b55067',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_69efa96b55067',\n                prevEl: '.carousel-swiper-button-prev-block_69efa96b55067',\n            },\n        })\n    })\n<\/script><\/p>\n<h3 class=\"wp-block-heading\" id=\"quanto-a-gravidade\"><strong>Quanto \u00e0 gravidade<\/strong><\/h3>\n<ul class=\"wp-block-list\">\n<li>Forma ligeira ( inflama\u00e7\u00e3o moderada na ves\u00edcula biliar);<\/li>\n<li>Forma moderadamente grave (inflama\u00e7\u00e3o na ves\u00edcula biliar dura mais de 72 horas, com altera\u00e7\u00f5es destrutivas na parede da ves\u00edcula biliar);<\/li>\n<li>Forma grave (destrui\u00e7\u00e3o total da ves\u00edcula biliar com sinais de insufici\u00eancia multiorg\u00e2nica).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"etiologia-e-patogenese-de-colecistites\"><strong>Etiologia e patog\u00e9nese de colecistites<\/strong><\/h2>\n<p>A inflama\u00e7\u00e3o na parede da ves\u00edcula biliar desenvolve-se como resultado da exposi\u00e7\u00e3o a fatores prejudiciais.<\/p>\n<p>De acordo com os fatores causais, distinguem-se a colecistite calculosa e a colecistite n\u00e3o calculosa.<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>Colecistite calculosa<\/strong><\/li>\n<\/ol>\n<p>Calculosa<strong><\/strong>a colecistite desenvolve-se no contexto da colelit\u00edase, quando um c\u00e1lculo ou um grupo de c\u00e1lculos provoca obstru\u00e7\u00e3o do ducto c\u00edstico ou do colo da ves\u00edcula biliar. Devido \u00e0 obstru\u00e7\u00e3o, aumenta a press\u00e3o intravesical, danifica-se a mucosa da ves\u00edcula biliar, ocorre uma altera\u00e7\u00e3o local da trofia na parede da ves\u00edcula e libera\u00e7\u00e3o de subst\u00e2ncias biologicamente ativas e fatores inflamat\u00f3rios.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/8-calculous-cholecystitis.webp\" alt=\"Concre\u00e7\u00f5es m\u00faltiplas na ves\u00edcula biliar, algumas delas localizadas no canal c\u00edstico\"><figcaption class=\"wp-element-caption\">Concre\u00e7\u00f5es m\u00faltiplas na ves\u00edcula biliar, algumas delas localizadas no canal c\u00edstico<a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/c0548f33-b338-4617-83ab-cdc1db545f68\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<p>O fator bacteriano no desenvolvimento da colecistite no contexto da colelit\u00edase \u00e9 apenas observado em 50-75% dos casos. As bact\u00e9rias Gram-negativas s\u00e3o as mais frequentemente identificadas:<em>E. coli<\/em>, <em>Klebsiella spp.<\/em>, <em>Pseudomonas spp.<\/em>, <em>Enterobacter spp.<\/em>; Gram-positivas: <em>Enterococcus spp.<\/em>, <em>Streptococcus spp.<\/em>; anaer\u00f3bios- <em>Clostridium spp.<\/em><\/p>\n<ol start=\"2\" class=\"wp-block-list\">\n<li><strong>Colecistite aliti\u00e1sica<\/strong><\/li>\n<\/ol>\n<p>Aliti\u00e1sica<strong><\/strong>a colecistite desenvolve-se no contexto de contra\u00e7\u00e3o deficiente da ves\u00edcula biliar, via hematog\u00e9nica de infe\u00e7\u00e3o, doen\u00e7as sist\u00e9micas, infe\u00e7\u00f5es intestinais, bem como patologia cong\u00e9nita dos ductos biliares (por exemplo, cisto de col\u00e9doco). Todos os fatores acima referidos contribuem para o desenvolvimento de inflama\u00e7\u00e3o na parede da ves\u00edcula biliar do mesmo modo que na colecistite calculosa.<\/p>\n<h2 class=\"wp-block-heading\" id=\"quadro-clinico-da-colecistite\"><strong>Quadro cl\u00ednico da colecistite<\/strong><\/h2>\n<p>As manifesta\u00e7\u00f5es cl\u00ednicas da colecistite variam e incluem s\u00edndromes como:<\/p>\n<ul class=\"wp-block-list\">\n<li>Dor;<\/li>\n<li>Dispepsia;<\/li>\n<li>Inflama\u00e7\u00e3o;<\/li>\n<li>Peritonite;<\/li>\n<li>Icter\u00edcia.<\/li>\n<\/ul>\n<p>A dor \u00e9 caracterizada por um crise de c\u00f3lica biliar. A dor pode ser aliviada por si s\u00f3 ou ap\u00f3s a administra\u00e7\u00e3o de medicamentos antiespasm\u00f3dicos. A dor \u00e9 intensa e localizada na parte superior direita do abd\u00f3men, debaixo das costelas. \u00c0s vezes, a dor pode irradiar para \u00e1reas adjacentes (lombar, omoplata, ombro). Com a evolu\u00e7\u00e3o da doen\u00e7a, a dor pode intensificar-se e tamb\u00e9m podem aparecer sintomas de irrita\u00e7\u00e3o peritoneal.<\/p>\n<p>Juntamente com a dor, surge a dispepsia, caracterizada por n\u00e1useas, v\u00f3mitos e sensa\u00e7\u00e3o de amargor na boca. O v\u00f3mito, geralmente, n\u00e3o traz al\u00edvio e pode ser \u00fanico ou repetido.<\/p>\n<p>Desde o primeiro dia da doen\u00e7a, o paciente regista um aumento da temperatura corporal para valores subfebris e, com a progress\u00e3o da doen\u00e7a, para valores febris.<\/p>\n<p>Ao examinar esses pacientes, deve-se prestar aten\u00e7\u00e3o \u00e0 presen\u00e7a de icter\u00edcia na pele e na esclera, bem como nas membranas mucosas. Frequentemente, \u00e9 observado escurecimento da urina e colora\u00e7\u00e3o esbranqui\u00e7ada das fezes. Essas condi\u00e7\u00f5es ocorrem devido \u00e0 obstru\u00e7\u00e3o (bloqueio) do sistema hepatobiliar por c\u00e1lculos.<\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/hepatology\/cholecystitis\/9-multiple-cholesterol-stones-in-gallbladder.webp\" alt=\"M\u00faltiplos c\u00e1lculos na ves\u00edcula biliar e no ducto biliar comum\"><figcaption class=\"wp-element-caption\">M\u00faltiplos c\u00e1lculos na ves\u00edcula biliar e no ducto biliar comum <a href=\"https:\/\/catalog.voka.io\/en\/models\/1c16d781-5752-45cb-b117-892b748f62eb\/249c46b3-7734-417d-a49e-70515c56823d\/02ccb646-502f-4b6b-a87b-0a7c5e8574a5\/75338edc-ecb4-4d04-8e1a-ee4be9d43748\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Modelo 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"diagnostico-de-colecistite\"><strong>Diagn\u00f3stico de colecistite<\/strong><\/h2>\n<p>O diagn\u00f3stico da doen\u00e7a inclui m\u00e9todos de exame cl\u00ednico, laboratorial e instrumental:<\/p>\n<ol class=\"wp-block-list\">\n<li><strong>M\u00e9todos cl\u00ednicos<\/strong>: exame f\u00edsico, controlo da temperatura corporal, da frequ\u00eancia card\u00edaca (FC), da frequ\u00eancia respirat\u00f3ria (FR), da press\u00e3o arterial (PA) e palpa\u00e7\u00e3o do abd\u00f3men.<\/li>\n<li><strong> Exames laboratoriais<\/strong>: hemograma completo, urin\u00e1lise, bioqu\u00edmica (perfil hep\u00e1tico, fatores inflamat\u00f3rios, composi\u00e7\u00e3o eletrol\u00edtica). Em caso de estado grave do paciente, pode ser realizada uma avalia\u00e7\u00e3o do equil\u00edbrio \u00e1cido-base.<\/li>\n<li><strong>Exames instrumentais ou de imagem<\/strong>ecografia, radiografia do abdome e do t\u00f3rax, tomografia computadorizada (TC), esofagogastroduodenoscopia.<\/li>\n<\/ol>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Encontra mais conte\u00fados cientificamente exactos nas nossas redes sociais<\/p>\n<p><span class=\"social-banner-text text-grey\">Subscreve e n\u00e3o percas os recursos mais recentes<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"tratamento-da-colecistite\"><strong>Tratamento da colecistite<\/strong><\/h2>\n<p>Existem m\u00e9todos conservadores e cir\u00fargicos de tratamento.<\/p>\n<h3 class=\"wp-block-heading\" id=\"metodos-conservadores\"><strong>M\u00e9todos conservadores<\/strong><\/h3>\n<p>A terapia conservadora visa aliviar a condi\u00e7\u00e3o aguda e preparar para o tratamento cir\u00fargico posterior.<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Para aliviar a dor,<\/strong> s\u00e3o utilizados anti-inflamat\u00f3rios n\u00e3o ester\u00f3ides (AINEs) e antiespasm\u00f3dicos.<\/li>\n<li><strong>Para a desintoxica\u00e7\u00e3o,<\/strong> \u00e9 realizada terapia de infus\u00e3o (gotejamento) com o objetivo de restaurar o equil\u00edbrio hidroeletrol\u00edtico.<\/li>\n<li><strong>Em caso de infe\u00e7\u00e3o bacteriana, <\/strong>s\u00e3o prescritos antibi\u00f3ticos, tendo em conta a sensibilidade da microflora e o hist\u00f3rico de alergias do paciente.<\/li>\n<\/ul>\n<h3 class=\"wp-block-heading\" id=\"metodos-de-tratamento-cirurgico\"><strong>M\u00e9todos de tratamento cir\u00fargico<\/strong><\/h3>\n<p>A remo\u00e7\u00e3o cir\u00fargica da ves\u00edcula biliar (colecistectomia) \u00e9 o principal m\u00e9todo de tratamento.<\/p>\n<p>Se o resultado da terapia conservadora for positivo e n\u00e3o houver complica\u00e7\u00f5es na evolu\u00e7\u00e3o da colecistite aguda, \u00e9 realizada uma colecistectomia eletiva. Na aus\u00eancia de resultados positivos da terapia conservadora e com a progress\u00e3o da doen\u00e7a, \u00e9 indicada uma colecistectomia de urg\u00eancia. O prazo ideal para a interven\u00e7\u00e3o cir\u00fargica \u00e9 de 24 a 72 horas ap\u00f3s o in\u00edcio dos sintomas.<\/p>\n<p>Existem dois m\u00e9todos principais para a realiza\u00e7\u00e3o da colecistectomia:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Colecistectomia laparosc\u00f3pica:<\/strong>remo\u00e7\u00e3o da ves\u00edcula biliar atrav\u00e9s de pequenos orif\u00edcios na parede abdominal (\u00e9 o padr\u00e3o ouro).<\/li>\n<li><strong>Colecistectomia aberta:<\/strong> remo\u00e7\u00e3o atrav\u00e9s de uma incis\u00e3o tradicional no hipoc\u00f4ndrio direito.<\/li>\n<\/ul>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. O que \u00e9 colecistite calculosa e acalculosa e quais s\u00e3o as suas causas?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A colecistite \u00e9 uma inflama\u00e7\u00e3o da ves\u00edcula biliar. A colecistite calculosa \u00e9 a sua forma mais comum e desenvolve-se devido \u00e0 forma\u00e7\u00e3o de c\u00e1lculos no l\u00famen da ves\u00edcula biliar, com obstru\u00e7\u00e3o do ducto biliar por c\u00e1lculos na colecistite aguda (ou sem obstru\u00e7\u00e3o na colecistite cr\u00f3nica). A colecistite acalculosa \u00e9 menos frequente e ocorre sem c\u00e1lculos (devido \u00e0 motilidade deficiente da ves\u00edcula, em contexto de infe\u00e7\u00f5es graves, como resultado de dist\u00farbios circulat\u00f3rios).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quais s\u00e3o os sintomas da colecistite e como se manifesta a sua exacerba\u00e7\u00e3o?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Os principais sintomas incluem uma dor intensa no hipoc\u00f4ndrio direito do abd\u00f3men (c\u00f3lica biliar), n\u00e1useas, v\u00f3mitos e febre. A exacerba\u00e7\u00e3o da colecistite cr\u00f3nica manifesta-se com os mesmos sintomas que em caso duma dor aguda (geralmente de menor intensidade). Tamb\u00e9m pode apresentar-se a boca amarga e, em caso de dist\u00farbios no fluxo da b\u00edlis, urina escura e<br \/>\nicter\u00edcia.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Quais s\u00e3o as complica\u00e7\u00f5es que a colecistite provoca e qual \u00e9 o seu perigo?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O principal perigo da doen\u00e7a \u00e9 o desenvolvimento de complica\u00e7\u00f5es graves. A inflama\u00e7\u00e3o pode levar a formas destrutivas (colecistite flegmonosa e gangrenosa), perfura\u00e7\u00e3o (rotura) da parede da ves\u00edcula biliar com desenvolvimento de peritonite e at\u00e9 mesmo insufici\u00eancia multiorg\u00e2nica, o que representa uma amea\u00e7a \u00e0 vida.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Como \u00e9 tratado a colecistite e \u00e9 poss\u00edvel cur\u00e1-la de forma definitiva?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">De acordo com as abordagens cl\u00ednicas modernas, o tratamento come\u00e7a com terapia conservadora para aliviar a dor aguda: espasmol\u00edticos, analg\u00e9sicos e antibi\u00f3ticos. No entanto, a \u00fanica forma de tratamento definitivo da colecistite calculosa \u00e9 a remo\u00e7\u00e3o cir\u00fargica da ves\u00edcula biliar (colecistectomia), que previne recidivas e complica\u00e7\u00f5es.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Que m\u00e9todos de diagn\u00f3stico laboratorial e instrumental s\u00e3o utilizados para a colecistite?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O diagn\u00f3stico inclui an\u00e1lises laboratoriais ao sangue e m\u00e9todos instrumentais. O padr\u00e3o ouro \u00e9 a ecografia da cavidade abdominal, que revela o espessamento da parede da ves\u00edcula biliar, presen\u00e7a de c\u00e1lculos e outros sinais caracter\u00edsticos. Em casos complexos, \u00e9 utilizada a TC.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Uma crise de colecistite pode passar por si s\u00f3?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A dor em si (c\u00f3lica biliar) pode realmente diminuir temporariamente, mas isso n\u00e3o significa a recupera\u00e7\u00e3o. O processo inflamat\u00f3rio na ves\u00edcula biliar permanece e, sem tratamento, a doen\u00e7a progride, aumentando o risco de complica\u00e7\u00f5es.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">7. Que regime alimentar \u00e9 recomendado para a colecistite aguda e cr\u00f3nica?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A dieta alimentar \u00e9 um elemento fundamental do tratamento. Em caso de exacerba\u00e7\u00e3o da colecistite, \u00e9 recomendado o jejum, seguido de uma dieta terap\u00eautica rigorosa, baixa em gorduras, evitando pratos apimentados, fritos e \u00e1lcool. Em casos de colecistite cr\u00f3nica, estas restri\u00e7\u00f5es tamb\u00e9m s\u00e3o recomendadas, mas de forma menos rigorosa. As refei\u00e7\u00f5es devem ser fracionadas, 5 a 6 vezes por dia.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">8. Qual \u00e9 a diferen\u00e7a entre colecistite e colestase?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">S\u00e3o condi\u00e7\u00f5es diferentes. A colecistite \u00e9 uma inflama\u00e7\u00e3o da parede da ves\u00edcula biliar. Colestase \u00e9 o estagna\u00e7\u00e3o da bile, ou seja, uma interrup\u00e7\u00e3o no seu fluxo do f\u00edgado. A estagna\u00e7\u00e3o da bile (colestase) pode ser uma das causas que levam \u00e0 inflama\u00e7\u00e3o (colecistite), mas n\u00e3o \u00e9 a mesma coisa.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">9. \u00c9 poss\u00edvel prevenir a colecistite?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Sim, a preven\u00e7\u00e3o visa impedir a forma\u00e7\u00e3o de c\u00e1lculos na ves\u00edcula biliar. Inclui uma alimenta\u00e7\u00e3o equilibrada (menos gorduras, mais fibras), manuten\u00e7\u00e3o de um peso saud\u00e1vel, atividade f\u00edsica regular e consumo adequado de \u00e1gua.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">10. Quais s\u00e3o as particularidades da colecistite em crian\u00e7as?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A colecistite nas crian\u00e7as \u00e9 rara e, na maioria das vezes, \u00e9 acalculosa. Pode ocorrer como complica\u00e7\u00e3o ap\u00f3s infe\u00e7\u00f5es graves (escarlatina, s\u00e9psis) ou doen\u00e7as sist\u00e9micas. Os sintomas s\u00e3o semelhantes aos dos adultos, e o tratamento \u00e9 baseado em terapia antibacteriana e, se necess\u00e1rio, interven\u00e7\u00e3o cir\u00fargica.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"referencias\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Refer\u00eancias<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Cat\u00e1logo VOKA. [Recurso eletr\u00f4nico]<\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Dadwani S.A., Vetshev P.S., Shulutko A.M., Prudkov M.I. Gallstone Disease. Moscow: Vidar; 2000. 144 p. (\u0414\u0430\u0434\u0432\u0430\u043d\u0438 \u0421.\u0410., \u0412\u0435\u0442\u0448\u0435\u0432 \u041f.\u0421., \u0428\u0443\u043b\u0443\u0442\u043a\u043e A.M., \u041f\u0440\u0443\u0434\u043a\u043e\u0432 \u041c.\u0418. \u0416\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u0430\u044f \u0431\u043e\u043b\u0435\u0437\u043d\u044c. \u041c.: \u0412\u0438\u0434\u0430\u0440, 2000. 144 \u0441.) [em russo]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u0414\u043e\u0440\u043e\u0444\u0435\u0435\u0432\u0430, \u0421.\u0413., \u041a\u043e\u043d\u043e\u043f\u043b\u044f, \u0415.\u041d., \u041c\u0430\u043d\u0441\u0438\u043c\u043e\u0432\u0430, \u041e.\u0412., \u0428\u0435\u043b\u0443\u0445\u0438\u043d\u0430, \u0410.\u041d., \u0410\u043d\u044e\u0448\u043e\u043d\u043a\u043e\u0432, \u041e.\u0421. \u0416\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u0430\u044f \u0431\u043e\u043b\u0435\u0437\u043d\u044c: \u0441\u043e\u0432\u0440\u0435\u043c\u0435\u043d\u043d\u044b\u0435 \u043f\u0440\u0435\u0434\u0441\u0442\u0430\u0432\u043b\u0435\u043d\u0438\u044f \u043e\u0431 \u044d\u0442\u0438\u043e\u043b\u043e\u0433\u0438\u0438 \u0438 \u043f\u0430\u0442\u043e\u0433\u0435\u043d\u0435\u0437\u0435. \u0418\u043d\u0442\u0435\u0433\u0440\u0430\u0442\u0438\u0432\u043d\u044b\u0435 \u0442\u0435\u043d\u0434\u0435\u043d\u0446\u0438\u0438 \u0432 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0435 \u0438 \u043e\u0431\u0440\u0430\u0437\u043e\u0432\u0430\u043d\u0438\u0438. 2020. \u0422. 2. C. 21\u201325.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Ivashkin V.T., Maev I.V., Baranskaya E.K.<br \/>\nRecomenda\u00e7\u00f5es da Associa\u00e7\u00e3o Gastroenterol\u00f3gica Russa para o diagn\u00f3stico e tratamento da doen\u00e7a do c\u00e1lculo biliar. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2016;3:64\u201380. (\u0418\u0432\u0430\u0448\u043a\u0438\u043d \u0412.\u0422., \u041c\u0430\u0435\u0432 \u0418.\u0412., \u0411\u0430\u0440\u0430\u043d\u0441\u043a\u0430\u044f \u0415.\u041a. \u0420\u0435\u043a\u043e\u043c\u0435\u043d\u0434\u0430\u0446\u0438\u0438 \u0420\u043e\u0441\u0441\u0438\u0439\u0441\u043a\u043e\u0439 \u0433\u0430\u0441\u0442\u0440\u043e\u044d\u043d\u0442\u0435\u0440\u043e\u043b\u043e\u0433\u0438\u0447\u0435\u0441\u043a\u043e\u0439 \u0430\u0441\u0441\u043e\u0446\u0438\u0430\u0446\u0438\u0438 \u043f\u043e \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0435 \u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u044e \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0420\u0416\u0413\u0413\u041a, 2016. \u0422.3. \u0421. 64-80.) [em russo]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Diretrizes de pr\u00e1tica cl\u00ednica da EASL sobre preven\u00e7\u00e3o, diagn\u00f3stico e tratamento de c\u00e1lculos biliares. J\u043eurnal of Hepatology. 2016. 65: 146\u2013181.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Leuschner U. Guia pr\u00e1tico para doen\u00e7as do trato biliar. Moscow: GEOTAR \u2013 Medicine; 2001, 264 p. (\u041b\u0435\u0439\u0448\u043d\u0435\u0440 \u0423. \u041f\u0440\u0430\u043a\u0442\u0438\u0447\u0435\u0441\u043a\u043e\u0435 \u0440\u0443\u043a\u043e\u0432\u043e\u0434\u0441\u0442\u0432\u043e \u043f\u043e \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f\u043c \u0436\u0435\u043b\u0447\u043d\u044b\u0445 \u043f\u0443\u0442\u0435\u0439. \u041c.: \u0413\u042d\u041e\u0422\u0410\u0420 \u2013 \u041c\u0435\u0434\u0438\u0446\u0438\u043d\u0430, 2001. 264\u0441.) 264 \u0441.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">\u041b\u0438\u0442\u043e\u0432\u0441\u043a\u0438\u0439 \u0418.\u0410., \u0413\u043e\u0440\u0434\u0438\u0435\u043d\u043a\u043e \u0410.\u0412. \u0416\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u0430\u044f \u0431\u043e\u043b\u0435\u0437\u043d\u044c, \u0445\u043e\u043b\u0435\u0446\u0438\u0441\u0442\u0438\u0442\u044b \u0438 \u043d\u0435\u043a\u043e\u0442\u043e\u0440\u044b\u0435 \u0430\u0441\u0441\u043e\u0446\u0438\u0438\u0440\u043e\u0432\u0430\u043d\u043d\u044b\u0435 \u0441 \u043d\u0438\u043c\u0438 \u0437\u0430\u0431\u043e\u043b\u0435\u0432\u0430\u043d\u0438\u044f (\u0432\u043e\u043f\u0440\u043e\u0441\u044b \u043f\u0430\u0442\u043e\u0433\u0435\u043d\u0435\u0437\u0430, \u0434\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0438, \u043b\u0435\u0447\u0435\u043d\u0438\u044f). \u0421\u0430\u043d\u043a\u0442-\u041f\u0435\u0442\u0435\u0440\u0431\u0443\u0440\u0433 : \u0421\u043f\u0435\u0446\u041b\u0438\u0442, 2019. 358 \u0441.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Podoluzhnyi V.I. Complica\u00e7\u00f5es da doen\u00e7a do c\u00e1lculo biliar. Fundamental and Clinical Medicine. 2017; Vol.  2(1). 102-114. (\u041f\u043e\u0434\u043e\u043b\u0443\u0436\u043d\u044b\u0439 \u0412.\u0418. \u041e\u0441\u043b\u043e\u0436\u043d\u0435\u043d\u0438\u044f \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0424\u0443\u043d\u0434\u0430\u043c\u0435\u043d\u0442\u0430\u043b\u044c\u043d\u0430\u044f \u0438 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0430. 2017;2(1):102-114) [em russo]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Savelyev, V. S., Kirienko, A. I. Doen\u00e7as cir\u00fargicas Moscow: 2005. \u0422. 1. 185-201.(\u0421\u0430\u0432\u0435\u043b\u044c\u0435\u0432 B.C., \u041a\u0438\u0440\u0438\u0435\u043d\u043a\u043e \u0410.\u0418. \u0425\u0438\u0440\u0443\u0440\u0433\u0438\u0447\u0435\u0441\u043a\u0438\u0435 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u0422\u043e\u043c 1. \u041c.: 2005. \u0421. 185-201.) [em russo].<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Skvortsov V.V., Khalilova U.A. Diagn\u00f3stico e tratamento da doen\u00e7a de c\u00e1lculo biliar. Gastroenterologia experimental e cl\u00ednica. 2018; Vol. 157, No. 9, p. 142\u2013150 (\u0421\u043a\u0432\u043e\u0440\u0446\u043e\u0432, \u0412.\u0412., \u0425\u0430\u043b\u0438\u043b\u043e\u0432\u0430, \u0423.\u0410. \u0414\u0438\u0430\u0433\u043d\u043e\u0441\u0442\u0438\u043a\u0430 \u0438 \u043b\u0435\u0447\u0435\u043d\u0438\u0435 \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u0438. \u042d\u043a\u0441\u043f\u0435\u0440\u0438\u043c\u0435\u043d\u0442\u0430\u043b\u044c\u043d\u0430\u044f \u0438 \u043a\u043b\u0438\u043d\u0438\u0447\u0435\u0441\u043a\u0430\u044f \u0433\u0430\u0441\u0442\u0440\u043e\u044d\u043d\u0442\u0435\u0440\u043e\u043b\u043e\u0433\u0438\u044f, 2018. \u0422\u043e\u043c 157. \u2116 9. C. 142\u2013150.) [em russo]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">11.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"> Uspensky, Y.P., Fominykh, Y.A., Nadzhafova, K.N. (2020). Metabolismo lip\u00eddico em pacientes com doen\u00e7a biliar. University Therapeutic Journal, 2(1), 74\u201375. (\u0423\u0441\u043f\u0435\u043d\u0441\u043a\u0438\u0439, \u042e.\u041f., \u0424\u043e\u043c\u0438\u043d\u044b\u0445, \u042e.\u0410., \u041d\u0430\u0434\u0436\u0430\u0444\u043e\u0432\u0430, \u041a.\u041d. \u041b\u0438\u043f\u0438\u0434\u043d\u044b\u0439 \u043e\u0431\u043c\u0435\u043d \u0443 \u043b\u0438\u0446 \u0441 \u0436\u0435\u043b\u0447\u043d\u043e\u043a\u0430\u043c\u0435\u043d\u043d\u043e\u0439 \u0431\u043e\u043b\u0435\u0437\u043d\u044c\u044e. University Therapeutic Journal, 2020. \u0422\u043e\u043c 2. \u2116 1. C. 74\u201375.) [em russo]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">12.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Khimich, S.D. An\u00e1lise das Caracter\u00edsticas Morfofuncionais do Desenvolvimento e Curso de Certas Doen\u00e7as Cir\u00fargicas Agudas dos \u00d3rg\u00e3os Abdominais em Pacientes com Obesidade: Resumo da Disserta\u00e7\u00e3o para o Grau de Doutor em Ci\u00eancias M\u00e9dicas. [em russo] \u041c.: 2002. 38 \u0441.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">13.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Barak O., Elazary R., Appelbaum L., Rivkind A., Almogy G. Tratamento conservador para colecistite aguda: preditores cl\u00ednicos e radiogr\u00e1ficos de falha. Isr Med Assoc J, 2009. 11. \u0421. 739\u2013743.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">14.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Chen L.Y., Qiao Q.H., Zhang S.C., Chen Y.H., Chao G.Q., Fang L.Z. Metabolic syndrome and gallstone disease. World J Gastroenterol, 2012. 18. \u0421. 4215\u20134220.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">15.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Cotton P.B., Elta G.H., Carter C.R., Pasricha P.J., Corazziari E.S. Rome IV. Disfun\u00e7\u00f5es da ves\u00edcula biliar e do esf\u00edncter de Oddi. Gastroenterology, 2016. pii: S0016-5085(16)00224-9.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">16.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">McGlone E.R., Bloom S.R. \u00c1cidos biliares e a s\u00edndrome metab\u00f3lica. Annals of Clinical Biochemistry, 2019. 56(3). \u0421. 326\u2013337.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">17.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Wang Y., Qi M., Qin C., Hong J. Papel do microbioma biliar na doen\u00e7a do c\u00e1lculo biliar. Expert Review of Gastroenterology & Hepatology, 2018. 12(12). \u0421. 1193\u20131205.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>A colecistite\u00e9 uma doen\u00e7a caracterizada pela inflama\u00e7\u00e3o da ves\u00edcula biliar em resultado da sua obstru\u00e7\u00e3o (calculosa) e dist\u00farbio do fluxo biliar ou por outras raz\u00f5es (n\u00e3o calculosa). Classifica\u00e7\u00e3o de colecistites Segundo a evolu\u00e7\u00e3o da doen\u00e7a Segundo etiologia Segundo a forma cl\u00ednica e morfol\u00f3gica Modelo 3Dde colecistite segundo a forma cl\u00ednica e morfol\u00f3gica: Quanto \u00e0 gravidade [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":0,"template":"","diseases_category":[298],"class_list":["post-1558","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-hepatologia"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Colecistite: formas, causas, sintomas, diagn\u00f3stico e tratamento<\/title>\n<meta name=\"description\" content=\"Colecistite: etiologia, classifica\u00e7\u00e3o, caracter\u00edsticas cl\u00ednicas e diagn\u00f3stico. 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