{"id":1660,"date":"2022-08-18T11:00:59","date_gmt":"2022-08-18T14:00:59","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=1660"},"modified":"2022-08-18T11:00:59","modified_gmt":"2022-08-18T14:00:59","slug":"doencas-inflamatorias-intestinais-tratamento-operatorio","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/","title":{"rendered":"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/#Doencas_Inflamatorias_Intestinais_tratamento_operatorio\" >Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/#Quais_sao_as_operacoes_existentes_para_DII\" >Quais s\u00e3o as opera\u00e7\u00f5es existentes para DII?<\/a><\/li><\/ul><\/nav><\/div>\n<ul>\n<li><a data-sharer=\"facebook\" data-url=\"https:\/\/www.grupomedcof.com.br\/blog\/?p=1660\" data-hashtags=\"\" data-title=\"\" data-image=\"\" data-to=\"\" data-subject=\"\">\u00a0<\/a><\/li>\n<li><a data-sharer=\"twitter\" data-url=\"https:\/\/www.grupomedcof.com.br\/blog\/?p=1660\" data-hashtags=\"\" data-title=\"\" data-image=\"\" data-to=\"\" data-subject=\"\">\u00a0<\/a><\/li>\n<li><a data-sharer=\"linkedin\" data-url=\"https:\/\/www.grupomedcof.com.br\/blog\/?p=1660\" data-hashtags=\"\" data-title=\"\" data-image=\"\" data-to=\"\" data-subject=\"\">\u00a0<\/a><\/li>\n<li><a data-sharer=\"whatsapp\" data-url=\"https:\/\/www.grupomedcof.com.br\/blog\/?p=1660\" data-hashtags=\"\" data-title=\"\" data-image=\"\" data-to=\"\" data-subject=\"\">\u00a0<\/a><\/li>\n<\/ul>\n<style>\/*! elementor - v3.6.6 - 08-06-2022 *\/<br \/>\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style>\n<h2><span class=\"ez-toc-section\" id=\"Doencas_Inflamatorias_Intestinais_tratamento_operatorio\"><\/span>Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<style>\/*! elementor - v3.6.6 - 08-06-2022 *\/<br \/>\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1-768x432.png\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1-768x432.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1-1024x576.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1-1536x864.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1-2048x1152.png 2048w\" alt=\"doen\u00e7as inflamat\u00f3rias intestinais\" width=\"768\" height=\"432\" \/><\/p>\n<p>A doen\u00e7a inflamat\u00f3ria intestinal (DII) \u00e9 um espectro de doen\u00e7a do intestino que geralmente \u00e9 categorizada em duas: a Doen\u00e7a de Crohn (DC) e a Retocolite Ulcerativa (RCU).<\/p>\n<p>O tratamento dessa condi\u00e7\u00e3o \u00e9 complexo e deve ser multidisciplinar, visto a complexidade e cronicidade dela. Uma das op\u00e7\u00f5es terap\u00eauticas mais avan\u00e7adas \u00e9 a abordagem cir\u00fargica.<\/p>\n<p>Nesse texto, vamos entender quais s\u00e3o as cirurgias dispon\u00edveis para a DII e, o mais importante, quando elas devem ser indicadas.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Quais_sao_as_operacoes_existentes_para_DII\"><\/span>Quais s\u00e3o as opera\u00e7\u00f5es existentes para DII?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>As opera\u00e7\u00f5es existentes para a RCU e para a DC visam a resolu\u00e7\u00e3o de complica\u00e7\u00f5es anat\u00f4micas e estruturais decorrentes do processo inflamat\u00f3rio cr\u00f4nico. S\u00e3o elas:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Drenagem de cole\u00e7\u00f5es e abscessos por via percut\u00e2nea ou aberta;<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Ressec\u00e7\u00f5es cir\u00fargicas de segmentos acometidos;<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Estenoplastias (ou seja, plastia de estenoses);<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Corre\u00e7\u00e3o de f\u00edstulas;<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Ostomias em casos selecionados.<\/li>\n<\/ul>\n<p>Os portadores de Doen\u00e7a de Crohn &#8211; que acomete o trato gastrintestinal completamente, da boca ao \u00e2nus, e transmuralmente, da mucosa interna \u00e0 serosa ou advent\u00edcia externa &#8211; podem se beneficiar de cirurgia em diferentes contextos. Veja a tabela a seguir que cont\u00e9m as indica\u00e7\u00f5es absolutas e relativas de cirurgia:<\/p>\n<table>\n<thead>\n<tr>\n<th>INDICA\u00c7\u00d5ES ABSOLUTAS<\/th>\n<th>INDICA\u00c7\u00d5ES RELATIVAS<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>PERFURA\u00c7\u00c3O\/ABSESSO<\/td>\n<td>INTRATABILIDADE CL\u00cdNICA<\/td>\n<\/tr>\n<tr>\n<td>HEMORRAGIA PROFUSA<\/td>\n<td>RETARDO CRESCIMENTO NA FAIXA PEDI\u00c1TRICA<\/td>\n<\/tr>\n<tr>\n<td>OBSTRU\u00c7\u00c3O<\/td>\n<td>MASSA PALP\u00c1VEL\/PLASTR\u00c3O<\/td>\n<\/tr>\n<tr>\n<td>C\u00c2NCER\/DISPLASIA<\/td>\n<td>F\u00cdSTULAS COMPLEXAS<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Para entender tais indica\u00e7\u00f5es, devemos seguir o princ\u00edpio que nenhum tratamento \u00e9 in\u00f3cuo ou isento de riscos, e as cirurgias tem os seus. Portanto, os benef\u00edcios da interven\u00e7\u00e3o &#8211; como em tudo na Medicina &#8211; devem superar os potenciais preju\u00edzos. Nos casos de emerg\u00eancias mais agudas, como a perfura\u00e7\u00e3o, abscesso, sangramento e obstru\u00e7\u00e3o, h\u00e1 grave risco de morte e n\u00e3o h\u00e1 tratamento cl\u00ednico que resolva o problema. A presen\u00e7a de displasia ou carcinoma numa bi\u00f3psia tamb\u00e9m \u00e9, claramente, indica\u00e7\u00e3o suficiente para operar o paciente. No caso das indica\u00e7\u00f5es relativas, n\u00e3o h\u00e1 risco iminente de morte, por\u00e9m os benef\u00edcios potencialmente superam os riscos, sendo necess\u00e1ria a pondera\u00e7\u00e3o da equipe m\u00e9dica sobre a decis\u00e3o de operar.<\/p>\n<p>J\u00e1 nos casos de Retocolite Ulcerativa &#8211; manifesta\u00e7\u00e3o da DII que acomete n\u00e3o o trato gastristinal por completo, mas apenas o reto e c\u00f3lon, e n\u00e3o de forma transmural, mas apenas mucosa e submucosa &#8211; as indica\u00e7\u00f5es operat\u00f3rias s\u00e3o praticamente iguais, com algumas poucas peculiaridades.<\/p>\n<p>Confira na tabela a seguir quais s\u00e3o elas:<\/p>\n<table>\n<thead>\n<tr>\n<th>INDICA\u00c7\u00d5ES ABSOLUTAS<\/th>\n<th>INDICA\u00c7\u00d5ES RELATIVAS<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>COLITE AGUDA OU MEGACOLON T\u00d3XICO<\/td>\n<td>INTRATABILIDADE CL\u00cdNICA<\/td>\n<\/tr>\n<tr>\n<td>PERFURA\u00c7\u00c3O<\/td>\n<td>PERFURA\u00c7\u00c3O<\/td>\n<\/tr>\n<tr>\n<td>HEMORRAGIA COM INSTABILIDADE<\/td>\n<td>ANEMIA GRAVE TRANSFUS\u00d5ES FREQUENTES<\/td>\n<\/tr>\n<tr>\n<td>C\u00c2NCER\/DISPLASIA<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Perceba, que como na DC, a presen\u00e7a de altera\u00e7\u00f5es oncol\u00f3gicas ou emerg\u00eancias abdominais como hemorragias graves, perfura\u00e7\u00e3o tamb\u00e9m s\u00e3o indica\u00e7\u00e3o absoluta. Uma indica\u00e7\u00e3o n\u00e3o inclu\u00edda na tabela da DC \u00e9 a colite aguda ou megac\u00f3lon t\u00f3xico, que s\u00e3o complica\u00e7\u00f5es espec\u00edficas da RCU. No caso das indica\u00e7\u00f5es relativas, perceba que n\u00e3o se incluem as f\u00edstulas e a massa palp\u00e1vel, que s\u00e3o manifesta\u00e7\u00f5es da DC mas n\u00e3o da RCU. Por\u00e9m, se inclui a necessidade de transfus\u00f5essangu\u00edneas frequentes. Lembre-se que a anemia na DII se deve a dois mecanismos principais: as perdas intestinais e a inflama\u00e7\u00e3o cr\u00f4nica (lembra da anemia de doen\u00e7a cr\u00f4nica da Hematologia? Quem disse que cirurgia n\u00e3o precisa saber nada da cl\u00ednica?).<\/p>\n<p>A DII \u00e9 uma doen\u00e7a cr\u00f4nica potencialmente grave, com dois polos com manifesta\u00e7\u00f5es espec\u00edficas, e que podem desenvolver complica\u00e7\u00f5es importantes apesar do tratamento cl\u00ednico, tanto oncol\u00f3gicas quanto de urg\u00eancias abdominais. Entendemos que a\u00ed se encontra o papel das cirurgias para o manejo dos pacientes, sem nunca esquecer, por\u00e9m, que a multidisciplinaridade e longitudinalidade do cuidado s\u00e3o os elementos mais importantes para garantir a melhor qualidade de vida poss\u00edvel para os indiv\u00edduos acometidos.<\/p>\n<p><em>Por Gustavo Boog\u00a0<\/em><\/p>\n<p>N\u00e3o esquece de conferir nosso <a style=\"color: #0000ff;\" href=\"https:\/\/www.youtube.com\/channel\/UCdHMuOHKICxcHwecxN8P-AA\">canal do YouTube<\/a> com aulas gratuitas de diversas especialidades, corre\u00e7\u00f5es de provas e muito mais!<\/p>\n<style>\/*! elementor - v3.6.6 - 08-06-2022 *\/<br \/>\n.elementor-widget-divider{--divider-border-style:none;--divider-border-width:1px;--divider-color:#2c2c2c;--divider-icon-size:20px;--divider-element-spacing:10px;--divider-pattern-height:24px;--divider-pattern-size:20px;--divider-pattern-url:none;--divider-pattern-repeat:repeat-x}.elementor-widget-divider .elementor-divider{display:-webkit-box;display:-ms-flexbox;display:flex}.elementor-widget-divider .elementor-divider__text{font-size:15px;line-height:1;max-width:95%}.elementor-widget-divider .elementor-divider__element{margin:0 var(--divider-element-spacing);-ms-flex-negative:0;flex-shrink:0}.elementor-widget-divider .elementor-icon{font-size:var(--divider-icon-size)}.elementor-widget-divider .elementor-divider-separator{display:-webkit-box;display:-ms-flexbox;display:flex;margin:0;direction:ltr}.elementor-widget-divider--view-line_icon .elementor-divider-separator,.elementor-widget-divider--view-line_text .elementor-divider-separator{-webkit-box-align:center;-ms-flex-align:center;align-items:center}.elementor-widget-divider--view-line_icon .elementor-divider-separator:after,.elementor-widget-divider--view-line_icon .elementor-divider-separator:before,.elementor-widget-divider--view-line_text .elementor-divider-separator:after,.elementor-widget-divider--view-line_text .elementor-divider-separator:before{display:block;content:\"\";border-bottom:0;-webkit-box-flex:1;-ms-flex-positive:1;flex-grow:1;border-top:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--element-align-left .elementor-divider .elementor-divider-separator>.elementor-divider__svg:first-of-type{-webkit-box-flex:0;-ms-flex-positive:0;flex-grow:0;-ms-flex-negative:100;flex-shrink:100}.elementor-widget-divider--element-align-left .elementor-divider-separator:before{content:none}.elementor-widget-divider--element-align-left .elementor-divider__element{margin-left:0}.elementor-widget-divider--element-align-right .elementor-divider .elementor-divider-separator>.elementor-divider__svg:last-of-type{-webkit-box-flex:0;-ms-flex-positive:0;flex-grow:0;-ms-flex-negative:100;flex-shrink:100}.elementor-widget-divider--element-align-right .elementor-divider-separator:after{content:none}.elementor-widget-divider--element-align-right .elementor-divider__element{margin-right:0}.elementor-widget-divider:not(.elementor-widget-divider--view-line_text):not(.elementor-widget-divider--view-line_icon) .elementor-divider-separator{border-top:var(--divider-border-width) var(--divider-border-style) var(--divider-color)}.elementor-widget-divider--separator-type-pattern{--divider-border-style:none}.elementor-widget-divider--separator-type-pattern.elementor-widget-divider--view-line .elementor-divider-separator,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:after,.elementor-widget-divider--separator-type-pattern:not(.elementor-widget-divider--view-line) .elementor-divider-separator:before,.elementor-widget-divider--separator-type-pattern:not([class*=elementor-widget-divider--view]) .elementor-divider-separator{width:100%;min-height:var(--divider-pattern-height);-webkit-mask-size:var(--divider-pattern-size) 100%;mask-size:var(--divider-pattern-size) 100%;-webkit-mask-repeat:var(--divider-pattern-repeat);mask-repeat:var(--divider-pattern-repeat);background-color:var(--divider-color);-webkit-mask-image:var(--divider-pattern-url);mask-image:var(--divider-pattern-url)}.elementor-widget-divider--no-spacing{--divider-pattern-size:auto}.elementor-widget-divider--bg-round{--divider-pattern-repeat:round}.rtl .elementor-widget-divider .elementor-divider__text{direction:rtl}<\/style>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0 \u00a0 \u00a0 \u00a0 Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio A doen\u00e7a inflamat\u00f3ria intestinal (DII) \u00e9 um espectro de doen\u00e7a do intestino que geralmente \u00e9 categorizada em duas: a Doen\u00e7a de Crohn (DC) e a Retocolite Ulcerativa (RCU). O tratamento dessa condi\u00e7\u00e3o \u00e9 complexo e deve ser multidisciplinar, visto a complexidade e cronicidade dela. Uma das [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1662,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70,1],"tags":[71,72,131],"ppma_author":[3612],"class_list":{"0":"post-1660","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-coloproctologia","8":"category-uncategorized","9":"tag-diis","10":"tag-doenca-de-crohn","11":"tag-retocolite-ulcerativa"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.3 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio - Blog de Medcof: conte\u00fados, editais, revalida e mais!<\/title>\n<meta name=\"description\" content=\"As doen\u00e7as inflamat\u00f3rias intestinais (DII&#039;s) s\u00e3o um espectro de doen\u00e7a do intestino carrega em si import\u00e2ncia not\u00e1vel. Saiba mais!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio\" \/>\n<meta property=\"og:description\" content=\"As doen\u00e7as inflamat\u00f3rias intestinais (DII&#039;s) s\u00e3o um espectro de doen\u00e7a do intestino carrega em si import\u00e2ncia not\u00e1vel. Saiba mais!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/\" \/>\n<meta property=\"og:site_name\" content=\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/MedCofQbank\/\" \/>\n<meta property=\"article:published_time\" content=\"2022-08-18T14:00:59+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"2240\" \/>\n\t<meta property=\"og:image:height\" content=\"1260\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Patr\u00edcia Oliveira\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Patr\u00edcia Oliveira\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. tempo de leitura\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/\"},\"author\":{\"name\":\"Patr\u00edcia Oliveira\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/7a655db4c3da9796e0166bf55a9ea53a\"},\"headline\":\"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio\",\"datePublished\":\"2022-08-18T14:00:59+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/\"},\"wordCount\":736,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/08\\\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png\",\"keywords\":[\"DII's\",\"Doen\u00e7a de Crohn\",\"Retocolite Ulcerativa\"],\"articleSection\":[\"Coloproctologia\",\"Uncategorized\"],\"inLanguage\":\"pt-BR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/\",\"name\":\"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio - Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/08\\\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png\",\"datePublished\":\"2022-08-18T14:00:59+00:00\",\"description\":\"As doen\u00e7as inflamat\u00f3rias intestinais (DII's) s\u00e3o um espectro de doen\u00e7a do intestino carrega em si import\u00e2ncia not\u00e1vel. Saiba mais!\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/#breadcrumb\"},\"inLanguage\":\"pt-BR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/08\\\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/08\\\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png\",\"width\":2240,\"height\":1260,\"caption\":\"doen\u00e7as inflamat\u00f3rias intestinais\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/doencas-inflamatorias-intestinais-tratamento-operatorio\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"In\u00edcio\",\"item\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#website\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"name\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"description\":\"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\"},\"alternateName\":\"Blog de Medcof: conte\u00fados, editais, revalida e mais!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-BR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#organization\",\"name\":\"Grupo MedCof\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/01\\\/logo-medcof.png\",\"width\":768,\"height\":269,\"caption\":\"Grupo MedCof\"},\"image\":{\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/MedCofQbank\\\/\",\"https:\\\/\\\/www.instagram.com\\\/grupomedcof\\\/\",\"https:\\\/\\\/br.linkedin.com\\\/company\\\/medcof\",\"https:\\\/\\\/www.youtube.com\\\/channel\\\/UCdHMuOHKICxcHwecxN8P-AA\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/#\\\/schema\\\/person\\\/7a655db4c3da9796e0166bf55a9ea53a\",\"name\":\"Patr\u00edcia Oliveira\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-BR\",\"@id\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/furacao-96x96.png19e0d43e5696aaa42a3bb896953b331f\",\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/furacao-96x96.png\",\"contentUrl\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/wp-content\\\/uploads\\\/2022\\\/03\\\/furacao-96x96.png\",\"caption\":\"Patr\u00edcia Oliveira\"},\"sameAs\":[\"https:\\\/\\\/www.grupomedcof.com.br\\\/\"],\"url\":\"https:\\\/\\\/www.grupomedcof.com.br\\\/blog\\\/author\\\/patricia\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio - Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"As doen\u00e7as inflamat\u00f3rias intestinais (DII's) s\u00e3o um espectro de doen\u00e7a do intestino carrega em si import\u00e2ncia not\u00e1vel. Saiba mais!","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/","og_locale":"pt_BR","og_type":"article","og_title":"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio","og_description":"As doen\u00e7as inflamat\u00f3rias intestinais (DII's) s\u00e3o um espectro de doen\u00e7a do intestino carrega em si import\u00e2ncia not\u00e1vel. Saiba mais!","og_url":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/","og_site_name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","article_publisher":"https:\/\/www.facebook.com\/MedCofQbank\/","article_published_time":"2022-08-18T14:00:59+00:00","og_image":[{"width":2240,"height":1260,"url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png","type":"image\/png"}],"author":"Patr\u00edcia Oliveira","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"Patr\u00edcia Oliveira","Est. tempo de leitura":"7 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/#article","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/"},"author":{"name":"Patr\u00edcia Oliveira","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/7a655db4c3da9796e0166bf55a9ea53a"},"headline":"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio","datePublished":"2022-08-18T14:00:59+00:00","mainEntityOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/"},"wordCount":736,"commentCount":0,"publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png","keywords":["DII's","Doen\u00e7a de Crohn","Retocolite Ulcerativa"],"articleSection":["Coloproctologia","Uncategorized"],"inLanguage":"pt-BR"},{"@type":"WebPage","@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/","name":"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio - Blog de Medcof: conte\u00fados, editais, revalida e mais!","isPartOf":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/#primaryimage"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/#primaryimage"},"thumbnailUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png","datePublished":"2022-08-18T14:00:59+00:00","description":"As doen\u00e7as inflamat\u00f3rias intestinais (DII's) s\u00e3o um espectro de doen\u00e7a do intestino carrega em si import\u00e2ncia not\u00e1vel. Saiba mais!","breadcrumb":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/#breadcrumb"},"inLanguage":"pt-BR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/"]}]},{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/#primaryimage","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/08\/Sem-nome-Banner-para-blogue-1-1-1-1-1-1-1.png","width":2240,"height":1260,"caption":"doen\u00e7as inflamat\u00f3rias intestinais"},{"@type":"BreadcrumbList","@id":"https:\/\/www.grupomedcof.com.br\/blog\/doencas-inflamatorias-intestinais-tratamento-operatorio\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"In\u00edcio","item":"https:\/\/www.grupomedcof.com.br\/blog\/"},{"@type":"ListItem","position":2,"name":"Doen\u00e7as Inflamat\u00f3rias Intestinais: tratamento operat\u00f3rio"}]},{"@type":"WebSite","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#website","url":"https:\/\/www.grupomedcof.com.br\/blog\/","name":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","description":"Acesso o blog de MedCof! Seu portal de conte\u00fados sobre resid\u00eancia m\u00e9dica, an\u00e1lise e editais e muito mais. Clique e confira!","publisher":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization"},"alternateName":"Blog de Medcof: conte\u00fados, editais, revalida e mais!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.grupomedcof.com.br\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-BR"},{"@type":"Organization","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#organization","name":"Grupo MedCof","url":"https:\/\/www.grupomedcof.com.br\/blog\/","logo":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/01\/logo-medcof.png","width":768,"height":269,"caption":"Grupo MedCof"},"image":{"@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/MedCofQbank\/","https:\/\/www.instagram.com\/grupomedcof\/","https:\/\/br.linkedin.com\/company\/medcof","https:\/\/www.youtube.com\/channel\/UCdHMuOHKICxcHwecxN8P-AA"]},{"@type":"Person","@id":"https:\/\/www.grupomedcof.com.br\/blog\/#\/schema\/person\/7a655db4c3da9796e0166bf55a9ea53a","name":"Patr\u00edcia Oliveira","image":{"@type":"ImageObject","inLanguage":"pt-BR","@id":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/03\/furacao-96x96.png19e0d43e5696aaa42a3bb896953b331f","url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/03\/furacao-96x96.png","contentUrl":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/03\/furacao-96x96.png","caption":"Patr\u00edcia Oliveira"},"sameAs":["https:\/\/www.grupomedcof.com.br\/"],"url":"https:\/\/www.grupomedcof.com.br\/blog\/author\/patricia\/"}]}},"authors":[{"term_id":3612,"user_id":2,"is_guest":0,"slug":"patricia","display_name":"Patr\u00edcia Oliveira","avatar_url":"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2022\/03\/furacao-96x96.png","0":null,"1":"","2":"","3":"","4":"","5":"","6":"","7":"","8":""}],"_links":{"self":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/1660","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1660"}],"version-history":[{"count":0,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/posts\/1660\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media\/1662"}],"wp:attachment":[{"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1660"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/www.grupomedcof.com.br\/blog\/wp-json\/wp\/v2\/ppma_author?post=1660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}