{"id":35008,"date":"2025-04-07T14:52:29","date_gmt":"2025-04-07T17:52:29","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=35008"},"modified":"2026-04-24T15:32:14","modified_gmt":"2026-04-24T18:32:14","slug":"doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/","title":{"rendered":"Doen\u00e7a Ulcerosa P\u00e9ptica: sinais e sintomas, diagn\u00f3stico, fatores de risco e mais!"},"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\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Introducao\" >Introdu\u00e7\u00e3o<\/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\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Manifestacoes_Clinicas_da_Doenca_Ulcerosa_Peptica\" >Manifesta\u00e7\u00f5es Cl\u00ednicas da Doen\u00e7a Ulcerosa P\u00e9ptica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Diagnostico_da_DUP\" >Diagn\u00f3stico da DUP<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Tratamento_e_Perspectivas_Futuras\" >Tratamento e Perspectivas Futuras<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Aprenda_as_classificacoes_endoscopicas_desta_patologia\" >Aprenda as classifica\u00e7\u00f5es endosc\u00f3picas desta patologia<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Indicacoes_de_EDA_na_DUP\" >Indica\u00e7\u00f5es de EDA na DUP<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Classificacao_de_Sakita\" >Classifica\u00e7\u00e3o de Sakita<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Classificacao_de_Johnson\" >Classifica\u00e7\u00e3o de Johnson<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Classificacao_de_Forrest\" >Classifica\u00e7\u00e3o de Forrest<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Tratamento_Clinico\" >Tratamento Cl\u00ednico<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Manejo_nao_farmacologico\" >Manejo n\u00e3o farmacol\u00f3gico\u00a0<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Tratamento_farmacologico\" >Tratamento farmacol\u00f3gico<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/doenca-ulcerosa-peptica-sinais-e-sintomas-diagnostico-fatores-de-risco-e-mais\/#Seja_um_MedCofer\" >Seja um MedCofer!<\/a><\/li><\/ul><\/nav><\/div>\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"576\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519-1024x576.jpg\" alt=\"\" class=\"wp-image-35010\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/04\/Blog-MedCof-2025-04-07T144243.519.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>Neste artigo, voc\u00ea entender\u00e1 um pouco mais sobre a<strong> Doen\u00e7a Ulcerosa P\u00e9ptica<\/strong> que acomete cerca de 10% da popula\u00e7\u00e3o mundial.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-introducao\"><span class=\"ez-toc-section\" id=\"Introducao\"><\/span><strong>Introdu\u00e7\u00e3o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A <strong>Doen\u00e7a Ulcerosa P\u00e9ptica (DUP) <\/strong>\u00e9 definida como a ruptura da barreira defensiva da mucosa epitelial do est\u00f4mago e duodeno, causada pelo desequil\u00edbrio entre fatores de prote\u00e7\u00e3o e de destrui\u00e7\u00e3o que atuam na homeostase da mucosa.<\/p>\n\n\n\n<p>Diferente de outras patologias, a doen\u00e7a ulcerosa p\u00e9ptica s\u00f3 pode ser diagnosticada a partir da evid\u00eancia endosc\u00f3pica da visualiza\u00e7\u00e3o da les\u00e3o, por isso, lan\u00e7a-se m\u00e3o de classifica\u00e7\u00f5es convencionadas para facilitar a identificar o grau da les\u00e3o e seu est\u00e1gio atual, que ser\u00e3o imprescind\u00edveis para o manejo adequado da DUP.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-manifestacoes-clinicas-da-doenca-ulcerosa-peptica\"><span class=\"ez-toc-section\" id=\"Manifestacoes_Clinicas_da_Doenca_Ulcerosa_Peptica\"><\/span><strong>Manifesta\u00e7\u00f5es Cl\u00ednicas da Doen\u00e7a Ulcerosa P\u00e9ptica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A DUP \u00e9 assintom\u00e1tica em aproximadamente 70% dos casos, sendo comum que os sintomas se manifestem durante complica\u00e7\u00f5es.<\/p>\n\n\n\n<p>Nos casos sintom\u00e1ticos, a dispepsia \u00e9 uma queixa comum, caracterizada por uma dor epig\u00e1strica em queima\u00e7\u00e3o com padr\u00e3o c\u00edclico relacionado aos h\u00e1bitos alimentares.<\/p>\n\n\n\n<p>Rela\u00e7\u00e3o da alimenta\u00e7\u00e3o com a dor!<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00dalceras duodenais: Al\u00edvio com alimenta\u00e7\u00e3o e anti\u00e1cidos, piora durante estresse emocional, ocorrendo 2-5 horas ap\u00f3s a refei\u00e7\u00e3o, especialmente \u00e0 noite (<strong>despertar noturno)<\/strong>.<\/li>\n\n\n\n<li>\u00dalceras g\u00e1stricas: Piora com alimenta\u00e7\u00e3o, frequentemente associada a n\u00e1useas e perda ponderal.<\/li>\n\n\n\n<li>\u00dalceras do canal pil\u00f3rico: Dor epig\u00e1strica, arrotos p\u00f3s-prandiais, plenitude epig\u00e1strica, saciedade precoce, intoler\u00e2ncia a alimentos gordurosos, n\u00e1useas e v\u00f4mitos ocasionais.\u00a0<\/li>\n<\/ul>\n\n\n\n<p>Outros sintomas incluem n\u00e1useas, v\u00f4mitos, anorexia e distens\u00e3o abdominal. Complica\u00e7\u00f5es podem manifestar-se com hemorragia (hemat\u00eamese ou melena), abdome agudo e sintomas obstrutivos.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-diagnostico-da-dup\"><span class=\"ez-toc-section\" id=\"Diagnostico_da_DUP\"><\/span><strong>Diagn\u00f3stico da DUP<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O diagn\u00f3stico \u00e9 confirmado por visualiza\u00e7\u00e3o direta da les\u00e3o, sendo essencial uma anamnese detalhada e exame f\u00edsico para criar a suspeita e prosseguir com a investiga\u00e7\u00e3o.<\/p>\n\n\n\n<p>A endoscopia \u00e9 o padr\u00e3o-ouro, recomendada para pacientes com sintomas disp\u00e9pticos acima de 45 anos ou sinais de alerta para malignidade.<\/p>\n\n\n\n<p>Sinais de Alerta:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Perda de peso;<\/li>\n\n\n\n<li>Anemia;<\/li>\n\n\n\n<li>Disfagia;<\/li>\n\n\n\n<li>V\u00f4mitos;<\/li>\n\n\n\n<li>Icter\u00edcia;<\/li>\n\n\n\n<li>Hemat\u00eamese;<\/li>\n\n\n\n<li>Massa palp\u00e1vel ou linfonodomegalia;<\/li>\n\n\n\n<li>Hist\u00f3ria familiar de neoplasia;<\/li>\n\n\n\n<li>Gastrectomia pr\u00e9via;<\/li>\n<\/ul>\n\n\n\n<p>Para saber mais sobre os achados endosc\u00f3picos da doen\u00e7a ulcerosa p\u00e9ptica acesse o nosso post: <em>\u201cDoen\u00e7a Ulcerosa P\u00e9ptica: Aprenda as classifica\u00e7\u00f5es endosc\u00f3picas desta patologia!\u201d<\/em><\/p>\n\n\n\n<p>Al\u00e9m da endoscopia temos os testes diagn\u00f3sticos para o H.pylori, para investigar a necessidade de fazer o tratamento de erradica\u00e7\u00e3o ou n\u00e3o.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>TESTE<\/strong><\/td><td><strong>SENSIBILIDADE E ESPECIFICIDADE<\/strong><\/td><td><strong>CARACTER\u00cdSTICA<\/strong><\/td><\/tr><tr><td>Teste r\u00e1pidode urease<\/td><td>98% \/ &gt;93%<\/td><td>Invasivo<\/td><\/tr><tr><td>Histopatol\u00f3gico<\/td><td>&gt;93% \/ &gt;95%<\/td><td>Padr\u00e3o-Ouro Invasivo<\/td><\/tr><tr><td>Cultura<\/td><td>77-92% \/ &gt;97%<\/td><td>Invasivo Determina sensibilidade da bact\u00e9ria<\/td><\/tr><tr><td>Elisa<\/td><td>88-99% \/ 86-95%<\/td><td>N\u00e3o invasivo N\u00e3o pode ser utilizado como controle de cura<\/td><\/tr><tr><td>Teste de ureia respirat\u00f3ria<\/td><td>&gt;90% \/ &gt;89%<\/td><td>N\u00e3o invasivo \u2013 Bom para controle de cura.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Outros exames laboratoriais podem ser solicitados dependendo da suspeita cl\u00ednica, incluindo hemograma, bioqu\u00edmica hep\u00e1tica, creatinina s\u00e9rica e c\u00e1lcio.<\/p>\n\n\n\n<p>Para pacientes que apresentam sintomas disp\u00e9pticos mas n\u00e3o possuem indica\u00e7\u00e3o de realiza\u00e7\u00e3o de EDA, pode-se utilizar m\u00e9todos n\u00e3o invasivos para detectar infec\u00e7\u00e3o por H.pylori e iniciar tratamento emp\u00edrico com inibidores da bomba de pr\u00f3tons por cerca de 4 semanas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tratamento-e-perspectivas-futuras\"><span class=\"ez-toc-section\" id=\"Tratamento_e_Perspectivas_Futuras\"><\/span><strong>Tratamento e Perspectivas Futuras<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O tratamento da DUP \u00e9 multifacetado e pode envolver medicamentos para supress\u00e3o \u00e1cida, erradica\u00e7\u00e3o do H. pylori e manejo de complica\u00e7\u00f5es. Abordaremos op\u00e7\u00f5es de tratamento mais detalhadamente em artigos subsequentes.<\/p>\n\n\n\n<p>Fique atento para atualiza\u00e7\u00f5es sobre a doen\u00e7a ulcerosa p\u00e9ptica. Para informa\u00e7\u00f5es mais recentes e abrangentes, continue acompanhando nossos artigos dedicados a este tema essencial na medicina.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-aprenda-as-classificacoes-endoscopicas-desta-patologia\"><span class=\"ez-toc-section\" id=\"Aprenda_as_classificacoes_endoscopicas_desta_patologia\"><\/span><strong>Aprenda as classifica\u00e7\u00f5es endosc\u00f3picas desta patologia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-indicacoes-de-eda-na-dup\"><span class=\"ez-toc-section\" id=\"Indicacoes_de_EDA_na_DUP\"><\/span><strong>Indica\u00e7\u00f5es de EDA na DUP<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>As indica\u00e7\u00f5es de Endoscopia Digestiva Alta (EDA) na doen\u00e7a ulcerosa p\u00e9ptica est\u00e3o baseadas na hist\u00f3ria sugestiva e risco de gravidade. Portanto, a EDA est\u00e1 indicada para qualquer paciente que apresente sinais de alarme, com hist\u00f3ria cl\u00ednica sugestiva de doen\u00e7a ulcerosa.<\/p>\n\n\n\n<p><strong>Fique de olho nos sinais de alarme!<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Idade \u2265 40-55 anos (depende da literatura);<\/li>\n\n\n\n<li>Hist\u00f3ria familiar de c\u00e2ncer gastrintestinal;<\/li>\n\n\n\n<li>Emagrecimento;<\/li>\n\n\n\n<li>Sangramento gastrintestinal;<\/li>\n\n\n\n<li>Anemia ferropriva de etiologia inexplicada;<\/li>\n\n\n\n<li>Disfagia ou odinofagia;<\/li>\n\n\n\n<li>V\u00f4mitos persistentes;<\/li>\n\n\n\n<li>Massa palp\u00e1vel;<\/li>\n\n\n\n<li>Icter\u00edcia;<\/li>\n\n\n\n<li>Linfadenopatia.\u00a0<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-de-sakita\"><span class=\"ez-toc-section\" id=\"Classificacao_de_Sakita\"><\/span><strong>Classifica\u00e7\u00e3o de Sakita<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>A classifica\u00e7\u00e3o de Sakita vai estratificar em que fase do ciclo evolutivo a \u00falcera est\u00e1.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXcWbI1BPSqRVw8Nqg5i9yhOsL48_U0hVQ0ZTqLNjN_JZEmzPegHrgHPnxMf91c0_nuYIxENxouLcKR-p5CNbqLElCJRaZsB4x3kHjLQ-4PjE2dhvksNWUpJQaY9uxgD1Vfjk1yKXw?key=Cqinjfy99zG8cR_99sVydvw7\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Acervo de ilustra\u00e7\u00f5es Grupo MedCof<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A1 (Active)<\/strong> : Les\u00e3o com bordas planas e n\u00edtidas, fundo com fibrina e\/ou restos necr\u00f3ticos;<\/li>\n\n\n\n<li><strong>A2 (Active)<\/strong> : Les\u00e3o com bordas bem definidas, podem ser elevadas e n\u00edtidas, fundo com fibrina espessa clara;<\/li>\n\n\n\n<li><strong>H1 (Healing):<\/strong> Fibrina mais t\u00eanue, converg\u00eancia de pregas, com hiperemia marginal;<\/li>\n\n\n\n<li><strong>H2 (Healing):<\/strong> Ilhas de tecido de regenera\u00e7\u00e3o, converg\u00eancia n\u00edtida e hiperemia marginal;<\/li>\n\n\n\n<li><strong>S1\u00a0 (Scar):<\/strong> Cicatriz vermelha com rea\u00e7\u00e3o inflamat\u00f3ria adjacente residual;<\/li>\n\n\n\n<li><strong>S2\u00a0 (Scar):<\/strong> Cicatriz branca, com retra\u00e7\u00e3o adjacente vari\u00e1vel, com resolu\u00e7\u00e3o do quadro.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-de-johnson\"><span class=\"ez-toc-section\" id=\"Classificacao_de_Johnson\"><\/span><strong>Classifica\u00e7\u00e3o de Johnson<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>J\u00e1 a classifica\u00e7\u00e3o de Johnson para a \u00falcera p\u00e9ptica leva em considera\u00e7\u00e3o a localiza\u00e7\u00e3o da \u00falcera, correlacionando com o estado de hipo, hiper ou normocloridria. Confira a classifica\u00e7\u00e3o abaixo:<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXffy1brmvvfnDiL5CFJ9-DxwvQhRqDohpoPvgKpITl5QybMUoSBs8UmMd-jPGmTXhjkCWk_yLPKBOKrDUA3IMgBr35KhqlmT0VGP8apj9lpnrORDVmWfDt5tJ2hLabGP2Zi8gG-Ew?key=Cqinjfy99zG8cR_99sVydvw7\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Fonte: Google imagens.<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tipo I (60-70%):<\/strong> pequena curvatura junto a incisura angularis \u2013 normo ou hipocloridria;<\/li>\n\n\n\n<li><strong>Tipo II (15%):<\/strong> g\u00e1strica ou duodenal \u2013 hipercloridria;<\/li>\n\n\n\n<li><strong>Tipo III ( 20%):<\/strong> pr\u00e9-pil\u00f3rica at\u00e9 3 cm do piloro \u2013 hipercloridria;<\/li>\n\n\n\n<li><strong>Tipo IV (&lt;5%):<\/strong> \u00falcera alta, corpo proximal ou cardia \u2013 normo ou hipocloridria; e<\/li>\n\n\n\n<li><strong>Tipo V:<\/strong> v\u00e1rias \u00falceras, em qualquer regi\u00e3o, causadas por ANES.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-classificacao-de-forrest\"><span class=\"ez-toc-section\" id=\"Classificacao_de_Forrest\"><\/span><strong>Classifica\u00e7\u00e3o de Forrest<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Por fim, a classifica\u00e7\u00e3o de Forrest para a \u00falcera p\u00e9ptica hemorr\u00e1gica vai estadiar o risco de ressangramento a partir da visualiza\u00e7\u00e3o direta da les\u00e3o. Observe abaixo:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>Forrest<\/td><td>Achado endosc\u00f3pico<\/td><td>Taxa de ressangramento<\/td><\/tr><tr><td>Sangramento ativo<\/td><td><\/td><td><\/td><\/tr><tr><td>IA<\/td><td>Sangramento \u201cem jato\u201d &#8211; arterial<\/td><td>&gt; 90%<\/td><\/tr><tr><td>IB<\/td><td>Sangramento \u201cem baba\u00e7\u00e3o\u201d &#8211; venoso<\/td><td>30-51%<\/td><\/tr><tr><td>Sangramento recente<\/td><td><\/td><td><\/td><\/tr><tr><td>IIA<\/td><td>Vaso vis\u00edvel sem sangramento<\/td><td>25-41%<\/td><\/tr><tr><td>IIB<\/td><td>Co\u00e1gulo aderido<\/td><td>10-20%<\/td><\/tr><tr><td>IIC<\/td><td>Base com hemantina<\/td><td>0-30%<\/td><\/tr><tr><td>Sem sinais de sangramento<\/td><td><\/td><td><\/td><\/tr><tr><td>III<\/td><td>Base limpa, sem sangramento<\/td><td>0-2%<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXeuJrkLGxffDHGhGI7gnwk7sIjb9nL8D2kX1Z05Wqhcbg1WixbRjnrXfgLzAV0tbUomw3ukYaX2QsIeWreE1-YPfMJAWmsWpyqiQ3o5J7yIIyANVJf7-iayDHHL9pezZ8pDeasC?key=Cqinjfy99zG8cR_99sVydvw7\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Fonte: Google imagens.<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tratamento-clinico\"><span class=\"ez-toc-section\" id=\"Tratamento_Clinico\"><\/span><strong>Tratamento Cl\u00ednico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-manejo-nao-farmacologico\"><span class=\"ez-toc-section\" id=\"Manejo_nao_farmacologico\"><\/span><strong>Manejo n\u00e3o farmacol\u00f3gico\u00a0<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Para todos os pacientes, \u00e9 crucial adotar estrat\u00e9gias n\u00e3o farmacol\u00f3gicas, eliminando fatores de risco como o uso de AINES, tabagismo e consumo excessivo de \u00e1lcool. Estimular a perda de peso em casos de sobrepeso e evitar alimentos que exacerbam os sintomas s\u00e3o medidas essenciais.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tratamento-farmacologico\"><span class=\"ez-toc-section\" id=\"Tratamento_farmacologico\"><\/span><strong>Tratamento farmacol\u00f3gico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-inibidores-da-bomba-de-protons-ibp\"><strong>Inibidores da bomba de Pr\u00f3tons (IBP)<\/strong><\/h4>\n\n\n\n<p>Os IBPs s\u00e3o a primeira linha de tratamento para \u00falceras p\u00e9pticas, reduzindo a secre\u00e7\u00e3o g\u00e1strica e, consequentemente, mitigando a agress\u00e3o que leva \u00e0 les\u00e3o e aos sintomas cl\u00ednicos.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><em>Aus\u00eancia de infec\u00e7\u00e3o por H. pylori:<\/em>\n<ul class=\"wp-block-list\">\n<li>\u00dalceras duodenais n\u00e3o complicadas: IBP por 4 semanas.<\/li>\n\n\n\n<li>\u00dalceras g\u00e1stricas ou duodenais complicadas: IBP por 8 semanas.<\/li>\n\n\n\n<li>Retomar o tratamento em caso de recidiva.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><em>Presen\u00e7a de H. pylori em \u00falceras n\u00e3o complicadas:<\/em> Iniciar IBP e, ap\u00f3s 1 semana, iniciar o tratamento de erradica\u00e7\u00e3o.<\/li>\n\n\n\n<li><em>Presen\u00e7a de H. pylori em \u00falceras complicadas:<\/em> Iniciar IBP EV em alta dose, mudando para via oral quando vi\u00e1vel, reduzindo a dose por 4 a 12 semanas.<\/li>\n<\/ul>\n\n\n\n<p>O uso cont\u00ednuo de IBP \u00e9 indicado se o paciente apresentar mais de duas das seguintes situa\u00e7\u00f5es:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00dalcera > 2 cm, idade > 50 anos ou m\u00faltiplas comorbidades.<\/li>\n\n\n\n<li>Aus\u00eancia de H. pylori e de uso de AINE.<\/li>\n\n\n\n<li>\u00dalcera refrat\u00e1ria (\u00falcera > 5 mm ap\u00f3s 12 semanas de terapia antissecretora).<\/li>\n\n\n\n<li>Falha em erradicar H. pylori.<\/li>\n\n\n\n<li>\u00dalcera recorrente (> 2 epis\u00f3dios por ano).<\/li>\n\n\n\n<li>Uso cont\u00ednuo de AINE.<\/li>\n<\/ul>\n\n\n\n<p>Os antagonistas de receptor H2 (Cimetidina e Ranitidina) s\u00e3o a segunda op\u00e7\u00e3o na primeira linha de tratamento, enquanto os anti\u00e1cidos s\u00e3o f\u00e1rmacos de segunda linha.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-erradicacao-do-h-pylori\"><strong>Erradica\u00e7\u00e3o do H.pylori<\/strong><\/h4>\n\n\n\n<p>O tratamento de erradica\u00e7\u00e3o do H. pylori \u00e9 crucial para pacientes com sintomas disp\u00e9pticos ou \u00falcera p\u00e9ptica (sintom\u00e1tica ou n\u00e3o), evidenciando infec\u00e7\u00e3o por essa bact\u00e9ria.<\/p>\n\n\n\n<p>A erradica\u00e7\u00e3o \u00e9 realizada com <strong>Claritromicina 500mg + Amoxicilina 500mg, a cada 12 horas por 14 dias,<\/strong> associado a IBP.<\/p>\n\n\n\n<p>O <strong>controle de cura<\/strong> \u00e9 recomendado ap\u00f3s 4 semanas do t\u00e9rmino do tratamento, especialmente em \u00falceras g\u00e1stricas, devido \u00e0 possibilidade de neoplasia.<\/p>\n\n\n\n<p>Em casos de complica\u00e7\u00f5es, falhas no tratamento ou recidivas, o manejo cir\u00fargico \u00e9 considerado.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.grupomedcof.com.br\/cofletters\/\" target=\"_blank\" rel=\" noreferrer noopener\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"320\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1024x320.png\" alt=\"\" class=\"wp-image-33723\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1024x320.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-300x94.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-768x240.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1536x480.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-2048x640.png 2048w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1343x420.png 1343w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-150x47.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-696x218.png 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1068x334.png 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/02\/Banner-MedCof-Plus-2200x460-11-1920x600.png 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Seja_um_MedCofer\"><\/span><strong>Seja um MedCofer!<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Quer alcan\u00e7ar a aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o seja um&nbsp;<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>MedCofer<\/strong><\/a>! Aqui te ajudaremos na busca da aprova\u00e7\u00e3o com conte\u00fados de qualidade e uma metodologia que j\u00e1 aprovou mais de 10 mil residentes no pa\u00eds! Por fim, acesse o nosso<a href=\"https:\/\/www.youtube.com\/@GrupoMedcof\/featured\">&nbsp;<strong>canal do youtube&nbsp;<\/strong><\/a>para ver o nosso material.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<div class=\"youtube-embed\" data-video_id=\"nh9ej7hbU2s\"><iframe loading=\"lazy\" title=\"MEGA LIVE | R+ CIRURGIA USP-SP\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/nh9ej7hbU2s?feature=oembed&#038;enablejsapi=1\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div>\n<\/div><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Neste artigo, voc\u00ea entender\u00e1 um pouco mais sobre a Doen\u00e7a Ulcerosa P\u00e9ptica que acomete cerca de 10% da popula\u00e7\u00e3o mundial. Veja!<\/p>\n","protected":false},"author":18,"featured_media":35010,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[135],"tags":[2803,2802],"ppma_author":[3611],"class_list":{"0":"post-35008","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-cirurgia-geral","8":"tag-doenca-ulcerosa-peptica","9":"tag-dup"},"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\u00e7a Ulcerosa P\u00e9ptica: Sintomas, Diagn\u00f3stico e Riscos | MedCof<\/title>\n<meta name=\"description\" content=\"Neste artigo, voc\u00ea entender\u00e1 um pouco mais sobre a Doen\u00e7a Ulcerosa P\u00e9ptica que acomete cerca de 10% da popula\u00e7\u00e3o mundial. 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