{"id":36225,"date":"2025-06-17T10:00:36","date_gmt":"2025-06-17T13:00:36","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=36225"},"modified":"2025-06-17T10:00:38","modified_gmt":"2025-06-17T13:00:38","slug":"o-que-e-cpre-e-quando-realizar","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/o-que-e-cpre-e-quando-realizar\/","title":{"rendered":"O que \u00e9 CPRE e quando realizar"},"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\/o-que-e-cpre-e-quando-realizar\/#O_que_e_a_CPRE\" >O que \u00e9 a CPRE?<\/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\/o-que-e-cpre-e-quando-realizar\/#Quando_realizar_a_CPRE\" >Quando realizar a CPRE?<\/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\/o-que-e-cpre-e-quando-realizar\/#Quais_desafios_e_tecnicas_que_enfrentamos_ao_realizar_a_CPRE\" >Quais desafios e t\u00e9cnicas que enfrentamos ao realizar a CPRE?<\/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\/o-que-e-cpre-e-quando-realizar\/#Quais_as_possiveis_complicacoes_da_CPRE\" >Quais as poss\u00edveis complica\u00e7\u00f5es da CPRE?<\/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\/o-que-e-cpre-e-quando-realizar\/#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\/06\/Blog-MedCof-2025-06-17T095807.366-1024x576.jpg\" alt=\"\" class=\"wp-image-36226\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/06\/Blog-MedCof-2025-06-17T095807.366-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/06\/Blog-MedCof-2025-06-17T095807.366-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/06\/Blog-MedCof-2025-06-17T095807.366-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/06\/Blog-MedCof-2025-06-17T095807.366-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/06\/Blog-MedCof-2025-06-17T095807.366-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/06\/Blog-MedCof-2025-06-17T095807.366-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/06\/Blog-MedCof-2025-06-17T095807.366-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/06\/Blog-MedCof-2025-06-17T095807.366-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/06\/Blog-MedCof-2025-06-17T095807.366.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Imagem: Canva.<\/figcaption><\/figure>\n\n\n\n<p>A <strong>Colangiopancreatografia Retr\u00f3grada Endosc\u00f3pica (CPRE) <\/strong>\u00e9 um procedimento essencial na <strong>gastroenterologia e cirurgia,<\/strong> tanto para diagn\u00f3stico quanto para tratamento de diversas afec\u00e7\u00f5es das vias biliopancre\u00e1ticas.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-que-e-a-cpre\"><span class=\"ez-toc-section\" id=\"O_que_e_a_CPRE\"><\/span><strong>O que \u00e9 a CPRE?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A CPRE \u00e9 um <strong>procedimento m\u00e9dico <\/strong>que combina <strong>endoscopia e radiologia para diagnosticar e tratar doen\u00e7as do sistema biliar e pancre\u00e1tico<\/strong>. Suas principais indica\u00e7\u00f5es s\u00e3o:<\/p>\n\n\n\n<p>Terapia da obstru\u00e7\u00e3o ou les\u00e3o das vias biliopancre\u00e1ticas, isso inclui condi\u00e7\u00f5es como <strong>coledocolit\u00edase<\/strong> (c\u00e1lculos na via biliar), <strong>colangite, estenoses<\/strong> (benignas, como p\u00f3s-transplante hep\u00e1tico ou p\u00f3s-operat\u00f3rias, e malignas, causadas por tumores de p\u00e2ncreas, colangiocarcinoma, linfonodos ou Carcinoma Hepatocelular), e <strong>les\u00f5es<\/strong> que levam \u00e0 <strong>f\u00edstula biliar.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXcU2RPfEs2JW3ADasav_iIz8F6g1_i76zTHDQ4qjSWAQkru--QRAmtF5tDg1kDinNX4MvZbtXKzm8vi3Mf86ylxvq0-Gw_GBFSbjjxeg6evXUfJZMfHgyBqBZNHzwOGU9ftqBCAfA?key=QQFpc4M8XnsFp3DKrcqcEQ\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Fonte: <a href=\"https:\/\/www.atlascirurgico.com.br\/forum-artigo\/coledocolitiase\">https:\/\/www.atlascirurgico.com.br\/forum-artigo\/coledocolitiase<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<p>Al\u00e9m disso, serve de diagn\u00f3stico (lembre que \u00e9 <strong>exce\u00e7\u00e3o!<\/strong>) quando outros m\u00e9todos falham. Inclui a realiza\u00e7\u00e3o de <strong>bi\u00f3psias, escovado, ou colangioscopia<\/strong>, que tem se tornado uma indica\u00e7\u00e3o diagn\u00f3stica cada vez mais relevante nos \u00faltimos anos.\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quando-realizar-a-cpre\"><span class=\"ez-toc-section\" id=\"Quando_realizar_a_CPRE\"><\/span><strong>Quando realizar<\/strong> <strong>a CPRE?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><strong>O tempo<\/strong> para a realiza\u00e7\u00e3o da CPRE <strong>\u00e9 crucial<\/strong> em certas condi\u00e7\u00f5es. Algumas delas s\u00e3o:&nbsp;<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Na Colangite: A CPRE \u00e9 preconizada em <strong>24 a 48 horas<\/strong>. Se o paciente <strong>n\u00e3o apresentar melhora<\/strong> com as medidas cl\u00ednicas iniciais, o procedimento deve ser feito em <strong>menos de 24 horas.<\/strong><\/li>\n\n\n\n<li>Na S\u00edndrome de Opie: Esta s\u00edndrome, que \u00e9 uma <strong>obstru\u00e7\u00e3o aguda da papila<\/strong> duodenal por c\u00e1lculo, exige <strong>CPRE idealmente em 24 a 48 horas<\/strong> devido ao alto risco de <strong>pancreatite ou colangite.<\/strong><\/li>\n\n\n\n<li>Situa\u00e7\u00f5es N\u00e3o Urgentes: Em casos como <strong>coledocolit\u00edase ou f\u00edstula bil<\/strong>iar sem urg\u00eancia, a CPRE pode ser agendada <strong>conforme a disponibilidade<\/strong>.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXc4nEmzPzht9dvWFhszUfvF3tbshPPH7inHfeusjKjvcWun6OeFq4EaKRRm6hb5YPqQol5B_tbBYGWKbegosX37bZs8Q33GVW3QpprdFgnZ4HV9ynrZZDC56wYC1OiI7uHgnwryEw?key=QQFpc4M8XnsFp3DKrcqcEQ\" alt=\"\" style=\"width:504px;height:auto\"\/><figcaption class=\"wp-element-caption\">Imagem da radioscopia mostrando f\u00edstula biliar p\u00f3s-colecistectomia, com identifica\u00e7\u00e3o de extravasamento de contraste na regi\u00e3o do hepatocol\u00e9doco m\u00e9dio-proximal. Fonte: <a href=\"https:\/\/endoscopiaterapeutica.net\/pt\/atlas-imagem\/fistula-biliar\/?print=print\">https:\/\/endoscopiaterapeutica.net\/pt\/atlas-imagem\/fistula-biliar\/?print=print<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quais-desafios-e-tecnicas-que-enfrentamos-ao-realizar-a-cpre\"><span class=\"ez-toc-section\" id=\"Quais_desafios_e_tecnicas_que_enfrentamos_ao_realizar_a_CPRE\"><\/span><strong>Quais desafios e t\u00e9cnicas que enfrentamos ao realizar a CPRE?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A canula\u00e7\u00e3o das vias biliares pode ser um desafio e exige habilidade. A t\u00e9cnica convencional busca a <strong>canula\u00e7\u00e3o transpapilar<\/strong>, com uma taxa de sucesso entre 80-95%. No entanto, diante de dificuldades, t\u00e9cnicas avan\u00e7adas s\u00e3o empregadas.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Regra 5-5-1 para canula\u00e7\u00e3o dif\u00edcil<\/strong><\/li>\n<\/ol>\n\n\n\n<p>&nbsp;Se o acesso transpapilar <strong>n\u00e3o for obtido em 5 minutos, ou ap\u00f3s 5 tentativas, ou ap\u00f3s 1 introdu\u00e7\u00e3o<\/strong> do fio-guia no ducto pancre\u00e1tico principal, deve-se partir para uma <strong>t\u00e9cnica avan\u00e7ada<\/strong>. Essa regra visa minimizar a manipula\u00e7\u00e3o da papila e, consequentemente, o risco de pancreatite p\u00f3s-CPRE.<\/p>\n\n\n\n<p><strong>T\u00e9cnicas Avan\u00e7adas de Canula\u00e7\u00e3o:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Duplo Fio-Guia: Excelente para pacientes com divert\u00edculo duodenal, onde um fio-guia \u00e9 mantido no ducto pancre\u00e1tico principal para retific\u00e1-lo e facilitar o acesso \u00e0 via biliar.<\/li>\n<\/ul>\n\n\n\n<p><strong>Acesso por Esfincterotomia:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fistulotomia (infundibulotomia suprapapilar): Corte por camadas da impress\u00e3o infundibular at\u00e9 o acesso \u00e0 via biliar.<\/li>\n\n\n\n<li>Pr\u00e9-corte (pre cut): A dire\u00e7\u00e3o do corte \u00e9 do \u00f3stio papilar em dire\u00e7\u00e3o ao infund\u00edbulo. Atualmente em desuso devido ao maior risco de les\u00e3o pancre\u00e1tica.<\/li>\n\n\n\n<li>Esfincterotomia Transpancre\u00e1tica: Canula\u00e7\u00e3o do ducto pancre\u00e1tico principal e corte em dire\u00e7\u00e3o \u00e0 via biliar atrav\u00e9s do p\u00e2ncreas, boa op\u00e7\u00e3o em doen\u00e7as pancre\u00e1ticas avan\u00e7adas.<\/li>\n<\/ul>\n\n\n\n<p>Outras op\u00e7\u00f5es poss\u00edveis s\u00e3o a rendezvous com radiointerven\u00e7\u00e3o ou a ecoendoscopia.<\/p>\n\n\n\n<p>Contudo,\u00a0no caso de falha de acesso, o protocolo \u00e9 <strong>interromper o procedimento<\/strong> e tentar uma <strong>nova CPRE em 24-48 horas<\/strong>. Se a segunda tentativa falhar, considera-se a drenagem percut\u00e2nea (DTPH) ou cirurgia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quais-as-possiveis-complicacoes-da-cpre\"><span class=\"ez-toc-section\" id=\"Quais_as_possiveis_complicacoes_da_CPRE\"><\/span><strong>Quais as poss\u00edveis complica\u00e7\u00f5es da CPRE?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A CPRE, como qualquer procedimento invasivo, n\u00e3o est\u00e1 isenta de riscos. Conhecer as complica\u00e7\u00f5es \u00e9 t\u00e3o importante quanto saber realizar o procedimento. As principais s\u00e3o:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pancreatite P\u00f3s-CPRE<\/strong> (PPC): \u00c9 a complica\u00e7\u00e3o mais comum (5-10%).<\/li>\n<\/ul>\n\n\n\n<p>Quadro cl\u00ednico associado a eleva\u00e7\u00e3o de amilase\/lipase &gt;3x o valor de refer\u00eancia ap\u00f3s 24h p\u00f3s-CPRE e necessidade de interna\u00e7\u00e3o. Apenas a eleva\u00e7\u00e3o enzim\u00e1tica sem cl\u00ednica n\u00e3o configura pancreatite.<\/p>\n\n\n\n<p>Os fatores de risco s\u00e3o ser mulher jovem, anict\u00e9rica, com vias biliares finas, com suspeita de disfun\u00e7\u00e3o do esf\u00edncter de Oddi, com pancreatite pr\u00e9via p\u00f3s-CPRE, com canula\u00e7\u00e3o dif\u00edcil, com ampulectomia, com esfincterotomia pancre\u00e1tica ou pancreatografia repetida.<\/p>\n\n\n\n<p>A Profilaxia dessa condi\u00e7\u00e3o se d\u00e1 com Stent pancre\u00e1tico, hiper-hidrata\u00e7\u00e3o com Ringer Lactato, e AINEs (Indometacina ou Diclofenaco via retal).<\/p>\n\n\n\n<p><strong>*Classifica\u00e7\u00e3o de Cotton:<\/strong> Permite graduar a gravidade (leve, moderada, grave) da pancreatite.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Perfura\u00e7\u00e3o:<\/strong><\/li>\n<\/ul>\n\n\n\n<p>Pode ocorrer em casos de altera\u00e7\u00e3o anat\u00f4mica e estenose.<\/p>\n\n\n\n<p>Um modo que ajudar nesse caso a guiar o tratamento \u00e9 a Classifica\u00e7\u00e3o de Stapfer.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tipo I (duodenal com o duodenosc\u00f3pio): Tratamento cir\u00fargico.<\/li>\n\n\n\n<li>Tipo II (parede medial do duodeno, relacionada \u00e0 papilotomia): Clipagem da perfura\u00e7\u00e3o e pr\u00f3tese recoberta (endosc\u00f3pico).<\/li>\n\n\n\n<li>Tipo III (vias biliares): Pr\u00f3tese (pl\u00e1stica ou met\u00e1lica).<\/li>\n\n\n\n<li>Tipo IV (pneumoretroperit\u00f4nio): Mais comum e geralmente sem significado cl\u00ednico, requer apenas observa\u00e7\u00e3o.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sangramento<\/strong>:\u00a0<\/li>\n<\/ul>\n\n\n\n<p>Ocorre em cerca de 1% dos casos, principalmente quando h\u00e1 coagulopatia, colangite, e uso de anticoagulantes. Nesses casos os tratamentos podem se guiar primeiramente por via endosc\u00f3pica (tamponamento, inje\u00e7\u00e3o de adrenalina, clipe, pr\u00f3tese met\u00e1lica),e, em casos refrat\u00e1rios, podem exigir arteriografia ou cirurgia.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Colangite<\/strong>:<\/li>\n<\/ul>\n\n\n\n<p>&nbsp;Ocorre em 0,5-1% dos casos, principalmente em transplante hep\u00e1tico, falha na drenagem, colangite esclerosante prim\u00e1ria (CEP) e colangioscopia. Podemos realizar a profilaxia com antibi\u00f3tico profil\u00e1tico, indicado para pacientes com fatores de risco.<\/p>\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=\"A-NdgvI-E3A\"><iframe loading=\"lazy\" title=\"COFEXPRESS - Endoscopia CPRE. Com Dr. Paulo Mega\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/A-NdgvI-E3A?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>A Colangiopancreatografia Retr\u00f3grada Endosc\u00f3pica (CPRE) \u00e9 um procedimento essencial na gastroenterologia e cirurgia. 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