{"id":37126,"date":"2025-08-19T08:49:59","date_gmt":"2025-08-19T11:49:59","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=37126"},"modified":"2026-04-08T11:08:55","modified_gmt":"2026-04-08T14:08:55","slug":"saiba-as-complicacoes-apos-a-cirurgia-bariatrica","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/","title":{"rendered":"Cirurgia Bari\u00e1trica: fisiologia, protocolo avan\u00e7ado, complica\u00e7\u00f5es 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\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#O_que_e_a_cirurgia_bariatrica\" >O que \u00e9 a cirurgia bari\u00e1trica?<\/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\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Refinando_as_Indicacoes_e_Criterios_de_Elegibilidade\" >Refinando as Indica\u00e7\u00f5es e Crit\u00e9rios de Elegibilidade<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#O_Criterio_Temporal\" >O Crit\u00e9rio Temporal<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#A_Faixa_Etaria_e_suas_Nuances\" >A Faixa Et\u00e1ria e suas Nuances<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Cirurgia_Metabolica\" >Cirurgia Metab\u00f3lica&nbsp;<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Contraindicacoes_Quem_NAO_deve_operar\" >Contraindica\u00e7\u00f5es: Quem N\u00c3O deve operar?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Fisiologia_Endocrina\" >Fisiologia End\u00f3crina<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Grelina_O_Alvo_da_Gastrectomia\" >Grelina: O Alvo da Gastrectomia<\/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\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#GLP-1_O_%E2%80%9CRemedio%E2%80%9D_Natural\" >GLP-1: O &#8220;Rem\u00e9dio&#8221; Natural<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Peptideo_Y_PYY_O_Freio_Ileal\" >Pept\u00eddeo Y (PYY): O Freio Ileal<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Protocolo_de_Preparo_Pre-Operatorio\" >Protocolo de Preparo Pr\u00e9-Operat\u00f3rio<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#%E2%80%9CPrazos_de_Validade%E2%80%9D_para_Habitos\" >&#8220;Prazos de Validade&#8221; para H\u00e1bitos<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Investigacao_Armada_e_Decisao_Tecnica\" >Investiga\u00e7\u00e3o Armada e Decis\u00e3o T\u00e9cnica<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Complicacoes_Pos-Bypass_Gastrico_em_Y-de-Roux_BGYR\" >Complica\u00e7\u00f5es P\u00f3s-Bypass G\u00e1strico em Y-de-Roux (BGYR)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Fistulas\" >F\u00edstulas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Sangramento_do_TGI\" >Sangramento do TGI<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Obstrucao_do_TGI\" >Obstru\u00e7\u00e3o do TGI<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Reconstrucao_Incorreta_da_Alca_em_Roux_Roux-em-O\" >Reconstru\u00e7\u00e3o Incorreta da Al\u00e7a em Roux (Roux-em-O)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Complicacoes_Pos-Gastrectomia_Vertical_Sleeve\" >Complica\u00e7\u00f5es P\u00f3s-Gastrectomia Vertical (Sleeve)<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Fistulas-2\" >F\u00edstulas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Estenose_da_Incisura_Angular\" >Estenose da Incisura Angular<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Sangramento_da_Linha_de_Grampo\" >Sangramento da Linha de Grampo<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Trombose_da_Veia_Porta\" >Trombose da Veia Porta<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Complicacoes_Comuns_a_Ambas_as_Cirurgias\" >Complica\u00e7\u00f5es Comuns a Ambas as Cirurgias<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Carencia_de_Vitaminas_e_Ferro\" >Car\u00eancia de Vitaminas e Ferro<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Litiase_Renal\" >Lit\u00edase Renal<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Colelitiase\" >Colelit\u00edase<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Dumping\" >Dumping<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-29\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#Rabdomiolise_IRA\" >Rabdomi\u00f3lise (IRA)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-30\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#TEP_Tromboembolismo_Pulmonar\" >TEP (Tromboembolismo Pulmonar)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-31\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/saiba-as-complicacoes-apos-a-cirurgia-bariatrica\/#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\/08\/Blog-MedCof-2025-08-19T081708.087-1024x576.jpg\" alt=\"\" class=\"wp-image-37128\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-19T081708.087-1024x576.jpg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-19T081708.087-300x169.jpg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-19T081708.087-768x432.jpg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-19T081708.087-1536x864.jpg 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-19T081708.087-747x420.jpg 747w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-19T081708.087-150x84.jpg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-19T081708.087-696x392.jpg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-19T081708.087-1068x601.jpg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/Blog-MedCof-2025-08-19T081708.087.jpg 1920w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>A <strong>cirurgia bari\u00e1trica<\/strong> \u00e9 uma ferramenta poderosa no combate \u00e0 obesidade, mas dominar suas nuances exige um conhecimento aprofundado de suas <strong>poss\u00edveis complica\u00e7\u00f5es<\/strong>.<\/p>\n\n\n\n<p>N\u00f3s j\u00e1 falamos das novidades acerca do procedimento <a href=\"https:\/\/share.google\/Wt6OabKhhTh91tkIC\">aqui<\/a>! Mas precisamos lembrar o que pode acontecer no p\u00f3s-operat\u00f3rio para uma vis\u00e3o geral da bari\u00e1trica. Cada tipo de cirurgia, que \u00e9 separada por segmentos, t\u00eam diferentes apresenta\u00e7\u00f5es que merecem muita aten\u00e7\u00e3o!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-o-que-e-a-cirurgia-bariatrica\"><span class=\"ez-toc-section\" id=\"O_que_e_a_cirurgia_bariatrica\"><\/span><strong>O que \u00e9 a cirurgia bari\u00e1trica?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A cirurgia bari\u00e1trica \u00e9 o tratamento mais efetivo para obesidade grave, mas seu sucesso depende de uma sele\u00e7\u00e3o criteriosa do paciente e de um preparo que mitigue riscos cir\u00fargicos e metab\u00f3licos.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-refinando-as-indicacoes-e-criterios-de-elegibilidade\"><span class=\"ez-toc-section\" id=\"Refinando_as_Indicacoes_e_Criterios_de_Elegibilidade\"><\/span><strong>Refinando as Indica\u00e7\u00f5es e Crit\u00e9rios de Elegibilidade<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Al\u00e9m do IMC, existem pr\u00e9-requisitos temporais e et\u00e1rios que devem ser respeitados rigorosamente.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"361\" height=\"371\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1.png\" alt=\"\" class=\"wp-image-41334\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1.png 361w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-292x300.png 292w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-150x154.png 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-300x308.png 300w\" sizes=\"auto, (max-width: 361px) 100vw, 361px\" \/><figcaption class=\"wp-element-caption\">Fonte: Acervo de Aulas do Grupo MedCof.\u00a0<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"O_Criterio_Temporal\"><\/span><strong>O Crit\u00e9rio Temporal<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>N\u00e3o se opera obesidade aguda. O paciente deve comprovar <strong>falha no tratamento cl\u00ednico<\/strong> por, pelo menos, <strong>2 anos<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"A_Faixa_Etaria_e_suas_Nuances\"><\/span><strong>A Faixa Et\u00e1ria e suas Nuances<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>> 18 anos:<\/strong> Indica\u00e7\u00e3o padr\u00e3o.<\/li>\n\n\n\n<li><strong>16 a 18 anos:<\/strong> Pode ser operado se houver <strong>ep\u00edfise \u00f3ssea consolidada<\/strong> (fim do crescimento) e avalia\u00e7\u00e3o pedi\u00e1trica concordante.<\/li>\n\n\n\n<li><strong>Idosos:<\/strong> Para a cirurgia metab\u00f3lica (DM2), a idade m\u00e1xima recomendada \u00e9 de <strong>70 anos<\/strong>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Cirurgia_Metabolica\"><\/span><strong>Cirurgia Metab\u00f3lica&nbsp;<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Para pacientes com IMC 30-35 e Diabetes Tipo 2, a cirurgia \u00e9 indicada se houver refratariedade.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Crit\u00e9rio de Refratariedade:<\/strong> Deve ser atestada por <strong>2 endocrinologistas<\/strong>.<\/li>\n\n\n\n<li><strong>Tempo de Doen\u00e7a:<\/strong> O paciente deve ter menos de <strong>10 anos de diagn\u00f3stico<\/strong> de diabetes (para garantir que ainda haja reserva pancre\u00e1tica de insulina).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-contraindicacoes-quem-nao-deve-operar\"><span class=\"ez-toc-section\" id=\"Contraindicacoes_Quem_NAO_deve_operar\"><\/span><strong>Contraindica\u00e7\u00f5es: Quem N\u00c3O deve operar?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A seguran\u00e7a do paciente vem em primeiro lugar. Existem condi\u00e7\u00f5es que tornam o risco inaceit\u00e1vel.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Incapacidade Cognitiva:<\/strong> Impossibilidade de compreender o procedimento e suas consequ\u00eancias vital\u00edcias.<\/li>\n\n\n\n<li><strong>Depend\u00eancia Qu\u00edmica:<\/strong> Etilismo e uso de drogas il\u00edcitas s\u00e3o contraindica\u00e7\u00f5es formais.<\/li>\n\n\n\n<li><strong>Doen\u00e7a Hep\u00e1tica Avan\u00e7ada:<\/strong> <strong>Cirrose com Hipertens\u00e3o Portal<\/strong> e varizes gastroesof\u00e1gicas (risco hemorr\u00e1gico proibitivo).<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"554\" height=\"297\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-18.jpeg\" alt=\"\" class=\"wp-image-41335\" style=\"aspect-ratio:1.865463537830159;width:696px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-18.jpeg 554w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-18-300x161.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-18-150x80.jpeg 150w\" sizes=\"auto, (max-width: 554px) 100vw, 554px\" \/><figcaption class=\"wp-element-caption\">Fonte: <a href=\"https:\/\/doi.org\/10.1590\/S0100-39842006000600004\">https:\/\/doi.org\/10.1590\/S0100-39842006000600004<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Doen\u00e7a Pulmonar:<\/strong> Est\u00e1gio avan\u00e7ado\/grave.<\/li>\n\n\n\n<li><strong>Sa\u00fade Mental:<\/strong> Psicose grave ou depress\u00e3o grave n\u00e3o controlada.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-fisiologia-endocrina\"><span class=\"ez-toc-section\" id=\"Fisiologia_Endocrina\"><\/span><strong>Fisiologia End\u00f3crina<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Grelina_O_Alvo_da_Gastrectomia\"><\/span><strong>Grelina: O Alvo da Gastrectomia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Local de Produ\u00e7\u00e3o:<\/strong> C\u00e9lulas ox\u00ednticas do fundo g\u00e1strico.<\/li>\n\n\n\n<li><strong>Efeito:<\/strong> \u00danico horm\u00f4nio orex\u00edgeno (aumenta a fome) relevante.<\/li>\n\n\n\n<li><strong>P\u00f3s-Operat\u00f3rio:<\/strong> Seus n\u00edveis <strong>caem<\/strong> drasticamente, seja no Bypass ou no Sleeve, devido \u00e0 exclus\u00e3o\/remo\u00e7\u00e3o do fundo g\u00e1strico.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"641\" height=\"1024\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19-641x1024.jpeg\" alt=\"\" class=\"wp-image-41336\" style=\"aspect-ratio:0.6259804071169164;width:520px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19-641x1024.jpeg 641w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19-188x300.jpeg 188w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19-768x1228.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19-961x1536.jpeg 961w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19-263x420.jpeg 263w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19-150x240.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19-300x480.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19-696x1112.jpeg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-19.jpeg 1001w\" sizes=\"auto, (max-width: 641px) 100vw, 641px\" \/><figcaption class=\"wp-element-caption\">Roux-en-Y gastric by pass (Laparoscopic Gastrointestinal Surgery. Fonte: <a href=\"https:\/\/doi.org\/10.1590\/S0102-67202015000100019\">https:\/\/doi.org\/10.1590\/S0102-67202015000100019<\/a>\u00a0<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"GLP-1_O_%E2%80%9CRemedio%E2%80%9D_Natural\"><\/span><strong>GLP-1: O &#8220;Rem\u00e9dio&#8221; Natural<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Local de Produ\u00e7\u00e3o:<\/strong> \u00cdleo distal.<\/li>\n\n\n\n<li><strong>Efeitos Metab\u00f3licos:<\/strong>\n<ul class=\"wp-block-list\">\n<li>Aumenta a produ\u00e7\u00e3o de insulina e diminui a resist\u00eancia perif\u00e9rica \u00e0 insulina.<\/li>\n\n\n\n<li>Diminui a produ\u00e7\u00e3o de glicose hep\u00e1tica e de glucagon.<\/li>\n\n\n\n<li>Retarda o esvaziamento g\u00e1strico (efeito similar \u00e0 gastroparesia funcional, que aumenta a saciedade).<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>P\u00f3s-Operat\u00f3rio:<\/strong> N\u00edveis aumentam pelo contato r\u00e1pido do alimento com o \u00edleo.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Peptideo_Y_PYY_O_Freio_Ileal\"><\/span><strong>Pept\u00eddeo Y (PYY): O Freio Ileal<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Local de Produ\u00e7\u00e3o:<\/strong> C\u00e9lulas L do \u00edleo e c\u00f3lon.<\/li>\n\n\n\n<li><strong>Efeito:<\/strong> Promove saciedade e diminui o esvaziamento g\u00e1strico, contrapondo a grelina.<\/li>\n\n\n\n<li><strong>P\u00f3s-Operat\u00f3rio:<\/strong> N\u00edveis aumentam.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-protocolo-de-preparo-pre-operatorio\"><span class=\"ez-toc-section\" id=\"Protocolo_de_Preparo_Pre-Operatorio\"><\/span><strong>Protocolo de Preparo Pr\u00e9-Operat\u00f3rio<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O objetivo \u00e9 reduzir a morbidade perioperat\u00f3ria. A perda de peso antes da cirurgia (5-10%) \u00e9 crucial para diminuir o tamanho do f\u00edgado e facilitar a t\u00e9cnica laparosc\u00f3pica.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"%E2%80%9CPrazos_de_Validade%E2%80%9D_para_Habitos\"><\/span><strong>&#8220;Prazos de Validade&#8221; para H\u00e1bitos<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Tabagismo:<\/strong> Deve ser cessado <strong>12 semanas<\/strong> (3 meses) antes da cirurgia para reduzir complica\u00e7\u00f5es pulmonares e de cicatriza\u00e7\u00e3o.<\/li>\n\n\n\n<li><strong>Anticoncepcionais Orais:<\/strong> Suspender <strong>1 m\u00eas<\/strong> antes devido ao alto risco de trombose venosa profunda (TVP) e TEP na cirurgia bari\u00e1trica.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Investigacao_Armada_e_Decisao_Tecnica\"><\/span><strong>Investiga\u00e7\u00e3o Armada e Decis\u00e3o T\u00e9cnica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>pHmetria Esof\u00e1gica:<\/strong> Solicitada se o paciente tiver sintomas de Doen\u00e7a do Refluxo (DRGE). Se houver refluxo patol\u00f3gico, a <strong>Gastrectomia Vertical (Sleeve)<\/strong> pode ser contraindicada, preferindo-se o Bypass.<\/li>\n\n\n\n<li><strong>Ultrassom de Abdome:<\/strong> Foco em esteatose e colelit\u00edase. A colecistectomia \u00e9 geralmente realizada antes ou durante o procedimento bari\u00e1trico se houver c\u00e1lculos.<\/li>\n\n\n\n<li><strong>Densitometria \u00d3ssea:<\/strong> Obrigat\u00f3ria para maiores de 60 anos, devido ao risco de osteoporose p\u00f3s-cir\u00fargica (m\u00e1 absor\u00e7\u00e3o de c\u00e1lcio).<\/li>\n\n\n\n<li><strong>Endoscopia (EDA):<\/strong> Obrigat\u00f3ria para avaliar o est\u00f4mago que ser\u00e1 operado.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-complicacoes-pos-bypass-gastrico-em-y-de-roux-bgyr\"><span class=\"ez-toc-section\" id=\"Complicacoes_Pos-Bypass_Gastrico_em_Y-de-Roux_BGYR\"><\/span><strong>Complica\u00e7\u00f5es P\u00f3s-Bypass G\u00e1strico em Y-de-Roux (BGYR)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>O BGYR, ou bypass, \u00e9 uma das <strong>t\u00e9cnicas mais realizadas<\/strong> e, portanto, suas complica\u00e7\u00f5es merecem aten\u00e7\u00e3o especial.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-fistulas\"><span class=\"ez-toc-section\" id=\"Fistulas\"><\/span><strong>F\u00edstulas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Caracterizam-se pela <strong>abertura da linha de grampos\/sutura<\/strong> com <strong>extravasamento de conte\u00fado do trato gastrointestina<\/strong>l (TGI) para outro local, como a cavidade abdominal. S\u00e3o mais comuns ap\u00f3s o 5\u00ba dia de p\u00f3s-operat\u00f3rio (PO), principalmente quando falamos da&nbsp; <strong>gastrojejunostomia<\/strong> (67,8%), <strong>da bolsa g\u00e1strica<\/strong> (10,2%), do <strong>est\u00f4mago excluso<\/strong> (3,4%) e da <strong>anastomose jejunojejunal<\/strong> (5%).<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"870\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-1024x870.jpeg\" alt=\"Ilustra\u00e7\u00e3o de cirurgia bari\u00e1trica bypass g\u00e1strico em Y de Roux, mostrando o es\u00f4fago ligado \u00e0 bolsa proximal do est\u00f4mago, a parte exclu\u00edda do est\u00f4mago e o pequeno canal intestinal em Y.\" class=\"wp-image-37130\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-1024x870.jpeg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-300x255.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-768x652.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-495x420.jpeg 495w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-150x127.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-696x591.jpeg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1-1068x907.jpeg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-1.jpeg 1353w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Poss\u00edveis locais de f\u00edstula em Bypass G\u00e1strico. | Fonte: Acervo de Ilustra\u00e7\u00f5es do Grupo MedCof.&nbsp;<\/figcaption><\/figure>\n\n\n\n<p>O sinal mais precoce \u00e9 a <strong>taquicardia<\/strong>, e a suspeita cl\u00ednica aumenta com a presen\u00e7a de <strong>derrame pleural e distens\u00e3o abdominal<\/strong>. O diagn\u00f3stico pode ser feito por <strong>tomografia<\/strong> de abdome e pelve com contraste ou com Azul de Metileno por via oral. O tratamento para pacientes est\u00e1veis inclui <strong>jejum, nutri\u00e7\u00e3o parenteral total (NPT), antibioticoterapia e drenagem<\/strong>. Em casos de piora hemodin\u00e2mica, a cirurgia por <strong>laparoscopia<\/strong> \u00e9 a prefer\u00edvel.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"940\" height=\"1024\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-2-940x1024.jpeg\" alt=\"Imagem radiogr\u00e1fica com contraste mostrando f\u00edstula entre o pouch g\u00e1strico e cavidade adjacente ap\u00f3s cirurgia bari\u00e1trica.\" class=\"wp-image-37131\" style=\"width:640px;height:auto\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-2-940x1024.jpeg 940w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-2-275x300.jpeg 275w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-2-768x837.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-2-386x420.jpeg 386w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-2-150x163.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-2-300x327.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-2-696x758.jpeg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-2.jpeg 986w\" sizes=\"auto, (max-width: 940px) 100vw, 940px\" \/><figcaption class=\"wp-element-caption\">F\u00edstula entre pouch e cavidade com contraste indo para cavidade. | Fonte: Acervo de Aulas do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-sangramento-do-tgi\"><span class=\"ez-toc-section\" id=\"Sangramento_do_TGI\"><\/span><strong>Sangramento do TGI<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Pode ocorrer em diversos locais, como o <strong>est\u00f4mago excluso, a bolsa g\u00e1strica, a gastrojejunoanastomose e a jejunojejunoanastomose.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"977\" height=\"1024\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3-977x1024.jpeg\" alt=\"Ilustra\u00e7\u00e3o do trato digestivo ap\u00f3s cirurgia bari\u00e1trica tipo bypass g\u00e1strico, destacando locais e porcentagens de risco de sangramento p\u00f3s-operat\u00f3rio (40% no est\u00f4mago e 30% em duas regi\u00f5es do intestino).\" class=\"wp-image-37132\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3-977x1024.jpeg 977w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3-286x300.jpeg 286w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3-768x805.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3-401x420.jpeg 401w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3-150x157.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3-300x314.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3-696x730.jpeg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3-1068x1120.jpeg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-3.jpeg 1076w\" sizes=\"auto, (max-width: 977px) 100vw, 977px\" \/><figcaption class=\"wp-element-caption\">Localiza\u00e7\u00e3o e probabilidade de sangramento p\u00f3s bari\u00e1trica. | Fonte: Acervo de Ilustra\u00e7\u00f5es do Grupo MedCof.<\/figcaption><\/figure>\n\n\n\n<p>&nbsp;O sangramento pode ser intraluminal, manifestando-se como <strong>hemat\u00eamese ou melena,<\/strong> ou <strong>intraperitoneal<\/strong>, com sangue no dreno e instabilidade hemodin\u00e2mica. O sangramento normalmente \u00e9 <strong>autolimitado<\/strong>, principalmente os tardios. No entanto, se o sangramento for intraperitoneal e houver piora hemodin\u00e2mica, a <strong>cirurgia \u00e9 indicada para retirada de co\u00e1gulos, lavagem e hemostasia<\/strong>. Se o sangramento for intraluminal com piora hemodin\u00e2mica, hemat\u00eamese ou sangramento abundante, a <strong>endoscopia<\/strong> \u00e9 o tratamento de escolha, com <strong>coagula\u00e7\u00e3o t\u00e9rmica, inje\u00e7\u00e3o de vasoconstritores ou clipagem.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-obstrucao-do-tgi\"><span class=\"ez-toc-section\" id=\"Obstrucao_do_TGI\"><\/span><strong>Obstru\u00e7\u00e3o do TGI<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>&nbsp;A protrus\u00e3o do intestino atrav\u00e9s de um <strong>defeito dentro da cavidade abdominal <\/strong>\u00e9 conhecida como <strong>h\u00e9rnia interna,<\/strong> uma complica\u00e7\u00e3o tardia. A suspeita \u00e9 sempre cl\u00ednica, e mesmo com uma <strong>tomografia computadorizada<\/strong> (TC) normal, pode ser necess\u00e1ria uma <strong>laparoscopia<\/strong> para verificar as brechas. Os sintomas s\u00e3o <strong>intermitentes<\/strong> e podem incluir <strong>n\u00e1useas, v\u00f4mitos e dor abdominal p\u00f3s-prandial,<\/strong> geralmente no quadrante superior esquerdo. As h\u00e9rnias internas mais comuns s\u00e3o:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u00e9rnia pela al\u00e7a alimentar e a brecha no mesoc\u00f3lon transverso.<\/li>\n\n\n\n<li>H\u00e9rnia de Petersen, entre o mesoc\u00f3lon transverso e o mesent\u00e9rio da al\u00e7a alimentar.<\/li>\n\n\n\n<li>H\u00e9rnia entre o mesent\u00e9rio da al\u00e7a biliopancre\u00e1tica e o da al\u00e7a alimentar.<\/li>\n<\/ul>\n\n\n\n<p>Achados tomogr\u00e1ficos podem incluir twist no mesent\u00e9rio, distens\u00e3o do intestino delgado e do est\u00f4mago excluso.<\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXcH6MTbBGoXXUOwaYP2TptE2BpU7oZvV_kp9itigQoymrRA03kkQQeUljAs8dgDBebRRVlqlr50iM2RYxzhxqW7-S3F10CJUrsRoaXt4BTow62Bj2jKR4DYmms9gFPZa2kJczVAbw?key=6Xjm-fYgkG1IYdSu_b9dTg\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Achados tomogr\u00e1ficos de distens\u00e3o das al\u00e7as intestinais. | Fonte: <a href=\"http:\/\/www.radiopaedia.org\">www.radiopaedia.org<\/a>&nbsp;<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-reconstrucao-incorreta-da-alca-em-roux-roux-em-o\"><span class=\"ez-toc-section\" id=\"Reconstrucao_Incorreta_da_Alca_em_Roux_Roux-em-O\"><\/span><strong>Reconstru\u00e7\u00e3o Incorreta da Al\u00e7a em Roux (Roux-em-O)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Esta complica\u00e7\u00e3o ocorre quando h\u00e1 uma <strong>anastomose inadvertida da al\u00e7a biliopancre\u00e1tica proximal do jejuno para a bolsa g\u00e1strica.<\/strong> O diagn\u00f3stico no p\u00f3s-operat\u00f3rio \u00e9 dif\u00edcil.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-complicacoes-pos-gastrectomia-vertical-sleeve\"><span class=\"ez-toc-section\" id=\"Complicacoes_Pos-Gastrectomia_Vertical_Sleeve\"><\/span><strong>Complica\u00e7\u00f5es P\u00f3s-Gastrectomia Vertical (Sleeve)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>A Gastrectomia Vertical, ou Sleeve, tamb\u00e9m apresenta seu pr\u00f3prio conjunto de complica\u00e7\u00f5es.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"745\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-4-1024x745.jpeg\" alt=\"Ilustra\u00e7\u00e3o da gastrectomia vertical em sleeve, mostrando o novo est\u00f4mago em formato tubular e a parte do est\u00f4mago removida na cirurgia bari\u00e1trica.\" class=\"wp-image-37133\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-4-1024x745.jpeg 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-4-300x218.jpeg 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-4-768x559.jpeg 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-4-577x420.jpeg 577w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-4-150x109.jpeg 150w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-4-696x507.jpeg 696w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-4-1068x777.jpeg 1068w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2025\/08\/image-4.jpeg 1143w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption class=\"wp-element-caption\">Fonte: Acervo de Ilustra\u00e7\u00f5es do Grupo MedCof<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-fistulas-0\"><span class=\"ez-toc-section\" id=\"Fistulas-2\"><\/span><strong>F\u00edstulas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Semelhante ao bypass, as f\u00edstulas ap\u00f3s o Sleeve s\u00e3o uma <strong>preocupa\u00e7\u00e3o<\/strong>. A localiza\u00e7\u00e3o mais comum \u00e9 no <strong>\u00c2ngulo de Hiss<\/strong>. O tratamento pode incluir <strong>pr\u00f3tese endosc\u00f3pica<\/strong>, <strong>v\u00e1cuo<\/strong> <strong>endosc\u00f3pico<\/strong> ou, se distal (antro), um <strong>Bypass<\/strong> ou <strong>Mini Gastric Bypass<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-estenose-da-incisura-angular\"><span class=\"ez-toc-section\" id=\"Estenose_da_Incisura_Angular\"><\/span><strong>Estenose da Incisura Angular<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Conhecida como &#8220;<strong>est\u00f4mago em ampulheta<\/strong>&#8220;, o tratamento pode ser feito por <strong>dilata\u00e7\u00e3o endosc\u00f3pica, pr\u00f3tese autoexpans\u00edvel met\u00e1lica recoberta ou Bypass g\u00e1strico.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image\"><img decoding=\"async\" src=\"https:\/\/lh7-rt.googleusercontent.com\/docsz\/AD_4nXce0qcHeYegmqg5uvKGBJG9QqkLrPDA-x5ktILENrlkLGVyu9bt1RIE-UyZ0Bz-0MO3XWbPiPE6QysZvIdGkv3d1CdsOjmY86A075K_zgy0fdO-5Dp1yv1pSfOq14u49Qe1MmkTJg?key=6Xjm-fYgkG1IYdSu_b9dTg\" alt=\"\"\/><figcaption class=\"wp-element-caption\">Est\u00f4mago em ampulheta. | Fonte: <a href=\"http:\/\/www.radiopaedia.org\">www.radiopaedia.org<\/a>&nbsp;<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-sangramento-da-linha-de-grampo\"><span class=\"ez-toc-section\" id=\"Sangramento_da_Linha_de_Grampo\"><\/span><strong>Sangramento da Linha de Grampo<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Ocorre com o mesmo princ\u00edpio de tratamento do sangramento p\u00f3s-bypass. Muitos cirurgi\u00f5es defendem a <strong>sob ressutura da linha de grampeamento<\/strong> para preven\u00e7\u00e3o.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-trombose-da-veia-porta\"><span class=\"ez-toc-section\" id=\"Trombose_da_Veia_Porta\"><\/span><strong>Trombose da Veia Porta<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u00c9 mais correlacionada com a <strong>gastrectomia vertical<\/strong>. Uma poss\u00edvel causa \u00e9 a <strong>altera\u00e7\u00e3o do fluxo portal<\/strong> devido \u00e0 gastrectomia e \u00e0 desidrata\u00e7\u00e3o no p\u00f3s-operat\u00f3rio.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-complicacoes-comuns-a-ambas-as-cirurgias\"><span class=\"ez-toc-section\" id=\"Complicacoes_Comuns_a_Ambas_as_Cirurgias\"><\/span><strong>Complica\u00e7\u00f5es Comuns a Ambas as Cirurgias<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Algumas complica\u00e7\u00f5es podem ocorrer <strong>tanto no BGYR quanto no Sleeve<\/strong>, embora com incid\u00eancias vari\u00e1veis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-carencia-de-vitaminas-e-ferro\"><span class=\"ez-toc-section\" id=\"Carencia_de_Vitaminas_e_Ferro\"><\/span><strong>Car\u00eancia de Vitaminas e Ferro<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>\u00c9 uma complica\u00e7\u00e3o <strong>disabsortiva<\/strong>, mais comum no BGYR. \u00c9 necess\u00e1ria a <strong>reposi\u00e7\u00e3o de vitamina B12, vitaminas A e D, carbonato de c\u00e1lcio, sulfato ferroso e \u00e1cido f\u00f3lico.<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-litiase-renal\"><span class=\"ez-toc-section\" id=\"Litiase_Renal\"><\/span><strong>Lit\u00edase Renal<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Mais comum no BGYR, est\u00e1 relacionada \u00e0 <strong>altera\u00e7\u00e3o da absor\u00e7\u00e3o do oxalato de c\u00e1lcio<\/strong> devido ao desvio do tr\u00e2nsito.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-colelitiase\"><span class=\"ez-toc-section\" id=\"Colelitiase\"><\/span><strong>Colelit\u00edase<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Relacionada ao <strong>r\u00e1pido emagrecimento<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-dumping\"><span class=\"ez-toc-section\" id=\"Dumping\"><\/span><strong>Dumping<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Mais comum no BGYR, \u00e9 a <strong>passagem r\u00e1pida do alimento do est\u00f4mago para o intestino delgado<\/strong>. Pode ser:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dumping precoce: Ocorre at\u00e9 <strong>30 minutos ap\u00f3s a alimenta\u00e7\u00e3o<\/strong>. Manifesta-se com sintomas gastrointestinais e vasomotores.<\/li>\n\n\n\n<li>Dumping tardio: Ocorre <strong>ap\u00f3s 3 horas da alimenta\u00e7\u00e3o<\/strong> e est\u00e1 relacionado \u00e0 alta <strong>libera\u00e7\u00e3o de insulina,<\/strong> resultando em hipoglicemia. Predominam as manifesta\u00e7\u00f5es vasomotoras. O tratamento inclui dieta fracionada, diminui\u00e7\u00e3o de carboidratos e, em alguns casos, medicamentos como Acarbose ou Octreotide.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-rabdomiolise-ira\"><span class=\"ez-toc-section\" id=\"Rabdomiolise_IRA\"><\/span><strong>Rabdomi\u00f3lise (IRA)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>Relacionada ao <strong>tempo cir\u00fargico e ao peso do paciente<\/strong>.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-tep-tromboembolismo-pulmonar\"><span class=\"ez-toc-section\" id=\"TEP_Tromboembolismo_Pulmonar\"><\/span><strong>TEP (Tromboembolismo Pulmonar)<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p>O risco \u00e9 aumentado por at\u00e9 90 dias ap\u00f3s o p\u00f3s-operat\u00f3rio.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"seja-um-medcoffer\"><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 garantir a sua aprova\u00e7\u00e3o nas provas de resid\u00eancia m\u00e9dica? Ent\u00e3o, conhe\u00e7a o<a href=\"https:\/\/www.grupomedcof.com.br\/home\/\" target=\"_blank\" rel=\"noreferrer noopener\">&nbsp;Grupo MedCof!<\/a>&nbsp;Aqui temos conte\u00fados de qualidade e especialistas que te ajudar\u00e3o a&nbsp;<strong><a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\">alcan\u00e7ar a aprova\u00e7\u00e3o<\/a><\/strong>.<\/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=\"jW1eQQPtw3Y\"><iframe loading=\"lazy\" title=\"Complica\u00e7\u00f5es da Cirurgia Bari\u00e1trica com a Dra. Carolina Batista Papo de Cirurgi\u00e3o EP. 06\" width=\"696\" height=\"392\" src=\"https:\/\/www.youtube.com\/embed\/jW1eQQPtw3Y?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>Saiba quais s\u00e3o as principais complica\u00e7\u00f5es ap\u00f3s a cirurgia bari\u00e1trica, como sangramentos e f\u00edstulas. 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