{"id":2021,"date":"2024-12-11T13:48:25","date_gmt":"2024-12-11T16:48:25","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=2021"},"modified":"2024-12-11T13:48:25","modified_gmt":"2024-12-11T16:48:25","slug":"complicacoes-sindrome-intestino-curto","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/complicacoes-sindrome-intestino-curto\/","title":{"rendered":"Exemplos de complica\u00e7\u00f5es em quadros de s\u00edndrome do intestino curto"},"content":{"rendered":"<p>A s\u00edndrome do intestino curto (ou apenas SIC) \u00e9 uma condi\u00e7\u00e3o complexa associada a problemas de m\u00e1 absor\u00e7\u00e3o que ocorrem como consequ\u00eancia de uma redu\u00e7\u00e3o anat\u00f4mica ou funcional em trechos do intestino<sup>1<\/sup>.<\/p>\n<p>Por conta dos desequil\u00edbrios fisiol\u00f3gicos provenientes de um quadro de SIC, os pacientes podem apresentar uma variedade de complica\u00e7\u00f5es cl\u00ednicas. Assim sendo, ter conhecimento sobre tais aspectos a partir da<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/abs\/10.1002\/ncp.10978\"> literatura sobre o tema<\/a> \u00e9 fundamental na preven\u00e7\u00e3o e no manejo dessas situa\u00e7\u00f5es, garantindo a manuten\u00e7\u00e3o da qualidade de vida do indiv\u00edduo afetado.<\/p>\n<h2>Diarreia<\/h2>\n<p>A <strong>diarreia costuma ser a principal queixa em casos da s\u00edndrome do intestino curto<\/strong>. Sua natureza, de dif\u00edcil controle e gravidade, pode trazer reflexos significativos para o bem-estar do paciente<sup>2<\/sup>.<\/p>\n<p>Ela \u00e9 resultado das m\u00faltiplas altera\u00e7\u00f5es fisiol\u00f3gicas que ocorrem por conta da redu\u00e7\u00e3o do tamanho e da \u00e1rea de absor\u00e7\u00e3o intestinal.<\/p>\n<p>Al\u00e9m disso, fatores relacionados \u00e0 anatomia intestinal remanescente, ao aumento da motilidade e secre\u00e7\u00e3o g\u00e1stricas e \u00e0 acelera\u00e7\u00e3o do tr\u00e2nsito intestinal podem afetar a intensidade dos sintomas<sup>3<\/sup>.<\/p>\n<p>Em geral, a abordagem de tal complica\u00e7\u00e3o \u00e9 complexa. Portanto, ela depende de um manejo multifatorial que envolve tanto a <strong>prescri\u00e7\u00e3o de determinados medicamentos, quanto a importante orienta\u00e7\u00e3o da necessidade de altera\u00e7\u00f5es na dieta, no regime de fluidos<\/strong> e na hidrata\u00e7\u00e3o do paciente<sup>1<\/sup>.<\/p>\n<h2>Desequil\u00edbrios de fluidos e eletr\u00f3litos<\/h2>\n<p>Diante da import\u00e2ncia do intestino na regula\u00e7\u00e3o dos fluidos corporais, <strong>\u00e9 poss\u00edvel que a ressec\u00e7\u00e3o de trecho do \u00f3rg\u00e3o leve a grandes altera\u00e7\u00f5es do balan\u00e7o dos l\u00edquidos corporais<\/strong>, bem como de determinados eletr\u00f3litos<sup>1<\/sup>.<\/p>\n<p>Como resultado, \u00e9 esperado que esses pacientes estejam sujeitos a um risco maior de desenvolver disfun\u00e7\u00f5es como<sup>1<\/sup>:<\/p>\n<ul>\n<li>Desidrata\u00e7\u00e3o;<\/li>\n<li>Fadiga cr\u00f4nica;<\/li>\n<li>Altera\u00e7\u00f5es cognitivas;<\/li>\n<li>Perda de peso;<\/li>\n<li>Les\u00e3o renal cr\u00f4nica;<\/li>\n<li>Urolit\u00edase (c\u00e1lculo renal).<\/li>\n<\/ul>\n<p>Dessa forma, os profissionais respons\u00e1veis pelo cuidado de um paciente com SIC precisam atuar para garantir o manejo adequado das diversas condi\u00e7\u00f5es apresentadas.<\/p>\n<p>Mensura\u00e7\u00f5es e registros devem ser acompanhados com frequ\u00eancia, tanto em rela\u00e7\u00e3o ao volume de l\u00edquidos ingeridos, quanto ao volume eliminado de urina e fezes, para determinar a necessidade de fluidos de um paciente com SIC<sup>1<\/sup>. Altera\u00e7\u00f5es na sede e no peso s\u00e3o outros indicadores importantes<sup>1<\/sup>.<\/p>\n<p>Seja como for, \u00e9 preciso <strong>observar o volume e tipo de fluidos de hidrata\u00e7\u00e3o mais recomendados e compat\u00edveis com o quadro<\/strong>. Grandes volumes de l\u00edquidos hipot\u00f4nicos ou hipert\u00f4nicos podem favorecer o aumento do volume eliminado e da intensidade da diarr\u00e9ia<sup>1<\/sup>.<\/p>\n<p>Por isso, nesse cen\u00e1rio, \u00e9 poss\u00edvel que muitos pacientes se beneficiem da utiliza\u00e7\u00e3o de solu\u00e7\u00f5es de reidrata\u00e7\u00e3o oral espec\u00edficas<sup>1.4<\/sup>.<\/p>\n<p>Por fim, quadros de <strong>hiponatremia, hipocalemia e <\/strong><a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/hipofosfatemia-nutricao-parenteral\/\"><strong>hipofosfatemia<\/strong><\/a> tendem tamb\u00e9m a ser comuns. Eventualmente, a defici\u00eancia de magn\u00e9sio \u00e9 outro aspecto que chama a aten\u00e7\u00e3o. Seu manejo n\u00e3o \u00e9 simples e pode se refletir na fun\u00e7\u00e3o de diversos sistemas do organismo<sup>1<\/sup>.<\/p>\n<p>E assim, em muitas condi\u00e7\u00f5es, para garantir o manejo de sintomas e manuten\u00e7\u00e3o do estado nutricional, pode ser necess\u00e1ria <strong>a suplementa\u00e7\u00e3o de nutrientes e fluidos<\/strong>, inclusive por via parenteral<sup>1<\/sup>.<\/p>\n<h2>Defici\u00eancias de vitaminas e elementos-tra\u00e7o<\/h2>\n<p>\u00c9 esperado que a remo\u00e7\u00e3o de <strong>determinado trecho do intestino interfira na forma como o organismo aproveita vitaminas, eletr\u00f3litos e elementos-tra\u00e7o<\/strong>. Tal fen\u00f4meno pode ser influenciado por fatores como:<\/p>\n<ul>\n<li>Segmento intestinal remanescente;<\/li>\n<li>Uso de determinados medicamentos;<\/li>\n<li>H\u00e1bitos alimentares;<\/li>\n<li>Uso da nutri\u00e7\u00e3o parenteral;<\/li>\n<li>Condi\u00e7\u00f5es inflamat\u00f3rias no intestino, como a doen\u00e7a inflamat\u00f3ria intestinal.<\/li>\n<\/ul>\n<p>Defici\u00eancias de vitaminas lipossol\u00faveis (A, D, E e K) tendem a ser mais comuns<sup>1.4<\/sup>. Entre os minerais, o d\u00e9ficit costuma ser silencioso e envolve principalmente elementos como o zinco, o sel\u00eanio, o cobre e o ferro<sup>1<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2023\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/12\/lam175-imagem-1.png\" alt=\"\" width=\"1377\" height=\"1169\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/12\/lam175-imagem-1.png 1377w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/12\/lam175-imagem-1-300x255.png 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/12\/lam175-imagem-1-1024x869.png 1024w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/12\/lam175-imagem-1-768x652.png 768w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/12\/lam175-imagem-1-442x375.png 442w\" sizes=\"auto, (max-width: 1377px) 100vw, 1377px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>Por isso, o monitoramento da concentra\u00e7\u00e3o dos n\u00edveis de vitaminas e elementos-tra\u00e7o \u00e9 uma medida recomendada para pacientes com a SIC. <strong>A partir disso, \u00e9 poss\u00edvel que esses indiv\u00edduos requeiram diferentes formas de suplementa\u00e7\u00e3o<\/strong> para manuten\u00e7\u00e3o da concentra\u00e7\u00e3o s\u00e9rica adequada<sup>5<\/sup>.<\/p>\n<p>Em alguns casos, a nutri\u00e7\u00e3o por via parenteral e o uso de suplementos espec\u00edficos para atender as necessidades de oligoelementos podem ser prescritos por um profissional<sup>6<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<h3>Fal\u00eancia intestinal e doen\u00e7a hep\u00e1tica<\/h3>\n<p>Esse termo engloba uma <strong>s\u00e9rie de anormalidades na fun\u00e7\u00e3o hep\u00e1tica<\/strong>, incluindo as colestases, as esteatoses e as cirroses<sup>1<\/sup>.<\/p>\n<p>A evolu\u00e7\u00e3o desses quadros costuma ser r\u00e1pida em crian\u00e7as e mais lenta em adultos<sup>7<\/sup>. E quando se fala em SIC, a ocorr\u00eancia da disfun\u00e7\u00e3o hep\u00e1tica costuma estar entre as complica\u00e7\u00f5es do uso prolongado de NP ou Terapia de Nutri\u00e7\u00e3o Parenteral Domiciliar (TNPD)<sup>8<\/sup><\/p>\n<p>Isso faz com que, especialmente na TNPD, a suplementa\u00e7\u00e3o de \u00e1cidos graxos essenciais se torne mandat\u00f3ria, sobretudo \u00f3leo de peixe. Ainda assim, h\u00e1 riscos de les\u00e3o hep\u00e1tica relacionados \u00e0 taxa de infus\u00e3o e quantidade de lip\u00eddio administrado<sup>9<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2022\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/12\/lam175-imagem-2.png\" alt=\"\" width=\"451\" height=\"358\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/12\/lam175-imagem-2.png 451w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2024\/12\/lam175-imagem-2-300x238.png 300w\" sizes=\"auto, (max-width: 451px) 100vw, 451px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Refer\u00eancias<\/strong><\/p>\n<p>&nbsp;<\/p>\n<ol>\n<li>Bering J, DiBaise JK. Short bowel syndrome: Complications and management. Nutr Clin Pract. 2023;38. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/abs\/10.1002\/ncp.10978\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/abs\/10.1002\/ncp.10978<\/a>&gt; Acesso em 24 de julho de 2024.<\/li>\n<li>Parrish CR, DiBaise JK. Managing the adult patient with short bowel syndrome. Gastroenterol Hepatol (N Y). 2017;13(10):600\u2010608. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5718176\/\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5718176\/<\/a>&gt; Acesso em 09 de agosto de 2024.<\/li>\n<li>Massironi S, Cavalcoli F, Rausa E, Invernizzi P, Braga M, Vecchi M. Understanding short bowel syndrome: current status and future perspectives. Dig Liver Dis. 2020;52(3):253\u2010261.Dispon\u00edvel em: &lt;https:\/\/www.dldjournalonline.com\/article\/S1590-8658(19)30922-3\/abstract&gt; Acesso em 09 de agosto de 2024.<\/li>\n<li>Iyer K, DiBaise JK, Rubio\u2010Tapia A. AGA clinical practice update on management of short bowel syndrome: expert review. Clin Gastroenterol Hepatol. 2022;20(10):2185\u20102194.e2. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.cghjournal.org\/article\/S1542-3565(22)00561-4\/fulltext\">https:\/\/www.cghjournal.org\/article\/S1542-3565(22)00561-4\/fulltext<\/a>&gt; Acesso em 09 de agosto de 2024.<\/li>\n<li>Matarese LE. Nutrition and fluid optimization for patients with short bowel syndrome. JPEN J Parenter Enteral Nutr. 2013;37(2):161\u2010170. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607112469818\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607112469818<\/a>&gt; Acesso em 09 de agosto de 2024.<\/li>\n<li>Castro M, Ribeiro P, Zambelli C, et al. BRASPEN position on the use of micronutrients parenterally in adults. Braspen Journal. Dispon\u00edvel em: &lt; <a href=\"https:\/\/braspenjournal.org\/article\/10.37111\/braspenj.AE.2021.36.1.01\/pdf\/braspen-36-1-3.pdf\">https:\/\/braspenjournal.org\/article\/10.37111\/braspenj.AE.2021.36.1.01\/pdf\/braspen-36-1-3.pdf<\/a> &gt; Acesso em 09 de agosto de 2024.<\/li>\n<li>Cavicchi M, Beau P, Crenn P, Degott C, Messing B. Prevalence of liver disease and contributing factors in patients receiving home parenteral nutrition for permanent intestinal failure. Ann Intern Med. 2000;132(7):525\u2010532. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.acpjournals.org\/doi\/10.7326\/0003-4819-132-7-200004040-00003?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\">https:\/\/www.acpjournals.org\/doi\/10.7326\/0003-4819-132-7-200004040-00003?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed<\/a>&gt; Acesso em 09 de agosto de 2024.<\/li>\n<li>Mitra A, Ahn J. Liver disease in patients on total parenteral nutrition. Clin Liver Dis. 2017; 21(4): 687-95. Dispon\u00edvel em: <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1089326117300569?via%3Dihub\">https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S1089326117300569?via%3Dihub<\/a>. Acesso em 11 de outubro de 2024.<\/li>\n<li>Hojsak I, Kolacek S. Fat overload syndrome after the rapid infusion of SMOFlipid emulsion. JPEN J Prenteral Enteral Nutr.2014;38(1):119-21. Dispon\u00edvel em: <a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607113482001\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607113482001<\/a>. Acesso em 24 de setembro de 2024.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>A s\u00edndrome do intestino curto (ou apenas SIC) \u00e9 uma condi\u00e7\u00e3o complexa associada a problemas de m\u00e1 absor\u00e7\u00e3o que ocorrem como consequ\u00eancia de uma redu\u00e7\u00e3o anat\u00f4mica ou funcional em trechos do intestino1. Por conta dos desequil\u00edbrios fisiol\u00f3gicos provenientes de um quadro de SIC, os pacientes podem apresentar uma variedade de complica\u00e7\u00f5es cl\u00ednicas. Assim sendo, ter [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":2024,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[41],"tags":[273,70,272,67,271],"class_list":["post-2021","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo","tag-deficiencia-de-nutrientes","tag-desnutricao","tag-diarreia","tag-nutricao-parenteral","tag-resseccao-intestinal"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Principais consequ\u00eancias da s\u00edndrome do intestino curto<\/title>\n<meta name=\"description\" content=\"A s\u00edndrome do intestino curto gera agravos, sobretudo, por conta da redu\u00e7\u00e3o da \u00e1rea do tecido intestinal funcionante.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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