{"id":2033,"date":"2025-01-27T09:14:07","date_gmt":"2025-01-27T12:14:07","guid":{"rendered":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/?p=2033"},"modified":"2025-01-27T09:14:07","modified_gmt":"2025-01-27T12:14:07","slug":"parenteral-doenca-inflamatoria-intestinal","status":"publish","type":"post","link":"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/parenteral-doenca-inflamatoria-intestinal\/","title":{"rendered":"As melhores pr\u00e1ticas para introdu\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral na doen\u00e7a inflamat\u00f3ria intestinal"},"content":{"rendered":"<p>O uso da nutri\u00e7\u00e3o parenteral no manejo da doen\u00e7a inflamat\u00f3ria intestinal, sobretudo em pacientes encarando epis\u00f3dios de fal\u00eancia intestinal aguda e\/ou cr\u00f4nica<sup>1<\/sup>, desempenha um papel essencial na manuten\u00e7\u00e3o do estado nutricional.\u00a0 Por isso, os <strong>profissionais envolvidos nesse quadro devem ter ci\u00eancia das abordagens adequadas <\/strong>frente a tais circunst\u00e2ncias.<\/p>\n<p>Dessa forma, vamos repassar algumas das recomenda\u00e7\u00f5es apresentadas nas <a href=\"https:\/\/www.gastrojournal.org\/action\/showPdf?pii=S0016-5085%2823%2905597-X\">atualiza\u00e7\u00f5es da Associa\u00e7\u00e3o Americana de Gastroenterologia<\/a> (ou AGA, na sigla em ingl\u00eas), publicadas em 2024. Tais orienta\u00e7\u00f5es foram elaboradas a partir do trabalho de especialistas, que revisaram as evid\u00eancias dispon\u00edveis na literatura sobre o tema.<\/p>\n<h2>Acompanhamento do estado nutricional dos pacientes com doen\u00e7a inflamat\u00f3ria intestinal cr\u00f4nica<\/h2>\n<p><strong>A desnutri\u00e7\u00e3o e outras formas de d\u00e9ficits nutricionais s\u00e3o comuns na doen\u00e7a inflamat\u00f3ria intestinal. <\/strong>Tais complica\u00e7\u00f5es s\u00e3o frequentes especialmente entre pacientes com doen\u00e7a de Crohn e entre aqueles que passaram por m\u00faltiplas cirurgias<sup>1<\/sup>.<\/p>\n<p>Seja como for, defici\u00eancias no estado nutricional est\u00e3o associadas a uma evolu\u00e7\u00e3o pior desses quadros, incluindo nisso<sup>2-6<\/sup>:<\/p>\n<ul>\n<li>Maior n\u00famero de atendimentos de emerg\u00eancia;<\/li>\n<li>Maior frequ\u00eancia e dura\u00e7\u00e3o das hospitaliza\u00e7\u00f5es;<\/li>\n<li>Maior necessidade de cirurgias n\u00e3o eletivas;<\/li>\n<li>Maior mortalidade;<\/li>\n<li>Redu\u00e7\u00e3o na resposta \u00e0s terapias;<\/li>\n<li>Pior qualidade de vida.<\/li>\n<\/ul>\n<p>Portanto, todos os <strong>pacientes nessas circunst\u00e2ncias necessitam de triagem para desnutri\u00e7\u00e3o e avalia\u00e7\u00f5es regulares<\/strong> de indicadores relativos \u00e0 perda de peso n\u00e3o intencional, edemas, reten\u00e7\u00e3o de fluidos e perda de gordura e massa muscular<sup>1<\/sup>.<\/p>\n<p>Por consequ\u00eancia, identificando um risco nutricional, \u00e9 indicada uma avalia\u00e7\u00e3o completa feita por um nutricionista<sup>1<\/sup>. Entretanto, a mensura\u00e7\u00e3o de prote\u00ednas s\u00e9ricas n\u00e3o \u00e9 mais recomendada devido \u00e0 falta de especificidade para avalia\u00e7\u00e3o do estado nutricional e alta sensibilidade \u00e0 resposta inflamat\u00f3ria, que pode mascarar resultados<sup>1<\/sup>.<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2034\" src=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2025\/01\/lam179-imagem-1.png\" alt=\"\" width=\"603\" height=\"601\" srcset=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2025\/01\/lam179-imagem-1.png 603w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2025\/01\/lam179-imagem-1-300x300.png 300w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2025\/01\/lam179-imagem-1-150x150.png 150w, https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/wp-content\/uploads\/sites\/3\/2025\/01\/lam179-imagem-1-376x375.png 376w\" sizes=\"auto, (max-width: 603px) 100vw, 603px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h2>O uso da nutri\u00e7\u00e3o parenteral na doen\u00e7a inflamat\u00f3ria intestinal<\/h2>\n<p>Em muitos contextos, a ado\u00e7\u00e3o de uma dieta oral que priorize o padr\u00e3o alimentar adotado nos pa\u00edses do Mediterr\u00e2neo (com uma variedade de frutas e vegetais frescos,\u00a0 gorduras monoinsaturadas, carboidratos complexos e prote\u00ednas magras) pode ser suficiente para o manejo da doen\u00e7a inflamat\u00f3ria intestinal cr\u00f4nica<sup>1<\/sup>.<\/p>\n<p>Adicionalmente, a nutri\u00e7\u00e3o enteral pode ser importante em pacientes desnutridos antes de cirurgias ou no per\u00edodo de remiss\u00e3o cl\u00ednica, principalmente em indiv\u00edduos com doen\u00e7a de Crohn<sup>1<\/sup>. Por fim, a <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/duvidas-nutricao-parenteral\/\">nutri\u00e7\u00e3o parenteral <\/a>costuma ser prescrita quando<sup>1<\/sup>:<\/p>\n<ul>\n<li>Existe um abscesso intra-abdominal e\/ou inflama\u00e7\u00e3o purulenta que <strong>limita a capacidade de alcan\u00e7ar a nutri\u00e7\u00e3o ideal atrav\u00e9s do trato digestivo<\/strong>. Nesses casos, a nutri\u00e7\u00e3o parenteral de curto prazo pode prover repouso intestinal, inclusive antes de cirurgias.<\/li>\n<li>H\u00e1 <strong>f\u00edstula gastrointestinal de alto d\u00e9bito, \u00edleo prolongado, s\u00edndrome do intestino curto <\/strong>ou desnutri\u00e7\u00e3o grave, em especial nos casos em que a nutri\u00e7\u00e3o via oral e enteral falhou ou \u00e9 contraindicada.<\/li>\n<\/ul>\n<p>Diante disso, exemplos cl\u00e1ssicos em que a introdu\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral \u00e9 exigida s\u00e3o f\u00edstulas com d\u00e9bito &gt;500 mL\/24 h, estomas com d\u00e9bito de &gt;500 mL\/24 h ou incapacidade de manter, pelo menos, 60% das metas de energia e prote\u00edna por meio de nutri\u00e7\u00e3o oral ou enteral por per\u00edodos de sete a dez dias<sup>1<\/sup>.<\/p>\n<p>Ao mesmo tempo, em pacientes com s\u00edndrome do intestino curto, a nutri\u00e7\u00e3o parenteral deve ser escalonada para o manejo da hidrata\u00e7\u00e3o e ingest\u00e3o via oral assim que poss\u00edvel<sup>1<\/sup>. Tal abordagem reduz o risco de complica\u00e7\u00e3o, principalmente quando em uso de terapia nutricional parenteral de longo prazo<sup>1<\/sup>.<\/p>\n<p>Veja tamb\u00e9m: <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/nutricao-parenteral-pre-operatorio\/\">A nutri\u00e7\u00e3o parenteral no pr\u00e9-operat\u00f3rio faz sentido?<\/a><\/p>\n<h2>A import\u00e2ncia e os cuidados necess\u00e1rios com o suporte nutricional<\/h2>\n<p>Considerar o emprego da nutri\u00e7\u00e3o parenteral na doen\u00e7a inflamat\u00f3ria intestinal \u00e9 ficar atento aos controles para evitar que complica\u00e7\u00f5es desse quadro possam tornar mais dif\u00edcil alcan\u00e7ar o estado nutricional adequado<sup>1<\/sup>.<\/p>\n<p>A nutri\u00e7\u00e3o parenteral se faz necess\u00e1ria, em muitas situa\u00e7\u00f5es, pois <strong>a alimenta\u00e7\u00e3o por outras vias em um intestino j\u00e1 danificado pode piorar ainda mais o quadro cl\u00ednico dos sintomas e as patologias subjacentes<sup>1<\/sup>.<\/strong> No mais, isso limita a capacidade de atingir metas nutricionais necess\u00e1rias atrav\u00e9s do trato digestivo<sup>1<\/sup>.<\/p>\n<p>A partir disso, essa forma de suporte nutricional, al\u00e9m de corrigir defici\u00eancia nutricional, permite tamb\u00e9m que o intestino lesionado \u201cdescanse\u201d, diminuindo a contamina\u00e7\u00e3o microbiana do tecido comprometido e, em \u00faltima an\u00e1lise, melhorando os resultados de eventuais procedimentos cir\u00fargicos<sup>7,8<\/sup>.<\/p>\n<p>Por outro lado, quando for poss\u00edvel, a <strong>nutri\u00e7\u00e3o enteral deve ser preferida em rela\u00e7\u00e3o \u00e0 nutri\u00e7\u00e3o parenteral<\/strong>, j\u00e1 que h\u00e1 benef\u00edcios associados \u00e0 manuten\u00e7\u00e3o da integridade e da fun\u00e7\u00e3o intestinal. Por fim, isso ajuda a fornecer nutrientes vitais para a microbiota, o que pode reduzir o n\u00famero de complica\u00e7\u00f5es infecciosas<sup>9,10<\/sup>.<\/p>\n<p>Vale sempre lembrar que ambas as formas de suporte nutricional s\u00e3o interven\u00e7\u00f5es complexas. Logo, elas dependem da supervis\u00e3o de um nutricionista e de uma equipe multidisciplinar para determinar a melhor conduta tendo como refer\u00eancia<sup>1<\/sup>:<\/p>\n<ul>\n<li>Sele\u00e7\u00e3o da melhor via de suporte nutricional para a condi\u00e7\u00e3o intestinal do momento;<\/li>\n<li>Prescri\u00e7\u00e3o das necessidades adequadas de energia, <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/proteina-na-nutricao-parenteral\/\">prote\u00ednas<\/a> e micronutrientes;<\/li>\n<li>Monitoramento de pacientes durante todo tratamento;<\/li>\n<li>Ajuste da prescri\u00e7\u00e3o nutricional, quando necess\u00e1rio;<\/li>\n<li>Educa\u00e7\u00e3o do paciente sobre administra\u00e7\u00e3o segura da nutri\u00e7\u00e3o enteral ou parenteral;<\/li>\n<li>Orienta\u00e7\u00e3o dos pacientes e seus cuidadores sobre a transi\u00e7\u00e3o apropriada para uma ingest\u00e3o oral regular.<\/li>\n<\/ul>\n<p>Com isso, \u00e9 poss\u00edvel <strong>garantir o benef\u00edcio comprovado e necess\u00e1rio da introdu\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral na doen\u00e7a inflamat\u00f3ria<\/strong> intestinal, visando, inclusive, a manuten\u00e7\u00e3o da qualidade de vida dos pacientes nessa condi\u00e7\u00e3o.<\/p>\n<p>Para mais conte\u00fados sobre o tema, acesse sempre o <a href=\"https:\/\/lam.unitedforclinicalnutrition.com\/pt-br\/\">Unidos Pela Nutri\u00e7\u00e3o Cl\u00ednica.<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>Refer\u00eancias:<\/p>\n<ol>\n<li>Hashash JG, Elkins J, Lewis JD, Binion DG. AGA Clinical practice update on diet and nutritional therapies in patients with inflammatory bowel disease: expert review. Gastroenterology. 2024. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.gastrojournal.org\/article\/S0016-5085(23)05597-X\/fulltext?referrer=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F\">https:\/\/www.gastrojournal.org\/article\/S0016-5085(23)05597-X\/fulltext?referrer=https%3A%2F%2Fpubmed.ncbi.nlm.nih.gov%2F<\/a>&gt; Acesso em 02 de setembro de 2024.<\/li>\n<li>Gajendran M, Umapathy C, Loganathan P, et al. Analysis of hospital-based emergency department visits for inflammatory bowel disease in the USA. Dig Dis Sci. 2016;61:389\u2013399. Dispon\u00edvel em: &lt;<a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10620-015-3895-2\">https:\/\/link.springer.com\/article\/10.1007\/s10620-015-3895-2<\/a>&gt; Acesso em 30 de julho de 2024.<\/li>\n<li>Pulley J, Todd A, Flatley C, et al. Malnutrition and quality of life among adult inflammatory bowel disease patients. JGH Open. 2020;4:454\u2013460. Dispon\u00edvel em: &lt;<a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgh3.12278\">https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgh3.12278<\/a>&gt; 30 de julho de 2024.<\/li>\n<li>Ananthakrishnan AN, McGinley EL. Infection-related hospitalizations are associated with increased mortality in patients with inflammatory bowel diseases. J Crohns Colitis. 2013;7:107\u2013112. Dispon\u00edvel em: &lt;<a href=\"https:\/\/academic.oup.com\/ecco-jcc\/article-lookup\/doi\/10.1016\/j.crohns.2012.02.015\">https:\/\/academic.oup.com\/ecco-jcc\/article-lookup\/doi\/10.1016\/j.crohns.2012.02.015<\/a>&gt; 02 de setembro de 2024.<\/li>\n<li>Ananthakrishnan AN, McGinley EL, Binion DG, et al. A novel risk score to stratify severity of Crohn\u2019s disease hospitalizations. Am J Gastroenterol. 2010;105:1799\u20131807. Dispon\u00edvel em: &lt;<a href=\"https:\/\/journals.lww.com\/ajg\/abstract\/2010\/08000\/a_novel_risk_score_to_stratify_severity_of_crohn_s.18.aspx\">https:\/\/journals.lww.com\/ajg\/abstract\/2010\/08000\/a_novel_risk_score_to_stratify_severity_of_crohn_s.18.aspx<\/a>&gt; 30 de julho de 2024.<\/li>\n<li>Nguyen GC, Munsell M, Harris ML. Nationwide prevalence and prognostic significance of clinically diagnosable protein-calorie malnutrition in hospitalized inflammatory bowel disease patients. Inflamm Bowel Dis. 2008;14:1105\u201311117. Dispon\u00edvel em: &lt;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18302272\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/18302272\/<\/a>&gt; 02 de setembro de 2024.<\/li>\n<li>Detsky AS, Baker JP, O\u2019Rourke K, et al. Predicting nutrition-associated complications for patients undergoing gastrointestinal surgery. JPEN J Parenter Enteral Nutr. 1987;11:440\u2013446. Dispon\u00edvel em: &lt;<a href=\"https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607187011005440\">https:\/\/aspenjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0148607187011005440<\/a>&gt;<\/li>\n<li>Heyland DK, Montalvo M, MacDonald S, et al. Total parenteral nutrition in the surgical patient: a meta-analysis. Can J Surg. 2001;44:102\u2013111. Dispon\u00edvel em: &lt;<a href=\"https:\/\/www.canjsurg.ca\/content\/44\/2\/102.long\">https:\/\/www.canjsurg.ca\/content\/44\/2\/102.long<\/a>&gt; 02 de setembro de 2024<\/li>\n<li>Nelson AD, Elkins JR, Stocchi L, et al. Use and misuse of parenteral nutrition in patients with inflammatory bowel disease. Inflamm Bowel Dis. 2022;28:1592\u20131602. Dispon\u00edvel em: &lt;<a href=\"https:\/\/academic.oup.com\/ibdjournal\/article-lookup\/doi\/10.1093\/ibd\/izac085\">https:\/\/academic.oup.com\/ibdjournal\/article-lookup\/doi\/10.1093\/ibd\/izac085<\/a>&gt; 02 de setembro de 2024<\/li>\n<li>Braunschweig CL, Levy P, Sheean PM, et al. Enteral compared with parenteral nutrition: a meta-analysis. Am J Clin Nutr. 2001;74:534\u2013542 Dispon\u00edvel em: &lt;<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/11566654\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/11566654\/<\/a>&gt; 02 de setembro de 2024<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>O uso da nutri\u00e7\u00e3o parenteral no manejo da doen\u00e7a inflamat\u00f3ria intestinal, sobretudo em pacientes encarando epis\u00f3dios de fal\u00eancia intestinal aguda e\/ou cr\u00f4nica1, desempenha um papel essencial na manuten\u00e7\u00e3o do estado nutricional.\u00a0 Por isso, os profissionais envolvidos nesse quadro devem ter ci\u00eancia das abordagens adequadas frente a tais circunst\u00e2ncias. Dessa forma, vamos repassar algumas das recomenda\u00e7\u00f5es [&hellip;]<\/p>\n","protected":false},"author":5902,"featured_media":2035,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[49],"tags":[278,277,81,76,67],"class_list":["post-2033","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artigo-5","tag-doenca-de-crohn","tag-doenca-inflamatoria-intestinal","tag-nutricao-clinica","tag-nutricao-enteral","tag-nutricao-parenteral"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Introdu\u00e7\u00e3o da nutri\u00e7\u00e3o parenteral na doen\u00e7a inflamat\u00f3ria intestinal<\/title>\n<meta name=\"description\" content=\"Entenda a necessidade e os poss\u00edveis benef\u00edcios da nutri\u00e7\u00e3o parenteral no manejo da doen\u00e7a 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