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DOENÇA DO REFLUXO GASTROESOFÁGICO (DRGE) - ESOFAGITE 20% da população dos EUA tem DRGE 8% população mundial > incidência em => 2:1 Refluxo do conteúdo ácido-péptico gástrico p/ o esôfago. Inflamação da mucosa esofágica, de etiologia multifatorial (Esofagite). I Consenso Brasileiro da Doença do Refluxo Gastroesofágico. This document was created by an application that isn’t licensed to use novaPDF. Purchase a license to generate PDF files without this notice.

DOENÇA DO REFLUXO GASTROESOFÁGICO (DRGE) - ESOFAGITE

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DRGE 2019 [Modo de Compatibilidade]DRGE
etiologia multifatorial (Esofagite).
I Consenso Brasileiro da Doença do Refluxo Gastroesofágico.
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- ESOFAGITE
- HÉRNIA
I Consenso Brasileiro da Doença do Refluxo Gastroesofágico.
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I Consenso Brasileiro da Doença do Refluxo Gastroesofágico.
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e pancreáticas Procedimentos cirúrgicos:
I Consenso Brasileiro da Doença do Refluxo Gastroesofágico.
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I Consenso Brasileiro da Doença do Refluxo Gastroesofágico.
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• Manifestações pulmonares: asma, tosse crônica, hemoptise, bronquite, bronquiectasias, pneumonias de repetição;
• Manifestações otorrinolaringológicas: rouquidão, pigarro (clareamento da garganta), laringite posterior crônica, sinusite crônica, otalgia;
• Manifestações orais: desgaste no esmalte dentário, halitose, aftas.
I Consenso Brasileiro da Doença do Refluxo Gastroesofágico.
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(Investigar as queixas individualmente)
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I Consenso Brasileiro da Doença do Refluxo Gastroesofágico.
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I Consenso Brasileiro da Doença do Refluxo Gastroesofágico.
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parte do estômago force o diafragma
e invada o hiato esofagiano, causando
o refluxo do conteúdo gástrico e
provocando conseqüentemente
esofagite.
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Correção do peso
Consistência da dieta
Dietoterapia/Geral
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Líquidos Preferencialmente entre as refeições – Evitar nas refeições principais (almoço e jantar) para diminuir o volume ingerido
Dietoterapia
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Irritam a mucosa inflamada: sucos; frutas ácidas, identificar alimentos com potencial de desconforto de forma individual);
Estimulam a secreção ácida: com alto teor de purinas (consumê).
Dietoterapia
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Pressão do EEI (gastrina (aumentam a PEEI) e secretina, colecistoquinina (diminuem a PEEI))
Pressão intragástrica
Dietoterapia
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Evitar líquidos durante as refeições, pp bebidas gasosas.
Dietoterapia/ Orientações Gerais
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Evitar alimentos que apresentam cafeína (estimula secreção ácida);
Evitar ingerir chocolate (cafeína, teobromina), a pressão do EEI;
Tabagismo diminui a pressão EEI;
Evitar o uso de condimentos em excesso como por exemplo: pimenta, canela, hortelã associados a produção ácida no estômago;
Elevação da porção anterior do leito ao deitar-se, a compressão do EEI.
Dietoterapia/ Mudança Comportamental
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