{"id":271,"date":"2025-08-12T19:52:00","date_gmt":"2025-08-12T19:52:00","guid":{"rendered":"https:\/\/drmarciomuller.com.br\/?page_id=271"},"modified":"2025-08-18T17:30:05","modified_gmt":"2025-08-18T17:30:05","slug":"fundoplicatura","status":"publish","type":"page","link":"https:\/\/drmarciomuller.com.br\/index.php\/fundoplicatura\/","title":{"rendered":"Fundoplicatura"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"271\" class=\"elementor elementor-271\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-004182f e-flex e-con-boxed e-con e-parent\" data-id=\"004182f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e8b78a8 animated-slow elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"e8b78a8\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Fundoplicatura<\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-c9a4a24 e-con-full animated-slow e-flex elementor-invisible e-con e-child\" data-id=\"c9a4a24\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-50cf48e elementor-widget__width-inherit elementor-widget elementor-widget-image\" data-id=\"50cf48e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"480\" src=\"https:\/\/drmarciomuller.com.br\/wp-content\/uploads\/2025\/08\/cirurgia-2.webp\" class=\"attachment-large size-large wp-image-276\" alt=\"\" srcset=\"https:\/\/drmarciomuller.com.br\/wp-content\/uploads\/2025\/08\/cirurgia-2.webp 800w, https:\/\/drmarciomuller.com.br\/wp-content\/uploads\/2025\/08\/cirurgia-2-300x180.webp 300w, https:\/\/drmarciomuller.com.br\/wp-content\/uploads\/2025\/08\/cirurgia-2-768x461.webp 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-13f7f27 e-flex e-con-boxed e-con e-parent\" data-id=\"13f7f27\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6a22a80 e-con-full animated-slow e-flex elementor-invisible e-con e-child\" data-id=\"6a22a80\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;animation&quot;:&quot;fadeIn&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b313939 elementor-widget__width-inherit elementor-widget elementor-widget-image-box\" data-id=\"b313939\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">O que \u00e9 a Fundoplicatura?<\/h3><p class=\"elementor-image-box-description\">A fundoplicatura \u00e9 um procedimento cir\u00fargico indicado no tratamento da doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE), considerada a condi\u00e7\u00e3o esof\u00e1gica mais prevalente na popula\u00e7\u00e3o.\nA DRGE ocorre quando o conte\u00fado do est\u00f4mago retorna de forma anormal para o es\u00f4fago, provocando sintomas como azia, queima\u00e7\u00e3o e regurgita\u00e7\u00e3o, al\u00e9m de causar inflama\u00e7\u00f5es e les\u00f5es esof\u00e1gicas. Esse refluxo acontece geralmente por disfun\u00e7\u00e3o na v\u00e1lvula inferior do es\u00f4fago, estrutura que deveria impedir o retorno do conte\u00fado g\u00e1strico.<br><br>\nCom o tempo, e dependendo da intensidade do refluxo, o paciente pode desenvolver complica\u00e7\u00f5es como esofagite grave, estenoses, \u00falceras e altera\u00e7\u00f5es celulares como o es\u00f4fago de Barrett.<br><br>\n\nQuando a fundoplicatura \u00e9 indicada?<br>\nA fundoplicatura \u00e9 considerada quando h\u00e1 falha ou intoler\u00e2ncia ao tratamento cl\u00ednico, ou ainda nos seguintes cen\u00e1rios:<br><br>\n<span class=\"destaque-texto\">\u2022 Presen\u00e7a de complica\u00e7\u00f5es, como esofagite intensa, estenoses ou altera\u00e7\u00f5es celulares;<br><br>\n\u2022 Necessidade de tratamento cont\u00ednuo com medicamentos potentes, especialmente em pacientes jovens;<br><br>\n\u2022 Intoler\u00e2ncia ou contraindica\u00e7\u00e3o ao uso prolongado de inibidores de bomba de pr\u00f3tons;<br><br>\n\u2022 Evid\u00eancia, por exames como a pHmetria, de exposi\u00e7\u00e3o \u00e1cida anormal no es\u00f4fago;\n\u2022 Presen\u00e7a de h\u00e9rnias hiatais volumosas ou h\u00e9rnias paraesof\u00e1gicas.<br><br>\u2022 Persist\u00eancia de sintomas apesar do uso correto de medicamentos;<br><br><\/span>\n\n \n<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-947ad69 elementor-widget__width-inherit elementor-widget elementor-widget-image-box\" data-id=\"947ad69\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Como funciona a fundoplicatura?<\/h3><p class=\"elementor-image-box-description\">A cirurgia tem como objetivo reconstruir uma v\u00e1lvula funcional na transi\u00e7\u00e3o entre es\u00f4fago e est\u00f4mago, reduzindo os epis\u00f3dios de refluxo.<br><br>\nA t\u00e9cnica mais comum \u00e9 a fundoplicatura a Nissen, na qual o fundo g\u00e1strico \u00e9 mobilizado e suturado ao redor da por\u00e7\u00e3o terminal do es\u00f4fago, formando uma v\u00e1lvula de 360 graus. Tamb\u00e9m podem ser utilizadas t\u00e9cnicas parciais, que envolvem menor extens\u00e3o do fundo g\u00e1strico ao redor do es\u00f4fago (240 a 270 graus), em casos espec\u00edficos.<br><br>\nQuando existe associa\u00e7\u00e3o com h\u00e9rnia de hiato, realiza-se tamb\u00e9m a hiatoplastia \u2014 o fechamento do hiato esof\u00e1gico para refor\u00e7ar a barreira antirrefluxo. Em h\u00e9rnias volumosas, pode ser necess\u00e1rio o uso de telas cir\u00fargicas. Recentemente, uma abordagem inovadora com uso de toxina botul\u00ednica (botox) na parede abdominal tem sido utilizada de forma pioneira para facilitar a corre\u00e7\u00e3o de h\u00e9rnias de hiato gigantes.\n<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-216db88 elementor-widget__width-inherit elementor-widget elementor-widget-image-box\" data-id=\"216db88\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image-box.default\">\n\t\t\t\t\t<div class=\"elementor-image-box-wrapper\"><div class=\"elementor-image-box-content\"><h3 class=\"elementor-image-box-title\">Como \u00e9 o p\u00f3s-operat\u00f3rio da fundoplicatura?<\/h3><p class=\"elementor-image-box-description\">Nos primeiros dias ap\u00f3s a cirurgia, recomenda-se dieta l\u00edquida e adapta\u00e7\u00e3o progressiva da alimenta\u00e7\u00e3o. Atividades f\u00edsicas intensas e esfor\u00e7os que envolvam press\u00e3o abdominal devem ser evitados.<br><br>\n<span class=\"destaque-texto\">A principal queixa no p\u00f3s-operat\u00f3rio imediato costuma ser a dificuldade para engolir, geralmente transit\u00f3ria, causada pelo incha\u00e7o local.<\/span><br><br> Outros sintomas poss\u00edveis incluem distens\u00e3o abdominal, sensa\u00e7\u00e3o de empachamento e dificuldade para eructar. A maioria desses sintomas se resolve com o tempo e com a reeduca\u00e7\u00e3o alimentar p\u00f3s-operat\u00f3ria.<\/p><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-877c9f4 elementor-widget elementor-widget-button\" data-id=\"877c9f4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"https:\/\/wa.me\/5554991050713?text=Ol%C3%A1!%20Gostaria%20de%20agendar%20uma%20consulta!%20%20\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">agende sua consulta<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Fundoplicatura O que \u00e9 a Fundoplicatura? A fundoplicatura \u00e9 um procedimento cir\u00fargico indicado no tratamento da doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE), considerada a condi\u00e7\u00e3o esof\u00e1gica mais prevalente na popula\u00e7\u00e3o. A DRGE ocorre quando o conte\u00fado do est\u00f4mago retorna de forma anormal para o es\u00f4fago, provocando sintomas como azia, queima\u00e7\u00e3o e regurgita\u00e7\u00e3o, al\u00e9m de causar inflama\u00e7\u00f5es [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-271","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Fundoplicatura - Dr Marcio Muller<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drmarciomuller.com.br\/index.php\/fundoplicatura\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fundoplicatura - Dr Marcio Muller\" \/>\n<meta property=\"og:description\" content=\"Fundoplicatura O que \u00e9 a Fundoplicatura? 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