{"id":17505,"date":"2022-01-28T16:55:29","date_gmt":"2022-01-28T19:55:29","guid":{"rendered":"https:\/\/med.estrategia.com\/portal\/?p=17505"},"modified":"2022-08-11T16:14:07","modified_gmt":"2022-08-11T19:14:07","slug":"resumed-de-pancreatite-cronica","status":"publish","type":"post","link":"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/","title":{"rendered":"ResuMED de Pancreatite Cr\u00f4nica: classifica\u00e7\u00e3o, etiologia, diagn\u00f3sticos e mais!"},"content":{"rendered":"<p><strong>Fala, futuro Residente!<\/strong> Quer estudar sobre <strong>pancreatite cr&ocirc;nica<\/strong>, patologia consideravelmente presente na pr&aacute;tica cl&iacute;nica? Veja este artigo que o Estrat&eacute;gia MED preparou para voc&ecirc;!<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_79_2 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\"><p class=\"ez-toc-title\" style=\"cursor:inherit\">Navegue pelo conte\u00fado<\/p>\n<\/div><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:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Definicao-geral\" >Defini&ccedil;&atilde;o geral<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Classificacao\" >Classifica&ccedil;&atilde;o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Patogenia\" >Patogenia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Etiologia\" >Etiologia<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Manifestacoes-clinicas\" >Manifesta&ccedil;&otilde;es cl&iacute;nicas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Diagnostico\" >Diagn&oacute;stico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Diagnostico-diferencial\" >Diagn&oacute;stico diferencial<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Tratamento\" >Tratamento<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Fisiologia-da-dor-de-um-portador-de-pancreatite-cronica\" >Fisiologia da dor de um portador de pancreatite cr&ocirc;nica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/#Veja-tambem\" >Veja tamb&eacute;m:<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\" id=\"h-definicao-geral\"><span class=\"ez-toc-section\" id=\"Definicao-geral\"><\/span><strong>Defini&ccedil;&atilde;o geral<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><p>Patologia caracterizada por <strong>fibrose progressiva do par&ecirc;nquima pancre&aacute;tico<\/strong>, decorrente de altera&ccedil;&otilde;es inflamat&oacute;rias progressivas no p&acirc;ncreas, as quais evoluem para altera&ccedil;&otilde;es estruturais, comprometimento da fun&ccedil;&atilde;o ex&oacute;crina e, posteriormente, end&oacute;crina do &oacute;rg&atilde;o. As altera&ccedil;&otilde;es pancre&aacute;ticas decorrentes de tal patologia s&atilde;o irrevers&iacute;veis. Ademais, &eacute; uma doen&ccedil;a onde promovem altera&ccedil;&otilde;es locais por longos per&iacute;odos de tempo para que a sintomatologia seja manifestada.<\/p><h2 class=\"wp-block-heading\" id=\"h-classificacao\"><span class=\"ez-toc-section\" id=\"Classificacao\"><\/span><strong>Classifica&ccedil;&atilde;o<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><p>A pancreatite cr&ocirc;nica &eacute; dividida em tr&ecirc;s tipos definidos no Simp&oacute;sio de Marselha- Roma, em 1988, a partir de crit&eacute;rios cl&iacute;nicos e patol&oacute;gicos. S&atilde;o eles:<\/p><ul class=\"wp-block-list\"><li><strong>Pancreatite calcificante cr&ocirc;nica:<\/strong><ul><li>A mais comum, em 95% dos casos, com a presen&ccedil;a de c&aacute;lculos pancre&aacute;ticos.<\/li><li>Etilismo &eacute; sua principal causa.<\/li><\/ul><\/li><li><strong>Pancreatite obstrutiva cr&ocirc;nica:<\/strong><ul><li>Tumor intraductal (adenocarcinoma) &eacute; a principal causa.<\/li><\/ul><\/li><li><strong>Pancreatite inflamat&oacute;ria cr&ocirc;nica:<\/strong><ul><li>Doen&ccedil;a autoimune, como S&iacute;ndrome de Sj&ouml;gren &eacute; a sua principal causa.<\/li><li>&Eacute; um tipo <strong>muito raro<\/strong> e n&atilde;o apresenta dilata&ccedil;&atilde;o ou calcifica&ccedil;&atilde;o.<\/li><\/ul><\/li><\/ul><p><\/p><p>\n\n\n<div id=\"new-form\">\n\t<form id=\"forms_layout\">\n\t<input type=\"hidden\" id=\"chave_de\" name=\"chave_de\" value=\"01_EMED_LEADS_TOTAIS\" \/>\n\t\t<input type=\"hidden\" id=\"mid\" name=\"mid\" value=\"515009018\" \/>\n\t\t<input type=\"hidden\" id=\"Objetivo\" name=\"Objetivo\" value=\"Medicina\" \/>\n\t\t<input type=\"hidden\" id=\"Estado_de_Origem_do_IP\" name=\"Estado_de_Origem_do_IP\"  value=\"\" \/>\n\t\t<input type=\"hidden\" id=\"Cidade_de_Origem_do_IP\" name=\"Cidade_de_Origem_do_IP\" value=\"\" \/>\n\t\t<input type=\"hidden\" id=\"Modo_de_entrada\" name=\"Modo_de_entrada\" value=\"Portal\" \/>\n\t\t<input type=\"hidden\" id=\"Pagina_Origem\" name=\"Pagina_Origem\" value=\"\" \/>\n\n\t\t<div class=\"texto\">\n\t\t\t<h3 class=\"news\">Inscreva-se em nossa newsletter!<\/h3>\n\t\t\t<p>Receba not\u00edcias sobre resid\u00eancia m\u00e9dica, revalida\u00e7\u00e3o de diplomas e concursos m\u00e9dicos, al\u00e9m de materiais de estudo gratuitos e informa\u00e7\u00f5es relevantes do mundo da Medicina.<\/p>\n\t\t<\/div>\n\t\t<div class=\"campos\">\n\t\t\t<div class=\"first_name labels\">\n\t\t\t\t<input type=\"text\" class=\"input_labels\" id=\"first_name\" name=\"Nome_Completo\" placeholder=\"Nome\" required \/>\n\t\t\t<\/div>\n\t\t\t<div class=\"email labels\">\n\t\t\t\t<input type=\"email\" class=\"input_labels\" id=\"email\" name=\"Email\" placeholder=\"E-mail\" required \/>\n\t\t\t<\/div>\n\t\t\t<button type=\"submit\" class=\"button_layout\">\n\t\t\t\t<div id=\"lblBotao\">Inscreva-se<\/div>\n\t\t\t\t<span id=\"divSpiner\" class=\"loader\" role=\"status\" style=\"display: none;\"><\/span>\t\n\t\t\t<\/button>\n\t\t<\/div><!-- \/campos -->\n\t\t\n\t\t<label class=\"container_checkbox\">Voc\u00ea concorda com a nossa\n\t\t\t<a class=\"politics_privacy_ahref\" target=\"_blank\" href=\"https:\/\/gratis.estrategiaconcursos.com.br\/politica-de-privacidade\/\">Pol\u00edtica de Privacidade<\/a> e aceita receber informa\u00e7\u00f5es adicionais do Estrat\u00e9gia Educacional.\n\t\t\t<input id=\"checkbox_layout\" type=\"checkbox\" checked=\"checked\" required \/>\n\t\t\t<span class=\"checkbox\"><\/span>\n\t\t<\/label>\n\t\t<div id=\"msg\"><\/div>\n\t\t<div id=\"error\" class=\"error\">\n\t\t<\/div>\n\t<\/form>\n<\/div><!-- \/new-form -->\n\n\n\n<\/p><h2 class=\"wp-block-heading\" id=\"h-patogenia\"><span class=\"ez-toc-section\" id=\"Patogenia\"><\/span><strong>Patogenia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><p><strong>INFLAMA&Ccedil;&Atilde;O CR&Ocirc;NICA + FIBROSE + INSUFICI&Ecirc;NCIA PANCRE&Aacute;TICA<\/strong><\/p><p>O agente agressor como o &aacute;lcool vai promovendo uma inflama&ccedil;&atilde;o e, como consequ&ecirc;ncia, motivando a ativa&ccedil;&atilde;o das enzimas digestivas.<\/p><h2 class=\"wp-block-heading\" id=\"h-etiologia\"><span class=\"ez-toc-section\" id=\"Etiologia\"><\/span><strong>Etiologia<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><p>A <strong>principal causa &eacute; a alco&oacute;lica<\/strong> em 80% dos casos e pensar na <strong>fibrose c&iacute;stica<\/strong> quando for em <strong>crian&ccedil;as<\/strong>.&nbsp;<\/p><h2 class=\"wp-block-heading\" id=\"h-manifestacoes-clinicas\"><span class=\"ez-toc-section\" id=\"Manifestacoes-clinicas\"><\/span><strong>Manifesta&ccedil;&otilde;es cl&iacute;nicas<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><p><strong>DOR ABDOMINAL<\/strong> (intermitente, ou seja, &ldquo;vai e volta&rdquo;) + <strong>ESTEATORREIA<\/strong> (&gt;90%) + <strong>DIABETES MELLITUS.&nbsp;<\/strong><\/p><p>A grande caracter&iacute;stica dessa <strong>dor<\/strong> &eacute; a <strong>p&oacute;s prandial<\/strong>, bem como, <strong>ap&oacute;s a ingest&atilde;o de bebida alco&oacute;lica<\/strong>, portanto, atrela-se o emagrecimento e desnutri&ccedil;&atilde;o a esse caso, devido ao receio em se alimentar. &Eacute; uma dor <strong>localizada<\/strong>, frequentemente, ao <strong>abdome superior e m&eacute;dio<\/strong>. Por vezes, irradiando para o dorso, assim como na pancreatite aguda. &Eacute; comum, o paciente apresentar a <strong>posi&ccedil;&atilde;o ant&aacute;lgica genupeitoral (prece maometana)<\/strong>. No entanto, cerca de 15 a 20% dos pacientes n&atilde;o relatam dor.<\/p><p>A esteatorreia &eacute; manifestada devido ao d&eacute;ficit de secre&ccedil;&atilde;o enzim&aacute;tica, pois o p&acirc;ncreas fibrosado perde suas fun&ccedil;&otilde;es. J&aacute; a diabetes ser&aacute; desenvolvida quando houver a destrui&ccedil;&atilde;o das ilhotas, interferindo na produ&ccedil;&atilde;o da insulina.<\/p><h2 class=\"wp-block-heading\" id=\"h-diagnostico\"><span class=\"ez-toc-section\" id=\"Diagnostico\"><\/span><strong>Diagn&oacute;stico<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><p>O <strong>padr&atilde;o ouro<\/strong> para tal diagn&oacute;stico &eacute; a <strong>an&aacute;lise histopatol&oacute;gica<\/strong>, exame n&atilde;o muito solicitado na pr&aacute;tica cl&iacute;nica. Dessa forma, acaba sendo de forma indireta, pela cl&iacute;nica do paciente.<\/p><p>No geral, s&atilde;o <strong>avaliados<\/strong>:<\/p><p><strong>CL&Iacute;NICA + IMAGEM (TOMOGRAFIA)<\/strong> com calcifica&ccedil;&otilde;es e irregularidades + <strong>TEMPO DA SECRETINA <\/strong>(avaliar esteatorreia)<strong>\/GLICEMIA <\/strong>(avaliar diabetes)<strong>.<\/strong><\/p><p>Um dos exames de imagem muito utilizados nos dias atuais &eacute; a <strong>ultrassonografia endosc&oacute;pica.&nbsp;<\/strong><\/p><p>Em rela&ccedil;&atilde;o &agrave; avalia&ccedil;&atilde;o do exame de imagem, devido &agrave; autodestrui&ccedil;&atilde;o do par&ecirc;nquima pancre&aacute;tico, acaba depositando c&aacute;lcio naquela estrutura (visualizado na imagem) e gerando uma suposta <strong>hipocalcemia<\/strong>.<\/p><h2 class=\"wp-block-heading\" id=\"h-diagnostico-diferencial\"><span class=\"ez-toc-section\" id=\"Diagnostico-diferencial\"><\/span><strong>Diagn&oacute;stico diferencial<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><p>Mesmo diante de toda a cl&iacute;nica de pancreatite cr&ocirc;nica, o paciente pode estar diante de um quadro de <strong><a href=\"https:\/\/www.msdmanuals.com\/pt-br\/casa\/dist%C3%BArbios-digestivos\/tumores-do-sistema-digestivo\/c%C3%A2ncer-de-p%C3%A2ncreas\" target=\"_blank\" rel=\"noopener noreferrer\">C&Acirc;NCER DE P&Acirc;NCREAS<\/a><\/strong>. Muitas vezes n&atilde;o h&aacute; condi&ccedil;&otilde;es para fazer o diagn&oacute;stico diferencial e prezar pela <strong>cirurgia (Pancreatectomia)<\/strong>. O ideal seria a <strong>bi&oacute;psia<\/strong>, entretanto tal procedimento pode &ldquo;espalhar&rdquo; a c&eacute;lula tumoral caso se trate de um c&acirc;ncer, chamado de <strong>carcinomatose peritoneal<\/strong>.&nbsp;<\/p><h2 class=\"wp-block-heading\" id=\"h-tratamento\"><span class=\"ez-toc-section\" id=\"Tratamento\"><\/span><strong>Tratamento<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><p>&Eacute; importante, prioritariamente, deixar o paciente ciente que &eacute; o tratamento paliativo, pois a fibrose n&atilde;o se regenera.<\/p><ol class=\"wp-block-list\"><li><strong>Abstin&ecirc;ncia et&iacute;lica<\/strong> e se o paciente for tabagista, <strong>suspende o tabagismo<\/strong> tamb&eacute;m;<\/li><li><strong>Corre&ccedil;&atilde;o da dislipidemia;<\/strong><\/li><li><strong>Esteatorreia<\/strong> &ndash; fracionar as refei&ccedil;&otilde;es e diminuir as gorduras na dieta + Inibidor da bomba de Pr&oacute;tons (IBP) + reposi&ccedil;&atilde;o oral de enzimas digestivas;<\/li><li><strong>Diabetes Mellitus<\/strong> &ndash; hipoglicemiantes orais e se n&atilde;o funcionar inicia insulinoterapia;<\/li><li><strong>Al&iacute;vio da dor<\/strong> &ndash; <strong>esfincterotomia<\/strong> por Colangiopancreatografia Endosc&oacute;pica Retr&oacute;grada (CPRE) ou <strong>cirurgia<\/strong> (se refrat&aacute;rio); e<\/li><li><strong>Analgesia farmacol&oacute;gica <\/strong>(escalonada).<\/li><\/ol><p><strong>Prescri&ccedil;&atilde;o sugerida<\/strong> este caso:<\/p><ol class=\"wp-block-list\"><li><strong>Dieta fracionada e pobre em gorduras<\/strong> &ndash; tentar reduzir a dor do paciente;<\/li><li><strong>Code&iacute;na 30 mg VO, 6\/6h<\/strong> &ndash; dor abdominal e se persistir, pensar na morfina;<\/li><li><strong>Omeprazol 40 mg VO, em jejum<\/strong> &ndash; melhorar a a&ccedil;&atilde;o das enzimas pancre&aacute;ticas;<\/li><li><strong>Nortriptilina 25 mg VO, &agrave; noite<\/strong> &ndash; adjuvante para controle da dor; &eacute; o agente tric&iacute;clico com melhor perfil de efeitos colaterais; e<\/li><li><strong>Lipase 20.000 a 40.000 unidades por refei&ccedil;&atilde;o<\/strong> &ndash; dose ajustada para controle da esteatorreia.<\/li><\/ol><h2 class=\"wp-block-heading\" id=\"h-fisiologia-da-dor-de-um-portador-de-pancreatite-cronica\"><span class=\"ez-toc-section\" id=\"Fisiologia-da-dor-de-um-portador-de-pancreatite-cronica\"><\/span><strong>Fisiologia da dor de um portador de pancreatite cr&ocirc;nica<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2><p><strong>P&acirc;ncreas cronicamente inflamado &ndash; fibrose &ndash; &aacute;reas de fibrose &ndash; estenose &ndash; obstru&ccedil;&atilde;o no fluxo das enzimas &ndash; aumento da press&atilde;o intraductal &ndash; distens&atilde;o &ndash; dor e autodigest&atilde;o.&nbsp;<\/strong><\/p><p>Em geral, essa estenose ocorre mais na cabe&ccedil;a do p&acirc;ncreas na parte distal da via biliar, por isso a icter&iacute;cia.<\/p><p>Com esse fluxo chegamos &agrave; conclus&atilde;o de dois procedimentos:<\/p><ul class=\"wp-block-list\"><li><strong>Drenagem<\/strong> ou cirurgia.<\/li><\/ul><p>N&atilde;o &eacute; cobrado tanto em prova o procedimento cir&uacute;rgico em si, mas para crit&eacute;rio de conhecimento, a cirurgia de escolha para a pancreatite cr&ocirc;nica &eacute; a<a href=\"https:\/\/www.healthfrom.com\/pt\/surgery\/h-1997.html\" target=\"_blank\"> <strong>CIRURGIA DE PUESTOW<\/strong><\/a>.<\/p><p><strong>Aten&ccedil;&atilde;o! Dor refrat&aacute;ria &eacute; a principal indica&ccedil;&atilde;o cir&uacute;rgica para o paciente portador de pancreatite cr&ocirc;nica.<\/strong><\/p><p>Se voc&ecirc; est&aacute; se preparando para as provas de resid&ecirc;ncia de todo o Brasil, o Estrat&eacute;gia MED &eacute; seu melhor aliado! Na plataforma voc&ecirc; tem acesso a aulas, materiais atualizados e milhares de quest&otilde;es para estudar para os exames mais concorridos! Clique no banner abaixo para mais informa&ccedil;&otilde;es!<\/p><p><\/p><p><strong><a id=\"cta\" class=\"cta-imagem\" href=\"https:\/\/med.estrategia.com\/cursos\/extensivo-de-residncia-mdica\/\" target=\"blank\">\n                <img decoding=\"async\" width=\"100%\" src=\"https:\/\/med.estrategia.com\/portal\/wp-content\/uploads\/2025\/08\/extensivo_rm.jpg\" alt=\"Extensivo RM\" title=\"extensivo_rm\">\n        <\/a><\/strong><\/p><h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Veja-tambem\"><\/span>Veja tamb&eacute;m:<span class=\"ez-toc-section-end\"><\/span><\/h2><ul class=\"wp-block-list\"><li><a href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreas\/\" target=\"_blank\">ResuMED de p&acirc;ncreas: anatomia, fisiologia, les&otilde;es c&iacute;sticas e neoplasias pancre&aacute;ticas<br><\/a><a href=\"https:\/\/med.estrategia.com\/portal\/aluno-de-medicina\/dicas-de-estudo\/diabetes-mellitus\/\">Diabetes Mellitus: o que &eacute;, tipos e muito mais<\/a><\/li><li><a href=\"https:\/\/med.estrategia.com\/portal\/aluno-de-medicina\/hipotireoidismo-congenito\/\">Resumo de hipotireoidismo cong&ecirc;nito: fisiopatologia, cl&iacute;nica, diagn&oacute;stico e tratamento<\/a><\/li><li><a href=\"https:\/\/med.estrategia.com\/portal\/aluno-de-medicina\/dicas-de-estudo\/resumed-de-fisiologia-da-hipofise\/\">Resumo de fisiologia da hip&oacute;fise<\/a><\/li><li><a href=\"https:\/\/med.estrategia.com\/portal\/aluno-de-medicina\/dicas-de-estudo\/acromegalia-e-incidentaloma-hipofisario\/\">Resumo de acromegalia e incidentaloma hipofis&aacute;rio: fisiologia, cl&iacute;nica, diagn&oacute;stico e muito mais<\/a><\/li><li><a href=\"https:\/\/med.estrategia.com\/portal\/aluno-de-medicina\/dicas-de-estudo\/hiperprolactinemia\/\">Resumo de hiperprolactinemia: fisiologia, manifesta&ccedil;&otilde;es, diagn&oacute;stico e muito mais<\/a><\/li><li><a href=\"https:\/\/med.estrategia.com\/portal\/aluno-de-medicina\/dicas-de-estudo\/hiperplasia-adrenal-congenita-2\/\">Resumo de hiperplasia adrenal cong&ecirc;nita: da fisiopatologia ao tratamento<\/a><\/li><\/ul><\/p>\n","protected":false},"excerpt":{"rendered":"Fala, futuro Residente! Quer estudar sobre pancreatite cr&ocirc;nica, patologia consideravelmente presente na pr&aacute;tica cl&iacute;nica? Veja este artigo que&hellip;\n","protected":false},"author":35,"featured_media":17513,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"wl_entities_gutenberg":"","footnotes":""},"categories":[302],"tags":[270,268,256,263,269,260,257,243],"wl_entity_type":[199],"class_list":{"0":"post-17505","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-resumed","8":"tag-aprovacao","9":"tag-cronica","10":"tag-estrategia-2","11":"tag-medicina","12":"tag-pancreas","13":"tag-pancreatite","14":"tag-residencia","15":"tag-resumed","16":"wl_entity_type-article"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.6) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>ResuMED de Pancreatite Cr\u00f4nica: classifica\u00e7\u00e3o, etiologia e mais!<\/title>\n<meta name=\"description\" content=\"A pancreatite cr\u00f4nica \u00e9 a fibrose progressiva do par\u00eanquima pancre\u00e1tico, decorrente de altera\u00e7\u00f5es inflamat\u00f3rias, comprometendo suas fun\u00e7\u00f5es.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ResuMED de Pancreatite Cr\u00f4nica: classifica\u00e7\u00e3o, etiologia, diagn\u00f3sticos e mais!\" \/>\n<meta property=\"og:description\" content=\"A pancreatite cr\u00f4nica \u00e9 a fibrose progressiva do par\u00eanquima pancre\u00e1tico, decorrente de altera\u00e7\u00f5es inflamat\u00f3rias, comprometendo suas fun\u00e7\u00f5es.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/med.estrategia.com\/portal\/conteudos-gratis\/resumed\/resumed-de-pancreatite-cronica\/\" \/>\n<meta property=\"og:site_name\" content=\"Estrat\u00e9gia MED\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/estrategiamed1\" \/>\n<meta property=\"article:published_time\" content=\"2022-01-28T19:55:29+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-08-11T19:14:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cdn.medblog.estrategiaeducacional.com.br\/wp-content\/uploads\/2022\/01\/pac-cronica.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"640\" \/>\n\t<meta property=\"og:image:height\" content=\"427\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Ana Lu\u00edza G. 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