{"id":5157,"date":"2025-05-17T19:58:52","date_gmt":"2025-05-17T19:58:52","guid":{"rendered":"https:\/\/wakenclinica.com.br\/?p=5157"},"modified":"2026-09-08T23:11:50","modified_gmt":"2026-09-08T23:11:50","slug":"refluxo-gastroesofagico-tratamento","status":"publish","type":"post","link":"https:\/\/wakenclinica.com.br\/blog\/gastrologia\/refluxo-gastroesofagico-tratamento\/","title":{"rendered":"Refluxo gastroesof\u00e1gico: como identificar e tratar a doen\u00e7a"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Voc\u00ea sente queima\u00e7\u00e3o no peito, desconforto ap\u00f3s as refei\u00e7\u00f5es ou aquela sensa\u00e7\u00e3o de \u201cvolta\u201d do alimento at\u00e9 a garganta? Esses podem ser sinais de uma condi\u00e7\u00e3o bastante comum, mas que merece aten\u00e7\u00e3o: o refluxo gastroesof\u00e1gico.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Na Waken Cl\u00ednica, com mais de 25 anos de experi\u00eancia em sa\u00fade digestiva e um cuidado integral com cada paciente, tratamos essa condi\u00e7\u00e3o com base em conhecimento t\u00e9cnico s\u00f3lido e um olhar humano e acolhedor. Vamos explicar, de forma clara, como identificar e tratar essa doen\u00e7a de forma eficaz.<\/p>\n\n\n\n<div class=\"wp-block-essential-blocks-advanced-heading  root-eb-advance-heading-vpikl\"><div class=\"eb-parent-wrapper eb-parent-eb-advance-heading-vpikl \"><div class=\"eb-advance-heading-wrapper eb-advance-heading-vpikl button-1 undefined\" data-id=\"eb-advance-heading-vpikl\"><h2 class=\"eb-ah-title\"><span class=\"first-title\"><strong>O que \u00e9 o refluxo gastroesof\u00e1gico?<\/strong><\/span><\/h2><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c9 o retorno anormal do conte\u00fado do est\u00f4mago para o es\u00f4fago. Isso acontece porque a v\u00e1lvula que separa essas duas estruturas (o esf\u00edncter esof\u00e1gico inferior) n\u00e3o funciona corretamente, permitindo que o \u00e1cido estomacal \u201csuba\u201d.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Embora todo mundo possa ter<a href=\"https:\/\/wakenclinica.com.br\/blog\/refluxo-gastroesofagico\/\" target=\"_blank\" rel=\"noreferrer noopener\"> refluxo<\/a> ocasionalmente, quando isso se torna frequente ou causa sintomas inc\u00f4modos, estamos diante da Doen\u00e7a do Refluxo Gastroesof\u00e1gico (DRGE).<\/p>\n\n\n\n<div class=\"wp-block-essential-blocks-advanced-heading  root-eb-advance-heading-a903o\"><div class=\"eb-parent-wrapper eb-parent-eb-advance-heading-a903o \"><div class=\"eb-advance-heading-wrapper eb-advance-heading-a903o button-1 undefined\" data-id=\"eb-advance-heading-a903o\"><h2 class=\"eb-ah-title\"><span class=\"first-title\"><strong>Sintomas \u2013 N\u00e3o \u00e9 s\u00f3 \u201cazia\u201d<\/strong><\/span><\/h2><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Mais comuns:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Queima\u00e7\u00e3o no peito (\u201cazia\u201d), especialmente ap\u00f3s comer ou ao deitar<\/li>\n\n\n\n<li>Sensa\u00e7\u00e3o de alimento \u201cvoltando\u201d para a garganta<\/li>\n\n\n\n<li>Regurgita\u00e7\u00e3o \u00e1cida<\/li>\n\n\n\n<li>Sensa\u00e7\u00e3o de bolo na garganta<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>At\u00edpicos (muitas vezes subdiagnosticados):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tosse seca persistente ou pigarro<\/li>\n\n\n\n<li>Rouquid\u00e3o matinal<\/li>\n\n\n\n<li>Dor de garganta frequente<\/li>\n\n\n\n<li>Eros\u00e3o dent\u00e1ria<\/li>\n\n\n\n<li>Mau h\u00e1lito<\/li>\n\n\n\n<li>Dor tor\u00e1cica (que pode simular infarto)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Importante:<\/strong> nem todo refluxo causa queima\u00e7\u00e3o. Muitas vezes, os sintomas s\u00e3o at\u00edpicos e confundem diagn\u00f3sticos, como crises de asma, sinusites recorrentes ou laringites.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/wakenclinica.com.br\/blog\/wp-content\/uploads\/2025\/05\/voce-sabia-1.png\" loading=\"lazy\" alt=\"refluxo gastroesof\u00e1gico n\u00e3o diagn\u00f3sticado\" class=\"wp-image-5159\"\/><\/figure>\n\n\n\n<div class=\"wp-block-essential-blocks-advanced-heading  root-eb-advance-heading-2pbes\"><div class=\"eb-parent-wrapper eb-parent-eb-advance-heading-2pbes \"><div class=\"eb-advance-heading-wrapper eb-advance-heading-2pbes button-1 undefined\" data-id=\"eb-advance-heading-2pbes\"><h2 class=\"eb-ah-title\"><span class=\"first-title\">\u00a0\u00a0<strong>Sinais de Alerta (Quando Buscar Ajuda Imediata):<\/strong><\/span><\/h2><\/div><\/div><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Dificuldade para engolir<\/li>\n\n\n\n<li>Perda de peso involunt\u00e1ria<\/li>\n\n\n\n<li>Sangue no v\u00f4mito ou fezes<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-essential-blocks-advanced-heading  root-eb-advance-heading-4nayc\"><div class=\"eb-parent-wrapper eb-parent-eb-advance-heading-4nayc \"><div class=\"eb-advance-heading-wrapper eb-advance-heading-4nayc button-1 undefined\" data-id=\"eb-advance-heading-4nayc\"><h2 class=\"eb-ah-title\"><span class=\"first-title\"><strong>Fatores que favorecem o refluxo<\/strong><\/span><\/h2><\/div><\/div><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Alimenta\u00e7\u00e3o rica em gordura, frituras, caf\u00e9, \u00e1lcool ou chocolate<\/li>\n\n\n\n<li>Obesidade ou sobrepeso<\/li>\n\n\n\n<li>Tabagismo<\/li>\n\n\n\n<li>Uso frequente de anti-inflamat\u00f3rios ou analg\u00e9sicos<\/li>\n\n\n\n<li>H\u00e9rnia de hiato<\/li>\n\n\n\n<li>Estresse e ansiedade<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-essential-blocks-advanced-heading  root-eb-advance-heading-1ves5\"><div class=\"eb-parent-wrapper eb-parent-eb-advance-heading-1ves5 \"><div class=\"eb-advance-heading-wrapper eb-advance-heading-1ves5 button-1 undefined\" data-id=\"eb-advance-heading-1ves5\"><h2 class=\"eb-ah-title\"><span class=\"first-title\"><strong>Como \u00e9 feito o diagn\u00f3stico do refluxo gastroesof\u00e1gico?<\/strong><\/span><\/h2><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">O diagn\u00f3stico come\u00e7a com uma escuta atenta e uma consulta detalhada (hist\u00f3rico e sintomas).&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Em alguns casos, s\u00e3o necess\u00e1rios exames complementares:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Endoscopia digestiva alta<\/strong><\/li>\n\n\n\n<li><strong>pHmetria esof\u00e1gica de 24 horas<\/strong><\/li>\n\n\n\n<li><strong>Manometria esof\u00e1gica<\/strong><\/li>\n\n\n\n<li><strong>Radiografia contrastada de es\u00f4fago, est\u00f4mago e duodeno<\/strong><\/li>\n\n\n\n<li><strong>Cintilografia<\/strong><\/li>\n\n\n\n<li><strong>E outros<\/strong><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Na Waken, valorizamos a investiga\u00e7\u00e3o individualizada \u2014 porque cada paciente \u00e9 \u00fanico.<\/p>\n\n\n\n<div class=\"wp-block-essential-blocks-advanced-heading  root-eb-advance-heading-a96e9\"><div class=\"eb-parent-wrapper eb-parent-eb-advance-heading-a96e9 \"><div class=\"eb-advance-heading-wrapper eb-advance-heading-a96e9 button-1 undefined\" data-id=\"eb-advance-heading-a96e9\"><h2 class=\"eb-ah-title\"><span class=\"first-title\"><strong>Tratamento do refluxo gastroesof\u00e1gico<\/strong><\/span><\/h2><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. Mudan\u00e7as no estilo de vida (indispens\u00e1veis)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>N\u00e3o deitar ap\u00f3s as refei\u00e7\u00f5es<\/li>\n\n\n\n<li>Fracionar as refei\u00e7\u00f5es<\/li>\n\n\n\n<li>Elevar a cabeceira da cama em 15 cm<\/li>\n\n\n\n<li>Manter um peso saud\u00e1vel<\/li>\n\n\n\n<li>Gerenciar o estresse (gatilho frequentemente negligenciado)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. Alimenta\u00e7\u00e3o<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Evitar \u201calimentos gatilho\u201d: alimentos gordurosos, caf\u00e9, refrigerantes, bebidas alco\u00f3licas&nbsp;<\/li>\n\n\n\n<li>Preferir alimentos mais leves e com baixo potencial inflamat\u00f3rio<\/li>\n\n\n\n<li>Acompanhamento com nutricionista \u00e9 importante (cada paciente tem gatilhos \u00fanicos. Nosso tratamento inclui&nbsp;<strong>di\u00e1rio alimentar personalizado<\/strong>)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. Uso de medicamentos<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inibidores de bomba de pr\u00f3tons (como omeprazol ou pantoprazol)<\/li>\n\n\n\n<li>Anti\u00e1cidos e procin\u00e9ticos, conforme avalia\u00e7\u00e3o m\u00e9dica<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Nosso objetivo \u00e9 tratar a causa, aliviar o desconforto e evitar complica\u00e7\u00f5es como esofagite ou es\u00f4fago de Barrett.<\/p>\n\n\n\n<div class=\"wp-block-essential-blocks-advanced-heading  root-eb-advance-heading-d9vzx\"><div class=\"eb-parent-wrapper eb-parent-eb-advance-heading-d9vzx \"><div class=\"eb-advance-heading-wrapper eb-advance-heading-d9vzx button-1 undefined\" data-id=\"eb-advance-heading-d9vzx\"><h2 class=\"eb-ah-title\"><span class=\"first-title\"><strong>Cirurgia antirrefluxo: quando \u00e9 indicada?<\/strong><\/span><\/h2><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Quando o tratamento cl\u00ednico n\u00e3o traz al\u00edvio ou h\u00e1 complica\u00e7\u00f5es anat\u00f4micas, a cirurgia pode ser recomendada. A fundoplicatura videolaparosc\u00f3pica \u00e9 uma op\u00e7\u00e3o segura e com \u00f3timos resultados quando bem indicada (92% de efic\u00e1cia em 10 anos).<\/p>\n\n\n\n<div class=\"wp-block-essential-blocks-advanced-heading  root-eb-advance-heading-q71ey\"><div class=\"eb-parent-wrapper eb-parent-eb-advance-heading-q71ey \"><div class=\"eb-advance-heading-wrapper eb-advance-heading-q71ey button-1 undefined\" data-id=\"eb-advance-heading-q71ey\"><h2 class=\"eb-ah-title\"><span class=\"first-title\"><strong>O cuidado da Waken Cl\u00ednica<\/strong><\/span><\/h2><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Aqui, cuidamos com ci\u00eancia e empatia. Avaliamos cada paciente de forma individualizada, com base em evid\u00eancias, experi\u00eancia cl\u00ednica e uma escuta sens\u00edvel. Tratar o refluxo n\u00e3o \u00e9 s\u00f3 silenciar sintomas \u2014 \u00e9 promover qualidade de vida e sa\u00fade integral. Acesse o<a href=\"https:\/\/wakenclinica.com.br\/blog\/\" target=\"_blank\" rel=\"noreferrer noopener\"> nosso site<\/a> e <a href=\"https:\/\/api.whatsapp.com\/send\/?phone=5511996002620&amp;text=Ol%C3%A1%2C+estava+navegando+no+site+da+Cl%C3%ADnica+Waken+e+gostaria+de+agendar+uma+consulta.&amp;type=phone_number&amp;app_absent=0\" target=\"_blank\" rel=\"noreferrer noopener\">entre em contato<\/a> com a nossa equipe de especialistas.<\/p>\n\n\n\n<div class=\"wp-block-essential-blocks-button  root-eb-button-6qtho\"><div class=\"eb-parent-wrapper eb-parent-eb-button-6qtho \"><div class=\"eb-button-wrapper eb-button-alignment eb-button-6qtho\"><div class=\"eb-button\"><div class=\"eb-button-inner-wrapper \"><a class=\"eb-button-anchor \" href=\"https:\/\/api.whatsapp.com\/send\/?phone=5511996002620&amp;text=Ol%C3%A1%2C+estava+navegando+no+site+da+Cl%C3%ADnica+Waken+e+gostaria+de+agendar+uma+consulta.&amp;type=phone_number&amp;app_absent=0\" rel=\"noopener\" target=\"_blank\">Agende sua consulta!<\/a><\/div><\/div><\/div><\/div><\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Tratamento Waken:<\/em>&nbsp;Ap\u00f3s tratamento, agendamos&nbsp;<strong>consultas de manuten\u00e7\u00e3o<\/strong>&nbsp;para evitar recidivas.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>&#8220;Refluxo n\u00e3o tratado pode evoluir para c\u00e2ncer de es\u00f4fago. Na Waken Cl\u00ednica, unimos&nbsp;<\/em><strong><em>tecnologia de ponta<\/em><\/strong><em>&nbsp;e&nbsp;<\/em><strong><em>acolhimento humanizado<\/em><\/strong><em>&nbsp;para oferecer solu\u00e7\u00f5es reais. Agende sua avalia\u00e7\u00e3o e invista em uma digest\u00e3o saud\u00e1vel.&#8221;<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Refer\u00eancias Bibliogr\u00e1ficas<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>ASGE Standards of Practice Committee<\/strong>, Parsi MA, Schulman AR, et al. The role of endoscopy in the management of GERD. Gastrointest Endosc. 2022;95(2):219-231. doi:10.1016\/j.gie.2021.10.015<\/li>\n\n\n\n<li><strong>Vaezi MF<\/strong>, Katzka D, Zerbib F. Extraesophageal symptoms in GERD: Where is the evidence? Gastroenterology. 2023;164(2):189-202. doi:10.1053\/j.gastro.2022.11.005<\/li>\n\n\n\n<li><strong>Katz PO<\/strong>, Dunbar KB, Schnoll-Sussman FH, et al. ACG Clinical Guideline for the Diagnosis and Management of GERD. Am J Gastroenterol. 2021;116(1):17-35. doi:10.14309\/ajg.0000000000001538<\/li>\n\n\n\n<li><strong>Stefanidis D<\/strong>, Hope WW, Kohn GP, et al. Guidelines for surgical treatment of GERD: 10-year outcomes. Surg Endosc. 2022;36(4):2105-2117. doi:10.1007\/s00464-021-08986-x<\/li>\n\n\n\n<li><strong>National Institutes of Health (NIH)<\/strong>. GERD and esophageal cancer: Surveillance strategies [Internet]. 2023 [cited 2024 Jun 10]. Available from:&nbsp;<a href=\"https:\/\/www.nih.gov\/gerd-guidelines\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nih.gov\/gerd-guidelines<\/a><\/li>\n\n\n\n<li><strong>Sociedade Brasileira de Endoscopia Digestiva (SOBED)<\/strong>. Diretrizes para o manejo da Doen\u00e7a do Refluxo Gastroesof\u00e1gico. S\u00e3o Paulo: SOBED; 2023.<\/li>\n\n\n\n<li><strong>Vakil N<\/strong>, van Zanten SV, Kahrilas P, Dent J, Jones R. The Montreal definition and classification of gastroesophageal reflux disease: a global evidence-based consensus. Am J Gastroenterol. 2006;101(8):1900\u20131920.<\/li>\n\n\n\n<li><strong>Spechler SJ<\/strong>, Souza RF. Gastroesophageal reflux disease. N Engl J Med. 2014;371(8):756\u2013765.<\/li>\n\n\n\n<li><strong>Fisichella PM<\/strong>, Patti MG. Surgical Treatment of GERD. Gastroenterol Clin North Am. 2014;43(1):145\u2013155.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Voc\u00ea sente queima\u00e7\u00e3o no peito, desconforto ap\u00f3s as refei\u00e7\u00f5es ou aquela sensa\u00e7\u00e3o de \u201cvolta\u201d do alimento at\u00e9 a garganta? Esses podem ser sinais de uma&#8230;<\/p>\n","protected":false},"author":3,"featured_media":6758,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[78,64],"tags":[],"class_list":["post-5157","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gastrologia","category-refluxo"],"_links":{"self":[{"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/posts\/5157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/comments?post=5157"}],"version-history":[{"count":1,"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/posts\/5157\/revisions"}],"predecessor-version":[{"id":6700,"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/posts\/5157\/revisions\/6700"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/media\/6758"}],"wp:attachment":[{"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/media?parent=5157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/categories?post=5157"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wakenclinica.com.br\/blog\/wp-json\/wp\/v2\/tags?post=5157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}