{"id":12784,"date":"2025-07-25T10:00:48","date_gmt":"2025-07-25T14:00:48","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/ileal-conduit\/"},"modified":"2025-07-25T10:00:48","modified_gmt":"2025-07-25T14:00:48","slug":"conduto-ileal","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/conduto-ileal\/","title":{"rendered":"Conduto Ileal"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12784","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"Um conduto ileal \u00e9 um procedimento cir\u00fargico de deriva\u00e7\u00e3o urin\u00e1ria que cria um caminho alternativo para a urina sair do corpo ap\u00f3s a remo\u00e7\u00e3o da bexiga (cistectomia radical).<span class=\"citation\">1<\/span> Neste procedimento, um cirurgi\u00e3o isola um pequeno segmento do \u00edleo terminal (aproximadamente 15 cm), desconecta os ureteres da bexiga e os implanta neste reservat\u00f3rio intestinal rec\u00e9m-formado.<span class=\"citation\">2<\/span> A extremidade proximal do conduto recebe o ureteres, enquanto a extremidade distal \u00e9 trazida atrav\u00e9s da parede abdominal para criar um estoma na superf\u00edcie da pele.<span class=\"citation\">3<\/span> Ao contr\u00e1rio dos desvios continentes, o conduto ileal n\u00e3o armazena urina, mas serve como um conduto passivo para drenagem cont\u00ednua de urina dos rins para um dispositivo de coleta externo.<span class=\"citation\">4<\/span> Este procedimento \u00e9 considerado a t\u00e9cnica de desvio urin\u00e1rio padr\u00e3o ouro contra a qual todos os outros s\u00e3o medidos, tendo sido descrito pela primeira vez por Bricker no S\u00e9culo XIX e desenvolvido na d\u00e9cada de 1950.<span class=\"citation\">5<\/span>\n<p>O conduto ileal, ou procedimento de Bricker, \u00e9 a forma mais comum de deriva\u00e7\u00e3o urin\u00e1ria realizada ap\u00f3s cistectomia radical. Consiste na cria\u00e7\u00e3o de um conduto utilizando um segmento isolado de \u00edleo (15-20 cm), ao qual os ureteres s\u00e3o reimplantados. A extremidade distal \u00e9 trazida \u00e0 superf\u00edcie da pele como um estoma, e a urina \u00e9 coletada continuamente em uma bolsa externa (dispositivo coletor).<\/p>","gt-synonyms":"Conduto ileal de Bricker, conduto de Bricker, IC, deriva\u00e7\u00e3o urin\u00e1ria de al\u00e7a ileal, deriva\u00e7\u00e3o urin\u00e1ria para incontinentes, urostomia","gt-citation":"[1] Tanna RJ, Powell J, Mambu LA. Ileal Conduit. StatPearls [Internet]. 2022 Nov 28. PMID: 32644358. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK565859\/\n\n[2] Madersbacher S, Schmidt J, Eberle JM, et al. Long-term outcome of ileal conduit diversion. J Urol. 2003;169(3):985-990. DOI: 10.1097\/01.ju.0000051462.45388.14\n\n[3] Colombo R, Naspro R. Ileal Conduit as the Standard for Urinary Diversion After Radical Cystectomy for Bladder Cancer. European Urology Supplements. 2010;9(10):736-744. DOI: 10.1016\/j.eursup.2010.07.016\n\n[4] Siracusano S, Niero M, Lonardi C, et al. Quality-of-Life Outcomes in Female Patients With Ileal Conduit: A Systematic Review of the Literature. Front Oncol. 2022;12:855546. DOI: 10.3389\/fonc.2022.855546\n\n[5] Khalilullah SA, Shokeir AA, Mohsen T, et al. Comparing the outcome of ileal conduit and transuretero-ureterostomy urinary diversions after radical cystectomy for bladder cancer. Afr J Urol. 2021;27:72. DOI: 10.1186\/s12301-021-00163-9","gt-clinical-context":"O conduto ileal \u00e9 a forma mais comum de deriva\u00e7\u00e3o urin\u00e1ria realizada por urologistas, especialmente ap\u00f3s cistectomia radical para c\u00e2ncer de bexiga.<span class=\"citation\">1<\/span> As indica\u00e7\u00f5es cl\u00ednicas incluem condi\u00e7\u00f5es que requerem remo\u00e7\u00e3o da bexiga, como c\u00e2ncer de bexiga m\u00fasculo-invasivo (T2-T4a), c\u00e2ncer de bexiga n\u00e3o invasivo muscular que falhou no tratamento menos radical (por exemplo, terapia BCG ou recorr\u00eancia ap\u00f3s TURBT) e condi\u00e7\u00f5es neurog\u00eanicas graves da bexiga com incontin\u00eancia intrat\u00e1vel ou dor p\u00e9lvica cr\u00f4nica s\u00edndromes em mulheres.<span class=\"citation\">2,5<\/span><!-- wpml:html_fragment<\/p> -->\n \n <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes favorecem pacientes idosos e com fun\u00e7\u00e3o renal comprometida porque o segmento intestinal utilizado \u00e9 curto, minimizando o tempo de contato com a urina e reduzindo complica\u00e7\u00f5es metab\u00f3licas.<span class=\"citation\">6<\/span> O procedimento tamb\u00e9m \u00e9 preferido para pacientes com destreza manual limitada, comprometimento cognitivo ou aqueles incapazes de lidar com desvios continentais mais complexos.<span class=\"citation\">7<\/span><\/p>\n \n <p>O procedimento cir\u00fargico envolve quatro etapas principais: isolar um segmento ileal de 15 cm localizado a 15 cm da jun\u00e7\u00e3o ileocecal, mobilizar os ureteres preservando seu suprimento sangu\u00edneo, realizar anastomose ureteroent\u00e9rica (usando a t\u00e9cnica de Bricker ou Wallace) e criar um estoma na parede abdominal.<span class=\"citation\">8<\/span><\/p>\n \n <p>Os cuidados p\u00f3s-operat\u00f3rios incluem o manejo do estoma com um aparelho de coleta externo composto por uma barreira cut\u00e2nea adesiva e uma bolsa de drenagem.<span class=\"citation\">9<\/span> Os resultados esperados s\u00e3o geralmente favor\u00e1veis, embora as complica\u00e7\u00f5es a longo prazo possam incluir estenose estomacal, h\u00e9rnia paraestomal, infec\u00e7\u00f5es do trato urin\u00e1rio e dist\u00farbios metab\u00f3licos, como acidose metab\u00f3lica hiperclor\u00eamica devido \u00e0 absor\u00e7\u00e3o de componentes urin\u00e1rios atrav\u00e9s da mucosa ileal.<span class=\"citation\">4,7<\/span>\n<p>A EAU reconhece o conduto ileal como op\u00e7\u00e3o de deriva\u00e7\u00e3o urin\u00e1ria padr\u00e3o, especialmente para pacientes idosos ou com comorbidades que impedem deriva\u00e7\u00f5es continentes mais complexas. As vantagens incluem simplicidade t\u00e9cnica e menores taxas de complica\u00e7\u00e3o precoce. As desvantagens incluem necessidade permanente de dispositivo coletor e complica\u00e7\u00f5es tardias como estenose estomal (5-20%) e h\u00e9rnia paraestomal (at\u00e9 30%).<\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":76},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Conduto Ileal (Bricker): Deriva\u00e7\u00e3o Urin\u00e1ria | Rigicon<\/title>\n<meta name=\"description\" content=\"Saiba sobre o conduto ileal (cirurgia de Bricker), deriva\u00e7\u00e3o urin\u00e1ria n\u00e3o continente ap\u00f3s cistectomia radical. 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