{"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":"2026-10-06T15:38:20","modified_gmt":"2026-10-06T19:38:20","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":"O conduto ileal \u00e9 um procedimento cir\u00fargico de deriva\u00e7\u00e3o urin\u00e1ria que cria uma via alternativa para a sa\u00edda da urina do corpo ap\u00f3s a remo\u00e7\u00e3o da bexiga (cistectomia radical).<span class=\"citation\">1<\/span> Nesse procedimento, o cirurgi\u00e3o isola um segmento curto do \u00edleo terminal (aproximadamente 15 cm), desconecta os ureteres da bexiga e os implanta nesse segmento intestinal isolado.<span class=\"citation\">2<\/span> A extremidade proximal do conduto recebe os ureteres, enquanto a extremidade distal \u00e9 exteriorizada atrav\u00e9s da parede abdominal para criar um estoma na superf\u00edcie da pele.<span class=\"citation\">3<\/span> Ao contr\u00e1rio das deriva\u00e7\u00f5es continentes, o conduto ileal n\u00e3o armazena urina, servindo, em vez disso, como um conduto passivo para a drenagem cont\u00ednua da urina dos rins para um dispositivo coletor externo.<span class=\"citation\">4<\/span> Esse procedimento \u00e9 considerado a t\u00e9cnica de deriva\u00e7\u00e3o urin\u00e1ria padr\u00e3o-ouro, com a qual todas as outras s\u00e3o comparadas, tendo sido estabelecido como t\u00e9cnica padr\u00e3o por Bricker em 1950.<span class=\"citation\">5<\/span>","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: 33351418. 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.2010.09.001\n\n[4] Siracusano S, Zaka A, Bassi P, et al. Quality-of-Life Outcomes in Female Patients With Ileal Conduit or Orthotopic Neobladder Urinary Diversion: 6-Month Results of a Multicenter Prospective Study. Front Oncol. 2022;12:855546. DOI: 10.3389\/fonc.2022.855546. PMID: 35515136\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, particularmente ap\u00f3s cistectomia radical por c\u00e2ncer de bexiga.<span class=\"citation\">1<\/span> As indica\u00e7\u00f5es cl\u00ednicas incluem condi\u00e7\u00f5es que exigem a remo\u00e7\u00e3o da bexiga, como o c\u00e2ncer de bexiga m\u00fasculo-invasivo (T2-T4a), o c\u00e2ncer de bexiga n\u00e3o m\u00fasculo-invasivo que n\u00e3o respondeu a um manejo menos radical (por exemplo, terapia com BCG ou recidiva ap\u00f3s TURBT) e condi\u00e7\u00f5es graves de bexiga neurog\u00eanica com incontin\u00eancia intrat\u00e1vel ou s\u00edndromes de dor p\u00e9lvica cr\u00f4nica em mulheres.<span class=\"citation\">2,5<\/span><\/p>\n    \n    <p>Os crit\u00e9rios de sele\u00e7\u00e3o de pacientes favorecem pacientes idosos e aqueles com fun\u00e7\u00e3o renal comprometida, pois o segmento intestinal utilizado \u00e9 curto, o que minimiza o tempo de contato com a urina e reduz as 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 incapazes de manejar deriva\u00e7\u00f5es continentes mais complexas.<span class=\"citation\">7<\/span><\/p>\n    \n    <p>O procedimento cir\u00fargico envolve quatro etapas principais: isolamento de um segmento ileal de 15 cm localizado a 15 cm da jun\u00e7\u00e3o ileocecal, mobiliza\u00e7\u00e3o dos ureteres com preserva\u00e7\u00e3o de sua irriga\u00e7\u00e3o sangu\u00ednea, realiza\u00e7\u00e3o da anastomose ureteroent\u00e9rica (pela t\u00e9cnica de Bricker ou de Wallace) e cria\u00e7\u00e3o de 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 dispositivo coletor 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 de longo prazo possam incluir estenose do estoma, h\u00e9rnia paraestomal, infec\u00e7\u00f5es do trato urin\u00e1rio e dist\u00farbios metab\u00f3licos, como a acidose metab\u00f3lica hiperclor\u00eamica, decorrente da absor\u00e7\u00e3o de componentes urin\u00e1rios atrav\u00e9s da mucosa ileal.<span class=\"citation\">4,7<\/span>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":132},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.7 (Yoast SEO v28.7) - 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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