{"id":1154,"date":"2026-05-19T18:00:00","date_gmt":"2026-05-19T21:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1154"},"modified":"2026-05-19T18:00:00","modified_gmt":"2026-05-19T21:00:00","slug":"pgrss-clinica-cirurgia-bariatrica-ambulatorial-balao-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-cirurgia-bariatrica-ambulatorial-balao-rss\/","title":{"rendered":"PGRSS bari\u00e1trica ambulatorial \u2014 banda e bal\u00e3o"},"content":{"rendered":"<h2>Por que bari\u00e1trica ambulatorial tem perfil espec\u00edfico<\/h2>\n<p>Centro de cirurgia bari\u00e1trica ambulatorial atende <strong>bal\u00e3o intrag\u00e1strico (Allurion, Orbera)<\/strong> + <strong>endoscopia para coloca\u00e7\u00e3o\/retirada<\/strong> + <strong>banda g\u00e1strica ajust\u00e1vel<\/strong> + <strong>eventual sleeve gastrectomia hospitalar com alta no mesmo dia<\/strong>. Combina <strong>endosc\u00f3pio reus\u00e1vel<\/strong> + <strong>bal\u00e3o descart\u00e1vel<\/strong> + <strong>anestesia seda\u00e7\u00e3o consciente<\/strong> + <strong>gastrostomia eventual<\/strong>. Opera sob RDC 222 + RDC 50 + RDC 36 + Resolu\u00e7\u00e3o CFM 2.131\/2015 (cirurgia bari\u00e1trica).<\/p>\n<h2>Tabela 5 fluxos<\/h2>\n<table>\n<thead>\n<tr>\n<th>Fluxo<\/th>\n<th>Grupo<\/th>\n<th>Volume mensal<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Bal\u00e3o intrag\u00e1strico (ap\u00f3s retirada 6m)<\/td>\n<td>A1 risco aumentado<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<tr>\n<td>Material endosc\u00f3pico (canal flex + acess\u00f3rios)<\/td>\n<td>A1 RA<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Frasco anest\u00e9sico (propofol+midazolam) vencido<\/td>\n<td>B (controlado)<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>Banda g\u00e1strica retirada<\/td>\n<td>A2 (anatomopatol\u00f3gico)<\/td>\n<td>0,2-0,5 kg<\/td>\n<\/tr>\n<tr>\n<td>EPI cir\u00fargico ambulatorial<\/td>\n<td>A1 baixa<\/td>\n<td>1-3 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>5-13 kg\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo bal\u00e3o intrag\u00e1strico<\/h2>\n<p>Bal\u00e3o (Allurion 16 sem ou Orbera 6 meses) tem ciclo de vida espec\u00edfico:<\/p>\n<ul>\n<li>Inflado com 400-600mL de SF 0,9% + azul de metileno<\/li>\n<li>Ap\u00f3s retirada: esvaziamento + remo\u00e7\u00e3o endosc\u00f3pica<\/li>\n<li>Res\u00edduo bal\u00e3o = A1 RA (satura\u00e7\u00e3o \u00e1cido g\u00e1strico + fragmento mucosa)<\/li>\n<li>Saco branco leitoso refor\u00e7ado + manifesto MTR<\/li>\n<li>Eventual envio anatomopatol\u00f3gico se mucosa anormal<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio bari\u00e1trico (sem bal\u00e3o):<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro com bal\u00e3o + endoscopia:<\/strong> R$ 380-800\/m\u00eas. Setup R$ 6-14k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (banda + sleeve ambulatorial):<\/strong> R$ 800-1700\/m\u00eas. Setup R$ 14-30k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Bal\u00e3o retirado no Grupo D \u2014 \u00e9 A1 RA (conte\u00fado g\u00e1strico)<\/li>\n<li>Banda g\u00e1strica em saco simples \u2014 \u00e9 A2 (silicone implantado)<\/li>\n<li>Frasco propofol vencido na pia \u2014 Grupo B controlado SNGPC<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica bari\u00e1trica ambulatorial<\/a><\/strong> \u2014 cap\u00edtulo bal\u00e3o + banda + endoscopia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cirurgia bari\u00e1trica ambulatorial: bal\u00e3o intrag\u00e1strico, banda g\u00e1strica, endoscopia, sleeve.<\/p>\n","protected":false},"author":3,"featured_media":1153,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1336,2108,2107,22],"class_list":["post-1154","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-balao-intragastrico","tag-banda","tag-bariatrica","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1154","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=1154"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1154\/revisions"}],"predecessor-version":[{"id":3827,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1154\/revisions\/3827"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1153"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1154"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1154"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1154"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}