{"id":1164,"date":"2026-05-19T23:00:00","date_gmt":"2026-05-20T02:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=1164"},"modified":"2026-05-19T23:00:00","modified_gmt":"2026-05-20T02:00:00","slug":"pgrss-clinica-coloproctologia-colonoscopia-biopsia-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/pgrss-clinica-coloproctologia-colonoscopia-biopsia-rss\/","title":{"rendered":"PGRSS cl\u00ednica coloproctologia \u2014 colonoscopia e bi\u00f3psia"},"content":{"rendered":"<h2>Por que coloproctologia tem perfil espec\u00edfico<\/h2>\n<p>Cl\u00ednica de coloproctologia atende <strong>colonoscopia diagn\u00f3stica + terap\u00eautica<\/strong> + <strong>retossigmoidoscopia<\/strong> + <strong>hemorroidectomia (PPH\/Milligan-Morgan\/laser)<\/strong> + <strong>fistulectomia anal<\/strong> + <strong>bi\u00f3psia anatomopatol\u00f3gica<\/strong> + <strong>eventual ressec\u00e7\u00e3o endosc\u00f3pica de les\u00f5es precoces<\/strong>. Combina <strong>colonosc\u00f3pio reus\u00e1vel + al\u00e7a polipectomia + pin\u00e7a bi\u00f3psia descart\u00e1vel<\/strong> + <strong>manitol\/SF preparo intestinal<\/strong> + <strong>anestesia seda\u00e7\u00e3o consciente<\/strong>. Opera sob RDC 222 + RDC 50 + RDC 15 (esteriliza\u00e7\u00e3o endosc\u00f3pios) + Diretrizes SBCP.<\/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>Pin\u00e7a bi\u00f3psia + al\u00e7a polipectomia descart\u00e1vel<\/td>\n<td>A1 risco aumentado + E<\/td>\n<td>2-5 kg<\/td>\n<\/tr>\n<tr>\n<td>Tecido excisado (p\u00f3lipo, hemorroida, bi\u00f3psia)<\/td>\n<td>A2 (anatomopatol\u00f3gico)<\/td>\n<td>0,5-2 kg<\/td>\n<\/tr>\n<tr>\n<td>Solu\u00e7\u00e3o glutaralde\u00eddo reprocessamento endosc\u00f3pio<\/td>\n<td>B (perigoso)<\/td>\n<td>2-5 L<\/td>\n<\/tr>\n<tr>\n<td>Frasco anest\u00e9sico + opi\u00f3ide vencido<\/td>\n<td>B (controlado SNGPC)<\/td>\n<td>0,5-1,5 kg<\/td>\n<\/tr>\n<tr>\n<td>Material descart\u00e1vel padr\u00e3o<\/td>\n<td>A1 baixa<\/td>\n<td>3-7 kg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Volume t\u00edpico: <strong>6-15 kg + 2-5 L\/m\u00eas<\/strong>.<\/p>\n<h2>Cap\u00edtulo reprocessamento colonosc\u00f3pio RDC 15<\/h2>\n<p>Colonosc\u00f3pio reus\u00e1vel (Olympus, Pentax, Fujifilm) exige RDC 15:<\/p>\n<ul>\n<li>Limpeza enzim\u00e1tica + alta-n\u00edvel com glutaralde\u00eddo 2% \/ OPA \/ \u00e1cido perac\u00e9tico<\/li>\n<li>Solu\u00e7\u00e3o vencida (>14-30 dias) = Grupo B (descarte com manifesto MTR)<\/li>\n<li>Sala de reprocessamento com exaust\u00e3o NR-32<\/li>\n<li>Valida\u00e7\u00e3o anual ANVISA + indicador biol\u00f3gico (B. atrophaeus)<\/li>\n<li>Falha de reprocessamento = pseudomonas\/MRSA paciente seguinte<\/li>\n<li>Custo solu\u00e7\u00e3o: R$ 800-1500\/m\u00eas descarte<\/li>\n<\/ul>\n<h2>3 perfis<\/h2>\n<p><strong>Perfil 1 \u2014 Consult\u00f3rio coloproctol\u00f3gico (sem colono):<\/strong> R$ 130-280\/m\u00eas. Setup R$ 2-4k.<\/p>\n<p><strong>Perfil 2 \u2014 Centro com colonoscopia + bi\u00f3psia:<\/strong> R$ 380-800\/m\u00eas. Setup R$ 6-14k.<\/p>\n<p><strong>Perfil 3 \u2014 Centro avan\u00e7ado (colono + ressec\u00e7\u00e3o endosc\u00f3pica + cirurgia):<\/strong> R$ 800-1700\/m\u00eas. Setup R$ 14-30k.<\/p>\n<h2>3 erros frequentes<\/h2>\n<ol>\n<li>Tecido excisado no Grupo A1 simples \u2014 \u00e9 A2 (anatomopatol\u00f3gico)<\/li>\n<li>Glutaralde\u00eddo vencido na pia \u2014 Grupo B perigoso (pH + carcinog\u00eanico)<\/li>\n<li>Pin\u00e7a bi\u00f3psia em saco simples \u2014 \u00e9 A1 RA + perfuro<\/li>\n<\/ol>\n<p><strong><a href=\"https:\/\/sevenresiduosaude.com.br\/orcamento\/\">Solicite cota\u00e7\u00e3o cl\u00ednica coloproctologia<\/a><\/strong> \u2014 cap\u00edtulo RDC 15 + tecido excisado A2 + glutaralde\u00eddo.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RSS de cl\u00ednica de coloproctologia: colonoscopia, hemorroidectomia, bi\u00f3psia, glutaralde\u00eddo. Volume cir\u00fargico.<\/p>\n","protected":false},"author":3,"featured_media":1163,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1677,1977,2117,22],"class_list":["post-1164","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-biopsia","tag-colonoscopia","tag-coloproctologia","tag-rdc-222"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1164","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=1164"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1164\/revisions"}],"predecessor-version":[{"id":3832,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/1164\/revisions\/3832"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/1163"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=1164"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=1164"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=1164"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}