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>Revistas >Cirugía y Cirujanos >Año 2011, No. 2


Abdo-Francis JM, Sobrino-Cossío SR, Hernández-Guerrero A
Endoprótesis gastrointestinales
Cir Cir 2011; 79 (2)

Idioma: Español
Referencias bibliográficas: 51
Paginas: 202-208
Archivo PDF: 351.20 Kb.

[Texto completo - PDF]

RESUMEN

El uso de endoprótesis intestinales es el tratamiento paliativo de elección en pacientes con compromiso grave de la reserva cardiopulmonar o clase funcional IV con obstrucción en la luz intestinal por crecimiento tumoral. El endoscopista debe reconocer las indicaciones para colocar una prótesis, las cuales dependen del paciente y de la lesión. Se revisan las características de las prótesis, sus indicaciones y los resultados obtenidos. Con las endoprótesis se logra un éxito técnico de 94%, aunque el éxito clínico es variable. En general, las complicaciones no graves se presentan en 27% de los pacientes: crecimiento del tumor dentro de la prótesis o en los extremos de ella en 17%, migración en 5%, dolor en 2% y obstrucción de la vía biliar en 1%. Las complicaciones graves ocurren en 1% de los pacientes, entre las cuales se incluye la hemorragia; la muerte es infrecuente. La colocación de endoprótesisgastrointestinales es un método accesible y seguro que requiere experiencia y que ha demostrado ser una opción terapéutica adecuada en el manejo de la obstrucción del tubo digestivo con buenos resultados como medida paliativa costo-efectiva.


Palabras clave: Endoprótesis intestinal, obstrucción intestinal maligna, prótesis del tubo digestivo.


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>Revistas >Cirugía y Cirujanos >Año2011, No. 2
 

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