Obstrucción intestinal maligna. Revisión de tema

Autores/as

  • John Cárdenas Universidad Militar Nueva Granada
  • Claudia Agamez Instituto Nacional de Cancerología
  • Sandra Parra Universidad Militar Nueva Granada

Palabras clave:

Obstrucción intestinal, Neoplasias, Procedimientos quirúrgicos, Tratamiento paliativo

Resumen

La obstrucción intestinal maligna es una patología compleja que, a pesar de la baja prevalencia, produce un alto grado de incomodidad, debido a síntomas secundarios producidos por alteraciones mecánicas y funcionales en los diferentes mecanismos fisiopatológicos; entre estos mecanismos se encuentran la oclusión del lumen intestinal, las alteraciones en la motilidad y la acumulación de secreciones. En el tratamiento de la obstrucción intestinal maligna se debe individualizar cada paciente para definir la mejor estrategia, ya sea una intervención quirúrgica —gastrostomía o yeyunostomía descompresiva, realización de ostomías y endoprótesis vasculares (stents)— o un tratamiento médico —opioides, anticolinérgicos, antieméticos y esteroides—. En general, se recomienda una estrategia que de manera sinérgica combine diferentes opciones para logar un control adecuado de los síntomas.

Biografía del autor/a

John Cárdenas, Universidad Militar Nueva Granada

Medicina del dolor y cuidado paliativo, Universidad Militar Nueva Granada, Bogotá, D. C., Colombia

Claudia Agamez, Instituto Nacional de Cancerología

Grupo de dolor y cuidado paliativo, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia

Sandra Parra, Universidad Militar Nueva Granada

Medicina del dolor y cuidado paliativo, Universidad Militar Nueva Granada, Bogotá, D. C., Colombia
Grupo de dolor y cuidado paliativo, Instituto Nacional de Cancerología, Bogotá, D. C., Colombia

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Cómo citar

[1]
Cárdenas J. et al. 2013. Obstrucción intestinal maligna. Revisión de tema. Revista Colombiana de Cancerología. 17, 2 (jun. 2013), 77–85.

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Publicado

01-06-2013

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