Hemorragia digestiva baja y hemorragia digestiva de origen oscuro

  1. E. Tavío 1
  2. C. Teruel Sánchez-Vegazo 1
  3. M. Aicart-Ramos 1
  4. F. Mesonero 1
  5. A. Albillos 1
  1. 1 Hospital Ramón y Cajal
    info

    Hospital Ramón y Cajal

    Madrid, España

    ROR https://ror.org/050eq1942

Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2016

Serie: 12

Número: 6

Páginas: 308-315

Tipo: Artículo

DOI: 10.1016/J.MED.2016.03.004 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

Introducción La hemorragia digestiva baja es una entidad frecuente en nuestro medio, en especial en pacientes añosos y con múltiples comorbilidades. Puede presentarse desde en forma leve y autolimitada hasta ocurrir un sangrado masivo con shock hemorrágico. Etiopatogenia Su origen habitual es el colon, y la causa más frecuente son los divertículos y las angiodisplasias. Diagnóstico Disponemos de varias técnicas diagnósticas y terapéuticas para su manejo, entre las que destacan la colonoscopia, con capacidad diagnóstica y terapéutica, la angio-TC multidetector, rápida y sin necesidad de preparación, y la arteriografía, con una aplicación habitualmente terapéutica. Tratamiento La cirugía actualmente queda relegada a un tratamiento de rescate cuando no se ha logrado controlar el sangrado por otros medios. Hemorragia gastrointestinal de origen oscuro Se define como aquel sangrado gastrointestinal cuyo origen no se observa tras un estudio convencional. Su causa más frecuente son las angiodisplasias de intestino delgado, y puede aparecer como una hemorragia manifiesta u oculta. Las pruebas diagnósticas más utilizadas son la vídeo-cápsula endoscópica, la enteroscopia y estudios radiológicos.

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Fuente de los datos: Dialnet