Ecoendoscopia. Parte I

Autores/as

  • Martín Gómez Departamento de Medicina. Universidad Nacional. Bogotá, Colombia.

Palabras clave:

Ultrasonografía, diagnóstico, esófago, estómago, páncreas, colédocolitiasis

Resumen

La ecoendoscopia es un examen que combina la imagen de endoscopia con la ecográfica para valorar no sólo las lesiones del interior de la luz sino las lesiones que rodean al tubo digestivo. Es fundamental en la valoración de los pacientes con lesiones benignas, como la mayoría de los tumores subepiteliales, y en la de pacientes con coledocolitiasis. Su principal papel es la estadificación de pacientes con cáncer de esófago, gástrico, pulmonar, páncreas y rectal. En la mayoría de los pacientes con cáncer gastrointestinal, con el examen se busca realizar un diagnóstico y un estudio de extensión que permita tomar una conducta endoscópica, quirúrgica o paliativa. En comparación con otros exámenes, como la tomografía computadorizada, con la ecoendoscopia se logra obtener un diagnóstico más rápidamente y costo-efectivo, lo cual permite un enfoque más racional de estos pacientes.

Un servicio de ecoendoscopia es fundamental en un hospital de tercer nivel y sus indicaciones deben ser plenamente conocidas por los médicos, por tal motivo se hizo esta revisión que busca mostrar cuáles son las indicaciones diagnósticas de este examen a la luz de la evidencia actual.

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Biografía del autor/a

Martín Gómez, Departamento de Medicina. Universidad Nacional. Bogotá, Colombia.

Internista, Gastroenterólogo. Departamento de Medicina. Universidad Nacional. Bogotá, Colombia.

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Publicado

2008-12-20

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Gómez, M. Ecoendoscopia. Parte I. Rev Colomb Cir 2008, 23, 230-247.

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