Manejo no quirúrgico de pacientes sintomáticos con cápsula endoscópica retenida en enfermedad de Crohn

Autores/as

  • Víctor Quintero Hospital Pablo Tobón Uribe
  • Jerónimo Toro Universidad Pontificia Bolivariana
  • Laura Penagos

DOI:

https://doi.org/10.30944/20117582.362

Palabras clave:

endoscopía capsular, enfermedades inflamatorias intestinales, enfermedad de Crohn, complicaciones

Resumen

Introducción. La enfermedad de Crohn es una enfermedad crónica del sistema gastrointestinal, que produce múltiples complicaciones a lo largo de su presentación clínica, lo cual hace difícil su diagnóstico y abordaje terapéutico. Objetivo. El objetivo del estudio fue describir las opciones diagnósticas y terapéuticas en la enfermedad de Crohn, en casos que cursan con cápsula endoscópica retenida; se presentan dos casos y el resultado de su manejo no operatorio. Materiales y métodos. Se tomaron los datos de la historia clínica de dos pacientes y se analizaron los datos clínicos y las ayudas diagnósticas utilizadas. Se describieron los hallazgos y el enfoque terapéutico, y se hizo una revisión de la literatura científica sobre el tema. Resultados. Dos pacientes con enfermedad de Crohn presentaron retención sintomática de la cápsula endoscópica. Se manejaron con éxito, sin tenerse que practicar ninguna intervención quirúrgica, como indica la mayoría de los informes en presencia de síntomas y signos de obstrucción gastrointestinal. Conclusiones. La retención de la cápsula endoscópica es poco frecuente y su manejo a lo largo de la historia ha sido la cirugía como primera elección, en aquellos pacientes que presentan signos y síntomas de obstrucción intestinal. Sin embargo, con el pasar de los años se han practicado diferentes técnicas terapéuticas, como las endoscópicas y médicas, las cuales han sido exitosas y con pocas complicaciones, en comparación con el tratamiento quirúrgico tradicional.

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Biografía del autor/a

Víctor Quintero, Hospital Pablo Tobón Uribe

Cirujano general, Universidad de Antioquia; jefe de Cirugía General, Hospital Pablo Tobón Uribe, Medellín, Colombia

Jerónimo Toro, Universidad Pontificia Bolivariana

Médico, residente de Cirugía General, Universidad Pontificia Bolivariana, Medellín, Colombia

Laura Penagos

Médica interna, Universidad CES, Medellín, Colombia

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Publicado

2015-01-01

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(1)
Quintero, V.; Toro, J.; Penagos, L. Manejo No Quirúrgico De Pacientes sintomáticos Con cápsula endoscópica Retenida En Enfermedad De Crohn. Rev Colomb Cir 2015, 30, 203-211.

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