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Perforación gastrointestinal - Treatment

Nombres alternativos

Perforación intestinal; Perforación de los intestinos

Tratamiento:

Por lo general, el tratamiento de esta afección implica cirugía para reparar el orificio (perforación). En ocasiones, es necesario extirpar una pequeña parte del intestino y se puede requerir una colostomía o una ileostomía temporales.

En muy pocos casos, se pueden utilizar antibióticos para tratar pacientes cuyas perforaciones se hayan cerrado, lo cual se puede confirmar por medio de un examen físico, exámenes de sangre, tomografía computarizada y radiografías.

Expectativas (pronóstico):

La cirugía generalmente es efectiva, pero depende de la gravedad de la perforación y del tiempo que transcurre hasta el tratamiento.

Complicaciones:

Las complicaciones abarcan:

Situaciones que requieren asistencia médica:

Consulte con el médico si presenta dolor abdominal intenso, fiebre, náuseas, vómitos, sangre en las heces o cambios en los hábitos evacuatorios.

  • Reviewed last on: 6/28/2010
  • Jacob L. Heller, MD, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington, Clinic. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Turnage RH, Richardson KA, Li BD, McDonald JC. Abdominal wall, umbilicus, peritoneum, mesenteries, omentum, and retroperitoneum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. St. Louis, Mo: WB Saunders; 2008:chap 43.

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