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Fístula gastrointestinal - Overview

Nombres alternativos

Fístula entero-entérica; Fístula enterocutánea; Fístula del estómago y los intestinos

Definición:

Es una abertura anormal que permite el escape o filtración de los contenidos del estómago o los intestinos.

  • Si se filtra a través y hacia una parte de los intestinos, se denomina fístula enteroentérica.
  • Si se filtra hacia y a través de la piel, se denomina fístula enterocutánea.

Causas, incidencia y factores de riesgo:

La mayoría de las fístulas gastrointestinales ocurre después de una cirugía. Otras causas abarcan:

  • Obstrucción gastrointestinal
  • Procesos inflamatorios, como la infección o la enfermedad intestinal inflamatoria (con mayor frecuencia enfermedad de Crohn)
  • Radiación al abdomen (administrado con mayor frecuencia como parte de un tratamiento para el cáncer)
  • Traumatismo, especialmente heridas penetrantes como las causadas por arma blanca o por arma de fuego
  • Reviewed last on: 5/4/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Stenson WF. Inflammatory bowel disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 144.
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