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Fístula gastrointestinal - Symptom

Nombres alternativos

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

Síntomas:

Dependiendo de la parte de los intestinos que esté presentando filtración, las fístulas gastrointestinales pueden ocasionar diarrea, mala absorción de nutrientes y deshidratación.

  • Las fístulas enteroentéricas pueden ser asintomáticas.
  • Las fístulas enterocutáneas ocasionan filtración de los contenidos intestinales a través de una abertura en la piel.

Signos y exámenes:

  • Esofagografía (para identificar una fístula gastrointestinal)
  • Enema opaco (para identificar una fístula que compromete el colon)
  • Tomografía computarizada del abdomen (para identificar fístulas entre las asas de los intestinos o un área de infección, llamada absceso, asociada con la fístula)
  • Fistulograma (consiste en inyectar un medio de contraste dentro de la abertura de la piel de una fístula enterocutánea y luego tomar radiografías)
  • 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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