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Trombosis venosa mesentérica - Treatment

Tratamiento:

Para el tratamiento de la trombosis venosa mesentérica, se utilizan anticoagulantes (con mayor frecuencia la heparina) cuando no hay ningún sangrado conexo. En algunos casos, se puede infundir directamente el medicamento dentro del coágulo para disolverlo, un procedimiento denominado trombólisis.

Con menos frecuencia, el coágulo se extrae con un tipo de cirugía llamado trombectomía.

Si usted tiene signos y síntomas de una infección seria llamada peritonitis, generalmente necesitará una cirugía para extirpar el intestino. Después de la operación, se puede necesitar una ileostomía (abertura desde el intestino delgado hasta una bolsa en la piel) o una colostomía (una abertura desde el colon hasta la piel).

Expectativas (pronóstico):

El pronóstico depende de la causa de la trombosis. El tratamiento oportuno de la causa antes de que el intestino haya muerto puede llevar a una buena recuperación.

Complicaciones:

Una complicación grave de la trombosis venosa mesentérica es la isquemia intestinal, en la cual una parte o todo el intestino muere debido al riego sanguíneo insuficiente.

Situaciones que requieren asistencia médica:

Consulte con el médico si presenta episodios intensos o repetitivos de dolor abdominal.

  • Reviewed last on: 9/6/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; James R. Mason, MD, Oncologist, Director, Blood and Marrow Transplantation Program and Stem Cell Processing Lab, Scripps Clinic, Torrey Pines, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Hauser SC. Vascular disease of the gastrointestinal tract. In Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 146.

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