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Enteroscopia - Risks

Nombres alternativos

Biopsia del intestino delgado; Enteroscopia por pulsión; Enteroscopia de doble balón; Enteroscopia por cápsula; Enteroscopia por sonda

Riesgos:

Las complicaciones son poco comunes pero pueden abarcar:

  • Sangrado excesivo del sitio de la biopsia
  • Orificio en el intestino (perforación intestinal)
  • Infección del sitio de la biopsia que conduce a bacteriemia
  • Vómitos, seguido de bronco aspiración

Consideraciones especiales:

Los factores que inhiben el uso de este examen pueden abarcar:

  • Pacientes confundidos o poco colaboradores
  • Trastornos de coagulación sanguínea no tratados
  • Uso de ácido acetilsalicílico (aspirin) u otros medicamentos que impiden la coagulación normal de la sangre (anticoagulantes)

El mayor riesgo es el sangrado. Entre los signos están:

  • Reviewed last on: 1/20/2010
  • David C. Dugdale III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Bjorkman DJ. Gastrointestinal hemorrhage and occult gastrointestinal bleeding. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 137.

Sidhu R, Sanders DS, Morris AJ, McAlindon ME. Guidelines on small bowel enteroscopy and capsule endoscopy in adults. Gut. 2008;57:125-136.

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