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Revista Médica Sinergia

2022, Número 11

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Revista Médica Sinergia 2022; 7 (11)


Actualización del manejo Watch and Wait en el cáncer de recto

Gutiérrez LC

Idioma: Español
Referencias bibliográficas: 18
Paginas:
Archivo PDF: 192.98 Kb.


RESUMEN

El tratamiento del cáncer de recto sigue siendo principalmente quirúrgico, sin embargo, este manejo conlleva una serie de comorbilidades y posibles complicaciones para el paciente, tales como: incontinencia fecal o urinaria, disfuncional sexual y una alta posibilidad de una ostomía permanente y sus complicaciones. No obstante, se ha visto que hasta un cuarto de las piezas patológicas muestran una respuesta patológica completa posterior a la neoadyuvancia. Es por esto que, con la idea de evitar estas complicaciones luego de una cirugía, nace la idea del manejo Watch and Wait, donde, si luego de la neoadyuvancia el paciente obtiene una respuesta completa al tratamiento, pasa a un programa de observación minuciosa, y de mantenerse, evitaría una cirugía radical, que en diversos estudios ha mostrado resultados oncológicos similares al manejo quirúrgico. Al ser un manejo novedoso, requiere dejar en claro diversos aspectos, entre ellos: el paciente que más se beneficiaría, la terapia neoadyuvante a realizar, la evaluación de la respuesta clínica y el seguimiento del paciente.


REFERENCIAS (EN ESTE ARTÍCULO)

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