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2022, Número 1

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Revista Cubana de Cirugía 2022; 61 (1)


Tratamiento ambulatorio de la diverticulitis aguda no complicada

Pérez PJ, Martínez GA, Pérez GK

Idioma: Español
Referencias bibliográficas: 36
Paginas: 1-15
Archivo PDF: 410.29 Kb.


RESUMEN

Introducción: La diverticulitis aguda es la complicación más frecuente de la enfermedad diverticular del colon y causa de ingresos hospitalarios. Su tratamiento ha sido evaluado en los últimos años y muestra una tendencia a limitar el tratamiento quirúrgico y potenciar el de tipo conservador.
Objetivo: Realizar una revisión sobre la aplicabilidad, la seguridad y la eficacia del tratamiento ambulatorio de la diverticulitis aguda no complicada en pacientes seleccionados.
Métodos: Se realizó una revisión bibliográfica en fuentes de información disponibles en las bases de datos SciELO, Medline (Pubmed), así como Google académico, donde se escogieron un total de 36 referencias.
Desarrollo: Históricamente los pacientes diagnosticados de diverticulitis aguda han sido internados en centros hospitalarios para estudio y tratamiento dietético, antibiótico y analgésico. En los últimos años ha crecido la tendencia en el mundo a tratar estos pacientes de forma ambulatoria una vez comprobado que no se encuentra complicada, lo que ha demostrado con nivel de evidencia, que estos logran presentar una evolución favorable sin necesidad de ingreso, con menos gastos para el sistema de salud.
Conclusiones: El tratamiento ambulatorio de la diverticulitis aguda no complicada no solo es eficaz y seguro, sino también aplicable en la mayoría de los pacientes, siempre que toleren la ingesta oral y dispongan de un entorno familiar adecuado.


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