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Noticias médicas
Publicado el 17 de agosto de 2001
Endoscopía
Perforaciones colonoscópicas
Pacientes seleccionados con perforación colonoscópica pueden ser tratados con seguridad sin cirugía. El tratamiento quirúrgico se reserva para aquellos con perforaciones grandes o con peritonitis difusa.
20 pacientes (65%) fueron tratados quirúrgicamente y 11 (35%) médicamente con reposo intestinal y antibióticos endovenosos. De este grupo, 1 paciente fue rehospitalizado para realizar drenaje percutáneo de un absceso intraabdominal y en 3 casos fracasó el tratamiento necesitando cirugía.