Sangrado digestivo medio y cápsula endoscópica. Cómo optimizar su uso

Rosalba Casanova

Resumen


El manejo del sangrado digestivo medio supone la disposición de recursos y generalmente implica altos costos. La cápsula endoscópica debe ser el primer estudio en sangrado recurrente o persistente después de gastroscopia y colonoscopia negativa en pacientes hemo dinámicamente estables y sin evidencia de obstrucción. Realizar la cápsula en las primeras 72h eleva la probabilidad de hallazgos de alta significancia y la implementación de terapéutica temprana, la cápsula eleva el rendimiento de la enteroscopia asistida por dispositivos y guía su vía de abordaje. Las lesiones vasculares son el hallazgo más frecuente en SDM. Una cápsula negativa se relaciona a bajas tasas de resangrado y por lo general otras evaluaciones no son necesarias, salvo si se asocia a preparación deficiente o a cambios en el patrón de sangrado. Si existen sospechas de neoplasia después de una capsula negativa se recomienda entero tomografía o enteroscopia profunda. La principal complicación de la cápsula es la retención. La realización oportuna de la cápsula endoscópica en sangrado digestivo medio es costo efectivo.

Palabras clave


Sangrado digestivo medio, capsula endoscópica, lesiones vasculares.

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Referencias


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DOI: http://dx.doi.org/10.61155/gen.v75i4.572

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