Estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda
Background: Cecal acute diverticulitis is a rare disease with symptoms similar to acute appendicitis and is therefore difficult to diagnose. Objectives: To evaluate therapeutical conduct according to clinical for ms of presentation and the intraoperative findings. Location: Emergency Serviee of Clin...
| Autores principales: | , , , , , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2022
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/36664 |
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I10-R327-article-36664 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
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I-10 |
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R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
Cecal acute diverticulitis Right hemicolectomy Cecostomy Diverticulitis cecal aguda Hemicolectomia derecha Cecostomía |
| spellingShingle |
Cecal acute diverticulitis Right hemicolectomy Cecostomy Diverticulitis cecal aguda Hemicolectomia derecha Cecostomía Lada , Paul Martinessi, Víctor Montenegro , Rolando Dutari, Christian Florez Nicolini, Francisco Gramática, Luis Diyorio, Gustavo Vaca, Abel Estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda |
| topic_facet |
Cecal acute diverticulitis Right hemicolectomy Cecostomy Diverticulitis cecal aguda Hemicolectomia derecha Cecostomía |
| author |
Lada , Paul Martinessi, Víctor Montenegro , Rolando Dutari, Christian Florez Nicolini, Francisco Gramática, Luis Diyorio, Gustavo Vaca, Abel |
| author_facet |
Lada , Paul Martinessi, Víctor Montenegro , Rolando Dutari, Christian Florez Nicolini, Francisco Gramática, Luis Diyorio, Gustavo Vaca, Abel |
| author_sort |
Lada , Paul |
| title |
Estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda |
| title_short |
Estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda |
| title_full |
Estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda |
| title_fullStr |
Estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda |
| title_full_unstemmed |
Estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda |
| title_sort |
estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda |
| description |
Background: Cecal acute diverticulitis is a rare disease with symptoms similar to acute appendicitis and is therefore difficult to diagnose. Objectives: To evaluate therapeutical conduct according to clinical for ms of presentation and the intraoperative findings. Location: Emergency Serviee of Clinical National Hospital. U.N.C. (Cordoba National University.) and the ABC group. Deslgn: retrospective 64 Paul E Lada, Víctor Martinessi. Rolando Montenegro... observation. Materials and Methods: Twenlyfour patients with cecal diverticulitis were treated surgically, of which scvcn leen were meo and seven were womeri with an average age of 47 years. The urst group was formed with 16 patients and the second with S. Al! patients presented abdominal pain, fever, nauseas and vomiting when they were adrnitted, but one showed cnterorrhage and 2 abdominal clistention and ileus. Physical exaniinal ion produced pain and lencierncss in RLQ, but in 6 peritoneum vas not involved and in 4 a tumor was palpable in that region. Two patients, had a perforating acule abdominal condition. Results: Sixteen right hernicolectomies were performed. In the remaining eight a cecostomy vas ciecided. One patient died due to TEPA (Acute pulmonar tromboern bol ism). Abdominal wall abscesses appearecl in six patients, and un faur of them an incisional middle bernia appeared lo postoperative penad. Conclusions; Wc consider that in those patients prescnting serious prob!ems in deciding whether the inflamatory condilion was benign or malignant, or whcn perforated cecal diverticulum with vascular compromise aoci subsequent cecal wali necrosis has been suspected, we bclicve that the resection is the hest treatnent
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2022 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/36664 |
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I10-R327-article-366642022-03-14T17:12:13Z Estado actual del tratamiento quirúrgico en la diverticulitis cecal aguda Lada , Paul Martinessi, Víctor Montenegro , Rolando Dutari, Christian Florez Nicolini, Francisco Gramática, Luis Diyorio, Gustavo Vaca, Abel Cecal acute diverticulitis Right hemicolectomy Cecostomy Diverticulitis cecal aguda Hemicolectomia derecha Cecostomía Background: Cecal acute diverticulitis is a rare disease with symptoms similar to acute appendicitis and is therefore difficult to diagnose. Objectives: To evaluate therapeutical conduct according to clinical for ms of presentation and the intraoperative findings. Location: Emergency Serviee of Clinical National Hospital. U.N.C. (Cordoba National University.) and the ABC group. Deslgn: retrospective 64 Paul E Lada, Víctor Martinessi. Rolando Montenegro... observation. Materials and Methods: Twenlyfour patients with cecal diverticulitis were treated surgically, of which scvcn leen were meo and seven were womeri with an average age of 47 years. The urst group was formed with 16 patients and the second with S. Al! patients presented abdominal pain, fever, nauseas and vomiting when they were adrnitted, but one showed cnterorrhage and 2 abdominal clistention and ileus. Physical exaniinal ion produced pain and lencierncss in RLQ, but in 6 peritoneum vas not involved and in 4 a tumor was palpable in that region. Two patients, had a perforating acule abdominal condition. Results: Sixteen right hernicolectomies were performed. In the remaining eight a cecostomy vas ciecided. One patient died due to TEPA (Acute pulmonar tromboern bol ism). Abdominal wall abscesses appearecl in six patients, and un faur of them an incisional middle bernia appeared lo postoperative penad. Conclusions; Wc consider that in those patients prescnting serious prob!ems in deciding whether the inflamatory condilion was benign or malignant, or whcn perforated cecal diverticulum with vascular compromise aoci subsequent cecal wali necrosis has been suspected, we bclicve that the resection is the hest treatnent Introducción: La diverticulitis cecal aguda es una enfermedad poco frecuente, que simula el cuadro de una apendicitis aguda y que presentaproblemas en el diagnóstico. Objetivo: Evaluación de la conducta terapéutica de acuerdo a las formas clínicas de presentación y los hallazgos intra operatorios. Lugar de aplicación: Servicio de Guardia del Hospital Nacional de Clínicas (U.N.C.) y grupo ABC. Diseño:Retrospectivo Observacional Materiales y Métodos: Fueron tratados quirúrgicamente veinte y cuatro pacientes con diverticulitis cecal aguda: 17 eran del sexo masculino y 7 del femenino, con un promedio de 47 años. Un primer grupo compuesto por 16 pacientes y el segundo por ocho. Todos presentaron al ingreso dolor abdominal, fiebre, nauseas y vómitos, un paciente presento enterorragla y dos distensión abdominal e íleo. En el examen físico todos presentaron dolory defensa en fosa iliaca derecha (FlD), pero en seis no hubo compromiso peritoneal, permitiendo en 4 la palpación de un tumor en dicha región. Dos tuvieron un cuadro de abdomen agudo perforativo. Resultados: Se practicaron 16 hemicolectomias derecha. En los ocho restantes se efectuó una cecostomia. Un paciente falleció en el postoperatorio por un T.E.P.A. Hubo una fístula anastomótica. Seis pacientes presentaron un absceso de pared. De ellos, cuatro tuvieron una eventración en el postoperatorio alejado. Conclusion Consideramos que en aquellos pacienL_ con serias dificultades para decidir la benignidad o malignidad del proceso ó cuando estamos frente a la probabilidad de un diverticulo cecal perforado con compromiso vascular y necrótico de la pared cecal, el mejor tratamiento es la resección Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2022-03-09 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion texto texto texto application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/36664 10.31053/1853.0605.v60.n2.36664 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 60 No. 2 (2003); 63 - 70 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 60 Núm. 2 (2003); 63 - 70 Revista da Faculdade de Ciências Médicas de Córdoba; v. 60 n. 2 (2003); 63 - 70 1853-0605 0014-6722 10.31053/1853.0605.v60.n2 spa https://revistas.unc.edu.ar/index.php/med/article/view/36664/37033 Derechos de autor 2022 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |