Posible sangrado del intestino delgado, ¿Es la videocápsula endoscópica la mejor opción?

  • Jose Augusto Urrego Díaz Asociación Colombiana de Medicina Interna
  • William Otero Regino Universidad Nacional de Colombia
  • Martín Alonso Gómez Zuleta Universidad Nacional de Colombia
Palabras clave: endoscopia por cápsula, hemorragia gastrointestinal, intestino delgado, endoscopia del sistema digestivo

Resumen

En pacientes sin una causa clara de sangrado gastrointestinal luego de una endoscopia digestiva alta y baja, la causa se encontrará en el intestino delgado hasta en el 77 % de los casos. Ante el excelente rendimiento diagnóstico de la videocápsula endoscópica (VCE) para el estudio de este segmento del tracto gastrointestinal, surge la duda de si debería ser el método diagnóstico inicial de este grupo de pacientes con posible sangrado del intestino delgado (PSID) o si la realización de una nueva endoscopia alta y baja o algún método alternativo de estudio del intestino delgado debería serlo. En esta revisión se evalúa y evidencia el rendimiento diagnóstico superior y la mayor seguridad de la VCE como abordaje inicial de pacientes con PSID en relación con otros métodos. Sin embargo, se pone en tela de juicio la mejor costo-efectividad de este abordaje en nuestro medio, que en otros ha sido claramente demostrada.

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Biografía del autor/a

Jose Augusto Urrego Díaz, Asociación Colombiana de Medicina Interna

Residente medicina interna

William Otero Regino, Universidad Nacional de Colombia

Gastroenterólogo, Hospital Universitario Nacional de Colombia. Bogotá, Colombia.

Martín Alonso Gómez Zuleta, Universidad Nacional de Colombia

Gastroenterólogo, Hospital Universitario Nacional de Colombia. Bogotá, Colombia.

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Tabla 2. Causas de sangrado en PSID (10)
Publicado
2020-07-03
Cómo citar
Urrego Díaz, J. A., Otero Regino, W., & Gómez Zuleta, M. A. (2020). Posible sangrado del intestino delgado, ¿Es la videocápsula endoscópica la mejor opción?. Revista Colombiana De Gastroenterología, 35(2), 196-206. https://doi.org/10.22516/25007440.262
Sección
Revisión de tema