Reservoritis, una complicación del tratamiento quirúrgico de la colitis ulcerativa. Diagnóstico y tratamiento. Revisión

Palabras clave: colitis ulcerativa, antibióticos, profilaxis, reservoritis

Resumen

Del 20 % al 30 % de los pacientes con colitis ulcerativa (CU) son sometidos a cirugía, ya sea por intratabilidad, curso fulminante, aparición de displasia o cáncer de colon. La cirugía de elección es la proctocolectomía con reservorio ileoanal. Sin embargo, el 20 %-50 % de los pacientes presentan reservoritis a 10 años. El diagnóstico se realiza con base en las manifestaciones clínicas, las alteraciones endoscópicas y la histología. Los medicamentos utilizados en el tratamiento de la CU no son tan eficaces en la reservoritis y el tratamiento de primera línea es los antibióticos. Dependiendo de la respuesta inicial y el curso clínico de la entidad, se elegirá el tratamiento posterior. En esta revisión se discuten los aspectos más importantes con respecto a la epidemiología, diagnóstico, patogénesis y tratamiento de la reservoritis.

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Biografía del autor/a

William Otero Regino, Universidad Nacional de Colombia

Profesor Titular de medicina, Universidad Nacional de Colombia

Lina Otero Parra, Centro de enfermedades digestivas

Internista, Gastroenteróloga Universidad Nacional de Colombia. 

Guillermo Veitía, Hospital Vargas de Caracas

Jefe de Gastroenterología Hospital Vargas de Caracas, profesor Universidad Central de Venezuela

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Figura 1. Principales tipos de reservorio
Publicado
2021-03-08
Cómo citar
Otero Regino, W., Otero Parra, L., & Veitía, G. (2021). Reservoritis, una complicación del tratamiento quirúrgico de la colitis ulcerativa. Diagnóstico y tratamiento. Revisión. Revista Colombiana De Gastroenterología, 36(1), 65-72. https://doi.org/10.22516/25007440.426
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