1. Reconstitución de Tránsito Intestinal, Un Desafío Terapéutico: A propósito de un caso.
- Author
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Krauss S., Dominique, Garrido S., Constanza, Pérez M., María, Arriagada C., Isabel, and Farias G., Natalia
- Abstract
Introduction: Colorectal cancer is the third most common malignant tumor in the world, generating great costs for health systems. Treatment should be oriented to the characteristics of the cancer, preventing the greatest number of complications. Objectives: In the present case report, a patient operated on for suspected colorectal cancer is described, who presents difficulty in reconstituting intestinal transit, due to avoidable surgical complications. Clinical case: A 70-year-old female patient, with a significant medical history, admitted for surgical resolution of colorectal cancer, performing anterior rectal resection with protective ileostomy. At the 2-month follow-up, stenosis was observed at the ileostomy level. Endoscopic dilations are performed, but perforation is suspected in the fourth consultation, which requires surgical management, this being very laborious due to intraoperative results not reported in the clinical record. Discussion: There are several complications related to colorectal anastomosis, including anastomotic leak, anastomotic stenosis, and pelvic sepsis, which can be prevented by salvage procedures such as ileostomy, which is not free of complications. The objective of avoiding complications is to be able to perform a traffic reconstruction without incidents and therefore the patient has the lowest possible morbidity and mortality rate. [ABSTRACT FROM AUTHOR]
- Published
- 2021