{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T14:28:06Z","timestamp":1766068086195,"version":"3.40.5"},"reference-count":0,"publisher":"Sociedad Argentina de Gastroenterologia","issue":"3","license":[{"start":{"date-parts":[[2024,9,30]],"date-time":"2024-09-30T00:00:00Z","timestamp":1727654400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACTA"],"abstract":"<jats:p>La dehiscencia de la anastomosis colorrectal es una complicaci\u00f3n postquir\u00fargica seria que aumenta la morbilidad, mortalidad, la duraci\u00f3n de la internaci\u00f3n hospitalaria y los costos de la atenci\u00f3n m\u00e9dica significativamente. Su frecuencia oscila entre el 4 y el 26%. Depende, entre otros factores de riesgo, de la edad avanzada, una enfermedad maligna, el tiempo prolongado de la cirug\u00eda, la radioterapia preoperatoria y la p\u00e9rdida de sangre perioperatoria o la necesidad de transfusiones. Las manifestaciones cl\u00ednicas pueden ser variadas, como la presencia de dolor o distensi\u00f3n abdominal, la leucocitosis, la presencia de pus, meteorismo, debito fecal a trav\u00e9s de los drenajes o de la incisi\u00f3n quir\u00fargica y, en los casos m\u00e1s graves, peritonitis y sepsis con falla multiorg\u00e1nica. El diagn\u00f3stico precoz es fundamental y el tratamiento oportuno depender\u00e1 de su repercusi\u00f3n cl\u00ednica. De manera inusual no requieren de una intervenci\u00f3n terap\u00e9utica activa, pero pueden retrasar el cierre de la ostom\u00eda de protecci\u00f3n. La mayor\u00eda de los pacientes necesitar\u00e1n tratamiento con antibi\u00f3ticos, drenaje percut\u00e1neo o endosc\u00f3pico y, en los casos con peritonitis y s\u00edndrome de respuesta inflamatoria sist\u00e9mica, una intervenci\u00f3n quir\u00fargica. La terapia de vac\u00edo endoluminal es una t\u00e9cnica endosc\u00f3pica, m\u00ednimamente invasiva, que permite el drenaje y la obliteraci\u00f3n de los espacios peri-anastom\u00f3ticos con una tasa de \u00e9xito que var\u00eda del 75 al 97%, dependiendo de la precocidad del diagn\u00f3stico. Se describe el caso de una paciente de 76 a\u00f1os, con antecedentes de obesidad y un adenocarcinoma de recto, a la que se le realiz\u00f3 una anastomosis colorrectal baja y confecci\u00f3n de ileostom\u00eda de protecci\u00f3n, que evolucion\u00f3 con una fuga anastom\u00f3tica sintom\u00e1tica que fue exitosamente tratada con una terapia endosc\u00f3pica de vac\u00edo.<\/jats:p>","DOI":"10.52787\/agl.v54i3.387","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T15:08:07Z","timestamp":1727795287000},"page":"273-277","source":"Crossref","is-referenced-by-count":1,"title":["Resoluci\u00f3n de f\u00edstula y preservaci\u00f3n de anastomosis colorrectal baja con el sistema VAC"],"prefix":"10.52787","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7208-0615","authenticated-orcid":false,"given":"Gabriel Adri\u00e1n","family":"Mari\u00f1o Camacho","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8383-4822","authenticated-orcid":false,"given":"Alejandro","family":"Moreira Grecco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5317-3034","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Wonaga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1437-6872","authenticated-orcid":false,"given":"Carlos","family":"Waldbaum","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5919-1812","authenticated-orcid":false,"given":"Andr\u00e9s","family":"Salcedo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8066-2244","authenticated-orcid":false,"given":"Esteban","family":"Gonz\u00e1lez Ballerga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"30608","published-online":{"date-parts":[[2024,9,30]]},"container-title":["Acta Gastroenterol\u00f3gica Latinoamericana"],"original-title":[],"link":[{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/387\/781","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/387\/797","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/387\/797","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,3]],"date-time":"2024-10-03T13:30:31Z","timestamp":1727962231000},"score":1,"resource":{"primary":{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/view\/387"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,30]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024,9,30]]}},"URL":"https:\/\/doi.org\/10.52787\/agl.v54i3.387","relation":{},"ISSN":["2469-1119"],"issn-type":[{"type":"print","value":"2469-1119"}],"subject":[],"published":{"date-parts":[[2024,9,30]]}}}