{"id":3171,"date":"2020-05-01T00:00:00","date_gmt":"2020-05-01T00:00:00","guid":{"rendered":"http:\/\/localhost:8080\/invap\/?p=3171"},"modified":"2020-05-08T12:57:02","modified_gmt":"2020-05-08T15:57:02","slug":"dispepsia","status":"publish","type":"post","link":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/?p=3171","title":{"rendered":"Dispepsia"},"content":{"rendered":"<h2>\u00bfQu\u00e9 es?<\/h2>\n<p>La <em>dispepsia<\/em> o <em>s\u00edndrome disp\u00e9ptico<\/em> se trata de una patolog\u00eda que se caracteriza por dolor abdominal alto, saciedad precoz y plenitud post prandial.<\/p>\n<h2>\u00bfC\u00f3mo se produce?<\/h2>\n<p>Es un trastorno tipicamente funcional, que no reconoce un sustrato anat\u00f3mico.<\/p>\n<h2>Causas<\/h2>\n<ul>\n<li>Disfunci\u00f3n g\u00e1strica (Dispepsia funcional 50%)<\/li>\n<li>Esofagitis erosiva (10 a 20%)<\/li>\n<li><a href=\"http:\/\/192.168.1.125\/IPS\/enfermedades-a-z\/1852\/ulcera-peptica\">\u00dalcera p\u00e9ptica<\/a> \u00a0(10%)<\/li>\n<li>Consumo de alcohol o antiinflamatorios (10%)<\/li>\n<li>C\u00e1ncer g\u00e1strico (&lt;2%)<\/li>\n<\/ul>\n<h2>Signos y s\u00edntomas<\/h2>\n<p><strong>Criterios de Roma para dispepsia funcional <\/strong>(presentes en los \u00faltimos 3 meses, con inicio de las molestias en los 6 meses previos)<\/p>\n<p><strong>S\u00edndrome de dolor epig\u00e1strico:\u00a0<\/strong><\/p>\n<ul>\n<li>Dolor o quemaz\u00f3n epig\u00e1strica localizado, presente al menos una vez por semana<\/li>\n<li>Dolor intermitente<\/li>\n<li>S\u00edntomas que\u00a0no calman con las deposiciones<\/li>\n<li>No re\u00fane los criterios para patolog\u00eda biliar<\/li>\n<\/ul>\n<p><strong>S\u00edndrome de distr\u00e9s post prandial:<\/strong><\/p>\n<ul>\n<li>Plenitud post prandial que incomoda luego de una comida de tama\u00f1o regular y ocurre varias veces por semana<\/li>\n<\/ul>\n<h2>\u00bfC\u00f3mo se produce?<\/h2>\n<p>Se han planteado diferentes mecanismos que incluyen retardo en el vaciamiento g\u00e1strico, anormalidades de las contracciones g\u00e1stricas e hipersensibilidad a la distensi\u00f3n g\u00e1strica.<\/p>\n<h2>Signos y s\u00edntomas de alarma de \u00falcera p\u00e9ptica y c\u00e1ncer g\u00e1strico<\/h2>\n<ul>\n<li>Edad mayor de 45 a\u00f1os<\/li>\n<li>Anemia<\/li>\n<li>V\u00f3mitos con sangre (hematemesis) y\/o materia fecal negra, con sangre (melena)<\/li>\n<li>P\u00e9rdida de peso \u00a0inexplicada<\/li>\n<li>V\u00f3mitos persistentes<\/li>\n<li>Disfagia<\/li>\n<li>Historia familiar de c\u00e1ncer g\u00e1strico<\/li>\n<li>Historia de \u00falcera p\u00e9ptica<\/li>\n<li>Masa abdominal palpable<\/li>\n<li>Ganglios aumentados de tama\u00f1o (adenopat\u00edas)<\/li>\n<li>Falta de respuesta al tratamiento<\/li>\n<\/ul>\n<h2>M\u00e9todos complementarios<\/h2>\n<ul>\n<li>Laboratorio general<\/li>\n<li>Endoscopia digestiva alta<\/li>\n<\/ul>\n<p>Si no hay respuesta al tratamiento, solicitar:<\/p>\n<ul>\n<li>Anticuerpos para enfermedad cel\u00edaca<\/li>\n<li>TSH y calcemia<\/li>\n<li>Ecograf\u00eda abdominal<\/li>\n<li>TAC de abdomen si se sospecha patolog\u00eda pancreato biliar<\/li>\n<\/ul>\n<h2>Tratamiento<\/h2>\n<p>Debe realizarse en base a medicamentos que estimulan la motilidad g\u00e1strica (proquin\u00e9ticos g\u00e1stricos) e inhibidores de la producci\u00f3n de \u00e1cido g\u00e1strico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Se trata de una patolog\u00eda que se caracteriza por dolor abdominal alto, saciedad precoz y plenitud post prandial.<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40],"tags":[49,64],"author_data":{"name":"","url":"http:\/\/portal.imnytc-elalto.gob.bo:8080\/?author=4"},"featured_media_data":{"thumbnail":{"url":null,"width":null,"height":null,"is_intermediate":null},"medium":{"url":null,"width":null,"height":null,"is_intermediate":null},"medium_large":{"url":null,"width":null,"height":null,"is_intermediate":null},"large":{"url":null,"width":null,"height":null,"is_intermediate":null},"1536x1536":{"url":null,"width":null,"height":null,"is_intermediate":null},"2048x2048":{"url":null,"width":null,"height":null,"is_intermediate":null},"rpwe-thumbnail":{"url":null,"width":null,"height":null,"is_intermediate":null},"full":{"url":null,"width":null,"height":null,"is_intermediate":null}},"audio_data":[],"comments_number":"0 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