{"id":138,"date":"2026-09-17T05:00:25","date_gmt":"2026-09-17T05:00:25","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=138"},"modified":"2026-09-17T05:02:37","modified_gmt":"2026-09-17T05:02:37","slug":"enfermedad-diverticular","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/enfermedad-diverticular\/","title":{"rendered":"Enfermedad diverticular"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"138\" class=\"elementor elementor-138\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0133111 e-con-full e-flex e-con e-parent\" data-id=\"0133111\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-76a4fec e-con-full e-flex e-con e-child\" data-id=\"76a4fec\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0ddd87d elementor-widget 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src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"dw\"><nav class=\"dcb\" aria-label=\"breadcrumb\"><a href=\"\/diegomunoz\/home\/\">Inicio<\/a><span class=\"ds\">\/<\/span><a href=\"\/diegomunoz\/patologias\/\">Patolog\u00edas<\/a><span class=\"ds\">\/<\/span><span class=\"dc\">Enfermedad diverticular<\/span><\/nav><span class=\"dk\">Colon y enfermedad inflamatoria<\/span><div class=\"dhg\"><div><h1 class=\"dh1\">Enfermedad diverticular<\/h1><p class=\"dlead\">Muy com\u00fan despu\u00e9s de los 50 a\u00f1os. La mayor\u00eda de los episodios se resuelve sin cirug\u00eda.<\/p><\/div><aside class=\"dside\"><span class=\"dside-k\">Atenci\u00f3n especializada<\/span><h2>Dr. Nelson Mu\u00f1oz P\u00e9rez<\/h2><div class=\"dside-line\"><\/div><p>Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p><a class=\"dbtn\" href=\"#\"><svg width=\"17\" height=\"17\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/aside><\/div><\/div><\/div>\r\n<div class=\"dsec\"><div class=\"dw dnarrow\"><span class=\"dsect-k\">La perspectiva del cirujano<\/span><h2 class=\"dh2\">La mayor\u00eda de los divert\u00edculos no requiere tratamiento por s\u00ed sola.<\/h2><p class=\"dbody\">La enfermedad diverticular es tan frecuente que buena parte de las personas mayores de 60 a\u00f1os tiene divert\u00edculos sin siquiera saberlo: son hallazgos incidentales en una colonoscop\u00eda o un esc\u00e1ner, y no requieren tratamiento por s\u00ed solos. El tema cambia cuando un divert\u00edculo se inflama o se infecta: ah\u00ed hablamos de diverticulitis, y es donde realmente entro a decidir.<\/p><p class=\"dbody\">La mayor\u00eda de los episodios, incluso los que duelen bastante, se resuelve con manejo m\u00e9dico. Mi criterio para plantear cirug\u00eda no es \u00abcu\u00e1ntos episodios ha tenido\u00bb, sino la severidad y las complicaciones de cada episodio: perforaci\u00f3n, abscesos que no responden al manejo m\u00e9dico o estrechez del colon. La cirug\u00eda electiva despu\u00e9s de episodios recurrentes se conversa caso a caso, no como una regla autom\u00e1tica.<\/p><blockquote class=\"dquote\">\"La decisi\u00f3n de operar no depende solo del n\u00famero de episodios, sino de su severidad y sus complicaciones.\"<\/blockquote><\/div><\/div>\r\n<div class=\"dsec dsymsec\"><div class=\"dw\"><span class=\"dsect-k\">Qu\u00e9 sentir, cu\u00e1ndo consultar<\/span><h2 class=\"dh2\">S\u00edntomas m\u00e1s comunes<\/h2><div class=\"dsymgrid\"><div class=\"dsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Dolor abdominal, habitualmente en el lado izquierdo<\/div><div class=\"dsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Fiebre<\/div><div class=\"dsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>Cambios en el h\u00e1bito intestinal<\/div><div class=\"dsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>N\u00e1useas<\/div><div class=\"dsym\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><circle cx=\"12\" cy=\"12\" r=\"10\"\/><line x1=\"12\" y1=\"8\" x2=\"12\" y2=\"12\"\/><line x1=\"12\" y1=\"16\" x2=\"12.01\" y2=\"16\"\/><\/svg>En casos complicados, distensi\u00f3n abdominal marcada o signos de infecci\u00f3n generalizada<\/div><\/div><\/div><\/div>\r\n<div class=\"dsec dclasssec\"><div class=\"dw\"><span class=\"dsect-k\">Clasificaci\u00f3n<\/span><h2 class=\"dh2\">La gravedad del episodio orienta el tratamiento.<\/h2><p class=\"dclassintro\">Los episodios de diverticulitis se clasifican en no complicados y complicados \u2014con absceso, perforaci\u00f3n, obstrucci\u00f3n o f\u00edstula asociada\u2014, y es esa clasificaci\u00f3n, m\u00e1s que el n\u00famero de episodios previos, la que orienta si el manejo es m\u00e9dico o quir\u00fargico.<\/p><div class=\"dclassgrid\"><div class=\"dclasscard\"><span class=\"dclassnum\">01<\/span><h3>No complicada<\/h3><p>La clasificaci\u00f3n orienta el manejo m\u00e9dico en la mayor\u00eda de estos episodios.<\/p><\/div><div class=\"dclasscard\"><span class=\"dclassnum\">02<\/span><h3>Complicada<\/h3><p>Puede presentarse con absceso, perforaci\u00f3n, obstrucci\u00f3n o f\u00edstula asociada, y orienta la necesidad de un manejo quir\u00fargico seg\u00fan cada caso.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"dsec dtreatsec\"><div class=\"dw\"><span class=\"dsect-k\">Evaluaci\u00f3n y tratamiento<\/span><h2 class=\"dh2\">Manejo m\u00e9dico o quir\u00fargico seg\u00fan la evoluci\u00f3n.<\/h2><div class=\"dtreat\"><div class=\"dtcol\"><div class=\"dtcol-head\"><span class=\"dtnum\">1<\/span><h3>Tratamiento no quir\u00fargico<\/h3><\/div><div class=\"dtitem\"><h4>Reposo digestivo y antibi\u00f3ticos<\/h4><p>En episodios no complicados, con buena respuesta en la mayor\u00eda de los casos.<\/p><\/div><div class=\"dtitem\"><h4>Drenaje percut\u00e1neo guiado por im\u00e1genes<\/h4><p>En los abscesos que lo permiten, evitando una cirug\u00eda de urgencia.<\/p><\/div><div class=\"dtitem\"><h4>Manejo a largo plazo<\/h4><p>De la dieta, el h\u00e1bito intestinal, la obesidad y el tabaquismo, para reducir el riesgo de nuevos episodios.<\/p><\/div><\/div><div class=\"dtcol\"><div class=\"dtcol-head\"><span class=\"dtnum\">2<\/span><h3>Tratamiento quir\u00fargico<\/h3><\/div><div class=\"dtitem\"><h4>Cirug\u00eda de urgencia<\/h4><p>En perforaci\u00f3n con peritonitis u otras complicaciones que no responden al manejo m\u00e9dico ni al drenaje.<\/p><\/div><div class=\"dtitem\"><h4>Colectom\u00eda electiva<\/h4><p>Considerada en pacientes con episodios recurrentes complicados, estenosis o f\u00edstulas del colon, o factores de riesgo particulares.<\/p><\/div><\/div><\/div><\/div><\/div>\r\n<div class=\"dsec\"><div class=\"dw dfaq\"><span class=\"dsect-k\">Lo que preguntan seguido<\/span><h2 class=\"dh2\">Preguntas frecuentes<\/h2><div class=\"dfi\"><button class=\"dfq\" type=\"button\">\u00bfTener divert\u00edculos significa que voy a tener diverticulitis?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"dfa\"><p>No. La mayor\u00eda de las personas con divert\u00edculos nunca desarrolla un episodio de inflamaci\u00f3n o infecci\u00f3n.<\/p><\/div><\/div><div class=\"dfi\"><button class=\"dfq\" type=\"button\">\u00bfDebo cambiar mi dieta si tengo divert\u00edculos?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"dfa\"><p>Un consumo adecuado de fibra ayuda a reducir el riesgo de complicaciones, aunque no elimina por completo la posibilidad de un episodio.<\/p><\/div><\/div><div class=\"dfi\"><button class=\"dfq\" type=\"button\">\u00bfUn episodio de diverticulitis siempre requiere hospitalizaci\u00f3n?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"dfa\"><p>No siempre; depende de la severidad. Muchos episodios no complicados se manejan de forma ambulatoria con antibi\u00f3ticos orales.<\/p><\/div><\/div><div class=\"dfi\"><button class=\"dfq\" type=\"button\">\u00bfDespu\u00e9s de un episodio debo operarme para evitar que se repita?<svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><line x1=\"12\" y1=\"5\" x2=\"12\" y2=\"19\"\/><line x1=\"5\" y1=\"12\" x2=\"19\" y2=\"12\"\/><\/svg><\/button><div class=\"dfa\"><p>No de forma autom\u00e1tica. La decisi\u00f3n de operar de forma electiva depende de la severidad de los episodios y de la situaci\u00f3n particular de cada paciente.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"dcta\"><img decoding=\"async\" class=\"dctawm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"dw dctag\"><div><span class=\"dctak\">Agenda tu hora<\/span><h2>Habla con un especialista en Temuco.<\/h2><p>El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real: de tu situaci\u00f3n, tus estudios y la severidad de cada episodio. Un sitio web es un punto de partida, no un reemplazo.<\/p><p class=\"dctaf\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p><\/div><a class=\"dwhite\" href=\"#\"><svg width=\"18\" height=\"18\" viewBox=\"0 0 24 24\" fill=\"currentColor\"><path d=\"M12.04 2C6.58 2 2.13 6.45 2.13 11.91c0 1.85.5 3.58 1.44 5.08L2 22l5.25-1.53c1.42.78 3.06 1.22 4.79 1.22 5.46 0 9.91-4.45 9.91-9.91C21.95 6.45 17.5 2 12.04 2zm0 18.06c-1.57 0-3.05-.42-4.32-1.22l-.31-.19-3.11.91.93-3.03-.2-.31a8.11 8.11 0 0 1-1.24-4.31c0-4.48 3.65-8.12 8.13-8.12 4.48 0 8.13 3.64 8.13 8.12s-3.65 8.15-8.01 8.15z\"\/><\/svg>Escribir por WhatsApp<\/a><\/div><\/div>\r\n<script>(function(){var a=document.querySelectorAll('.diverticular-nm .dfi');a.forEach(function(i){var b=i.querySelector('.dfq'),c=i.querySelector('.dfa');b.addEventListener('click',function(){var o=i.classList.contains('do');a.forEach(function(x){x.classList.remove('do');x.querySelector('.dfa').style.maxHeight=null});if(!o){i.classList.add('do');c.style.maxHeight=c.scrollHeight+'px'}})})})();<\/script>\r\n<\/section>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Inicio\/Patolog\u00edas\/Enfermedad diverticular Colon y enfermedad inflamatoria Enfermedad diverticular Muy com\u00fan despu\u00e9s de los 50 a\u00f1os. La mayor\u00eda de los episodios [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-138","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/138","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/comments?post=138"}],"version-history":[{"count":7,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/138\/revisions"}],"predecessor-version":[{"id":146,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/138\/revisions\/146"}],"wp:attachment":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/media?parent=138"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}