{"id":147,"date":"2026-09-17T05:06:33","date_gmt":"2026-09-17T05:06:33","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=147"},"modified":"2026-09-17T05:07:36","modified_gmt":"2026-09-17T05:07:36","slug":"enfermedad-de-crohn","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/enfermedad-de-crohn\/","title":{"rendered":"Enfermedad de Crohn"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"147\" class=\"elementor elementor-147\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cb3acf0 e-con-full e-flex e-con e-parent\" data-id=\"cb3acf0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-de3b384 e-con-full e-flex e-con e-child\" data-id=\"de3b384\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b420d1f elementor-widget 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24px;transition:transform .2s,box-shadow .2s}.crohn-nm .cwhite:hover{transform:translateY(-2px);box-shadow:0 10px 24px rgba(0,0,0,.18)}@media(max-width:900px){.crohn-nm .chero-grid,.crohn-nm .ctreat,.crohn-nm .ccta-grid{grid-template-columns:1fr}.crohn-nm .csymgrid{grid-template-columns:1fr 1fr}}@media(max-width:640px){.crohn-nm .cw{width:min(100% - 32px,1400px)}.crohn-nm .chero,.crohn-nm .csec{padding:48px 0}.crohn-nm .ccta{padding:44px 0}.crohn-nm .cwm{display:none}.crohn-nm .csymgrid,.crohn-nm .ccoordgrid{grid-template-columns:1fr}.crohn-nm .cfq{font-size:15.5px}.crohn-nm .ctcol{padding:23px 20px}}\r\n<\/style>\r\n<div class=\"chero\"><img decoding=\"async\" class=\"cwm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"cw\"><nav class=\"ccb\" aria-label=\"breadcrumb\"><a href=\"\/diegomunoz\/home\/\">Inicio<\/a><span class=\"cs\">\/<\/span><a href=\"\/diegomunoz\/patologias\/\">Patolog\u00edas<\/a><span class=\"cs\">\/<\/span><span class=\"cc\">Enfermedad de Crohn<\/span><\/nav><span class=\"ck\">Colon y enfermedad inflamatoria<\/span><div class=\"chero-grid\"><div><h1 class=\"ch1\">Enfermedad de Crohn<\/h1><p class=\"clead\">Una enfermedad cr\u00f3nica de manejo multidisciplinario. La cirug\u00eda tiene un rol claro cuando corresponde.<\/p><\/div><aside class=\"cside\"><span class=\"cside-k\">Atenci\u00f3n especializada<\/span><h2>Dr. Nelson Mu\u00f1oz P\u00e9rez<\/h2><div class=\"cside-line\"><\/div><p>Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p><a class=\"cbtn\" 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=\"csec\"><div class=\"cw cnarrow\"><span class=\"csect-k\">La perspectiva del cirujano<\/span><h2 class=\"ch2\">La cirug\u00eda resuelve complicaciones; el manejo de base es m\u00e9dico.<\/h2><p class=\"cbody\">La enfermedad de Crohn es, ante todo, una enfermedad m\u00e9dica: el tratamiento de base \u2014inmunomoduladores, terapias biol\u00f3gicas\u2014 lo maneja el gastroenter\u00f3logo, y as\u00ed debe ser. Mi rol como cirujano entra cuando la enfermedad genera complicaciones que el tratamiento m\u00e9dico no puede resolver: estenosis que obstruyen el intestino, f\u00edstulas, abscesos, o enfermedad que no responde pese a un tratamiento bien llevado.<\/p><p class=\"cbody\">Trabajo esto siempre en conjunto con el gastroenter\u00f3logo tratante, porque la decisi\u00f3n de operar \u2014y sobre todo el momento de hacerlo\u2014 cambia el pron\u00f3stico. Cuando opero a un paciente con Crohn, mi principio es conservador: resecar lo m\u00ednimo necesario, porque sabemos que la enfermedad puede reaparecer en otro segmento del intestino.<\/p><blockquote class=\"cquote\">\"Mi principio es conservador: resecar lo m\u00ednimo necesario y preservar la mayor longitud intestinal funcional.\"<\/blockquote><\/div><\/div>\r\n<div class=\"csec csymsec\"><div class=\"cw\"><span class=\"csect-k\">Qu\u00e9 sentir, cu\u00e1ndo consultar<\/span><h2 class=\"ch2\">S\u00edntomas m\u00e1s comunes<\/h2><div class=\"csymgrid\"><div class=\"csym\"><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<\/div><div class=\"csym\"><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>Diarrea cr\u00f3nica<\/div><div class=\"csym\"><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>Baja de peso<\/div><div class=\"csym\"><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>Fatiga<\/div><div class=\"csym\"><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>F\u00edstulas o abscesos perianales, en un subgrupo de pacientes<\/div><div class=\"csym\"><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 en episodios de actividad de la enfermedad<\/div><\/div><\/div><\/div>\r\n<div class=\"csec ccoord\"><div class=\"cw\"><span class=\"csect-k\">Manejo coordinado<\/span><h2 class=\"ch2\">Dos especialidades, un mismo plan.<\/h2><p class=\"ccoord-intro\">El tratamiento de base y las decisiones quir\u00fargicas se coordinan seg\u00fan la situaci\u00f3n de cada paciente.<\/p><div class=\"ccoordgrid\"><div class=\"ccoordcard\"><span class=\"ccoordnum\">1<\/span><h3>Gastroenterolog\u00eda<\/h3><p>Tratamiento farmacol\u00f3gico de base con inmunomoduladores y terapia biol\u00f3gica, como pilar del tratamiento.<\/p><\/div><div class=\"ccoordcard\"><span class=\"ccoordnum\">2<\/span><h3>Cirug\u00eda coloproctol\u00f3gica<\/h3><p>Interviene cuando hay estenosis que obstruyen, enfermedad que no responde al tratamiento m\u00e9dico, o complicaciones como abscesos y f\u00edstulas complejas.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"csec ctreatsec\"><div class=\"cw\"><span class=\"csect-k\">Opciones de tratamiento<\/span><h2 class=\"ch2\">Manejo m\u00e9dico y quir\u00fargico<\/h2><div class=\"ctreat\"><div class=\"ctcol\"><div class=\"ctcol-head\"><span class=\"ctnum\">1<\/span><h3>Tratamiento no quir\u00fargico<\/h3><\/div><div class=\"ctitem\"><h4>Tratamiento farmacol\u00f3gico de base<\/h4><p>Inmunomoduladores y terapia biol\u00f3gica, manejados por gastroenterolog\u00eda, como pilar del tratamiento.<\/p><\/div><div class=\"ctitem\"><h4>Manejo nutricional<\/h4><p>Especialmente relevante en pacientes con compromiso de peso o malabsorci\u00f3n.<\/p><\/div><\/div><div class=\"ctcol\"><div class=\"ctcol-head\"><span class=\"ctnum\">2<\/span><h3>Tratamiento quir\u00fargico<\/h3><\/div><div class=\"ctitem\"><h4>Resecci\u00f3n del segmento afectado<\/h4><p>Indicada en estenosis que obstruyen, enfermedad que no responde al tratamiento m\u00e9dico, o complicaciones como abscesos o f\u00edstulas complejas.<\/p><\/div><div class=\"ctitem\"><h4>Manejo de f\u00edstulas perianales asociadas<\/h4><p>Coordinado entre cirug\u00eda coloproctol\u00f3gica y gastroenterolog\u00eda, priorizando la preservaci\u00f3n de la funci\u00f3n esfinteriana.<\/p><\/div><\/div><\/div><\/div><\/div>\r\n<div class=\"csec\"><div class=\"cw cfaq\"><span class=\"csect-k\">Lo que preguntan seguido<\/span><h2 class=\"ch2\">Preguntas frecuentes<\/h2><div class=\"cfi\"><button class=\"cfq\" type=\"button\">\u00bfLa cirug\u00eda cura la enfermedad de Crohn?<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=\"cfa\"><p>No. La cirug\u00eda resuelve una complicaci\u00f3n espec\u00edfica, pero la enfermedad de fondo sigue su curso y requiere tratamiento m\u00e9dico continuo despu\u00e9s de operar.<\/p><\/div><\/div><div class=\"cfi\"><button class=\"cfq\" type=\"button\">\u00bfEs com\u00fan necesitar cirug\u00eda en alg\u00fan momento con Crohn?<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=\"cfa\"><p>S\u00ed. Una proporci\u00f3n importante de los pacientes va a requerir al menos una cirug\u00eda en alg\u00fan momento de la enfermedad, aunque el tratamiento m\u00e9dico ha ido reduciendo esa necesidad.<\/p><\/div><\/div><div class=\"cfi\"><button class=\"cfq\" type=\"button\">\u00bfPor qu\u00e9 se busca resecar lo m\u00ednimo posible?<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=\"cfa\"><p>Porque la enfermedad puede reaparecer en otro segmento del intestino, y preservar la mayor longitud intestinal funcional importa para la calidad de vida a largo plazo.<\/p><\/div><\/div><div class=\"cfi\"><button class=\"cfq\" type=\"button\">\u00bfLas f\u00edstulas perianales por Crohn se tratan igual que las f\u00edstulas comunes?<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=\"cfa\"><p>No exactamente. Requieren un manejo m\u00e1s cauteloso y coordinado con el tratamiento m\u00e9dico de base.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"ccta\"><img decoding=\"async\" class=\"ccta-wm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"cw ccta-grid\"><div><span class=\"ccta-k\">Agenda tu hora<\/span><h2>Habla con un especialista en Temuco.<\/h2><p>El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real y un plan coordinado seg\u00fan tu situaci\u00f3n. Un sitio web es un punto de partida, no un reemplazo.<\/p><p class=\"ccta-foot\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p><\/div><a class=\"cwhite\" 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('.crohn-nm .cfi');a.forEach(function(i){var b=i.querySelector('.cfq'),c=i.querySelector('.cfa');b.addEventListener('click',function(){var o=i.classList.contains('co');a.forEach(function(x){x.classList.remove('co');x.querySelector('.cfa').style.maxHeight=null});if(!o){i.classList.add('co');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 de Crohn Colon y enfermedad inflamatoria Enfermedad de Crohn Una enfermedad cr\u00f3nica de manejo multidisciplinario. La cirug\u00eda tiene un [&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-147","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/147","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=147"}],"version-history":[{"count":4,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/147\/revisions"}],"predecessor-version":[{"id":151,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/147\/revisions\/151"}],"wp:attachment":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/media?parent=147"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}