{"id":153,"date":"2026-09-17T05:10:14","date_gmt":"2026-09-17T05:10:14","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=153"},"modified":"2026-09-17T05:10:43","modified_gmt":"2026-09-17T05:10:43","slug":"colitis-ulcerosa","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/colitis-ulcerosa\/","title":{"rendered":"Colitis ulcerosa"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"153\" class=\"elementor elementor-153\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c32a89d e-con-full e-flex e-con e-parent\" data-id=\"c32a89d\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-0d6ac80 e-con-full e-flex e-con e-child\" data-id=\"0d6ac80\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-eb8ec46 elementor-widget elementor-widget-html\" 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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\">Colitis ulcerosa<\/span><\/nav><span class=\"ck\">Colon y enfermedad inflamatoria<\/span><div class=\"chero-grid\"><div><h1 class=\"ch1\">Colitis ulcerosa<\/h1><p class=\"clead\">El tratamiento de base es m\u00e9dico. La cirug\u00eda se reserva para los casos que no responden o presentan complicaciones.<\/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\">Cuando la cirug\u00eda es necesaria, puede ser curativa para la enfermedad intestinal.<\/h2><p class=\"cbody\">La colitis ulcerosa, a diferencia del Crohn, compromete espec\u00edficamente el colon y el recto, y esa diferencia tiene una consecuencia importante: cuando la cirug\u00eda es necesaria, remover el colon y el recto puede ser curativo para la enfermedad intestinal, algo que no ocurre en el Crohn.<\/p><p class=\"cbody\">Eso no significa que la cirug\u00eda sea la primera opci\u00f3n. El tratamiento de base sigue siendo m\u00e9dico, y trabajo en conjunto con el gastroenter\u00f3logo tratante durante todo el proceso. Pero cuando un paciente no responde al tratamiento m\u00e9dico, o desarrolla una complicaci\u00f3n severa como un megacolon t\u00f3xico, la conversaci\u00f3n sobre cirug\u00eda deja de ser hipot\u00e9tica. Hoy contamos con t\u00e9cnicas que buscan preservar la funci\u00f3n, como la reconstrucci\u00f3n con reservorio ileal, que permite a muchos pacientes evitar una ostom\u00eda definitiva.<\/p><blockquote class=\"cquote\">\"El tratamiento de base sigue siendo m\u00e9dico; la cirug\u00eda se considera cuando la enfermedad no responde o presenta complicaciones severas.\"<\/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>Diarrea con sangre, frecuentemente el s\u00edntoma m\u00e1s caracter\u00edstico<\/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>Dolor abdominal tipo c\u00f3lico<\/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>Urgencia para evacuar<\/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 y baja de peso en brotes prolongados<\/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>En casos severos, fiebre y compromiso del estado general<\/div><\/div><\/div><\/div>\r\n<div class=\"csec crolesec\"><div class=\"cw\"><span class=\"csect-k\">Plan de tratamiento<\/span><h2 class=\"ch2\">Manejo m\u00e9dico y rol de la cirug\u00eda.<\/h2><p class=\"croleintro\">La decisi\u00f3n se toma seg\u00fan la severidad, la respuesta al tratamiento y las complicaciones que presente cada persona.<\/p><div class=\"crolegrid\"><div class=\"crolecard\"><span class=\"crolenum\">1<\/span><h3>Tratamiento m\u00e9dico<\/h3><p>Aminosalicilatos, corticoides, inmunomoduladores y terapia biol\u00f3gica, manejados por gastroenterolog\u00eda seg\u00fan la severidad y extensi\u00f3n. Los brotes agudos pueden requerir hospitalizaci\u00f3n seg\u00fan su severidad.<\/p><\/div><div class=\"crolecard\"><span class=\"crolenum\">2<\/span><h3>Cirug\u00eda cuando corresponde<\/h3><p>Se indica ante enfermedad que no responde al tratamiento m\u00e9dico, complicaciones severas, displasia o c\u00e1ncer asociados. Puede incluir reconstrucci\u00f3n con reservorio ileal para evitar una ostom\u00eda definitiva en muchos casos.<\/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\">Tratamiento no quir\u00fargico 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>Aminosalicilatos, corticoides, inmunomoduladores y terapia biol\u00f3gica, manejados por gastroenterolog\u00eda seg\u00fan severidad y extensi\u00f3n.<\/p><\/div><div class=\"ctitem\"><h4>Manejo de los brotes agudos<\/h4><p>Con hospitalizaci\u00f3n cuando la severidad lo requiere.<\/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>Colectom\u00eda total<\/h4><p>Indicada en enfermedad que no responde al tratamiento m\u00e9dico, complicaciones severas \u2014megacolon t\u00f3xico, perforaci\u00f3n, sangrado no controlable\u2014 o displasia y c\u00e1ncer asociados.<\/p><\/div><div class=\"ctitem\"><h4>Reconstrucci\u00f3n con reservorio ileal<\/h4><p>Anastomosis ileoanal con reservorio, que en muchos casos permite evitar una ostom\u00eda definitiva.<\/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 colitis ulcerosa?<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>A diferencia del Crohn, remover el colon y el recto s\u00ed elimina la enfermedad intestinal en la colitis ulcerosa, porque est\u00e1 confinada a esos \u00f3rganos.<\/p><\/div><\/div><div class=\"cfi\"><button class=\"cfq\" type=\"button\">\u00bfToda cirug\u00eda para colitis ulcerosa termina en una ostom\u00eda definitiva?<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 siempre. La reconstrucci\u00f3n con reservorio ileal permite a muchos pacientes evacuar por v\u00eda natural despu\u00e9s de un per\u00edodo con ostom\u00eda temporal.<\/p><\/div><\/div><div class=\"cfi\"><button class=\"cfq\" type=\"button\">\u00bfCu\u00e1ndo se considera que el tratamiento m\u00e9dico no est\u00e1 funcionando?<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>Cuando, pese a un tratamiento bien llevado, persisten los s\u00edntomas, hay dependencia de corticoides a largo plazo o aparecen complicaciones severas. Esa evaluaci\u00f3n se hace en conjunto con gastroenterolog\u00eda.<\/p><\/div><\/div><div class=\"cfi\"><button class=\"cfq\" type=\"button\">\u00bfPor qu\u00e9 a veces se recomienda cirug\u00eda aunque el paciente est\u00e9 estable?<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>En enfermedad de larga data, el riesgo de displasia o c\u00e1ncer de colon aumenta con los a\u00f1os, y en algunos casos la cirug\u00eda se plantea de forma preventiva.<\/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('.colitis-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\/Colitis ulcerosa Colon y enfermedad inflamatoria Colitis ulcerosa El tratamiento de base es m\u00e9dico. La cirug\u00eda se reserva para los [&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-153","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/153","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=153"}],"version-history":[{"count":4,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/153\/revisions"}],"predecessor-version":[{"id":157,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/153\/revisions\/157"}],"wp:attachment":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/media?parent=153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}