{"id":165,"date":"2026-09-17T05:17:55","date_gmt":"2026-09-17T05:17:55","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=165"},"modified":"2026-09-17T05:18:23","modified_gmt":"2026-09-17T05:18:23","slug":"ostomias","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/ostomias\/","title":{"rendered":"Ostom\u00edas"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"165\" class=\"elementor elementor-165\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0ac7a0b e-con-full e-flex e-con e-parent\" data-id=\"0ac7a0b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-d766a79 e-con-full e-flex e-con e-child\" data-id=\"d766a79\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-182b868 elementor-widget elementor-widget-html\" data-id=\"182b868\" 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aria-label=\"breadcrumb\"><a href=\"\/diegomunoz\/home\/\">Inicio<\/a><span class=\"os\">\/<\/span><a href=\"\/diegomunoz\/patologias\/\">Patolog\u00edas<\/a><span class=\"os\">\/<\/span><span class=\"oc\">Ostom\u00edas<\/span><\/nav><span class=\"ok\">Cirug\u00eda reconstructiva y urgencias<\/span><div class=\"ohg\"><div><h1 class=\"oh1\">Ostom\u00edas<\/h1><p class=\"olead\">Un cambio que genera temor. Acompa\u00f1amiento antes, durante y despu\u00e9s de la cirug\u00eda.<\/p><\/div><aside class=\"oside\"><span class=\"oside-k\">Atenci\u00f3n especializada<\/span><h2>Dr. Nelson Mu\u00f1oz P\u00e9rez<\/h2><div class=\"oside-line\"><\/div><p>Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p><a class=\"obtn\" 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=\"osec\"><div class=\"ow onarrow\"><span class=\"osect-k\">La perspectiva del cirujano<\/span><h2 class=\"oh2\">El acompa\u00f1amiento no termina cuando sales del pabell\u00f3n.<\/h2><p class=\"obody\">S\u00e9 que la palabra \u00abostom\u00eda\u00bb genera temor antes incluso de que el paciente entienda bien de qu\u00e9 se trata. Es un cambio real en la forma de vivir el d\u00eda a d\u00eda, y no minimizo eso en la conversaci\u00f3n previa a la cirug\u00eda. Una ostom\u00eda puede ser necesaria por distintas razones \u2014una urgencia, una cirug\u00eda oncol\u00f3gica, una enfermedad inflamatoria, incontinencia fecal, malas condiciones basales del paciente\u2014 y puede ser temporal o definitiva seg\u00fan el caso.<\/p><p class=\"obody\">Mi acompa\u00f1amiento no termina cuando sales del pabell\u00f3n: trabajo junto al equipo de enfermer\u00eda especializada en manejo del estoma para que aprendas a manejarlo con confianza antes del alta, y sigo disponible en el seguimiento para resolver dudas o ajustar lo que sea necesario. El objetivo siempre es retomar la vida con la mayor normalidad posible mientras la ostom\u00eda sea necesaria.<\/p><blockquote class=\"oquote\">\"El objetivo es retomar la vida con la mayor normalidad posible mientras la ostom\u00eda sea necesaria.\"<\/blockquote><\/div><\/div>\r\n<div class=\"osec owhatsec\"><div class=\"ow\"><span class=\"osect-k\">En qu\u00e9 consiste<\/span><h2 class=\"oh2\">Comprender el cambio es parte del proceso.<\/h2><div class=\"owhatgrid\"><div class=\"owhatcard\"><span class=\"owhatnum\">1<\/span><h3>Exteriorizaci\u00f3n del intestino<\/h3><p>Exteriorizaci\u00f3n de un segmento del intestino \u2014colostom\u00eda o ileostom\u00eda\u2014 a trav\u00e9s de la pared abdominal.<\/p><\/div><div class=\"owhatcard\"><span class=\"owhatnum\">2<\/span><h3>Temporal o definitiva<\/h3><p>Puede ser temporal, mientras se resuelve la condici\u00f3n de fondo, o definitiva seg\u00fan el caso.<\/p><\/div><div class=\"owhatcard\"><span class=\"owhatnum\">3<\/span><h3>Aprender a manejarla<\/h3><p>Requiere aprender el manejo del dispositivo \u2014bolsa colectora\u2014 y los cuidados de la piel periestomal.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"osec oaccomp\"><div class=\"ow\"><span class=\"osect-k\">Acompa\u00f1amiento<\/span><h2 class=\"oh2\">Antes, durante y despu\u00e9s de la cirug\u00eda.<\/h2><p class=\"oaccintro\">La educaci\u00f3n y el acompa\u00f1amiento pr\u00e1ctico forman parte del proceso de cada paciente.<\/p><div class=\"oaccgrid\"><div class=\"oacccard\"><span class=\"oaccnum\">1<\/span><h3>Antes de la cirug\u00eda<\/h3><p>Educaci\u00f3n preoperatoria, incluyendo la marcaci\u00f3n del sitio del estoma antes de la cirug\u00eda cuando la situaci\u00f3n lo permite.<\/p><\/div><div class=\"oacccard\"><span class=\"oaccnum\">2<\/span><h3>Despu\u00e9s de la cirug\u00eda<\/h3><p>Acompa\u00f1amiento postoperatorio con enfermer\u00eda especializada en ostom\u00edas, para el manejo pr\u00e1ctico del dispositivo.<\/p><\/div><div class=\"oacccard\"><span class=\"oaccnum\">3<\/span><h3>En el seguimiento<\/h3><p>Evaluaci\u00f3n posterior para definir si es candidata a reconstituci\u00f3n de tr\u00e1nsito, cuando la ostom\u00eda fue indicada como medida temporal.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"osec otreatsec\"><div class=\"ow\"><span class=\"osect-k\">Opciones de tratamiento<\/span><h2 class=\"oh2\">Manejo no quir\u00fargico y quir\u00fargico<\/h2><div class=\"otreat\"><div class=\"otcol\"><div class=\"otcol-head\"><span class=\"otnum\">1<\/span><h3>Tratamiento no quir\u00fargico<\/h3><\/div><div class=\"otitem\"><h4>Educaci\u00f3n preoperatoria<\/h4><p>Incluye la marcaci\u00f3n del sitio del estoma antes de la cirug\u00eda cuando la situaci\u00f3n lo permite.<\/p><\/div><\/div><div class=\"otcol\"><div class=\"otcol-head\"><span class=\"otnum\">2<\/span><h3>Tratamiento quir\u00fargico<\/h3><\/div><div class=\"otitem\"><h4>Confecci\u00f3n del estoma<\/h4><p>Como parte de la cirug\u00eda principal, sea oncol\u00f3gica, inflamatoria o de urgencia.<\/p><\/div><div class=\"otitem\"><h4>Acompa\u00f1amiento postoperatorio<\/h4><p>Con enfermer\u00eda especializada en ostom\u00edas, para el manejo pr\u00e1ctico del dispositivo.<\/p><\/div><div class=\"otitem\"><h4>Evaluaci\u00f3n de reconstituci\u00f3n de tr\u00e1nsito<\/h4><p>Posterior para definir si es candidata a reconstituci\u00f3n de tr\u00e1nsito, cuando la ostom\u00eda fue indicada como medida temporal.<\/p><\/div><\/div><\/div><\/div><\/div>\r\n<div class=\"osec\"><div class=\"ow ofaq\"><span class=\"osect-k\">Lo que preguntan seguido<\/span><h2 class=\"oh2\">Preguntas frecuentes<\/h2><div class=\"ofi\"><button class=\"ofq\" type=\"button\">\u00bfToda ostom\u00eda es para siempre?<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=\"ofa\"><p>No. Muchas son temporales y se reconstituyen una vez resuelta la condici\u00f3n que las origin\u00f3. Otras, por razones oncol\u00f3gicas o funcionales, son definitivas.<\/p><\/div><\/div><div class=\"ofi\"><button class=\"ofq\" type=\"button\">\u00bfVoy a poder hacer vida normal con una ostom\u00eda?<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=\"ofa\"><p>La gran mayor\u00eda de los pacientes retoma sus actividades habituales, incluidos el trabajo y el ejercicio, despu\u00e9s de un per\u00edodo de adaptaci\u00f3n.<\/p><\/div><\/div><div class=\"ofi\"><button class=\"ofq\" type=\"button\">\u00bfQui\u00e9n me ense\u00f1a a manejar la bolsa colectora?<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=\"ofa\"><p>El equipo de enfermer\u00eda especializada en ostom\u00edas te acompa\u00f1a antes del alta y en los controles posteriores, hasta que te sientas seguro manej\u00e1ndola.<\/p><\/div><\/div><div class=\"ofi\"><button class=\"ofq\" type=\"button\">\u00bfEs normal sentir angustia antes de la cirug\u00eda?<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=\"ofa\"><p>Es una reacci\u00f3n com\u00fan y comprensible. Conversarlo abiertamente antes de la cirug\u00eda, y saber qu\u00e9 esperar, ayuda mucho a quienes van a vivir este cambio.<\/p><\/div><\/div><\/div><\/div>\r\n<div class=\"octa\"><img decoding=\"async\" class=\"octawm\" src=\"https:\/\/testmed.click\/diegomunoz\/wp-content\/uploads\/2026\/09\/LOGO-2026-02.png\" alt=\"\"><div class=\"ow octag\"><div><span class=\"octak\">Agenda tu hora<\/span><h2>Habla con un especialista en Temuco.<\/h2><p>El tratamiento correcto requiere una evaluaci\u00f3n cl\u00ednica real y acompa\u00f1amiento antes, durante y despu\u00e9s de la cirug\u00eda. Un sitio web es un punto de partida, no un reemplazo.<\/p><p class=\"octaf\">Dr. Nelson Mu\u00f1oz P\u00e9rez \u00b7 Cirujano General y Coloproct\u00f3logo \u00b7 Temuco, Chile<\/p><\/div><a class=\"owhite\" 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('.ostomia-nm .ofi');a.forEach(function(i){var b=i.querySelector('.ofq'),c=i.querySelector('.ofa');b.addEventListener('click',function(){var o=i.classList.contains('oo');a.forEach(function(x){x.classList.remove('oo');x.querySelector('.ofa').style.maxHeight=null});if(!o){i.classList.add('oo');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\/Ostom\u00edas Cirug\u00eda reconstructiva y urgencias Ostom\u00edas Un cambio que genera temor. Acompa\u00f1amiento antes, durante y despu\u00e9s de la cirug\u00eda. Atenci\u00f3n [&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-165","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/165","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=165"}],"version-history":[{"count":4,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/165\/revisions"}],"predecessor-version":[{"id":169,"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/pages\/165\/revisions\/169"}],"wp:attachment":[{"href":"https:\/\/testmed.click\/diegomunoz\/wp-json\/wp\/v2\/media?parent=165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}