{"id":365,"date":"2026-11-06T16:07:23","date_gmt":"2026-11-06T16:07:23","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=365"},"modified":"2026-11-06T16:07:58","modified_gmt":"2026-11-06T16:07:58","slug":"endometriosis","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/endometriosis\/","title":{"rendered":"endometriosis"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"365\" class=\"elementor elementor-365\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-402e277 e-con-full e-flex e-con e-parent\" data-id=\"402e277\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-82b58fc e-con-full e-flex e-con e-child\" data-id=\"82b58fc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1123d05 elementor-widget elementor-widget-html\" 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.cw{width:min(100% - 32px,1400px)}.endo-nm .chero,.endo-nm .csec{padding:48px 0}.endo-nm .ccta{padding:44px 0}.endo-nm .cwm{display:none}.endo-nm .csym-grid{grid-template-columns:1fr}.endo-nm .cfq{font-size:15.5px}.endo-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\">Endometriosis intestinal<\/span><\/nav><span class=\"ck\">Endometriosis y cirug\u00eda colorrectal<\/span><div class=\"chero-grid\"><div><h1 class=\"ch1\">Endometriosis intestinal \u2014 evaluaci\u00f3n y tratamiento en Temuco<\/h1><p class=\"clead\">Cuando la endometriosis compromete el recto o el colon, el estudio y la cirug\u00eda se planifican en conjunto con ginecolog\u00eda.<\/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\">El dolor que se repite con cada ciclo merece un estudio dirigido.<\/h2><p class=\"cbody\">La endometriosis es una enfermedad ginecol\u00f3gica, pero en una parte de las pacientes el tejido endometrial se extiende hacia el recto, el sigmoides u otros segmentos del intestino. Muchas veces llegan a mi consulta tras a\u00f1os de dolor atribuido a \"colon irritable\", porque los s\u00edntomas digestivos se parecen y suelen empeorar durante la menstruaci\u00f3n.<\/p><p class=\"cbody\">Mi rol es definir si el intestino est\u00e1 realmente comprometido, qu\u00e9 tan profundo es el compromiso y si corresponde cirug\u00eda. Esa decisi\u00f3n no la tomo solo: se discute con el equipo de ginecolog\u00eda, porque el objetivo es resolver la enfermedad con la intervenci\u00f3n m\u00e1s conservadora que el caso permita.<\/p><blockquote class=\"cquote\">\"Un s\u00edntoma intestinal que se intensifica con el ciclo menstrual es una pista cl\u00ednica que vale la pena estudiar.\"<\/blockquote><\/div><\/div>\r\n<div class=\"csec csym-sec\"><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=\"csym-grid\"><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 al defecar que aumenta durante la menstruaci\u00f3n<\/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 p\u00e9lvico cr\u00f3nico o c\u00f3licos menstruales intensos<\/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, constipaci\u00f3n o distensi\u00f3n abdominal con patr\u00f3n c\u00edclico<\/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>Sangrado rectal asociado a la menstruaci\u00f3n<\/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 durante las relaciones sexuales<\/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>Dificultad para lograr un embarazo<\/div><\/div><\/div><\/div>\r\n<div class=\"csec ctreat-sec\"><div class=\"cw\"><span class=\"csect-k\">Evaluaci\u00f3n y tratamiento<\/span><h2 class=\"ch2\">El plan depende de la profundidad y la extensi\u00f3n de la enfermedad.<\/h2><div class=\"ctreat\"><div class=\"ctcol\"><div class=\"ctcol-head\"><span class=\"ctnum\">1<\/span><h3>Diagn\u00f3stico y estudio<\/h3><\/div><div class=\"ctitem\"><h4>Evaluaci\u00f3n cl\u00ednica y ginecol\u00f3gica<\/h4><p>Historia del dolor, relaci\u00f3n con el ciclo y examen p\u00e9lvico y rectal, coordinados con ginecolog\u00eda.<\/p><\/div><div class=\"ctitem\"><h4>Resonancia magn\u00e9tica de pelvis o ecograf\u00eda especializada<\/h4><p>Permiten ver si hay lesiones en la pared del recto o del sigmoides y qu\u00e9 tan profundas son.<\/p><\/div><div class=\"ctitem\"><h4>Colonoscop\u00eda, cuando corresponde<\/h4><p>Descarta otras causas de los s\u00edntomas, como p\u00f3lipos, inflamaci\u00f3n o tumores.<\/p><\/div><\/div><div class=\"ctcol\"><div class=\"ctcol-head\"><span class=\"ctnum\">2<\/span><h3>Tratamiento<\/h3><\/div><div class=\"ctitem\"><h4>Manejo m\u00e9dico<\/h4><p>El tratamiento hormonal y el control del dolor son indicados y supervisados por ginecolog\u00eda, y son la primera opci\u00f3n en muchos casos.<\/p><\/div><div class=\"ctitem\"><h4>Cirug\u00eda de la lesi\u00f3n intestinal<\/h4><p>Seg\u00fan el tama\u00f1o y la profundidad, puede ser un rasurado de la lesi\u00f3n, una resecci\u00f3n en forma de disco o la resecci\u00f3n de un segmento de intestino, habitualmente por laparoscop\u00eda.<\/p><\/div><div class=\"ctitem\"><h4>Cirug\u00eda conjunta<\/h4><p>Cuando hay lesiones p\u00e9lvicas y digestivas, se programa una sola intervenci\u00f3n con ginecolog\u00eda.<\/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=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfLa endometriosis siempre afecta el intestino?<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. Es una condici\u00f3n que compromete el intestino solo en una parte de las pacientes. Por eso el estudio busca confirmar si existe compromiso intestinal antes de plantear cualquier cirug\u00eda.<\/p><\/div><\/div>\r\n<!-- PENDIENTE: respuestas no incluidas en el PDF. Descomentar cuando est\u00e9n validadas con el doctor.\r\n<div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfSe opera siempre la endometriosis intestinal?<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>RESPUESTA PENDIENTE<\/p><\/div><\/div>\r\n<div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfLa cirug\u00eda requiere 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=\"cfa\"><p>RESPUESTA PENDIENTE<\/p><\/div><\/div>\r\n<div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfPuedo consultar si todav\u00eda no tengo diagn\u00f3stico?<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>RESPUESTA PENDIENTE<\/p><\/div><\/div>\r\n-->\r\n<\/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: de tu situaci\u00f3n, tus estudios y la extensi\u00f3n de la enfermedad. 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('.endo-nm .cfitem');a.forEach(function(i){var b=i.querySelector('.cfq'),c=i.querySelector('.cfa');b.addEventListener('click',function(){var 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