{"id":370,"date":"2026-11-06T16:08:37","date_gmt":"2026-11-06T16:08:37","guid":{"rendered":"https:\/\/testmed.click\/diegomunoz\/?page_id=370"},"modified":"2026-11-06T16:09:41","modified_gmt":"2026-11-06T16:09:41","slug":"volvulo-colonico","status":"publish","type":"page","link":"https:\/\/testmed.click\/diegomunoz\/volvulo-colonico\/","title":{"rendered":"volvulo colonico"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"370\" class=\"elementor elementor-370\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-0ad64dd e-con-full e-flex e-con e-parent\" data-id=\"0ad64dd\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-e39159e e-con-full e-flex e-con e-child\" data-id=\"e39159e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-453efcb elementor-widget elementor-widget-html\" data-id=\"453efcb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<section class=\"volv-nm\">\r\n<style>\r\n.volv-nm{--g:#2A4736;--d:#343A40;--t:#C27D58;--w:#fff;--s:#eef1ec;--l:#dde3dc;--m:#5b6660;--ser:Georgia,'Times New Roman',serif;--san:'Inter',Arial,sans-serif;background:var(--w);font-family:var(--san);color:var(--d);overflow:hidden}.volv-nm *{box-sizing:border-box}.volv-nm a,.volv-nm a:link,.volv-nm a:visited,.volv-nm a:hover,.volv-nm a:active,.volv-nm a:focus{text-decoration:none!important}.volv-nm .cw{width:min(1400px,calc(100% - 48px));margin:auto}\r\n.volv-nm .calert{background:#fbf1ea;border-bottom:1px solid #ecd2c0}.volv-nm .calert-in{display:flex;gap:14px;align-items:flex-start;padding:16px 0;font-size:14.5px;line-height:1.55;color:#6b3f27}.volv-nm .calert-in svg{flex-shrink:0;color:var(--t);margin-top:2px}.volv-nm .calert-in strong{font-weight:700}\r\n.volv-nm .chero{position:relative;background:var(--s);padding:56px 0 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.cwhite:hover{transform:translateY(-2px);box-shadow:0 10px 24px rgba(0,0,0,.18)}@media(max-width:900px){.volv-nm .chero-grid,.volv-nm .ctreat,.volv-nm .ccta-grid{grid-template-columns:1fr}.volv-nm .csym-grid{grid-template-columns:1fr 1fr}}@media(max-width:640px){.volv-nm .cw{width:min(100% - 32px,1400px)}.volv-nm .chero,.volv-nm .csec{padding:48px 0}.volv-nm .ccta{padding:44px 0}.volv-nm .cwm{display:none}.volv-nm .csym-grid{grid-template-columns:1fr}.volv-nm .cfq{font-size:15.5px}.volv-nm .ctcol{padding:23px 20px}}\r\n<\/style>\r\n<div class=\"calert\" role=\"alert\"><div class=\"cw\"><div class=\"calert-in\"><svg width=\"20\" height=\"20\" viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><path d=\"M10.29 3.86 1.82 18a2 2 0 0 0 1.71 3h16.94a2 2 0 0 0 1.71-3L13.71 3.86a2 2 0 0 0-3.42 0z\"\/><line x1=\"12\" y1=\"9\" x2=\"12\" y2=\"13\"\/><line x1=\"12\" y1=\"17\" x2=\"12.01\" y2=\"17\"\/><\/svg><div><strong>Si tienes dolor abdominal intenso, abdomen muy hinchado, v\u00f3mitos y no logras eliminar gases ni deposiciones, acude de inmediato a un servicio de urgencia.<\/strong> Esta p\u00e1gina no reemplaza la atenci\u00f3n de emergencia.<\/div><\/div><\/div><\/div>\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\">V\u00f3lvulo col\u00f3nico<\/span><\/nav><span class=\"ck\">Urgencia colorrectal<\/span><div class=\"chero-grid\"><div><h1 class=\"ch1\">V\u00f3lvulo col\u00f3nico \u2014 qu\u00e9 es y c\u00f3mo se trata<\/h1><p class=\"clead\">El colon se tuerce sobre s\u00ed mismo y bloquea el tr\u00e1nsito intestinal. Es una urgencia que requiere atenci\u00f3n m\u00e9dica inmediata.<\/p><\/div><aside class=\"cside\"><span class=\"cside-k\">En una urgencia<\/span><h2>Acude a un servicio de urgencia<\/h2><div class=\"cside-line\"><\/div><p>No esperes a pedir una hora de control si el dolor es intenso y no eliminas gases.<\/p><p class=\"cside-doc\">Dr. Nelson Mu\u00f1oz P\u00e9rez<\/p><p class=\"cside-sub\">Cirujano General y Coloproct\u00f3logo \u00b7 CONACEM, Universidad de Chile<\/p><\/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 tiempo es lo que m\u00e1s pesa en un v\u00f3lvulo.<\/h2><p class=\"cbody\">El v\u00f3lvulo ocurre cuando un segmento de colon, m\u00e1s a menudo el sigmoides y, con menor frecuencia, el ciego, gira sobre su eje. Al torcerse, el intestino se obstruye y puede quedar sin buena irrigaci\u00f3n sangu\u00ednea. Si esto se prolonga, el tejido se da\u00f1a y puede perforarse.<\/p><p class=\"cbody\">En un v\u00f3lvulo, la primera decisi\u00f3n es si el intestino todav\u00eda es viable: eso define si se puede destorcer mediante endoscop\u00eda o si se necesita una cirug\u00eda de urgencia. Despu\u00e9s de resolver la urgencia, eval\u00fao si conviene una cirug\u00eda programada, porque el v\u00f3lvulo del sigmoides tiende a repetirse.<\/p><blockquote class=\"cquote\">\"En un v\u00f3lvulo, la evaluaci\u00f3n r\u00e1pida es lo que permite elegir entre una soluci\u00f3n endosc\u00f3pica y una cirug\u00eda de urgencia.\"<\/blockquote><\/div><\/div>\r\n<div class=\"csec csym-sec\"><div class=\"cw\"><span class=\"csect-k\">Qu\u00e9 sentir, cu\u00e1ndo consultar de inmediato<\/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 abdominal tipo c\u00f3lico, intenso y de inicio r\u00e1pido<\/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>Abdomen muy hinchado<\/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>Imposibilidad de eliminar gases y deposiciones<\/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>N\u00e1useas y v\u00f3mitos<\/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>Latidos r\u00e1pidos, fiebre o compromiso del estado general<\/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 continuo e intenso, que puede indicar compromiso del intestino<\/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\">La conducta depende de si el intestino est\u00e1 comprometido.<\/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 ex\u00e1menes de laboratorio<\/h4><p>Para valorar el estado general y la presencia de signos de gravedad.<\/p><\/div><div class=\"ctitem\"><h4>Radiograf\u00eda de abdomen<\/h4><p>Puede mostrar el patr\u00f3n de asa dilatada caracter\u00edstico del v\u00f3lvulo.<\/p><\/div><div class=\"ctitem\"><h4>Tomograf\u00eda de abdomen y pelvis<\/h4><p>Confirma el diagn\u00f3stico y eval\u00faa si hay sufrimiento del intestino o perforaci\u00f3n.<\/p><\/div><\/div><div class=\"ctcol\"><div class=\"ctcol-head\"><span class=\"ctnum\">2<\/span><h3>Tratamiento<\/h3><\/div><div class=\"ctitem\"><h4>Destorsi\u00f3n endosc\u00f3pica<\/h4><p>En el v\u00f3lvulo del sigmoides sin signos de da\u00f1o intestinal, se descomprime y destuerce el colon mediante endoscop\u00eda.<\/p><\/div><div class=\"ctitem\"><h4>Cirug\u00eda de urgencia<\/h4><p>Si hay sufrimiento del intestino, perforaci\u00f3n o la endoscop\u00eda no resuelve el cuadro. Puede requerir una ostom\u00eda transitoria o definitiva.<\/p><\/div><div class=\"ctitem\"><h4>Cirug\u00eda programada<\/h4><p>Tras resolver el episodio, se recomienda en muchos pacientes extirpar el segmento afectado, para disminuir el riesgo de recurrencia.<\/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\">\u00bfQui\u00e9nes tienen m\u00e1s riesgo de tener un v\u00f3lvulo?<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>Se observa con m\u00e1s frecuencia en adultos mayores, personas con constipaci\u00f3n cr\u00f3nica de larga data, enfermedades neurol\u00f3gicas o psiqui\u00e1tricas, y en quienes tienen un colon largo y m\u00f3vil. No es exclusivo de esos grupos.<\/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 puede resolver sin 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=\"cfa\"><p>RESPUESTA PENDIENTE<\/p><\/div><\/div>\r\n<div class=\"cfitem\"><button class=\"cfq\" type=\"button\">\u00bfPor qu\u00e9 tiende a repetirse?<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\">\u00bfCu\u00e1ndo debo ir a urgencias?<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\">Si ya tuviste un v\u00f3lvulo<\/span><h2>Consulta para evaluar el seguimiento en Temuco.<\/h2><p>Si ya tuviste un episodio, un especialista puede evaluar si conviene una cirug\u00eda programada. En una urgencia, acude siempre a un servicio de urgencia: un sitio web es un punto de partida, no un reemplazo de la atenci\u00f3n m\u00e9dica.<\/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>Consulta de seguimiento (no urgencias)<\/a><\/div><\/div>\r\n<script>(function(){var a=document.querySelectorAll('.volv-nm .cfitem');a.forEach(function(i){var b=i.querySelector('.cfq'),c=i.querySelector('.cfa');b.addEventListener('click',function(){var 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[&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 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