Anales de Radiología México 2011;4:258-273. ARTÍCULO DE REVISIÓN Dr. Ignacio Cano Muñoz* Dra. Natalia Montoya Mendoza* Obstrucción duodenal en pacientes pediátricos RESUMEN Objetivo.3UHVHQWDUODVGLIHUHQWHVHQIHUPHGDGHVTXHFRQGLFLRQDQ REVWUXFFLyQ GXRGHQDO HQ HO SDFLHQWH SHGLiWULFR DVt FRPRVXVFRUUHODFLRQHVFOtQLFD UDGLROyJLFD\TXLU~UJLFD Material y método.6HHIHFWXy XQD UHYLVLyQ GH ORV H[SHGLHQWHVFOtQLFRVFRQGLDJQyVWLFR GH REVWUXFFLyQ GXRGHQDO HQ SDFLHQWHV SHGLiWULFRV GHO +RVSLWDO 6DQ -RVp 7HF GH 0RQWHUUH\LGHQWL¿FDQGRODVP~OWLSOHV FDXVDV PHGLDQWH ORV UHSRUWHV TXLU~UJLFRV \ ORV PpWRGRV GH LPDJHQXWLOL]DGRVSDUDVXGLDJQyVWLFR Resultados.6HLGHQWL¿FDURQ SDFLHQWHV FRQ DIHFFLRQHV REVWUXFWLYDV GHO GXRGHQR DWUHVLD GXRGHQDOPHPEUDQDGXRGHQDO SiQFUHDV DQXODU TXLVWH GH GXSOLFDFLyQ GXRGHQDO YHQD SRUWD SUHGXRGHQDO FRPSUHVLyQ SRU EDQGDV GH /DGG \ PDOURWDFLyQ LQWHVWLQDOFRQYyOYXOR Discusión y conclusión. /RV KDOOD]JRV GHO ³VLJQR GH GREOH EXUEXMD´ UHSUHVHQWDQ HO SDWUyQREVWUXFWLYRGHOGXRGHQR 'HSDUWDPHQWRGH5DGLRORJtDH,PDJHQGHO+RVSLWDO6DQ-RVp7HFGH0RQWHUUH\ $Y,JQDFLR0RURQHV3ULHWR3WH&RO'RFWRUHV0RQWHUUH\1/ &RSLDVcopies'U,JQDFLR&DQR0XxR](PDLOLFDQRPL#KRWPDLOFRP Objetivo 3UHVHQWDUODVGLIHUHQWHVDIHFFLRQHVTXHFRQGLFLRQDQ REVWUXFFLyQGXRGHQDOHQSHGLDWUtDDVtFRPRVXVFRUUHODFLRQHVFOtQLFDUDGLROyJLFD\TXLU~UJLFD Introducción /DREVWUXFFLyQFRQJpQLWDGHOWUDFWRGLJHVWLYRHQORV QHRQDWRV HV XQ SUREOHPD KDELWXDO ODV FDXVDV PiV IUHFXHQWHVGHREVWUXFFLyQLQWHVWLQDOVRQODVPDOIRUPDFLRQHVDQDOHVODREVWUXFFLyQHVRIiJLFD\ ODREVWUXFFLyQGXRGHQDO1 /DREVWUXFFLyQGXRGHQDOFRQJpQLWDHUDFRQVLGHUDGD XQD PDOIRUPDFLyQ IDWDO HQ ORV UHFLpQ QDFLGRV2 KDVWD TXH VH GHVDUUROODURQ SURFHGLPLHQWRV TXLU~UJLFRV TXH GLVPLQX\HURQODPRUWDOLGDGGHIRUPDFRQVLGHUDEOH /DVREVWUXFFLRQHVGXRGHQDOHVSXHGHQVHUGHRULJHQ LQWUtQVHFRRH[WUtQVHFR'HQWURGHODYDULHGDGGHDQRPDOtDVLQWUtQVHFDVVHHQFXHQWUDQODDWUHVLDRHVWHQRVLV GXRGHQDO\HOGLDIUDJPDRPHPEUDQD/DVDIHFFLRQHV 2 5 8 Octubre-Diciembre 2011 /D REVWUXFFLyQ FRQVWLWX\H XQD XUJHQFLDTXLU~UJLFDFX\DVFDXVDVVRQGLYHUVDVHVLPSRUWDQWH FRQRFHUVXVIRUPDVFOtQLFDVGH SUHVHQWDFLyQ\WHQHUHQFXHQWD ORVKDOOD]JRVUDGLROyJLFRV\ORV GLDJQyVWLFRV HVWDEOHFLGRV HQ HVWHWUDEDMR Palabras clave: GXRGHQR REVWUXFFLyQGXRGHQDOHQSHGLDWUtDVLJQRGHGREOHEXUEXMD Continúa en la pág. 259 SURGXFWRUDVGHREVWUXFFLyQGXRGHQDOH[WUtQVHFDVRQHO SiQFUHDVDQXODUODYHQDSRUWDSUHGXRGHQDORODPDOURWDFLyQLQWHVWLQDOSRUYyOYXORRSRUEDQGDVGH/DGG HQWUHRWUDV 'HQWUR GH ODV FDXVDV PiV IUHFXHQWHV GH REVWUXFFLyQGXRGHQDOVHHQFXHQWUDQODDWUHVLD\HOGLDIUDJPD GXRGHQDO)RQNDOVUXGHQVXUHSRUWHGHSDFLHQWHV FRQREVWUXFFLyQGXRGHQDOHQFRQWUyDWUHVLDGXRGHQDO HQGLDIUDJPDGXRGHQDOFRQREVWUXFFLyQSDUFLDO HQ\HVWHQRVLVGXRGHQDOHQ3(QWpUPLQRVJHQHUDOHVQRVHUHFRQRFHXQDSUHGLOHFFLyQGHVH[RSDUD ODREVWUXFFLyQLQWHVWLQDOVLQHPEDUJRDOJXQRVDXWRUHV UH¿HUHQFLHUWDSUHGLOHFFLyQSRUSDFLHQWHVPDVFXOLQRV /DHGDGPHGLDGHDSDULFLyQGHORVVtQWRPDVRFXUUH HOSULPHUGtDGHYLGDKDVWDHQGHORVSDFLHQWHV3 /DSUHVHQWDFLyQFOtQLFDKDELWXDOLQFOX\HDOYyPLWRSHUR ODGLVWHQVLyQDEGRPLQDOQRVXHOHVHUXQVtQWRPDFRQVWDQWH(OYyPLWRVHSUHVHQWDDOPRPHQWRGHODLQJHVWD GHO SULPHU DOLPHQWR \ VX JUDYHGDG SURJUHVD FRQ HO SDVRGHOWLHPSR6XHOHVHUYyPLWRELOLDUGHELGRDTXH ODJUDQPD\RUtDGHODVREVWUXFFLRQHVVHSUHVHQWDQSRU GHEDMRGHODiPSXODGH9DWHU(QDOJXQRVSDFLHQWHV HV SRVLEOH HQFRQWUDU RQGDV SHULVWiOWLFDV YLVLEOHV GH Viene de la pág. 258 ABSTRACT Purpose. 3UHVHQW WKH GLIIHUHQW SDWKRORJLFDO HQWLWLHV WKDW FRQGLWLRQ GXRGHQDO REVWUXFWLRQ LQ SHGLDWULFV DQG WKHLU FOLQLFDO UDGLRORJLFDO DQG VXUJLFDO FRUUHODWLRQ Material and method. We UHYLHZHGFOLQLFDO¿OHVZLWKGLDJQRVLVRIGXRGHQDOREVWUXFWLRQLQ SHGLDWULFSDWLHQWVDW+RVSLWDO6DQ -RVH7HFGH0RQWHUUH\LGHQWLI\LQJ PXOWLSOH FDXVHV EDVHG RQ VXUJLFDOUHSRUWVDQGWKHLPDJLQJ PHWKRGVXVHGIRUGLDJQRVLV Results. 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