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Archivos de Medicina

  • ISSN: 1698-9465
  • Journal h-index: 29
  • Journal CiteScore: 11.20
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  • Average acceptance to publication time (5-7 days)
  • Average article processing time (30-45 days) Less than 5 volumes 30 days
    8 - 9 volumes 40 days
    10 and more volumes 45 days
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Abstract

Enterocolitis Neutropénica en Nińos

Fernández-Sarmiento Jaime*, Casas Carolina and Godoy Javier

Neutropenic Enterocolitis (NE) is a heterogeneous disease with wide range of clinical presentation that can affect any segment of the gastrointestinal tract, with varying severity. It is a complication in patients with high-dose chemotherapy for hematologic and solid tumors. NE typically presents with fever and abdominal pain, but diagnosing is still challenging because symptoms can be varied and elusive. A high index of suspicion must be maintained. The early study with computed tomography directs diagnosis. Most patients benefit from conservative treatment consisting on bowel rest, nasogastric tube placement, parenteral nutritional support, analgesic and broad-spectrum antibiotic coverage. However, the surgical intervention is uncommon and is limited to perforation, peritonitis or gastrointestinal bleeding despite correction of coagulopathy.