Video Experimental Relacionado

Updated: Mar 7, 2026

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles

Author Spotlight: Assessing Surgical Frailty with Point-of-Care Ultrasound of Quadriceps Muscles

Published on: July 26, 2024

Obstrucción del intestino delgado y fragilidad: una revisión sistemática

Aiman Ibrahim¹, Joseph Froud¹, Maria Lauda Tomasi²

¹Gastrointestinal Surgery Department, Guy's and St Thomas' NHS Foundation Trust, Westminster Bridge Road, London, SE1 7EH, UK.

European geriatric medicine

|March 5, 2026

PropóSito:

Explorar la fragilidad en el contexto de la obstrucción del intestino delgado (OID) e identificar las herramientas de cribado de fragilidad utilizadas. La toma de decisiones quirúrgicas en la obstrucción del intestino delgado en adultos mayores y frágiles plantea desafíos particulares para los equipos de cirugía de urgencias, lo que a menudo resulta en una variabilidad de la atención. El manejo conservador suele ser exitoso; sin embargo, la disminución de la reserva fisiológica y funcional característica de la fragilidad requiere un tratamiento personalizado guiado por una valoración geriátrica integral (VGI).

MéTodos:

Siguiendo los principios de PRISMA, se llevó a cabo una búsqueda bibliográfica sistemática en PubMed, Scopus, Cochrane, Web of Science, Embase y CINAHL (julio de 2025). Fueron elegibles los estudios que investigaron la fragilidad en adultos con obstrucción del intestino delgado. Dos revisores evaluaron los títulos, los resúmenes y los textos completos de forma independiente.

Resultados:

Tras la eliminación de duplicados, se examinaron 1109 registros; se revisaron 31 artículos a texto completo y 6 estudios cumplieron los criterios de inclusión. Los pacientes frágiles demostraron consistentemente una mayor mortalidad y una estancia hospitalaria más prolongada que las cohortes no frágiles. Cuatro estudios asociaron la fragilidad con peores resultados y cuatro identificaron retrasos en la cirugía entre los pacientes mayores o frágiles. El estudio más amplio (≈50 000 pacientes) demostró que la intervención demorada aumentó la mortalidad a los 30 días, independientemente de los factores de confusión.

ConclusióN:

Los datos emergentes destacan la importancia del cribado de la fragilidad y de la VGA (valoración geriátrica integral) en adultos mayores que presentan obstrucción del intestino delgado. La identificación de aquellos pacientes más frágiles y en riesgo puede ayudar a tomar decisiones individualizadas y oportunas. Los trabajos futuros deberán determinar si una cirugía más temprana en pacientes frágiles mejora los resultados y orientar la creación de guías específicas para adultos mayores y frágiles con obstrucción del intestino delgado.

Registration Number:

PROSPERO 2025 CRD420251231786.

Palabras clave:

Escala de fragilidad clínica Cirugía general de urgencia Fragilidad Adultos mayores Obstrucción del intestino delgado Resultados quirúrgicos

Más Videos Relacionados

Frailty Assessment in an Aging Mouse Model

Frailty Assessment in an Aging Mouse Model

Published on: September 23, 2025

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty

Published on: July 24, 2013

Videos de Conceptos Relacionados

Chronic Bowel Disorders: Introduction

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Irritable Bowel Syndrome III: Medical and Nursing Management

Irritable Bowel Syndrome III: Medical and Nursing Management

Managing Irritable Bowel Syndrome (IBS) involves a multifaceted approach, including lifestyle modifications, dietary changes, and medication.

Inflammatory Bowel Disease II: Crohn's Disease

Inflammatory Bowel Disease II: Crohn's Disease

Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...

Esophageal Strictures-II: Clinical Features and Management

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...

Assessment of the Rectum and Anus

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...