SciELO - Scientific Electronic Library Online

 
vol.139 número3Cirugía cardiaca con circulación extracorpórea: síndrome vasoplégico y vasopresinaVentilación mecánica en el paciente con lesión cerebral aguda índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Journal

Artigo

Indicadores

Links relacionados

Compartilhar


Revista médica de Chile

versão impressa ISSN 0034-9887

Resumo

RUIZ-ESQUIDE, Gonzalo; NERVI, Bruno; VARGAS, Alex  e  MAIZ, Alberto. Treatment and prevention of cáncer treatment related oral mucositis. Rev. méd. Chile [online]. 2011, vol.139, n.3, pp.373-381. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872011000300015.

One ofthe most common and troublesome complications ofmodern intensive anticancer treatments is oral mucositis. The purpose ofthis review is to summarize current evidente and clinical guidelines regarding its prevention and therapy. The use of keratinocyte growth factor-1, supplementary glutamine and other recently developed treatment modalities are discussed. The injury ofthe oral mucosa caused by antineoplastic agents promotes the local expression of múltiple pro-inflammatory and pro-apoptotic molecules and eventually leads to the development of ulcers. Such lesions predispose patients to several infectious and nutritional complications. Also, they lead to modification of treatment schedules, potentially affecting overall prognosis. Local cryotherapy with ice chips and phototherapy with low energy láser may be useful as preventive measures. Mouthwashes with allopurinol and phototherapy with low energy láser can be used as treatment. In radiotherapy, special radiation administration techniques should be used to minimize mucosal injury. Pain control should always be optimized, with the use ofpatient controlled analgesia and topical use of morphine. Supplemental glutamine should not be used outside of research protocols. Lastly, thorough attention should bepaid to general care and hygiene measures.

Palavras-chave : Antineoplastic protocols; Cryotherapy; Mucositis.

        · texto em Espanhol     · Espanhol ( pdf )

 

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons