Complicações gastrintestinais em usuários de cocaína/crack: revisão da literatura / Gastrointestinal complications among users of cocaine / crack-a literature review
Rev. méd. Minas Gerais
; 22(supl.5): S28-S31, 2012. tab
Article
in Pt
| LILACS
| ID: biblio-966709
Responsible library:
BR21.1
RESUMO
O consumo de cocaína/crack atinge todos os extratos sociais e grande parcela da população, principalmente os jovens. Esse abuso leva à ampla gama de complicações sistêmicas. No trato gastrintestinal, pode se expressar por manifestações como perfuração gastroduodenal aguda, colite isquêmica, infarto, isquemia intestinal e, raramente, hemorragia maciça. Seu mecanismo fisiopatológico parece ser o vasoespasmo ou vasoconstrição, que pode levar à isquemia, inclusive com necrose transmural. É importante a atenção e vigilância para o abuso de cocaína/crack ao deparar com paciente com dor abdominal inexplicável. (AU)
ABSTRACT
Cocaine/crack have being consumed by a large portion of the population especially by youth and reaching all social levels. This abuse leads to a wide range of systemic complications. In the gastrointestinal tract, the drug can lead to manifestations such as acute gastroduodenal perforation, ischemic colitis, infarction, intestinal ischemia and, rarely, massive hemorrhage. The most accepted pathophysiological mechanism is vasospasm or vasoconstriction which can lead to ischemia, including transmural necrosis. It is important that physicians to be aware and search recent history of abuse of crack / cocaine when faced with a patient with unexplained abdominal pain. (AU)
Key words
Full text:
1
Index:
LILACS
Main subject:
Peptic Ulcer Perforation
/
Colitis, Ischemic
/
Cocaine-Related Disorders
/
Duodenal Ulcer
/
Cocaine Smoking
/
Intestines
Limits:
Adult
Language:
Pt
Journal:
Rev. méd. Minas Gerais
Journal subject:
MEDICINA
Year:
2012
Type:
Article