Tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncer

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 an...

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Autores principales: Ruiz-Esquide,Gonzalo, Nervi,Bruno, Vargas,Alex, Maíz,Alberto
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2011
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000300015
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spelling oai:scielo:S0034-988720110003000152011-08-25Tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncerRuiz-Esquide,GonzaloNervi,BrunoVargas,AlexMaíz,Alberto Antineoplastic protocols Cryotherapy Mucositis 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.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.3 20112011-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000300015es10.4067/S0034-98872011000300015
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Antineoplastic protocols
Cryotherapy
Mucositis
spellingShingle Antineoplastic protocols
Cryotherapy
Mucositis
Ruiz-Esquide,Gonzalo
Nervi,Bruno
Vargas,Alex
Maíz,Alberto
Tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncer
description 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.
author Ruiz-Esquide,Gonzalo
Nervi,Bruno
Vargas,Alex
Maíz,Alberto
author_facet Ruiz-Esquide,Gonzalo
Nervi,Bruno
Vargas,Alex
Maíz,Alberto
author_sort Ruiz-Esquide,Gonzalo
title Tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncer
title_short Tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncer
title_full Tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncer
title_fullStr Tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncer
title_full_unstemmed Tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncer
title_sort tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncer
publisher Sociedad Médica de Santiago
publishDate 2011
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000300015
work_keys_str_mv AT ruizesquidegonzalo tratamientoyprevenciondelamucositisoralasociadaaltratamientodelcancer
AT nervibruno tratamientoyprevenciondelamucositisoralasociadaaltratamientodelcancer
AT vargasalex tratamientoyprevenciondelamucositisoralasociadaaltratamientodelcancer
AT maizalberto tratamientoyprevenciondelamucositisoralasociadaaltratamientodelcancer
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