![](data:image/png;base64,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)
| 52
¿Cuál es el tratamiento de elección para una stula perianal compleja asociada a un absceso perianal en un
paciente masculino de 30 años con diagnóstico de enfermedad de Crohn?
a) Optimizar tratamiento médico para enfermedad de base + ATB
b) Fistulectomía(reseccióncompletadetrayectostuloso)
c) Colocacióndesedalojo+OptimizacióndetratamientomédicoparaCrohn+ATB
d) Colostomía para desfuncionalizar
Autora: Dra. Sasha Reiderman. Residente de Coloproctología. Hospital Británico.
Luego de una resección local con TEO de una lesión polipoidea de 2 cm en recto inferior en hombre de 67
años con sobrepeso: ¿En cuáles de los siguientes ejemplos Ud. NO consideraría como primera alternativa
un tratamiento conservador de órgano?
a) Invasión en profundidad Sm2, adenocarcinoma indiferenciado, invasión linfovascular, budding de alto grado,
márgenes libres de 1 mm.
b) InvasiónenprofundidadSm3,adenocarcinomasemidiferenciado,sininvasiónlinfovascular,buddingdebajo
grado, márgenes libres de 1,5 mm.
c) Invasióndesubmucosade2mm,adenocarcinomadiferenciado,sininvasiónlinfovascular,buddingdebajo
grado, márgenes libres de 2 mm.
d) InvasióndeparedSm2,adenocarcinomasemidiferenciado,sininvasiónlinfovascular,buddingdebajogrado,
márgenes de 0,7 mm.
Autor: Dr. Ignacio Ramallo. Ex-Fellow. Carrera de Especialista Sanatorio La Trinidad de Quilmes
En el síndrome de Lynch, ¿cuáles son los genes más frecuentemente afectados?
a) MLH1 y MSH2
b) MLH1 y PMS2
c) MSH2 y PMS6
d) MLH1 y PMS2
Autora: Dra. Antonella Cipollone. Becaria de Perfeccionamiento. Hospital Italiano de Buenos Aires.
Con respecto al tratamiento del cáncer colorrectal, seleccione la opción correcta:
a) Loshospitalesdebajovolumenquirúrgicocolorrectalpresentantasasmásbajasdemortalidadpostoperatoria
quehospitalesdealtovolumenquirúrgico.
b) Laantibióticoprolaxisprequirúrgicanodisminuyeelriesgodedesarrollarunainfeccióndesitioquirúrgico.
c) Lasistematizacióneneldiagnóstico,tratamientoyseguimientodelospacientesconcáncercolorrectalmejora
los resultados y los costos relacionados con el tratamiento de la enfermedad.
d) laincidenciadefístulaanastomóticaeselfactorprincipalquemarcalacalidadquirúrgicadelcirujano
colorrectal.
Autora: Dra. Carina Chwat. Médica staff de Coloproctología Hospital Austral.
PREGUNTAS CON OPCIÓN MÚLTIPLE
Estanuevaseccióndelarevistaestádesarrolladaydirigidafundamentalmenteacirujanosenformacióny tiene
porobjetivopresentarsituacionesqueenocasionesplanteanrespuestascontroversiales.Sibiensebuscaprimariamenteque
ellectordeterminecualeslarespuestacorrecta,elnúltimoesdespertarelinterésalaesperadeldesarrollo
desujusticaciónquesedifundiráporlasredessocialesenlassemanassiguientesalapublicacióndelarevista.
1.
2.
3.
4.
REV ARGENT COLOPROCT | 2024 | VOL. 35, N° 1: 52-52