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Tratamiento y prevención de la mucositis oral asociada al tratamiento del cáncer / Treatment and prevention of cáncer treatment related oral mucositis
Ruiz-Esquide, Gonzalo; Nervi, Bruno; Vargas, Alex; Maíz, Alberto.
  • Ruiz-Esquide, Gonzalo; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Nutrición, Diabetes y Metabolismo. CL
  • Nervi, Bruno; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Hematología y Oncología. CL
  • Vargas, Alex; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Cirugía Oncológica y Maxilofacial. CL
  • Maíz, Alberto; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Nutrición, Diabetes y Metabolismo. CL
Rev. méd. Chile ; 139(3): 373-381, mar. 2011. ilus
Article in Spanish | LILACS | ID: lil-597629
ABSTRACT
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.
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Full text: Available Index: LILACS (Americas) Main subject: Stomatitis / Antineoplastic Agents Type of study: Practice guideline / Prognostic study Limits: Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2011 Type: Article Affiliation country: Chile Institution/Affiliation country: Pontificia Universidad Católica de Chile/CL

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Full text: Available Index: LILACS (Americas) Main subject: Stomatitis / Antineoplastic Agents Type of study: Practice guideline / Prognostic study Limits: Humans Language: Spanish Journal: Rev. méd. Chile Journal subject: Medicine Year: 2011 Type: Article Affiliation country: Chile Institution/Affiliation country: Pontificia Universidad Católica de Chile/CL