<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2530-5115</journal-id>
<journal-title><![CDATA[Hospital a Domicilio]]></journal-title>
<abbrev-journal-title><![CDATA[Hosp. domic.]]></abbrev-journal-title>
<issn>2530-5115</issn>
<publisher>
<publisher-name><![CDATA[Centro Internacional Virtual de Investigación en Nutrición (CIVIN)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2530-51152020000200004</article-id>
<article-id pub-id-type="doi">10.22585/hospdomic.v4i2.102</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo farmacológico de la obstrucción intestinal maligna]]></article-title>
<article-title xml:lang="en"><![CDATA[Pharmacological management of malignant bowel obstruction]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes Merlos]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Bas Valero]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario de San Juan de Alicante Unidad de Hospitalización a Domicilio ]]></institution>
<addr-line><![CDATA[Sant Joan d'Alacant ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>4</volume>
<numero>2</numero>
<fpage>81</fpage>
<lpage>87</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S2530-51152020000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S2530-51152020000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S2530-51152020000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La obstrucción intestinal maligna (OIM) es uno de los problemas más difíciles de manejar por las unidades de cuidados paliativos debido a la elevada carga de síntomas, a menudo recurrentes y, a veces, refractarios entre los pacientes con cáncer avanzado. La falta de estudios contundentes hace que la OIM se maneje empíricamente, existiendo una elevada variabilidad clínica y falta de consenso. Presentamos el caso clínico de un paciente ingresado a cargo de la Unidad de Hospitalización a Domicilio de San Juan de Alicante que presentaba un cuadro de oclusión de intestino delgado debido a implante mesentérico en cuadrante inferior derecho. Se realizó una combinación de agentes propulsores y antisecretivos que actuaron sinérgicamente reduciendo los síntomas gastrointestinales, y presentando una mejoría tanto en la calidad de vida como en el tiempo medio de supervivencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Malignant bowel obstruction (MBI) is one of the most difficult problems to manage by palliative care units because of the high burden of often recurrent and sometimes refractory symptoms among patients with advanced cancer. The lack of robust studies means that MBI is managed empirically, with high clinical variability and lack of consensus. We present the clinical case of a patient in charge of the Home Hospitalization Unit who presented a picture of small bowel occlusion due to mesenteric implant in the lower right quadrant. A combination of propellant and antisecretory agents were used, which acted synergistically to reduce gastrointestinal symptoms, and showed an improvement in both quality of life and average survival time.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Obstrucción Intestinal]]></kwd>
<kwd lng="es"><![CDATA[Neoplasias Abdominales]]></kwd>
<kwd lng="es"><![CDATA[Tratamiento Farmacológico]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Paliativos]]></kwd>
<kwd lng="en"><![CDATA[Intestinal Obstruction]]></kwd>
<kwd lng="en"><![CDATA[Abdominal Neoplasms]]></kwd>
<kwd lng="en"><![CDATA[Drug Therapy]]></kwd>
<kwd lng="en"><![CDATA[Palliative Care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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