{"id":8306,"date":"2026-06-19T11:28:47","date_gmt":"2026-06-19T11:28:47","guid":{"rendered":"https:\/\/www.viamedsalud.com\/ivoqa\/?p=8306"},"modified":"2026-06-24T08:28:27","modified_gmt":"2026-06-24T08:28:27","slug":"ascitis-en-pacientes-oncologicos-por-que-se-produce-y-como-se-trata","status":"publish","type":"post","link":"https:\/\/www.viamedsalud.com\/ivoqa\/patologia\/carcinomatosis-peritoneal\/ascitis-en-pacientes-oncologicos-por-que-se-produce-y-como-se-trata\/","title":{"rendered":"Ascitis en pacientes oncol\u00f3gicos: \u00bfPor qu\u00e9 se produce y c\u00f3mo se trata?"},"content":{"rendered":"<p>La acumulaci\u00f3n de l\u00edquido en el abdomen es una condici\u00f3n frecuente y molesta en el contexto oncol\u00f3gico. En el Instituto de Oncolog\u00eda Avanzada (<strong>IVOQA<\/strong>) del Hospital Universitario Viamed Santa Elena, abordamos este s\u00edntoma mediante tratamientos locales de vanguardia para devolver el bienestar y la calidad de vida a nuestros pacientes.<\/p>\n<h2><strong>\u00bfQu\u00e9 es la ascitis en pacientes oncol\u00f3gicos?<\/strong><\/h2>\n<p>La <strong>ascitis en pacientes oncol\u00f3gicos<\/strong> es la acumulaci\u00f3n anormal de l\u00edquido en el interior de la cavidad peritoneal, que es el espacio libre que rodea los \u00f3rganos dentro del abdomen.<\/p>\n<p>Esta condici\u00f3n suele aparecer en las fases avanzadas de la enfermedad y se manifiesta habitualmente a trav\u00e9s de s\u00edntomas como una notable distensi\u00f3n abdominal, sensaci\u00f3n de pesadez y dolor.<\/p>\n<h2><strong>\u00bfPor qu\u00e9 se acumula l\u00edquido en el abdomen?<\/strong><\/h2>\n<p>La causa principal de la ascitis de origen maligno es la <a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/tratamientos-carcinomatosis-peritoneal\/?_gl=1*kvdqfg*_up*MQ..*_ga*MTkxMTI4NjY4NC4xNzgwNjU4NTgw*_ga_FGETXH3NCV*czE3ODA2NTg1ODAkbzEkZzAkdDE3ODA2NTg1ODAkajYwJGwwJGgw\"><strong>carcinomatosis peritoneal<\/strong><\/a>, que consiste en la diseminaci\u00f3n de c\u00e9lulas tumorales por todo el tejido que recubre el abdomen. Este fen\u00f3meno se origina con mayor frecuencia a partir de tumores localizados en:<\/p>\n<ul>\n<li>El ovario.<\/li>\n<li>El est\u00f3mago (g\u00e1strico).<\/li>\n<li>El colon y el recto.<\/li>\n<li>El ap\u00e9ndice o el p\u00e1ncreas.<\/li>\n<li>El mesotelioma peritoneal primario.<\/li>\n<\/ul>\n<p>Cuando las c\u00e9lulas malignas se extienden por esta membrana, irritan el tejido y bloquean el sistema de drenaje linf\u00e1tico natural del abdomen, provocando que el cuerpo produzca m\u00e1s l\u00edquido del que es capaz de reabsorber.<\/p>\n<h2><strong>Tratamientos avanzados: El cambio de paradigma con PIPAC y ePIPAC<\/strong><\/h2>\n<p>Tradicionalmente, el manejo de la ascitis se limitaba a realizar punciones repetidas para vaciar el l\u00edquido (paracentesis) o a administrar quimioterapia intravenosa convencional. Hoy en d\u00eda, <strong>IVOQA<\/strong> ofrece una alternativa mucho m\u00e1s eficiente que act\u00faa directamente en la ra\u00edz del problema mediante la quimioterapia en aerosol presurizada <a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/pipac\/?_gl=1*kvdqfg*_up*MQ..*_ga*MTkxMTI4NjY4NC4xNzgwNjU4NTgw*_ga_FGETXH3NCV*czE3ODA2NTg1ODAkbzEkZzAkdDE3ODA2NTg1ODAkajYwJGwwJGgw\">(<strong>PIPAC<\/strong>).<\/a><\/p>\n<ul>\n<li><strong>M\u00e1xima penetraci\u00f3n local:<\/strong> Al aplicar el f\u00e1rmaco en forma de aerosol y bajo presi\u00f3n, se logra una exposici\u00f3n profunda en el tejido afectado por el tumor.<\/li>\n<li><strong>M\u00ednima toxicidad:<\/strong> El paso de la quimioterapia desde el abdomen hacia el torrente sangu\u00edneo es marginal, lo que reduce dr\u00e1sticamente los efectos secundarios en el resto del cuerpo.<\/li>\n<li><strong>Evoluci\u00f3n electrost\u00e1tica (ePIPAC):<\/strong> En IVOQA disponemos tambi\u00e9n de la tecnolog\u00eda<a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/epipac\/?_gl=1*kvdqfg*_up*MQ..*_ga*MTkxMTI4NjY4NC4xNzgwNjU4NTgw*_ga_FGETXH3NCV*czE3ODA2NTg1ODAkbzEkZzAkdDE3ODA2NTg1ODAkajYwJGwwJGgw\"> <strong>ePIPAC<\/strong><\/a>, que aplica un campo electrost\u00e1tico para que las micropart\u00edculas de quimioterapia se distribuyan de manera a\u00fan m\u00e1s eficiente en el peritoneo manteniendo un perfil totalmente seguro.<\/li>\n<\/ul>\n<p>Al atacar y frenar de forma directa los implantes tumorales que causan la irritaci\u00f3n de la cavidad abdominal, se consigue reducir de forma dr\u00e1stica la producci\u00f3n de l\u00edquido asc\u00edtico.<\/p>\n<p>&nbsp;<\/p>\n<h2><strong>\u00bfDeseas solicitar una valoraci\u00f3n experta?<\/strong><\/h2>\n<p>Si t\u00fa o un familiar necesit\u00e1is una segunda opini\u00f3n m\u00e9dica sobre el control avanzado de la ascitis y la carcinomatosis peritoneal, puedes ponerte en contacto con el equipo de la <a href=\"https:\/\/www.viamedsalud.com\/ivoqa\/medicos\/dra-delia-cortes-guiral\/?_gl=1*11wd8tk*_up*MQ..*_ga*MTkxMTI4NjY4NC4xNzgwNjU4NTgw*_ga_FGETXH3NCV*czE3ODA2NTg1ODAkbzEkZzEkdDE3ODA2NTg2MzIkajgkbDAkaDA.\">Dra. Delia Cort\u00e9s-Guiral<\/a> en IVOQA a trav\u00e9s de nuestros canales habituales de citaci\u00f3n.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<div style=\"max-width: 800px; margin: 2em auto; font-family: Segoe UI, Arial, sans-serif;\">\n<h2 style=\"font-size: 1.8em; color: #005b99; font-weight: 600;\">Preguntas frecuentes sobre el tratamiento de la ascitis<\/h2>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">\u00bfQu\u00e9 tipos de c\u00e1ncer son los que m\u00e1s frecuentemente causan ascitis por carcinomatosis?<\/div>\n<div style=\"color: #444; font-size: 1em;\">La acumulaci\u00f3n de l\u00edquido en el abdomen debido a la diseminaci\u00f3n de c\u00e9lulas tumorales suele estar muy ligada a la evoluci\u00f3n de tumores de origen ginecol\u00f3gico y digestivo, afectando principalmente a pacientes con c\u00e1ncer de ovario, est\u00f3mago, colorrectal, de ap\u00e9ndice o de p\u00e1ncreas.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">\u00bfC\u00f3mo consigue la t\u00e9cnica PIPAC frenar la producci\u00f3n de l\u00edquido en el abdomen?<\/div>\n<div style=\"color: #444; font-size: 1em;\">PIPAC introduce los f\u00e1rmacos directamente en la cavidad abdominal en forma de aerosol presurizado. Al destruir localmente los implantes tumorales que irritan la membrana peritoneal, el abdomen recupera su equilibrio y reduce la generaci\u00f3n de ascitis, aliviando el dolor.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em; margin-bottom: 1.5em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">\u00bfQu\u00e9 aporta el sistema electrost\u00e1tico ePIPAC en el tratamiento de la ascitis?<\/div>\n<div style=\"color: #444; font-size: 1em;\">El sistema ePIPAC a\u00f1ade un campo electrost\u00e1tico invisible durante la nebulizaci\u00f3n del medicamento. Esto mejora significativamente la distribuci\u00f3n y absorci\u00f3n del f\u00e1rmaco en los tejidos afectados sin incrementar los riesgos ni la toxicidad para el paciente.<\/div>\n<\/div>\n<div style=\"border-left: 4px solid #005b99; padding-left: 1em;\">\n<div style=\"font-weight: 600; font-size: 1.2em; color: #005b99;\">\u00bfQu\u00e9 requisitos debe cumplir un paciente para optar a estos tratamientos en IVOQA?<\/div>\n<div style=\"color: #444; font-size: 1em;\">El paciente debe ser evaluado por nuestro equipo multidisciplinar. Como criterio general de selecci\u00f3n, es fundamental que la persona no presente s\u00edntomas de obstrucci\u00f3n intestinal grave ni requiera de nutrici\u00f3n parenteral total para su d\u00eda a d\u00eda.<\/div>\n<\/div>\n<div style=\"color: #666; font-size: 0.9em; margin-top: 1em;\">La informaci\u00f3n de esta secci\u00f3n es de car\u00e1cter general y no sustituye la valoraci\u00f3n m\u00e9dica individual.<\/div>\n<\/div>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"FAQPage\",\n  \"mainEntity\": [\n    {\n      \"@type\": \"Question\",\n      \"name\": \"\u00bfQu\u00e9 tipos de c\u00e1ncer son los que m\u00e1s frecuentemente causan ascitis por carcinomatosis?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"La acumulaci\u00f3n de l\u00edquido en el abdomen por diseminaci\u00f3n tumoral suele ligarse a la evoluci\u00f3n de tumores de origen ginecol\u00f3gico y digestivo, afectando principalmente a pacientes con c\u00e1ncer de ovario, est\u00f3mago, colorrectal, de ap\u00e9ndice o de p\u00e1ncreas.\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"\u00bfC\u00f3mo consigue la t\u00e9cnica PIPAC frenar la producci\u00f3n de l\u00edquido en el abdomen?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"PIPAC introduce los f\u00e1rmacos en la cavidad abdominal como aerosol presurizado. 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Como criterio general, no debe presentar s\u00edntomas de obstrucci\u00f3n intestinal grave ni requerir nutrici\u00f3n parenteral total diaria.\"\n      }\n    }\n  ]\n}\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>La acumulaci\u00f3n de l\u00edquido en el abdomen es una condici\u00f3n frecuente y molesta en el contexto oncol\u00f3gico. En el Instituto de Oncolog\u00eda Avanzada (IVOQA) del Hospital Universitario Viamed Santa Elena, abordamos este s\u00edntoma mediante tratamientos locales de vanguardia para devolver el bienestar y la calidad de vida a nuestros pacientes. \u00bfQu\u00e9 es la ascitis en [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8234,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[24],"tags":[],"class_list":["post-8306","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-carcinomatosis-peritoneal"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ascitis en pacientes oncol\u00f3gicos: \u00bfPor qu\u00e9 se produce y c\u00f3mo se trata? - IVOQA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.viamedsalud.com\/ivoqa\/patologia\/carcinomatosis-peritoneal\/ascitis-en-pacientes-oncologicos-por-que-se-produce-y-como-se-trata\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ascitis en pacientes oncol\u00f3gicos: \u00bfPor qu\u00e9 se produce y c\u00f3mo se trata? - IVOQA\" \/>\n<meta property=\"og:description\" content=\"La acumulaci\u00f3n de l\u00edquido en el abdomen es una condici\u00f3n frecuente y molesta en el contexto oncol\u00f3gico. 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