{"id":12190,"date":"2025-07-23T10:37:52","date_gmt":"2025-07-23T14:37:52","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/chemolysis\/"},"modified":"2025-07-23T10:37:52","modified_gmt":"2025-07-23T14:37:52","slug":"quimiolisis","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/quimiolisis\/","title":{"rendered":"Quimi\u00f3lisis"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[],"glossary-product":[],"class_list":["post-12190","glossary-term","type-glossary-term","status-publish","hentry"],"acf":{"gt-definition":"<p>La quimiolisis se refiere a la disoluci\u00f3n de c\u00e1lculos renales utilizando soluciones qu\u00edmicas. Es un enfoque terap\u00e9utico no invasivo o m\u00ednimamente invasivo que emplea agentes qu\u00edmicos espec\u00edficos para disolver los c\u00e1lculos urinarios alterando su estructura qu\u00edmica y convirti\u00e9ndolos en formas m\u00e1s solubles en agua.<sup>1<\/sup> <sup>2<\/sup> El proceso se puede realizar mediante la administraci\u00f3n sist\u00e9mica (quimiolisis oral) o la aplicaci\u00f3n local (quimiolisis directa) de agentes de disoluci\u00f3n, dependiendo de la composici\u00f3n del c\u00e1lculo y la cl\u00ednica. escenario.<sup>3<\/sup> <sup>4<\/sup><\/p>\n    \n    <p>El mecanismo de acci\u00f3n implica el uso de soluciones \u00e1cidas o alcalinas que interact\u00faan con los componentes cristalinos de los c\u00e1lculos renales, rompiendo su estructura y facilitando su eliminaci\u00f3n a trav\u00e9s del tracto urinario.<sup>5<\/sup> Para los c\u00e1lculos de \u00e1cido \u00farico, se emplea la alcalinizaci\u00f3n de la orina, mientras que para los c\u00e1lculos que contienen fosfato, generalmente se usan soluciones \u00e1cidas.<sup>6<\/sup> La efectividad El tipo de quimiolisis var\u00eda seg\u00fan la composici\u00f3n del c\u00e1lculo, el tama\u00f1o, la ubicaci\u00f3n y el agente de disoluci\u00f3n espec\u00edfico utilizado.<sup>7<\/sup><\/p>\n    \n    <p>La quimiolisis sirve como opci\u00f3n de tratamiento principal para ciertos tipos de c\u00e1lculos y como terapia complementaria despu\u00e9s de otros procedimientos de extracci\u00f3n de c\u00e1lculos para eliminar fragmentos residuales, reduciendo as\u00ed el riesgo de recurrencia de c\u00e1lculos.<sup>8<\/sup><\/p>","gt-synonyms":"Terapia de disoluci\u00f3n de c\u00e1lculos, Disoluci\u00f3n qu\u00edmica, Terapia de disoluci\u00f3n, lit\u00f3lisis, disoluci\u00f3n de c\u00e1lculos, Disoluci\u00f3n qu\u00edmica de piedras, Quimiolisis de c\u00e1lculos urinarios, Quimiolisis oral (cuando se administra por v\u00eda oral), Quimiolisis directa (cuando se aplica localmente), Quimiolisis percut\u00e1nea (cuando se administra mediante acceso percut\u00e1neo)","gt-citation":"[1] Tsaturyan A, Bokova E, Bosshard P, Bonny O, Fuster DG, Roth B. Oral chemolysis is an effective, non-invasive therapy for urinary stones suspected of uric acid content. Urolithiasis. 2020;48(6):501-507. DOI: 10.1007\/s00240-020-01204-8\n\n[2] Gonzalez RD, Whiting BM, Canales BK. The History of Kidney Stone Dissolution Therapy: 50 Years of Optimism and Frustration With Renacidin. J Endourol. 2012 Feb;26(2):110-118. DOI: 10.1089\/end.2011.0380\n\n[3] Bernardo NO, Smith AD. Chemolysis of urinary calculi. Urol Clin North Am. 2000 May;27(2):355-365. DOI: 10.1016\/S0094-0143(05)70264-0\n\n[4] Xiang-bo Z, Zhi-ping W, Jian-min D, Jian-zhong L, Bao-liang M. New chemolysis for urological calcium phosphate calculi - a study in vitro. BMC Urol. 2005 May 22;5:9. DOI: 10.1186\/1471-2490-5-9\n\n[5] T\u00fcrk C, Neisius A, Pet\u0159\u00edk A, Seitz C, Skolarikos A, Thomas K, et al. EAU Guidelines on Urolithiasis. European Association of Urology. 2023. Disponible en: https:\/\/uroweb.org\/guidelines\/urolithiasis\n\n[6] Tzelves L, Somani B, Jelakovic B, Duvdevani M, Dasgupta P, Sarica K. Urinary Stones: Medical Dissolution and Monitoring. Eur Urol Focus. 2021 May;7(3):481-488. DOI: 10.1016\/j.euf.2021.03.010\n\n[7] Suby HI, Albright F. Dissolution of phosphatic urinary calculi by the retrograde introduction of a citrate solution containing magnesium. N Engl J Med. 1943;228:81-91. DOI: 10.1056\/NEJM194301212280304\n\n[8] Mulvaney WP. The clinical use of Renacidin in urinary calcifications. J Urol. 1960;84:206-212. DOI: 10.1016\/s0022-5347(17)65542-5","gt-clinical-context":"<p>La quimiolisis se emplea cl\u00ednicamente en varios escenarios espec\u00edficos dentro de la pr\u00e1ctica urol\u00f3gica para el tratamiento de c\u00e1lculos renales:<\/p>\n\n    <h3>Tratamiento primario<\/h3>\n    <p>La quimiolisis sirve como una opci\u00f3n de tratamiento principal para pacientes seleccionados con composiciones espec\u00edficas de c\u00e1lculos, particularmente c\u00e1lculos de \u00e1cido \u00farico.<sup>1<\/sup> La quimiolisis oral mediante alcalinizaci\u00f3n urinaria es el enfoque est\u00e1ndar para pacientes con c\u00e1lculos de \u00e1cido \u00farico, ya que estos c\u00e1lculos son especialmente susceptibles a la terapia de disoluci\u00f3n.<sup>2<\/sup> Las directrices de la Asociaci\u00f3n Europea de Urolog\u00eda (EUA) recomiendan la administraci\u00f3n oral Quimiolisis para c\u00e1lculos de \u00e1cido \u00farico, pero no para c\u00e1lculos de urato de sodio o amonio.<sup>3<\/sup><\/p>\n\n    <h3>Terapia complementaria<\/h3>\n    <p>La quimiolisis se utiliza con frecuencia como tratamiento complementario despu\u00e9s de otros procedimientos de eliminaci\u00f3n de c\u00e1lculos, como la litotricia por ondas de choque (SWL), la nefrolitotom\u00eda percut\u00e1nea (PCNL) o la ureteroscopia.<sup>4<\/sup> Este enfoque ayuda a disolver los fragmentos de c\u00e1lculos residuales, reduciendo as\u00ed el riesgo de recurrencia de c\u00e1lculos y la necesidad de tratamiento adicional. intervenciones.<sup>5<\/sup><\/p>\n\n    <h3>Criterios de selecci\u00f3n de pacientes<\/h3>\n    <p>Los candidatos para quimiolisis se seleccionan en funci\u00f3n de varios factores:<\/p>\n    <ul>\n        <li>Composici\u00f3n de los c\u00e1lculos (principalmente \u00e1cido \u00farico, ciertos c\u00e1lculos de fosfato)<sup>6<\/sup><\/li>\n        <li>Tama\u00f1o y ubicaci\u00f3n de la piedra<sup>7<\/sup><\/li>\n        <li>Estado de salud general y funci\u00f3n renal del paciente<sup>8<\/sup><\/li>\n        <li>Presencia de infecci\u00f3n del tracto urinario (que puede contraindicar ciertos enfoques)<sup>9<\/sup><\/li>\n        <li>Historia de tratamiento previo y patrones de recurrencia de c\u00e1lculos<sup>10<\/sup><\/li>\n    <\/ul>\n\n    <h3>Enfoques procesales<\/h3>\n    <p>La quimiolisis se puede administrar por diferentes v\u00edas:<\/p>\n    <ol>\n        <li><strong>Quimiolisis oral<\/strong>: Administraci\u00f3n sist\u00e9mica de agentes que alteran el pH urinario, generalmente utilizados para los c\u00e1lculos de \u00e1cido \u00farico.<sup>11<\/sup> Esto implica medicamentos como citrato de potasio, bicarbonato de sodio o bicarbonato de magnesio para lograr un pH urinario objetivo de 6.5-7.2.<sup>12<\/sup><\/li>\n        <li><strong>Quimiolisis directa<\/strong>: Irrigaci\u00f3n local de agentes de disoluci\u00f3n directamente al c\u00e1lculo a trav\u00e9s de tubos de nefrostom\u00eda percut\u00e1nea, cat\u00e9teres ureterales o mediante abordajes endosc\u00f3picos.<sup>13<\/sup> Este m\u00e9todo se usa m\u00e1s com\u00fanmente para pacientes que contienen fosfato. piedras.<sup>14<\/sup><\/li>\n    <\/ol>\n\n    <h3>Resultados esperados<\/h3>\n    <p>La efectividad de la quimiolisis var\u00eda seg\u00fan m\u00faltiples factores:<\/p>\n    <ul>\n        <li>Las tasas de disoluci\u00f3n completa de los c\u00e1lculos de \u00e1cido \u00farico con quimiolisis oral oscilan entre 40 y 60 % despu\u00e9s de 3 meses de tratamiento.<sup>15<\/sup><\/li>\n        <li>Los factores asociados con mayores tasas de \u00e9xito incluyen c\u00e1lculos de menor tama\u00f1o, menor densidad y mantenimiento constante del pH urinario objetivo.<sup>16<\/sup><\/li>\n        <li>La disoluci\u00f3n parcial se logra en un 10-15% adicional de los casos, lo que puede facilitar la eliminaci\u00f3n posterior de los c\u00e1lculos por otros medios.<sup>17<\/sup><\/li>\n    <\/ul>\n\n    <h3>Complicaciones y limitaciones<\/h3>\n    <p>Las posibles complicaciones incluyen:<\/p>\n    <ul>\n        <li>Sepsis (con quimiolisis directa si no se mantiene una t\u00e9cnica est\u00e9ril adecuada)<sup>18<\/sup><\/li>\n        <li>Desequilibrios de electrolitos<sup>19<\/sup><\/li>\n        <li>Acidosis o alcalosis sist\u00e9mica<sup>20<\/sup><\/li>\n        <li>Irritaci\u00f3n y sangrado de mucosas (con quimiolisis directa)<sup>21<\/sup><\/li>\n    <\/ul>\n\n    <p>El uso de quimiolisis requiere un seguimiento cuidadoso, incluida la evaluaci\u00f3n regular del pH urinario, la funci\u00f3n renal y el progreso de la disoluci\u00f3n de los c\u00e1lculos mediante estudios de im\u00e1genes.<sup>22<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":92},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.9 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Chemolysis: Medical Dissolution Therapy for C\u00e1lculos Renales<\/title>\n<meta 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