<?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>1996-3696</journal-id>
<journal-title><![CDATA[Revista del Instituto de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Inst. Med. Trop.]]></abbrev-journal-title>
<issn>1996-3696</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Medicina Tropical]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1996-36962024000100027</article-id>
<article-id pub-id-type="doi">10.18004/imt/2024.19.1.27</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mortalidad post operatoria de la duodenopancreatectomía cefálica en una unidad de cuidados intensivos]]></article-title>
<article-title xml:lang="en"><![CDATA[Post-operative mortality of cephalic duodenopancreatectomy in an intensive care unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cáceres]]></surname>
<given-names><![CDATA[Jazmín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[Williams]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Recalde]]></surname>
<given-names><![CDATA[Rodney]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Almirón]]></surname>
<given-names><![CDATA[Desirée]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Previsión Social Hospital de Especialidades Quirúrgicas Servicio de Terapia Intensiva Adultos]]></institution>
<addr-line><![CDATA[Fernando de la Mora ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>19</volume>
<numero>1</numero>
<fpage>27</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1996-36962024000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1996-36962024000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1996-36962024000100027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Introducción: La duodenopancreatectomía cefálica o cirugía de Whipple ha sido el procedimiento quirúrgico electivo como tratamiento de las patologías neoplásicas de páncreas, duodeno y vías biliares. A pesar de los avances en técnicas quirúrgicas continúa siendo un gran desafío el manejo multidisciplinario. Materiales y Métodos: Estudio analítico, retrospectivo, de corte transversal, de pacientes postoperados de duodenopancreatectomía cefálica mayores de 18 años, ingresados a una unidad de Cuidados Intensivos, de enero de 2022 a julio de 2023. Variables evaluadas: características sociodemográficas (edad, sexo); comorbilidades asociadas; variables de interés en UCI (SOFA, APACHE, días de internación en UTI, días de internación hospitalaria, requerimiento de Intubación orotraqueal IOT, días de IOT, requerimiento de vasopresores), desenlace en UTI; variables de interés quirúrgicas: duración de la cirugía, complicaciones quirúrgicas. Resultados: Se incluyeron 24 pacientes. La media de edad: 66 años (mín:35; Máx: 85; RIC: 59-77); 14 (58%) sexo femenino. Comorbilidades más frecuentes: Hipertensión arterial 17 (71%), Diabetes Mellitus 26 (25%), Cardiopatía 3. SOFA al ingreso media de 4; (mín:1; Máx: 11; DS:3); APACHE al ingreso: media de 15; (mín:6; Máx: 24; DS: 4); media de internación en UTI fue de 6 días (mín:1; Máx: 68; DS: 14). Se constataron 5 (21%) óbitos. Factores asociados a la mortalidad el uso de vasopresores (p=0,013), insuficiencia renal aguda (p=0,009), infección del sitio quirúrgico (p=0,023), y una media de SOFA estimada en 9 (p=0,0012). Conclusión: Es fundamental el manejo multidisciplinario de pacientes sometidos a cirugía de Whipple a fin de optimizar los resultados, previniendo la aparición de complicaciones, y disminuyendo de esta forma la morbimortalidad de los mismos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Introduction: Cephalic pancreaticoduodenectomy or Whipple surgery has been the elective surgical procedure as a treatment for neoplastic pathologies of the pancreas, duodenum and bile ducts. Despite advances in surgical techniques, multidisciplinary management continues to be a great challenge. Materials and Methods: Analytical, retrospective, cross-sectional study of postoperative cephalic duodenal-pancreatectomy patients over 18 years of age, admitted to an Intensive Care unit, from January 2022 to July 2023. Variables evaluated: sociodemographic characteristics (age, sex); associated comorbidities; variables of interest in the ICU (SOFA, APACHE, days of ICU admission, days of hospitalization, requirement for orotracheal intubation IOT, days of IOT, requirement for vasopressors), outcome in ICU; surgical variables of interest: duration of surgery, surgical complications. Results: 24 patients were included. Median age: 66 years (min: 35; Max: 85; IQR: 59-77); 14 (58%) female. Most frequent comorbidities: High blood pressure 17 (71%), Diabetes Mellitus 26 (25%), Heart disease 3. SOFA at admission average of 4; (min:1; Max: 11; DS:3); APACHE upon admission: average of 15; (min:6; Max: 24; DS: 4); Mean ICU stay was 6 days (min: 1; Max: 68; SD: 14). There were 5 (21%) deaths. Factors associated with mortality were the use of vasopressors (p=0.013), acute renal failure (p=0.009), surgical site infection (p=0.023), and a mean estimated SOFA of 9 (p=0.0012). Conclusion: Multidisciplinary management of patients undergoing Whipple surgery is essential in order to optimize results, preventing the appearance of complications, and thus reducing their morbidity and mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Pancreaticoduodenectomía]]></kwd>
<kwd lng="es"><![CDATA[Procedimientos Quirúrgicos del Sistema Digestivo]]></kwd>
<kwd lng="es"><![CDATA[Neoplasias Pancreáticas]]></kwd>
<kwd lng="es"><![CDATA[Carcinoma Ductal Pancreático]]></kwd>
<kwd lng="en"><![CDATA[Pancreaticoduodenectomy]]></kwd>
<kwd lng="en"><![CDATA[Digestive System Surgical Procedures]]></kwd>
<kwd lng="en"><![CDATA[Pancreatic Neoplasms]]></kwd>
<kwd lng="en"><![CDATA[Carcinoma, Pancreatic Ductal]]></kwd>
</kwd-group>
</article-meta>
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