<?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>2072-8174</journal-id>
<journal-title><![CDATA[Revista del Nacional (Itauguá)]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Nac. (Itauguá)]]></abbrev-journal-title>
<issn>2072-8174</issn>
<publisher>
<publisher-name><![CDATA[Hospital Nacional (Itauguá)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2072-81742022000200018</article-id>
<article-id pub-id-type="doi">10.18004/rdn2022.dic.02.018.029</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbimortalidad de pacientes sometidos a cirugía bariátrica en un hospital especializado de Paraguay: experiencia años 2017 a 2021]]></article-title>
<article-title xml:lang="en"><![CDATA[Morbidity and mortality of patients undergoing bariatric surgery in a specialized hospital in Paraguay: experience years 2017 to 2021]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aranda Wildberger]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Petry Bottini]]></surname>
<given-names><![CDATA[Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Wildberger de Aranda]]></surname>
<given-names><![CDATA[Carmen Antonia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Postgrado en Cirugía General, Centro Médico Nacional-Hospital Nacional Departamento de Cirugía]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Educativo Superior en Salud CES Postgrado en Didáctica Superior ]]></institution>
<addr-line><![CDATA[Ypacaraí ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Educativo Superior en Salud CES  ]]></institution>
<addr-line><![CDATA[Ypacaraí ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>14</volume>
<numero>2</numero>
<fpage>18</fpage>
<lpage>29</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742022000200018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742022000200018&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742022000200018&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la prevalencia de sobrepeso y obesidad en Paraguay es del 58 % en la población adulta, y 34,5 % en niños y adolescentes. Para enfrentar esta situación existen varios tratamientos, siendo el quirúrgico el medio terapéutico actual que permite obtener la mayor pérdida de peso y por tiempo más prolongado.  Objetivo:  describir la morbimortalidad de las cirugías bariátricas en el Hospital Nacional en el periodo comprendido entre enero 2017 y setiembre 2021.  Metodología: estudio descriptivo, observacional, retrospectivo de corte transversal, con un muestreo no probabilístico de casos consecutivos de todos los pacientes con diagnóstico de obesidad que recibieron tratamiento quirúrgico entre enero 2017 a setiembre del 2021. Se recabaron 126 historias clínicas, 121 de ellos cumplieron los criterios de inclusión.  Resultados:  de 121 pacientes, 82 % eran mujeres y 18 % hombres, con una edad media de 37 años. Se realizó una gastrectomía vertical en 68 % y by-pass gástrico en 21 %, con una estadía hospitalaria promedio de 61 h. La fístula fue la complicación postoperatoria más frecuente (7 %) seguida de la dehiscencia de anastomosis (2 %). La morbilidad de la cirugía bariátrica fue 11 %, con una mortalidad del 1 %.  Conclusión:  la morbilidad de la cirugía bariátrica en el Hospital Nacional es baja, con una mortalidad aceptable. La técnica más realizada es la gastrectomía vertical y la fístula es la complicación más común.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: the prevalence of overweight and obesity in Paraguay is 58 % in the adult population, and 34.5 % in children and adolescents. There are several treatments to deal with these conditions, with surgery being the current therapeutic option that allows for the greatest weight loss and for the longest time.  Objective: to describe the morbidity and mortality of bariatric procedures at the Hospital Nacional, from January 2017 to September 2021.  Metodology: descriptive, observational, retrospective cross-sectional study, with a non-probabilistic sampling of consecutive cases of all patients diagnosed with obesity who received surgical treatment between January 2017 and September, 2021. 126 medical records were collected, 121 of them met the inclusion criteria.  Results: of 121 patients, 82 % were women and 18 % men, with a mean age of 37 years. Vertical gastrectomy was performed in 68 % and gastric bypass in 21 %, with an average hospital stay of 61 hours. Fistula was the most frequent postoperative complication (7 %) followed by anastomosis dehiscence (2 %). The morbidity of bariatric surgery was 11 %, with a mortality of 1 %.  Conclusion: the morbidity of bariatric surgery at the Hospital Nacional, is low, with an acceptable mortality rate. The most common technique is sleeve gastrectomy and fistula is the most common complication.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía bariátrica]]></kwd>
<kwd lng="es"><![CDATA[gastrectomía]]></kwd>
<kwd lng="es"><![CDATA[derivación gástrica]]></kwd>
<kwd lng="es"><![CDATA[complicaciones posoperatorias]]></kwd>
<kwd lng="en"><![CDATA[bariatric surgery]]></kwd>
<kwd lng="en"><![CDATA[gastrectomy]]></kwd>
<kwd lng="en"><![CDATA[gastric bypass]]></kwd>
<kwd lng="en"><![CDATA[postoperative complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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