<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202017000300011</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.diciembre.11-16</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[EXPERIENCIA EN EL TRATAMIENTO ENDOSCÓPICO DE LAS COLECCIONES PANCREÁTICAS EN EL HOSPITAL NACIONAL DE ITAUGUÁ]]></article-title>
<article-title xml:lang="en"><![CDATA[EXPERIENCE IN ENDOSCOPIC TREATMENT OF PANCREATIC COLLECTIONS AT THE NATIONAL HOSPITAL OF ITAUGUA]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adorno]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benza]]></surname>
<given-names><![CDATA[Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardozo]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itaugua  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Nacional de Itaugua  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Nacional de Itaugua  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>41</volume>
<numero>3</numero>
<fpage>11</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202017000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202017000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202017000300011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  Las colecciones pancreáticas son una complicación frecuente de la pancreatitis, entre el 5% al 15% de los casos desarrollan pseudoquistes1. Quince por ciento de los episodios de pancreatitis se complica con necrosis pancreática2.  Objetivo:  Describir el manejo endoscópico de las colecciones pancreáticas en el Hospital Nacional de Itauguá.  Pacientes y métodos:  Estudio observacional retrospectivo descriptivo de corte transversal, entre marzo de 2013 y setiembre de 2017, en pacientes hospitalizados en el Servicio de Cirugía General del Hospital Nacional de Itauguá en los cuales se realizó drenaje endoscópico de colecciones pancreáticas.  Resultados:  De los 20 casos 12 fueron mujeres. El rango etario es entre 27 y 81 años, con una media de 52 años. El procedimiento programado en el 100 % de los pacientes fue el drenaje endoscópico transmural, solo dos de ellos (10%) fueron fallidos. En 8 pacientes se realizó solamente el drenaje transmural, 4 pacientes requirieron también necrosectomía endoscópica, en 4 pacientes se realizó además lavado con solución fisiológica estéril y en 2 pacientes se combinó con la colocación de stent tipo pig tail para drenaje.  Conclusión:  Las indicaciones para llevar a cabo el drenaje endoscópico de las colecciones pancreáticas implican a colecciones sintomáticas, las complicadas con infección y las que producen síntomas obstructivos. Presenta un numero bajo de complicaciones. En cuanto al seguimiento de los pacientes la tasa de éxito fue de 85.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary  Introduction:  Pancreatic collections are a frequent complication of pancreatitis. It is estimated that 5% to 15% episodes of pancreatitis are complicated by the development of pseudocysts1. Fifteen percent of episodes of pancreatitis are complicated by pancreatic necrosis2.  Objective:  To describe the endoscopic management of pancreatic collections at the National Hospital of Itauguá.  Patients and methods:  Cross-sectional descriptive retrospective observational study, from March 2013 to September 2017, in patients who were hospitalized in the General Surgery Service of the Hospital Nacional de Itauguá in which endoscopic drainage of pancreatic collections was performed.  Results:  Of the 20 cases of endoscopic drainage from the pancreatic collections, 12 patients were women. The age range is between 27 years and 81 years with an average of 52 years. The procedure programmed in 100% of the patients was transmural endoscopic drainage, only two of them (10%) were failed. In 8 patients only transmural drainage was performed, 4 patients also required endoscopic necrosectomy, 4 patients were also washed with sterile physiological solution and in 2 patients it was combined with pigtail stenting for drainage.  Conclusion:  The indications to carry out the endoscopic drainage of the pancreatic collections are: symptomatic collections, complicated collections with infection and those that produce obstructive symptoms to adjacent viscera. The complications observed during the endoscopic procedure were perforation and hemorrhage of the collections. Regarding the follow-up of patients, the success rate was 85% with good evolution and without recurrence.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colecciones pancreáticas]]></kwd>
<kwd lng="es"><![CDATA[pseudoquiste]]></kwd>
<kwd lng="es"><![CDATA[necrosis pancreática]]></kwd>
<kwd lng="en"><![CDATA[pancreatic collections]]></kwd>
<kwd lng="en"><![CDATA[pseudocyst]]></kwd>
<kwd lng="en"><![CDATA[pancreatic necrosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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