<?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[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>S2307-04202021000300011</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2021.diciembre.11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Efectividad del tratamiento endoscópico en el manejo de la coledocolitiasis en el servicio de endoscopía digestiva del Hospital Nacional de Itauguá durante el periodo 2019-2021]]></article-title>
<article-title xml:lang="en"><![CDATA[Effectiveness of endoscopic treatment in the management of choledocholithiasis in the servicio de endoscopía digestiva, Hospital Nacional de Itauguá during the period 2019-2021]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco-López]]></surname>
<given-names><![CDATA[Jessica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira-Bogado]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adorno-Garayo]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>45</volume>
<numero>3</numero>
<fpage>11</fpage>
<lpage>14</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202021000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202021000300011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202021000300011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La coledocolitiasis se refiere a todo cálculo alojado en la vía biliar principal. La forma más frecuente es la coledocolitiasis secundaria, debido al paso del cálculo desde la vesícula biliar al colédoco a través del conducto cístico. Objetivo: Determinar la efectividad del tratamiento endoscópico en la resolución de la coledocolitiasis en el Servicio de Endoscopia Digestiva del Hospital Nacional de Itauguá. Materiales y métodos: Estudio observacional, descriptivo, retrospectivo de corte transversal. Resultados: Se evaluaron un total de 121 pacientes de los cuales fueron mujeres 66,1% y varones 33,9%. La indicación principal de CPRE fue por criterio muy fuerte de la ASGE en el 77% de los casos. En el 50,4 % de los mismos la CPRE fue positiva para extracción de cálculos; en el 36,4 % la exploración fue negativa y en un 13,2 % de los mismos la CPRE fue fallida. La efectividad de la CPRE en el servicio de Endoscopia Digestiva fue del 79,2%.El factor principal de resolución quirúrgica fue la desproporción calculo-colédoco.Las complicaciones más frecuentes post CPRE fueron la pancreatitis aguda con el 10,7% y la hemorragia con el 1,7 %. Conclusión: La efectividad del tratamiento endoscópico de la coledocolitiasis es alta dejando la resolución quirúrgica únicamente para aquellos casos especiales donde los cálculos sean difíciles de resolver ya sea por las características de los mismos, por las variaciones anatómicas de la vía biliar, historia de cirugía previa entre otros.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY  Introduction:  Choledocholithiasis refers to any stone lodged in the main bile duct. The most common form is secondary choledocholithiasis, due to the passage of the stone from the gallbladder to the common bile duct through the cystic duct.Objective: To determine the effectiveness of endoscopic treatment in the resolution of choledocholithiasis in the Digestive Endoscopy Service of the National Hospital of Itauguá. Materials and methods: Observational, descriptive, retrospective cross-sectional study.Results: A total of 121 patients were evaluated, of which 66.1% were female and 33.9% male. The main indication for ERCP was by very strong criteria of the ASGE in 77% of the cases. In 50, 4% of them ERCP was positive for stone extraction; in 36.4% the exploration was negative and in 13.2% of them the ERCP was unsuccessful. The effectiveness of ERCP in the Digestive Endoscopy service was 79.2%. The main factor for surgical resolution was the calculus-common bile duct disproportion. The most frequent complications after ERCP were acute pancreatitis with 10.7% and hemorrhage with 1.7%. Conclusion: The effectiveness of endoscopic treatment of choledocholithiasis is high, leaving surgical resolution only for those special cases where stones are difficult to resolve, either due to their characteristics, anatomical variations of the bile duct, history of previous surgery, among others.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Coledocolitiasis]]></kwd>
<kwd lng="es"><![CDATA[CPRE]]></kwd>
<kwd lng="en"><![CDATA[Choledocholithiasis]]></kwd>
<kwd lng="en"><![CDATA[ERCP]]></kwd>
</kwd-group>
</article-meta>
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