<?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>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932018000200053</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2018.05(02)53-061</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Etiología, estadio y complicaciones de la cirrosis hepática en un hospital de referencia en Paraguay]]></article-title>
<article-title xml:lang="en"><![CDATA[Etiology, stage and complications of liver cirrhosis in a reference hospital in Paraguay]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez Abente]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Girala Salomón]]></surname>
<given-names><![CDATA[Marcos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción. Facultad de Ciencias Médicas. Hospital de Clínicas.]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción. Hospital de Clínicas Dpto. de Gastroenterología y Endoscopía Digestiva.]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2018</year>
</pub-date>
<volume>5</volume>
<numero>2</numero>
<fpage>53</fpage>
<lpage>61</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932018000200053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932018000200053&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932018000200053&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: la cirrosis hepática constituye uno de los principales problemas de salud en el mundo, debido a su alta morbilidad y mortalidad.  Objetivos: describir las características epidemiológicas y clínicas de la cirrosis hepática en el Hospital de Clínicas  Materiales y métodos: estudio observacional, descriptivo, retrospectivo, de corte transversal. Se incluyó a 95 pacientes que consultaron en el Departamento de Gastroenterología y Endoscopia Digestiva en el periodo comprendido 2013-2014 y fueron diagnosticados de cirrosis hepática.  Resultados: la frecuencia de cirrosis hepática fue 7,8% del total de consultas en el Departamento de Gastroenterología y Endoscopía Digestiva. El 59% de los pacientes fueron varones. La edad media en el momento de la primera consulta fue 51±14 años. La etiología más frecuente fue el consumo de alcohol (51%). El estadio funcional de Child-Pugh de estos pacientes fue A en 44%, B en 39% y C en 17%. La media de la escala de MELD fue 13,84±4,75. La principal complicación fue la presencia de várices esofágicas (82%).  Conclusión: la cirrosis hepática fue más frecuente en el sexo masculino, la etiología dominante fue el consumo de alcohol, predominó el estadio A de Child-Pugh y la complicación principal constituyeron las várices esofágicas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Liver cirrhosis is one of the main health problems in the world, due to its high morbidity and mortality.  Objectives: To describe the epidemiological and clinical characteristics of liver cirrhosis in the Hospital de Clínicas.  Materials and methods: Observational, descriptive, retrospective, cross-sectional study. We included 95 patients who consulted in the Department of Gastroenterology and Digestive Endoscopy in the period 2013-2014 and were diagnosed with liver cirrhosis.  Results: The frequency of liver cirrhosis was 7.8% of the total of consultations in the Department of Gastroenterology and Digestive Endoscopy and 59% of the patients were male. The mean age at the time of the first consultation was 51±14 years. The most frequent etiology was alcohol consumption (51%). The functional Child-Pugh score of these patients was A in 44%, B in 39% and C in 17%. The mean of the MELD score was 13.84±4.75. The main complication was the presence of esophageal varices (82%).  Conclusion: Liver cirrhosis was more frequent in men, alcohol consumption was the predominant etiology, Child-Pugh score A predominated and esophageal varices were the main complication.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirrosis hepática - etiología]]></kwd>
<kwd lng="es"><![CDATA[cirrosis hepática - complicaciones]]></kwd>
<kwd lng="es"><![CDATA[cirrosis hepática - epidemiología]]></kwd>
<kwd lng="en"><![CDATA[liver cirrhosis - etiology]]></kwd>
<kwd lng="en"><![CDATA[liver cirrhosis - complications]]></kwd>
<kwd lng="en"><![CDATA[liver cirrhosis - epidemiology]]></kwd>
</kwd-group>
</article-meta>
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