<?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>S2072-81742021000100031</article-id>
<article-id pub-id-type="doi">10.18004/rdn2021.jun.01.031.040</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aplicación de criterios de Tokio para el diagnóstico de colecistitis aguda en el Departamento de Urgencia Adultos del Hospital Nacional, Itauguá]]></article-title>
<article-title xml:lang="en"><![CDATA[Application of Tokyo criteria for the diagnosis of acute cholecystitis in the Adult Emergency Department of the Hospital Nacional, Itauguá]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yegros Ortiz]]></surname>
<given-names><![CDATA[Carlos Darío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Feltes Villalba]]></surname>
<given-names><![CDATA[Soel Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[Dahyana Beatriz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fretes Oviedo]]></surname>
<given-names><![CDATA[Natalia Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Centro Médico Nacional, Hospital Nacional Departamento de Cirugía General]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Católica &#8220;Nuestra Señora de la Asunción&#8221;  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>13</volume>
<numero>1</numero>
<fpage>31</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2072-81742021000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2072-81742021000100031&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2072-81742021000100031&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: aproximadamente el 10 % de las personas con colelitiasis desarrollará Colecistitis Aguda. A nivel mundial se utiliza la Guía de Tokio, fundamental para un diagnóstico y clasificación. La clasificación según severidad predice con precisión la mortalidad, duración de la hospitalización y tasas de conversión de laparotomía. Los criterios utilizados son: signos y síntomas característicos, hallazgo de exámenes físicos, datos laboratoriales y de imágenes.  Objetivos:  evaluar la aplicación de los criterios de Tokio para el diagnóstico de colecistitis aguda en el del Servicio de Cirugía, Departamento de Urgencias Adultos del Hospital Nacional.  Metodología: estudio observacional descriptivo transversal y retrospectivo. Se analizaron las fichas de pacientes que acudieron al del Servicio de Cirugía, Departamento de Urgencias Adultos del Hospital Nacional entre el 1 de enero al 1 de septiembre del 2019.  Resultados:  de 66 pacientes estudiados, la edad promedio fue de 45 años, con predominio de sexo femenino. El 100 % presentó dolor en hipocondrio derecho; en el 73 % se halló PCR elevada, y la pared vesicular engrosada fue el signo imagenológico más frecuente, en 38 casos (58 %). El 74 % cumplió con los criterios para diagnóstico definitivo de colecistitis aguda.  Conclusiones:  la guía de Tokio fue una herramienta útil, aplicable y necesaria para el diagnóstico oportuno de la colecistitis aguda en los pacientes del Hospital Nacional. Además, es muy valiosa para clasificarla por severidad y así orientar al tratamiento adecuado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  approximately 10 % of people with cholelithiasis will develop Acute Cholecystitis. The Tokyo Guide, essential for diagnosis and classification, is used worldwide. Classification according to severity accurately predicts mortality, length of hospitalization, and laparotomy conversion rates. The criteria used are: characteristic signs and symptoms, findings of physical examinations, laboratory data and images.  Objectives:  to evaluate the application of the Tokyo criteria for the diagnosis of acute cholecystitis in the Surgery Service, Adult Emergency Department of the Hospital Nacional.  Methodology:  descriptive, cross-sectional and retrospective observational study. The files of patients who attended the Surgery Service, Adult Emergency Department of the Hospital Nacional between January 1 to September 1, 2019 were analyzed.  Results:  of 66 patients studied, the average age was 45 years, with a predominance of females. 100 % presented pain in the right upper quadrant; In 73 %, elevated CRP was found, and the thickened gallbladder wall was the most frequent imaging sign, in 38 cases (58 %). 74 % met the criteria for a definitive diagnosis of acute cholecystitis.  Conclusions:  the Tokyo guideline was a useful, applicable and necessary tool for the timely diagnosis of acute cholecystitis in patients at the Hospital Nacional. In addition, it is very valuable to classify it by severity and thus guide the appropriate treatment.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[colecistitis aguda]]></kwd>
<kwd lng="es"><![CDATA[colelitiasis]]></kwd>
<kwd lng="es"><![CDATA[enfermedades de la vesícula biliar]]></kwd>
<kwd lng="en"><![CDATA[acute cholecystitis]]></kwd>
<kwd lng="en"><![CDATA[cholelithiasis]]></kwd>
<kwd lng="en"><![CDATA[gallbladder diseases]]></kwd>
</kwd-group>
</article-meta>
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