<?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>S2307-04202016000100029</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2016.mayo.29-32</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[FISTULA ENTEROLAPAROTÓMICA POST-OPERATORIA PRESENTACIÓN DE CASO CLÍNICO Y REVISIÓN DE LITERATURA]]></article-title>
<article-title xml:lang="en"><![CDATA[POSTOPERATIVE ENTEROLAPAROTOMICA FISTULA PRESENTATION OF CASE REPORT AND REVIEW OF LITERATURE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cuevas-Delgado]]></surname>
<given-names><![CDATA[Rolando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomez]]></surname>
<given-names><![CDATA[Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandez]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Porto-Varela]]></surname>
<given-names><![CDATA[Mauro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montiel-Roa]]></surname>
<given-names><![CDATA[Arnaldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central del IPS. Instituto de Previsión Social Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>05</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>05</month>
<year>2016</year>
</pub-date>
<volume>40</volume>
<numero>1</numero>
<fpage>29</fpage>
<lpage>32</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202016000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202016000100029&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202016000100029&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Se define a la fístula como una comunicación anormal entre dos superficies epitelizadas. Se presenta como una complicación postoperatoria, con una morbimortalidad elevada. Se clasifica según su etiología, topología y fisiología. En 1964 Chapmann propuso 4 principios de manejo divididos en etapas. Se presenta el caso de un paciente de sexo masculino de 43 años con antecedente de traumatismo penetrante de abdomen por proyectil de arma de fuego hace 1 año. Acude al Servicio 1 año después por cuadro de secreción intestinal por cicatriz quirúrgica, con debito mayor a 500cc por día. Es diagnosticado con una fistula enterolaparotómica (FEL) de alto débito. Recibe tratamiento médico conservador por 4 a 6 semanas y posteriormente se decide conducta quirúrgica. Se realiza laparotomía, liberación de adherencias, sutura intestinal e ileostomía. Paciente con buena evolución post operatoria es dado de alta en su décimo día post operatorio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY A fistula is defined as an abnormal communication between two epithelialized surfaces. It is presented as a postoperathoria, complicacion with a elevated morbidity and mortality. It is classified according to it is etiologicalogy, topology and physiology. In 1964 Chapmann proposed four principles of management, divided into stages. We presents the case of 43 years old male patient with a history of penetrating abdominal trauma by firearm projectile one year ago. Now he come of our surgery service because he was present an intestinal secretion by surgical scar, with a 500cc per day. He it is diagnosed with enterocutaneous fistula (ECF) of high-output. He is received Conservative medical treatment for four to six weeks and later surgical treatment will be decided. Laparotomy, release of adhesions, intestinal suture and ileostomy is performed. The patient present a good postoperative evolution and he was become out of ten day after surgery.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enterocutáneas]]></kwd>
<kwd lng="es"><![CDATA[tratamiento conservador]]></kwd>
<kwd lng="es"><![CDATA[tratamiento quirúrgico]]></kwd>
<kwd lng="en"><![CDATA[in-terocutáneas]]></kwd>
<kwd lng="en"><![CDATA[conservative treatment]]></kwd>
<kwd lng="en"><![CDATA[surgical treatment]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cárdenas]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Cárdenas]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Troncoso]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fístulas Intestinales en el Servicio de Cirugía del Hospital del Salvador]]></article-title>
<source><![CDATA[Rev Hosp Clin Univ Chile]]></source>
<year>2010</year>
<volume>21</volume>
<page-range>105-10</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Borison]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Bloom]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Pritchard]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of enterocutaneous and colocutaneous fistulas]]></article-title>
<source><![CDATA[Dis Colon]]></source>
<year>1992</year>
<volume>2</volume>
<numero>35</numero>
<issue>35</issue>
<page-range>635-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cornalo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Goznalez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Villella]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of Postoperative Fistulae Resistant to Conservative Management Using Biological Fibrin Blue]]></article-title>
<source><![CDATA[Endoscopic]]></source>
<year>2002</year>
<volume>8</volume>
<numero>34</numero>
<issue>34</issue>
<page-range>632-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Evenson]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Current Management of Enterocutaneous Fistula]]></article-title>
<source><![CDATA[J Gastrointestinal Surg]]></source>
<year>2006</year>
<volume>1</volume>
<numero>23</numero>
<issue>23</issue>
<page-range>10-2</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fistula enterocutanea de dificil manejo. Caso Clinico]]></article-title>
<source><![CDATA[Rev med hondur.]]></source>
<year>2010</year>
<volume>78</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>129-31</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vincench]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Paimoa]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Nuevos enfoques en el tratamiento de las fístulas enterocutáneas]]></source>
<year>2012</year>
<volume>16</volume>
<numero>1</numero>
<issue>1</issue>
<publisher-loc><![CDATA[La Habana ]]></publisher-loc>
<publisher-name><![CDATA[Hospital General Universitario Vladimir Ilich Lenin]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nubiola]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Badia]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Martinez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of Postoperative Enterocutaneous Fistulae with the Long Half Live Somatostatone Analogue]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1989</year>
<volume>2</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>56-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parrilla]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Landa]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirugia AEC Asociación española de cirujanos]]></source>
<year>2010</year>
<edition>2nd</edition>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Editorial Panamerican]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rabago]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Ventosa]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Castro]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Merdo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Herrerra]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Gen]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Endoscopic Treatment of Postoperative Fistulae Resistant to Conservative Management Using Biological Fibrin Blue]]></article-title>
<source><![CDATA[Endoscopy]]></source>
<year>2002</year>
<volume>34</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>632-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sancho]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Constanzo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Nubiola]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Larrad]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Beguiristain]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Roqueta]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Randomized Double- Blind Placebo Controlled Trial of Early Octreotide in Patients with Postoperative Enterocutaneous fistulae]]></article-title>
<source><![CDATA[Br J Surg.]]></source>
<year>1995</year>
<numero>82</numero>
<issue>82</issue>
<page-range>638-41</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Talé]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Grajeda]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Letona]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Marroquín]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[O.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Manejo de pacientes con fistulas enterocutáneas]]></article-title>
<source><![CDATA[Rev Guatem Cir]]></source>
<year>2005</year>
<volume>21</volume>
<page-range>46-50</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wainstein]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Irigoyen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Beninka]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fístulas enterocutáneas]]></article-title>
<source><![CDATA[Enciclopedia cirugía digestiva]]></source>
<year>2014</year>
<volume>255</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1-29</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Argenta]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Morykewas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Vacuumassisted closure: a new method for wound control and treatment: clinical expierence]]></article-title>
<source><![CDATA[Ann Plast Surg]]></source>
<year>1997</year>
<numero>38</numero>
<issue>38</issue>
<page-range>563-77</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Banwell]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Novel perspectives in wound care: topical negative pressure therapy]]></article-title>
<source><![CDATA[ETRS]]></source>
<year>2002</year>
<numero>92</numero>
<issue>92</issue>
<page-range>49-50</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Davis]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Controversies in the Care of the Enterocutaneous Fistula]]></article-title>
<source><![CDATA[Surg Clin]]></source>
<year>2013</year>
<numero>93</numero>
<issue>93</issue>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Foster]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lefor]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tratamiento general de las fístulas gastrointestinales]]></article-title>
<source><![CDATA[Clin. Q. NA.]]></source>
<year>1996</year>
<numero>76</numero>
<issue>76</issue>
<page-range>1037- 54</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Schecter]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Hirshberg]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Chang]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enteric fistulas: principles of management]]></article-title>
<source><![CDATA[J Am]]></source>
<year>2009</year>
<volume>4</volume>
<numero>209</numero>
<issue>209</issue>
<page-range>484-91</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ace]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[delaney]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Senagore]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Connor]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Renzi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical outcome and Factors Predictive of Recurrence After Enterocutaneous Fistula]]></article-title>
<source><![CDATA[World J Surg.]]></source>
<year>2004</year>
<volume>5</volume>
<numero>240</numero>
<issue>240</issue>
<page-range>825-31</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wanstein]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Fistulas enteroatmosféricas]]></article-title>
<source><![CDATA[]]></source>
<year>2013</year>
<numero>170</numero>
<issue>170</issue>
<page-range>11-53</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
