<?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>S2307-04202018000100041</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2018.abril.41-43</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[HERNIA HIATAL GIGANTE. REPORTE DE CASO]]></article-title>
<article-title xml:lang="en"><![CDATA[GIANT HIATAL HERNIA. A CASE REPORT]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farina del Río]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez González]]></surname>
<given-names><![CDATA[Agustín]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Melgarejo]]></surname>
<given-names><![CDATA[Sara]]></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 II Cátedra de Clínica Quirúrgica. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas II Cátedra de Clínica Quirúrgica. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas II Cátedra de Clínica Quirúrgica. Hospital de Clínicas]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2018</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>41</fpage>
<lpage>43</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202018000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202018000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202018000100041&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN La Hernia Hiatal (HH) es una condición anatómica adquirida que se define como la protrusión o prolapso del estómago proximal o cualquier estructura no esofágica a través del hiato esofágico1. La hernia hiatal gigante (HHG) con estómago intratorácico es una enfermedad poco frecuente. Corresponde a una hernia tipo 3 o mixta (componente por deslizamiento y paraesofágico) que contiene más del 30% del estómago a nivel del tórax. Se presenta el caso de una paciente de 68 años, de sexo femenino, con imagen de una gran hernia hiatal por tránsito esofagogástrico, a la que se le realizó una funduplicatura de Nissen videolaparoscópica. Se realiza una revisión sobre la patología, su incidencia y sus opciones diagnósticas y terapéuticas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The hiatal hernia is an anatomic condition acquired; it defines as the protrusion or the prolapsed of the proximal stomach or any other non esophagic structure, through the esophageal hiatus. The giant hiatal hernia with intrathoracic stomach is an infrequent disease. It corresponds to a type III hernia or mixed hernia (sliding and paraesophageal components) that contains more than 30% of the stomach in the thorax. This case is of a patient, 68 years old, feminine, with an image of gian hiatal hernia on an upper GI, it was performed a laparoscopic Nissen surgery. This is a revision about the pathology, its incidence and it`s therapeutic and diagnosis options.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hernia Hiatal Laparoscopia Reflujo gastroesofágico.]]></kwd>
<kwd lng="en"><![CDATA[Hiatal Hernia]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopy]]></kwd>
<kwd lng="en"><![CDATA[Gastroesophageal reflux.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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