<?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>S2307-04202019000100032</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2019.abril.32-34</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[AMPULECTOMIA ENDOSCOPICA. HOSPITAL NACIONAL DE ITAUGUA]]></article-title>
<article-title xml:lang="en"><![CDATA[ENDOSCOPIC AMPULECTOMY. NATIONAL HOSPITAL OF ITAUGUA]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Adorno]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[Ruth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itauguá  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2019</year>
</pub-date>
<volume>43</volume>
<numero>1</numero>
<fpage>32</fpage>
<lpage>34</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202019000100032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202019000100032&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202019000100032&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Los tumores ampulares corresponden a aquellos ubicados en la unión de los segmentos terminales del conducto pancreático y colédoco. Constituyen entre un 1 a 2% de los tumores del tracto digestivo, se caracterizan por su lento crecimiento y por corresponder a los tumores periampulares de mejor pronóstico. Existen varias opciones terapéuticas, una de ellas es, la resección endoscópica. Presentamos el caso clínico de un hombre de 70 años, que consulta por cuadro de ictericia progresiva, coluria, acolia y dolor abdominal. La TC de abdomen es sugerente de neoplasia periampular. En la colangiografía retrógrada endoscópica se constató una lesión proliferativa irregular y friable ubicado en la ampolla de váter, sugerente de ampuloma. Se realiza papilotomía, instalación de endoprótesis biliar y biopsia de papila. La biopsia informa adenocarcinoma de la ampolla de váter. El tratamiento propuesto fue ampulectomía endoscópica. La anatomía patológica de la pieza resecada concluye adenoma velloso con focos de displasia de alto grado y carcinoma intramucoso sin evidencia de invasión de la submucosa.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The ampullary tumors correspond to those located at the junction of the terminal segments of the pancreatic and common bile duct. They constitute between 1 and 2% of the tumors of the digestive tract, are characterized by their slow growth and correspond to the periampullary tumors with the best prognosis. There are several therapeutic options, one of them is endoscopic resection. We present the clinical case of a 70-year-old man who consulted due to progressive jaundice, choluria, acolia and abdominal pain. Abdominal CT is suggestive of periampullary neoplasia. Endoscopic retrograde cholangiography showed an irregular and friable proliferative lesion located in the ampulla of Vater, suggestive of ampuloma. Papillotomy, biliary stenting, and papilla biopsy are performed. Biopsy reports adenocarcinoma of the ampulla of Vater. The proposed treatment was endoscopic ampullectomy. The pathological anatomy of the resected specimen concludes villous adenoma with foci of high grade dysplasia and intramucosal carcinoma without evidence of invasion of the submucosa.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tumores periampulares]]></kwd>
<kwd lng="es"><![CDATA[ampulectomía endoscópica]]></kwd>
<kwd lng="en"><![CDATA[periampullary tumors]]></kwd>
<kwd lng="en"><![CDATA[endoscopic ampullectomy]]></kwd>
</kwd-group>
</article-meta>
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