<?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[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>S2307-04202024000300021</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2024.diciembre.21</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo del cáncer gástrico en el servicio de cirugía del Hospital Militar, periodo 2017-2022]]></article-title>
<article-title xml:lang="en"><![CDATA[Management of gastric cancer in the surgery service of the Military Hospital, period 2017-2022]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguilera]]></surname>
<given-names><![CDATA[Pananmbi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central de las Fuerzas Armadas  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>48</volume>
<numero>3</numero>
<fpage>21</fpage>
<lpage>25</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202024000300021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202024000300021&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202024000300021&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  En Paraguay, la incidencia de cáncer gástrico es relativamente baja, ubicándose en el quinto lugar entre los tipos de cáncer más frecuentes, según datos del Ministerio de Salud Pública y Bienestar Social este tipo de cáncer representa el 7,2% del total de casos registrados. 1  Objetivo  Describir el manejo del Cáncer Gástrico en el Servicio de Cirugía del Hospital Militar, Asunción - Paraguay durante el periodo 2017-2022. Materiales y métodos: Estudio observacional descriptivo, retrospectivo de corte transversal. Se realizó el reclutamiento de datos por medio de la revisión de historias clínicas. Resultados: Se evaluó un total de 13 pacientes, de los cuales 11 fueron hombres y 2 mujeres, con una edad promedio de 66 años. El motivo de consulta más frecuente fue la sensación de plenitud gástrica acompañada de pérdida de peso. En la mayoría de los casos, el diagnóstico se realizó en estadios avanzados. Los métodos diagnósticos más utilizados fueron la endoscopia digestiva alta con toma de biopsia para el análisis histológico y la tomografía computarizada para la estadificación. La técnica quirúrgica más frecuente fue la gastrectomía subtotal. Conclusión: La experiencia en el Hospital Central de las Fuerzas Armadas demostró resultados finales que son similares y comparables a los obtenidos en centros de excelencia a nivel mundial dedicados a cáncer gástrico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  In Paraguay, the incidence of gastric cancer is relatively low, ranking fifth among the most common types of cancer. According to data from the Ministry of Public Health and Social Welfare, this type of cancer accounts for 7.2% of all registered cases.  Objective:  To describe the management of Gastric Cancer in the Surgery Department of the Military Hospital, Asunción - Paraguay, during the period 2017-2022.  Materials and Methods:  A descriptive, retrospective, cross-sectional observational study. Data were collected through a review of medical records.  Results:  A total of 13 patients were evaluated, of whom 11 were men and 2 were women, with an average age of 66 years. The most common reason for consultation was a sensation of gastric fullness accompanied by weight loss. In most cases, the diagnosis was made at advanced stages. The most commonly used diagnostic methods were upper digestive endoscopy with biopsy for histological analysis and computed tomography for staging. The most frequent surgical technique was subtotal gastrectomy.  Conclusion:  The experience at the Central Hospital of the Armed Forces demonstrated final results that are similar and comparable to those obtained in world-class centers dedicated to gastric cancer.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer gástrico]]></kwd>
<kwd lng="es"><![CDATA[Helicobacter Pilory]]></kwd>
<kwd lng="es"><![CDATA[Ulcera péptica]]></kwd>
<kwd lng="es"><![CDATA[Articulo original]]></kwd>
<kwd lng="es"><![CDATA[Epidemiologia]]></kwd>
<kwd lng="en"><![CDATA[Gastric cancer]]></kwd>
<kwd lng="en"><![CDATA[Helicobacter Pylory]]></kwd>
<kwd lng="en"><![CDATA[Peptic ulcer]]></kwd>
<kwd lng="en"><![CDATA[Original article]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></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[Aranda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Yanagida]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Petry]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Características clínicas y sociodemográficos de pacientes con diagnóstico de cáncer gástrico en el Hospital Nacional de Itauguá. 2019-2020]]></article-title>
<source><![CDATA[Cir Paraguaya]]></source>
<year>2022</year>
<volume>46</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>7-11</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[Csendes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Figueroa]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Situación del cáncer gástrico en el mundo y en Chile]]></article-title>
<source><![CDATA[Rev Chil Cirugia]]></source>
<year>2016</year>
<volume>69</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>502-7</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[Guzman]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Norero]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cáncer gástrico]]></article-title>
<source><![CDATA[Rev Médica Clínica Las Condes]]></source>
<year>2014</year>
<volume>25</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>105-13</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[Forman]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Burley]]></surname>
<given-names><![CDATA[VJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gastric cancer: global pattern of the disease and an overview of environmental risk factors]]></article-title>
<source><![CDATA[Best Pract Res Clin Gastroenterol]]></source>
<year>2006</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>633-49</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[Picazo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gomez]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Gastric Cancer (Stomach Cancer)]]></article-title>
<source><![CDATA[Cancer Gastrico Atencion Fam]]></source>
<year>2018</year>
<volume>25</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>169-75</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramirez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sanchez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Helicobacter Pylori y Cáncer Gástrico]]></article-title>
<source><![CDATA[Rev Gastroenterol Peru]]></source>
<year>2008</year>
<volume>28</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>258-66</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodriguez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cancer gástrico Diagnostico y manejo]]></article-title>
<source><![CDATA[Rev Med Costa Rica]]></source>
<year>2014</year>
<volume>71</volume>
<numero>610</numero>
<issue>610</issue>
<page-range>339-42</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Levi]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sochacki]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Khoury]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[BB]]></given-names>
</name>
<name>
<surname><![CDATA[Majumdar]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cancer stem cells in Helicobacter pylori infection and aging: Implications for gastric carcinogenesis]]></article-title>
<source><![CDATA[World J Gastrointest Pathophysiol]]></source>
<year>2014</year>
<volume>5</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>366</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sun]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical evaluation of CEA, CA19-9, CA72-4 and CA125 in gastric cancer patients with neoadjuvant chemotherapy]]></article-title>
<source><![CDATA[World J Surg Oncol]]></source>
<year>2014</year>
<volume>12</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>397</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[Tocino]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Fonseca]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cigarral]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cáncer gástrico]]></article-title>
<source><![CDATA[Med - Programa Form Medica Contin]]></source>
<year>2021</year>
<volume>13</volume>
<numero>24</numero>
<issue>24</issue>
<page-range>1328-34</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[Casariego Vales]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pita Fernández]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rigueiro Veloso]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pértega Díaz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Rabuñal Rey]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[García-Rodeja]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Supervivencia en 2.334 pacientes con cáncer gástrico y factores que modifican el pronóstico]]></article-title>
<source><![CDATA[Med Clínica]]></source>
<year>2001</year>
<volume>117</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>361-5</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12.</label><nlm-citation citation-type="">
<collab>Esmo</collab>
<source><![CDATA[Cáncer de estómago: una guía para pacientes]]></source>
<year>2020</year>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Matta de Garcia]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[De leon]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterizacion del Cancer gastrico]]></article-title>
<source><![CDATA[Rev Científica Fac Cienc Quím Farm]]></source>
<year>2015</year>
<volume>25</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>9-20</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[Pilco]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Viale]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Deza]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cáncer gástrico en un hospital general]]></article-title>
<source><![CDATA[Revista Gastroenterologia del Peru]]></source>
<year>2009</year>
<volume>29</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>66-74</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<collab>Japanese Gastric Cancer Association</collab>
<article-title xml:lang=""><![CDATA[Japanese gastric cancer treatment guidelines 2010]]></article-title>
<source><![CDATA[Gastric Cancer]]></source>
<year>2011</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>113-23</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Csendes]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Burdiles]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Braghetto]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Diaz]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Maluenda]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A prospective randomized study comparing D2 total gastrectomy versus D2 total gastrectomy plus splenectomy in 187 patients with gastric carcinoma]]></article-title>
<source><![CDATA[Surgery]]></source>
<year>2002</year>
<volume>131</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>401-7</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[Sánchez-Barriga]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Tendencias de mortalidad y años potenciales de vida perdidos por cáncer gástrico en México, 2000-2012]]></article-title>
<source><![CDATA[Rev Gastroenterol México]]></source>
<year>2016</year>
<volume>81</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>65-73</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
