<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2021000800084</article-id>
<article-id pub-id-type="doi">10.24875/ciru.20001404</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Trombosis portoesplenomesentérica posterior a manga gástrica por laparoscopia]]></article-title>
<article-title xml:lang="en"><![CDATA[Portosplenomesenteric thrombosis after laparoscopic gastric sleeve]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaspe-Caina]]></surname>
<given-names><![CDATA[Carlos L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna-Álvarez]]></surname>
<given-names><![CDATA[Rubén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Hernández]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aparicio]]></surname>
<given-names><![CDATA[Brandon S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedraza]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[Luis F.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad El Bosque Departamento de Cirugía Bariátrica ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad El Bosque Departamento de Cirugía General ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad El Bosque Departamento de Medicina ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>89</volume>
<fpage>84</fpage>
<lpage>89</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2021000800084&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2021000800084&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2021000800084&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes La cirugía bariátrica es una forma eficaz de perder peso, y la manga gástrica laparoscópica es una de las técnicas usadas actualmente. La trombosis venosa portoesplenomesénterica es una complicación que se presenta en los pacientes sometidos a esta técnica quirúrgica. En el momento no existen protocolos para disminuir el riesgo de este evento trombótico, por lo cual mostramos nuestra experiencia y proponemos un algoritmo.  Casos clínicos Se evaluaron 620 pacientes, de los cuales seis, entre los días 10 y 20 de posoperatorio, presentaron dolor abdominal, náuseas y deshidratación. Se les realizó tomografía computarizada de abdomen con doble contraste, que demostró trombosis portomesentérica y portoesplenomesentérica; además, dos pacientes tuvieron signos de isquemia intestinal y requirieron reintervención quirúrgica. Uno de los pacientes falleció por tromboembolia pulmonar.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background Bariatric surgery is an effective way to lose weight and the laparoscopic gastric sleeve is one of the techniques currently used. Portosplenomesenteric venous thrombosis is a complication that occurs in patients undergoing this surgical technique. At the moment there are no protocols to reduce the risk of this thrombotic event, so we show our experience and propose an algorithm.  Case report A total of 620 patients were evaluated, six of whom presented between postoperative days 10 to 20 abdominal pain, nausea and dehydration. Therefore, a double contrast abdominal computed tomography scan was carried out, which demonstrated portomesenteric and portoesplenomesenteric thrombosis, in addition to two patients with signs of intestinal ischemia, which required reoperation. One of the patients died of pulmonary thromboembolism.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía bariátrica]]></kwd>
<kwd lng="es"><![CDATA[Trombosis venosa]]></kwd>
<kwd lng="es"><![CDATA[Y de Roux laparoscópico]]></kwd>
<kwd lng="es"><![CDATA[Manga gástrica laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Bariatric surgery]]></kwd>
<kwd lng="en"><![CDATA[Venous thrombosis]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic Roux-en-Y]]></kwd>
<kwd lng="en"><![CDATA[Laparoscopic gastric sleeve]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
</kwd-group>
</article-meta>
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