<?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>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992016000400192</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia inicial de la pancreatogastroanastomosis como alternativa de reconstrucción en la pancreatoduodenectomía en el Instituto Nacional de Cancerología México]]></article-title>
<article-title xml:lang="en"><![CDATA[Pancreaticogastrostomy as an alternative reconstruction after pancreaticoduodenectomy. Initial experience in the Instituto Nacional de Cancerología México]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miranda-Dévora,]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López-Basave,]]></surname>
<given-names><![CDATA[Horacio N]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montalvo-Esquivel,]]></surname>
<given-names><![CDATA[Gonzalo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León-Takahashi,]]></surname>
<given-names><![CDATA[Alberto M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera-Gómez,]]></surname>
<given-names><![CDATA[Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padilla-Rosciano]]></surname>
<given-names><![CDATA[Alejandro E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cancerología Departamento de Gastroenterología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Nacional de Cancerología Subdirección de Cirugía Oncológica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Cancerología  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2016</year>
</pub-date>
<volume>38</volume>
<numero>4</numero>
<fpage>192</fpage>
<lpage>198</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992016000400192&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992016000400192&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992016000400192&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La reconstrucción en la pancreatoduodenectomía demanda una amplia capacidad técnica y conocimiento anatómico para la obtención de buenos resultados. La pancreatogastroanastomosis (PG) como alternativa de reconstrucción ha demostrado la disminución de fístula pancreática y morbilidad en diversos estudios.  Objetivos:  Describir la experiencia inicial con la reconstrucción PG posterior a la pancreatoduodenectomía en el Instituto Nacional de Cancerología México, evaluando la morbilidad y mortalidad durante los primeros 30 días postquirúrgicos.  Material y método:  En el periodo comprendido de marzo de 2014 a abril de 2015 se realizó un estudio retrospectivo-observacional con 12 pacientes reconstruidos con PG de manera electiva por nueve residentes de cirugía oncológica bajo la supervisión de un cirujano experimentado.  Resultados:  Se realizó PG a siete hombres (58.3%) y cinco mujeres (41.7%) posterior a la pancreatoduodenectomía, en 83.3% (N10) con preservación pilórica y en 16.7% gastroyeyunoanastomosis en Y Roux. El tiempo quirúrgico fue de 501 min (420-610). El sangrado promedio fue 611 ml (150-1,500 ml), morbilidad general de 41.7% (N5), una fuga biliar (8.3%), mortalidad 0%, reintervenciones 0%, reingreso hospitalario 3 (25%).  Conclusiones:  La disminución de fístula pancreática posterior a la reconstrucción PG y la naturaleza reproducible del procedimiento en cirujanos jóvenes hace de este tipo de reconstrucción una opción terapéutica durante la pancreatoduodenectomía.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Pancreatoduodenectomy reconstruction demands an extensive knowledge of anatomical and technical ability to obtain better outcomes. Pancreaticogastrostomy (PG) as an alternative reconstruction to decreased a pancreatic fistula and morbidity has been reported in different papers.  Objective:  Describe the initial experience with pancreaticogastrostomy (PG) reconstruction during the first thirty days post-surgery in the Instituto Nacional de Cancerologia Mexico.  Material and methods:  During the period from March 2014 to April 2015 a retrospective-observational study was conducted. Twelve patients reconstructed with PG electively by nine residents under the supervision of a senior oncological surgeon were studied.  Results:  Seven male (58.3%), five female (41.7%) underwent PG after a pancreaticoduodenectomy in 83.3% (N10) with pyloric preservation and 16.7% gastro-jejunal anastomosis by Y in Roux. Operating time was 501 min (420-610), average bleeding 611 ml (150-1,500 ml), general morbidity 41.7% (N5), one bile leakage (8.3%), mortality 0%, re-interventions 0%, rehospitalization 3 (25 %).  Conclusions: Decreased pancreatic fistula following reconstruction PG, and reproducible procedure in young surgeons makes this type of reconstruction a therapeutic option during pancreatoduodenectomy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer de páncreas]]></kwd>
<kwd lng="es"><![CDATA[reconstrucción]]></kwd>
<kwd lng="es"><![CDATA[Whipple]]></kwd>
<kwd lng="es"><![CDATA[pancreatogastroanastomosis]]></kwd>
<kwd lng="en"><![CDATA[Pancreatic cancer]]></kwd>
<kwd lng="en"><![CDATA[reconstruction]]></kwd>
<kwd lng="en"><![CDATA[Whipple]]></kwd>
<kwd lng="en"><![CDATA[pancreaticogastrostomy]]></kwd>
</kwd-group>
</article-meta>
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<article-title xml:lang=""><![CDATA[Pancreaticogastrostomy: a further evaluation]]></article-title>
<source><![CDATA[Ann Surg]]></source>
<year>1975</year>
<volume>181</volume>
<page-range>541-5</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
