<?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>S1405-00992020000100006</article-id>
<article-id pub-id-type="doi">10.35366/92705</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores que condicionan severidad de colecistitis grado I vs. grado II en mujeres adultas]]></article-title>
<article-title xml:lang="en"><![CDATA[Factors associated with severity of grade I cholecystitis vs grade II in adult female patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz-Rosales]]></surname>
<given-names><![CDATA[Juan de Dios]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz-Ruvalcaba]]></surname>
<given-names><![CDATA[Oscar I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mena-Arias]]></surname>
<given-names><![CDATA[Gilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Polanco]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 35 ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Hospital General de Zona No. 35 ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>42</volume>
<numero>1</numero>
<fpage>6</fpage>
<lpage>12</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992020000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992020000100006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992020000100006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La colelitiasis es un problema de salud pública en México. La obesidad se considera un factor de riesgo de la génesis de esta enfermedad; sin embargo, no está bien definido su papel con respecto a la influencia en la severidad del cuadro de colecistitis.  Objetivo:  Evaluar los factores que condicionan la severidad en un cuadro de colecistitis (grado I vs. grado II, según las guías de Tokio 18) en mujeres en un hospital público en Ciudad Juárez.  Material y métodos:  Estudio transversal en mujeres con colecistitis grado I y II sometidas a colecistectomía laparoscópica. Se evaluaron y compararon las siguientes variables: edad, peso, talla, índice de masa corporal (IMC), cintura, cadera, índice cintura/cadera (ICC), tensión arterial, glucosa, colesterol, lipoproteínas de alta densidad (HDL), triglicéridos, leucocitos, neutrófilos, tiempo quirúrgico, presencia de diabetes tipo 2 (DM2), hipertensión arterial (HTA), hipertrigliceridemia, hipercolesterolemia, dislipidemia, obesidad abdominal, obesidad por ICC y síndrome metabólico (SM).  Resultados:  Se estudiaron 132 pacientes, sólo se observó diferencia estadísticamente significativa y significancia clínica en el promedio de triglicéridos (155.9 vs. 178.4; p = 0.008), y en la presencia de hipertrigliceridemia (40.5% vs. 70.8%; p = 0.001).  Conclusiones:  La obesidad medida por el IMC, cintura y/o ICC no parecen tener relación con el grado de severidad de la colecistitis (grado I vs. grado II), mientras que el promedio de triglicéridos y la presencia de hipertrigliceridemia sí pueden actuar como factores agravantes de la colecistitis aguda grado II.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Cholelithiasis is a great public health problem in Mexico. Obesity plays a role during genesis of gallbladder disease, however, is not clear if it affects the severity of cholecystitis.  Objective:  The aim of this study was to evaluate risk factors for severity in cholecystitis (grade I vs grade II) in female patients.  Material and methods:  Cross-sectional study to evaluate risk factors to severity during cholecystitis (grade I vs grade II) in women that were underwent to laparoscopic cholecystectomy. We evaluated and compared: age, weight, height, body mass index (BMI), waist, hip, waist-hip index (WHI), blood pressure, glucose, cholesterol, high density lipoproteins (HDL), triglycerides, leucocytes, neutrophils, surgical time, presence of type 2 diabetes, arterial hypertension, hypertriglyceridemia, hypercholesterolemia, dyslipidemia, central obesity, obesity by WHI, and metabolic syndrome.  Results:  We analyzed 132 patients that were underwent to laparoscopic cholecystectomy. Only triglycerides (155.9 vs 178.4; p = 0.008) and presence of hypertrygliceridemia (40.5% vs 70.8%; p = 0.001) were statistical different.  Conclusions:  Neither obesity by BMI nor central obesity (by waist or WHI) have a relation with severity of cholecystitis, but levels of triglycerides and presence of hypertriglyceridemia could be risk factor for severity (grade II).]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colecistitis]]></kwd>
<kwd lng="es"><![CDATA[colecistectomía]]></kwd>
<kwd lng="es"><![CDATA[cálculos biliares]]></kwd>
<kwd lng="es"><![CDATA[mujeres]]></kwd>
<kwd lng="en"><![CDATA[Cholecystitis]]></kwd>
<kwd lng="en"><![CDATA[cholecystectomy]]></kwd>
<kwd lng="en"><![CDATA[gallstones]]></kwd>
<kwd lng="en"><![CDATA[women]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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