<?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>S1405-00992024000100048</article-id>
<article-id pub-id-type="doi">10.35366/117368</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Esfinterotomía radial en colangiopancreatografía retrógrada endoscópica para manejo de coledocolitiasis de grandes elementos, experiencia institucional]]></article-title>
<article-title xml:lang="en"><![CDATA[Radial sphincterotomy in endoscopic retrograde cholangiopancreatography for the management of choledocholithiasis of large elements, institutional experience]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peña-Vergara]]></surname>
<given-names><![CDATA[Manuel Alfonso]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinedo-Vega]]></surname>
<given-names><![CDATA[Ángel Darío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Soriano]]></surname>
<given-names><![CDATA[Alan Rodrigo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Bernal]]></surname>
<given-names><![CDATA[Pedro Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Albornoz-Ríos]]></surname>
<given-names><![CDATA[Luis Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinedo-Vega]]></surname>
<given-names><![CDATA[Miguel Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Puebla &#8220;Eduardo Vázquez Navarro&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General de Puebla &#8220;Eduardo Vázquez Navarro&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de Puebla &#8220;Eduardo Vázquez Navarro&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General de Puebla &#8220;Eduardo Vázquez Navarro&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital General de Puebla &#8220;Eduardo Vázquez Navarro&#8221;  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>46</volume>
<numero>1</numero>
<fpage>48</fpage>
<lpage>53</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992024000100048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992024000100048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992024000100048&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  la esfinterotomía es comúnmente utilizada para remover litos de la vía biliar y tiene una alta tasa de éxito en litos &lt; 10 mm; sin embargo, ésta disminuye al presentarse litos de mayor tamaño; aplicando la técnica de esfinterotomía radial se presenta un aumento en el área de superficie de salida de la vía biliar, por lo que su utilidad en la extracción de litos de grandes elementos es el tema de este estudio.  Objetivo:  describir la experiencia en el uso de esfinterotomía radial en coledocolitiasis de grandes elementos en nuestro centro hospitalario.  Material y métodos:  estudio retrospectivo, observacional y clínico en pacientes con diagnóstico de coledocolitiasis de grandes elementos sometidos a colangiopancreatografía retrógrada endoscópica a los cuales se les realizó esfinterotomía radial entre los meses de abril de 2021 a abril de 2023. Variables de estudio: incidencia, edad al momento de diagnóstico, resultado de esfinterotomía y complicaciones.  Resultados:  se revisaron 35 expedientes de pacientes con diagnóstico de coledocolitiasis de grandes elementos. Se obtuvo una incidencia institucional de 13%. Edad promedio al momento del diagnóstico 58.2 años. Fue satisfactoria en 85% de los casos. Se presentaron complicaciones en 8% de los casos, la más común fue la pancreatitis.  Conclusiones:  la esfinterotomía radial, presenta porcentajes de ganancia en el área geométrica en comparación con la esfinterotomía convencional, por lo que ha demostrado utilidad para manejo de litos &gt; 10 mm en la vía biliar, sin aumentar la tasa de complicaciones en este centro hospitalario.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  sphincterotomy is commonly used to remove stones from the bile duct and has a high success rate in stones &lt; 10 mm; however, this decreases when larger stones appear; applying the radial sphincterotomy technique, there is an increase in the surface area of the bile duct outlet, so its usefulness in the extraction of stones with large elements is the subject of this study.  Objective:  To describe the experience in the use of radial sphincterotomy in large element choledocholithiasis in our hospital.  Material and methods:  longitudinal, retrospective, observational and clinical study in patients diagnosed with large element choledocholithiasis who underwent endoscopic retrograde cholangiopancreatography and underwent radial sphincterotomy between April 2021 and April 2023. Study variables: incidence, age at diagnosis, sphincterotomy results, and complications.  Results:  35 records of patients diagnosed with choledocholithiasis of large elements were reviewed. An institutional incidence of 13% was obtained. Average age at diagnosis 58.2 years. It was satisfactory in 85% of the cases. Complications occurred in 8% of cases, pancreatitis being the most common.  Conclusions:  radial sphincterotomy presents percentage gains in the geometric area compared to conventional sphincterotomy, which is why it has proven useful for managing stones &gt; 10 mm in the bile duct, without increasing the rate of complications in this hospital.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[coledocolitiasis]]></kwd>
<kwd lng="es"><![CDATA[litos de gran tamaño]]></kwd>
<kwd lng="es"><![CDATA[colangiopancreatografía retrógrada endoscópica]]></kwd>
<kwd lng="es"><![CDATA[esfinterotomía radial]]></kwd>
<kwd lng="es"><![CDATA[vía biliar común]]></kwd>
<kwd lng="en"><![CDATA[choledocholithiasis]]></kwd>
<kwd lng="en"><![CDATA[large stones]]></kwd>
<kwd lng="en"><![CDATA[endoscopic retrograde cholangiopancreatography]]></kwd>
<kwd lng="en"><![CDATA[radial sphincterotomy]]></kwd>
<kwd lng="en"><![CDATA[common bile duct]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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