<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032023000100066</article-id>
<article-id pub-id-type="doi">10.35366/109025</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pancreatitis aguda y trombosis esplácnica: perspectivas actuales]]></article-title>
<article-title xml:lang="en"><![CDATA[Acute pancreatitis and splanchnic thrombosis: current perspectives]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Taracena Pacheco]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Francés Frangos]]></surname>
<given-names><![CDATA[Estefanía]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arias Siu]]></surname>
<given-names><![CDATA[Pavel Yael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez Benítez]]></surname>
<given-names><![CDATA[Luis Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Weber]]></surname>
<given-names><![CDATA[Federico Leopoldo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Greene]]></surname>
<given-names><![CDATA[Enrique Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad La Salle Hospital Angeles Pedregal Facultad Mexicana de Medicina]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Angeles Pedregal Servicio Social ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad La Salle Hospital Angeles Pedregal Facultad Mexicana de Medicina]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad La Salle Hospital Angeles Pedregal Facultad Mexicana de Medicina]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2023</year>
</pub-date>
<volume>21</volume>
<numero>1</numero>
<fpage>66</fpage>
<lpage>70</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032023000100066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032023000100066&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032023000100066&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La trombosis de la circulación esplácnica secundaria a la pancreatitis aguda es una entidad que poco a poco ha resultado más relevante para esta patología. La incidencia es variable estimando una prevalencia de 10.2 a 17.4% en las cohortes con búsqueda intencional. La presentación clínica es dependiente del segmento del sistema circulatorio afectado y para el diagnóstico contamos con dos líneas de abordaje: los métodos que no involucran estudios de imagen, en especial marcadores como dímero D y lactato, los cuales han demostrado tener un uso limitado; y los estudios de imagen: el ultrasonido Doppler y la tomografía contrastada, dependiendo del territorio vascular afectado. En relación al tratamiento farmacológico, el uso de anticoagulación a dosis terapéutica no ha demostrado mayor riesgo de sangrado ni una reducción significativa en la mortalidad. En conclusión, la trombosis de la circulación esplácnica relacionada con pancreatitis aguda es una entidad que es más frecuente de lo que se creía previamente. A pesar de que el beneficio del tratamiento se mantenga aún sin evidencia contundente en relación a su beneficio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Thrombosis of the splanchnic circulation secondary to acute pancreatitis is an entity that has gained more interest and has become relevant to this pathology. The incidence is variable, estimating a prevalence of 10.2 to 17.4% in intentional cohorts. The clinical presentation is dependent on the segment of the circulatory system affected. We have two lines of diagnosis for the diagnosis: methods that do not involve imaging studies, especially markers such as D-dimer and lactate, which have been shown to be of limited use. Furthermore, imaging studies: Doppler ultrasound and contrasted tomography depending on the affected vascular territory. Concerning pharmacological treatment, the use of anticoagulation at therapeutic doses has not shown an increased risk of bleeding or a significant reduction in mortality. In conclusion, thrombosis of the splanchnic circulation related to acute pancreatitis is an entity that is more frequent than previously believed, even though the benefit of treatment is still inconclusive.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pancreatitis aguda]]></kwd>
<kwd lng="es"><![CDATA[trombosis]]></kwd>
<kwd lng="es"><![CDATA[circulación esplácnica]]></kwd>
<kwd lng="es"><![CDATA[trombosis portal]]></kwd>
<kwd lng="es"><![CDATA[trombosis mesentérica]]></kwd>
<kwd lng="en"><![CDATA[acute pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[thrombosis]]></kwd>
<kwd lng="en"><![CDATA[splanchnic circulation]]></kwd>
<kwd lng="en"><![CDATA[portal thrombosis]]></kwd>
<kwd lng="en"><![CDATA[mesenteric thrombosis]]></kwd>
</kwd-group>
</article-meta>
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