<?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>2444-6483</journal-id>
<journal-title><![CDATA[Endoscopia]]></journal-title>
<abbrev-journal-title><![CDATA[Endoscopia]]></abbrev-journal-title>
<issn>2444-6483</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Endoscopia Gastrointestinal A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-64832019000600062</article-id>
<article-id pub-id-type="doi">10.24875/end.m19000051</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Esfinterotomía endoscópica seguida de dilatación de la papila en pacientes con coledocolitiasis de grandes elementos: reporte de 58 procedimientos realizados en el Hospital General de México, Dr. Eduardo Liceaga]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villar-Tapia]]></surname>
<given-names><![CDATA[Jorge Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alzúa-Pichardo]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silis-Cravioto]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León-Rojas]]></surname>
<given-names><![CDATA[Edgar Alan de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torreblanca-Sierra]]></surname>
<given-names><![CDATA[Luis Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oregel-Aguilar]]></surname>
<given-names><![CDATA[Viridiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ornelas-Escobedo]]></surname>
<given-names><![CDATA[Edwin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés-Lias]]></surname>
<given-names><![CDATA[Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Secretaria de Salud Hospital General de México &#8220;Dr. Eduardo Liceaga&#8221; Servicio de Endoscopía Gastrointestinal]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>31</volume>
<fpage>62</fpage>
<lpage>64</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832019000600062&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832019000600062&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832019000600062&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: la esfinterotomía endoscópica seguida de dilatación de la papila (EE-DP) con balón hidrostático es un procedimiento diseñado para extraer litos grandes y evitar las altas tasas de pancreatitis observadas cuando se realiza dilatación de la papila sin esfinterotomía en el tratamiento de la coledocolitiasis.  Objetivo: reportar nuestra experiencia en una serie de pacientes con diagnóstico de coledocolitiasis de grandes elementos tratados con EE-DP.  Material y métodos: se analizaron de manera ambispectiva pacientes con coledocolitiasis de grandes elementos (&#8805;10 mm) a los que se les realizó EE-DP.  Resultados: se incluyeron 54 pacientes con una mediana de edad de 62 años (rango 26-93 años); 34 fueron mujeres (62.96%). La mediana del diámetro del balón de dilatación fue de 12 mm (rango 7-20 mm). Se tuvo éxito en la primera sesión en 36 pacientes (66.6%). Se presentaron 9 (15.5%) complicaciones inmediatas y ningún caso de mortalidad.  Conclusiones: mediante la EE-DP pueden resolverse la mayoría de las coledocolitiasis de grandes elementos con seguridad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: endoscopic sphincterotomy followed by papillary balloon dilation (ES-LBD) is a procedure designed to manage large bile duct stones and to avoid the high pancreatitis rates related to papillary balloon dilation without sphincterotomy in patients with choledocholithiasis.  Objective: to report our experience in patients with large bile duct stones managed with ES-LBD.  Material and methods: we made an ambispective study in patients with large bile duct stones (&#8805;10 mm) managed with ES-LBD.  Results: 54 patients were included, with a median age of 62 years (range 26-93 years); 34 (62.96%) were female. The median balloon dilation diameter was 12 mm (7-20 mm). The procedure was successful in 36 (66.6%) patients. There were 9 (15.5%) complications and no mortality.  Conclusions: ES-LBD can be performed successfully and safely in most patients with large bile duct stones.]]></p></abstract>
</article-meta>
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