<?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>S2444-64832019000600358</article-id>
<article-id pub-id-type="doi">10.24875/end.m19000123</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colonoscopia y hemorragia gastrointestinal baja en el paciente anciano en el Hospital Juárez De México, Enero Del 2018 A Mayo Del 2019]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos-Raudry]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manrique]]></surname>
<given-names><![CDATA[Martín Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez-García]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Castello]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Corona]]></surname>
<given-names><![CDATA[Teófilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Galindo]]></surname>
<given-names><![CDATA[María Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerna-Cardona]]></surname>
<given-names><![CDATA[Jony]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montoya-Pérez]]></surname>
<given-names><![CDATA[Brenda Ivette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molina-Rodríguez]]></surname>
<given-names><![CDATA[José Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Juárez de México Servicio de Endoscopia 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>358</fpage>
<lpage>361</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832019000600358&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832019000600358&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832019000600358&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: El envejecimiento poblacional es un fenómeno global. Según el Instituto Nacional de Estadística y Geografía, para el 2015 la población mexicana mayor a 60 años representaba alrededor del 9%; La hemorragia gastrointestinal baja afecta predominantemente a pacientes de edad avanzada, los factores de riesgo propios de la edad, las comorbilidades y el uso de antiagregantes plaquetarios, anticoagulantes, y antiinflamatorios, convierten a esta patología en un reto clínico. La colonoscopia está recomendada como primera línea en el diagnóstico y manejo de LGIB.  Objetivo: Describir la frecuencia, etiología y comorbilidades de hemorragia gastrointestinal baja en pacientes de 60 años o más del Hospital Juárez de México Analizar las diferencias entre sexos y los hallazgos endoscópicos.  Material y métodos: Se realizo estudio retrospectivo de los pacientes mayores de 60 años a los que se les realizaron estudios de colonoscopia con hemorragia de tubo digestivo bajo, se recabó información a partir del archivo de reportes de endoscopia y del expediente clínico. Se realizó análisis estadístico empleando el software SPSS versión 25 para Windows.  Resultados: Se encontraron de 187 pacientes con hemorragia de tubo digestivo bajo, de estos el 71(38.5 %) fueron mayores de 60 años. la mediana de edad fue de 80 años, mujeres en 53.5%. Comorbilidades en 47.9% siendo la hipertensión arterial sistémica la más prevalente (19.7%). De la totalidad solo se documentó hemorragia activa en 13 (18.3%) pacientes con manejo endoscópico exitoso en el 100% de los casos no se reportó ninguna complicación inmediata.Los hallazgos endoscópicos fueron enfermedad diverticular en el 53.5%, pólipos 22.5%, enfermedad hemorroidal 14.1%, proctopatía post radiación 11.3%, entre otras. No se presentaron diferencias en la frecuencia de presentación entre ombres y mujeres respectivamente: enfermedad diverticular (51.5% y 5.3% p=0.81); pólipos (18.3% y 26.3%, p=0.57); enfermedad hemorroidal (15.2% 13.2%, p=1).  Conclusión: La hemorragia de tubo digestivo bajo es una patología frecuente entre pacientes de la tercera edad, las principales causas en nuestros pacientes son similares con las descritas en la literatura mundial, prevaleciendo la enfermedad diverticular como la más común en ambos sexos; sin diferencias entre ambos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Population aging is a global phenomenon. According to the National Institute of Statistics and Geography, for 2015 the Mexican population over 60 years old represented around 9%; Low gastrointestinal bleeding (LGIB) affects predominantly elderly patients, the risk factors of age, comorbidities and the use of antiplatelet agents, anticoagulants, and anti-inflammatory drugs, make this pathology a clinical challenge. Colonoscopy is recommended as the first line in the diagnosis and management.  Objective: To describe the frequency, etiology and comorbidities of low gastrointestinal hemorrhage in patients aged 60 years and older from the Hospital Juárez de México. To analyze the differences between sexes and endoscopic findings.  Material and methods: A retrospective study of patients older than 60 years who underwent colonoscopy studies with low digestive tract hemorrhage was performed, information was collected from the endoscopy report file and the clinical file. Statistical analysis was performed using SPSS software version 25 for Windows.  Results: There were 187 patients with low digestive tract hemorrhage, of these 71 (38.5%) were older than 60 years. the median age was 80 years, women 53.5%. Comorbidities in 47.9%, with systemic hypertension being the most prevalent (19.7%). Of the totality, only active hemorrhage was documented in 13 (18.3%) patients with successful endoscopic management achieved in 100% of the cases, no immediate complications were reported. The endoscopic findings were diverticular disease in 53.5%, polyps 22.5%, haemorrhoidal disease 14.1%, post radiation proctopathy 11.3%, among others. There were no differences in the frequency of presentation between men and women respectively: diverticular disease (51.5% and 5.3% p = 0.81); polyps (18.3% and 26.3%, p = 0.57); Hemorrhoidal disease (15.2% 13.2%, p = 1).  Conclusion: The lower digestive tract hemorrhage is a frequent pathology among elderly patients, the main causes in our patients are like those described in the world literature, with diverticular disease prevailing as the most common in both sexes; without differences between both.]]></p></abstract>
</article-meta>
</front><back>
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