<?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>S2444-64832019000600532</article-id>
<article-id pub-id-type="doi">10.24875/end.m19000168</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Relación entre la morfología del ámpula de váter y técnica de canulación en CPRE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amador-Miranda]]></surname>
<given-names><![CDATA[Bernardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Marín]]></surname>
<given-names><![CDATA[Alan Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tepepa-López]]></surname>
<given-names><![CDATA[Francisco Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Becerra-Blancas]]></surname>
<given-names><![CDATA[Francisco J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lagunas-Quiroz]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad Medico Quirúrgica Juárez Centro Servicio De Endoscopia ]]></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>532</fpage>
<lpage>537</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832019000600532&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832019000600532&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832019000600532&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Desde que el Dr. McCune, en 1966, describe por primera vez el procedimiento de colangiografía retrograda endoscópica (CPRE) se despertó un enorme interés por mejorar el procedimiento. Existen diversos intentos por entender los factores que hacen que la canulación selectiva de la vía biliar sea difícil, entre estos esfuerzos tenemos la elaboración de clasificaciones basadas en el aspecto macroscópico de la papila duodenal e intentos por relacionar el tipo de clasificación anatómica con la dificultad del procedimiento, lo anterior con el fin de disminuir las comorbilidades asociadas a la vía biliar difícil. E Haraldsson publica en el 2017 una clasificación basada en la morfología del ámpula de váter; siendo el propósito de este trabajo correlacionar la morfología con la técnica de canulación elegida por el operador.  Objetivos: Conocer si la morfología del ámpula de váter modifica la técnica de canulación en CPRE.  Material y métodos: Estudio retrospectivo, observacional, transversal y descriptivo. Mediante revisión bibliográfica se compilaron en hoja de Excel (Office Professional 2016) los datos referentes a la morfología del ámpula y la técnica de canulación empleada en CPRES realizadas en la UMQ Juárez Centro del 01/03/2018 al 01/03/2019.  Resultados: Se analizaron 150 reportes de los cuales 64 se clasificaron como tipo 1 (42.6%), 61 tipo 2 (40.66%), 18 tipo 3 (12%) y 7 tipo 4 (4.66%). El 85.9 %, 39.34 %, 50% y 71.4 % de las ámpulas clasificadas como tipo 1, tipo 2, tipo 3 y tipo 4, respectivamente se canalizaron mediante técnicas convencionales así mismo 14.06 %, 60.66%, 50% y 28.6% de las ámpulas clasificadas como tipo 1, tipo 2, tipo 3 y tipo 4, respectivamente se canalizaron mediante técnicas avanzadas  Conclusiones: Se observó que la mayoría de las ámpulas tipo 1 fueron canuladas mediante técnicas convencionales a diferencia de las ámpulas tipo 2 las cuales fueron canuladas en su mayoría mediante técnicas avanzadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Since Dr. McCune, in 1966, described for the first time the endoscopic retrograde cholangiography (ERCP) procedure, a great interest in improving the procedure was awakened.There are several attempts to understand the factors that make the selective cannulation of the bile duct difficult, among these efforts we have the elaboration of classifications based on the macroscopic aspect of the duodenal papilla and attempts to relate the type of anatomical classification with the difficulty of the procedure, this in order to reduce the comorbidities associated with the difficult bile duct E Haraldsson publishes in 2017 a classification based on the morphology of the váter ampule; The purpose of this work is to correlate the morphology with the canulation technique chosen by the operator.  Objectives: To know if the morphology of the vater ampule modifies the cannulation technique in ERCP.  Material and methods: Retrospective, observational, transversal and descriptive study. By means of a bibliographic review, the data referring to the morphology of the ampule and the cannulation technique used in CPRES carried out at the UMQ Juárez Centro from 03/01/2018 to 03/01/2019 were compiled on an Excel sheet (Office Professional 2016).  Results: 150 reports were analyzed, of which 64 were classified as type 1 (42.6%), 61 type 2 (40.66%), 18 type 3 (12%) and 7 type 4 (4.66%). 85.9%, 39.34%, 50% and 71.4% of the ampoules classified as type 1, type 2, type 3 and type 4, respectively, were channeled by conventional techniques, as well as 14.06%, 60.66%, 50% and 28.6% of the Amps classified as type 1, type 2, type 3 and type 4, respectively, were canalized using advanced techniques.  Conclusions: It was observed that the majority of type 1 ampules were cannulated by conventional techniques, unlike type 2 ampules which were cannulated mostly by advanced techniques.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Clasificación de Haraldsson]]></kwd>
<kwd lng="es"><![CDATA[Ámpula de váter]]></kwd>
<kwd lng="es"><![CDATA[Canulación difícil]]></kwd>
<kwd lng="es"><![CDATA[CPRE]]></kwd>
<kwd lng="es"><![CDATA[Técnicas de canulación]]></kwd>
<kwd lng="en"><![CDATA[Haraldsoon classification]]></kwd>
<kwd lng="en"><![CDATA[Váter ampulla]]></kwd>
<kwd lng="en"><![CDATA[Difficult cannulation]]></kwd>
<kwd lng="en"><![CDATA[ERCP]]></kwd>
<kwd lng="en"><![CDATA[Canulation techniques]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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