<?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>S1405-00992018000400279</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo quirúrgico de urgencia en el síndrome de Wilkie. A propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Emergency surgical management in Wilkie syndrome. About a case]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Mar]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cárdenas Serrano]]></surname>
<given-names><![CDATA[Oscar E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Correa]]></surname>
<given-names><![CDATA[Laura A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moran Sierra]]></surname>
<given-names><![CDATA[Oscar T]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Navarro López]]></surname>
<given-names><![CDATA[Ana L]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Delgado]]></surname>
<given-names><![CDATA[Yazmin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Escobedo]]></surname>
<given-names><![CDATA[Sergio U]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico Nacional Siglo XXI  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General de México  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General de México Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>4</numero>
<fpage>279</fpage>
<lpage>281</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992018000400279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992018000400279&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992018000400279&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  El síndrome de la arteria mesentérica superior o síndrome de Wilkie es una causa poco frecuente de obstrucción intestinal posterior a la pérdida masiva de peso. El diagnóstico definitivo se establece mediante estudios de imagen y el tratamiento inicial es conservador; cuando éste falla, es necesario el manejo quirúrgico.  Informe de caso:  Mujer de 43 años con síndrome de Wilkie se presenta con síntomas de obstrucción intestinal de tres semanas de evolución. La tomografía de abdomen demostró dilatación gástrica y duodenal considerable que requirió manejo quirúrgico de urgencia, se realizó una duodenoyeyunostomía abierta sin complicaciones.  Conclusión:  El síndrome de Wilkie es una complicación rara posterior a la pérdida acelerada de peso que puede requerir manejo quirúrgico de urgencia y debe considerarse en pacientes con dicho antecedente y un cuadro de oclusión intestinal.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  Superior mesenteric artery syndrome or Wilkie&#8217;s syndrome is a rare cause of intestinal obstruction after massive weight loss. The definitive diagnosis is established by imaging studies and the initial treatment is conservative; when this fails, surgical management is necessary.  Case report:  We present the case of a 43 year old woman with Wilkie&#8217;s syndrome who presents with symptoms of intestinal obstruction for three weeks. The abdominal tomography showed a large gastric and duodenal dilatation that required urgent surgical treatment, performing an open duodenojejunostomy without complications.  Conclusion:  Wilkie syndrome is a rare complication after weight loss that may require urgent surgical treatment and must be in a patient with this history and a picture of intestinal occlusion.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[síndrome de la arteria mesentérica superior]]></kwd>
<kwd lng="es"><![CDATA[síndrome de Wilkie]]></kwd>
<kwd lng="es"><![CDATA[obstrucción de la salida gástrica]]></kwd>
<kwd lng="en"><![CDATA[Superior mesenteric artery syndrome]]></kwd>
<kwd lng="en"><![CDATA[Wilkie&#8217;s syndrome]]></kwd>
<kwd lng="en"><![CDATA[gastric outlet obstruction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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