<?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>S1405-00992022000300131</article-id>
<article-id pub-id-type="doi">10.35366/109773</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Derivación cistogástrica laparoendoscópica de una necrosis pancreática. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Laparoendoscopic cystogastric bypass of a pancreatic necrosis. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrillo]]></surname>
<given-names><![CDATA[Luis Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barba-Valadez]]></surname>
<given-names><![CDATA[Claudia Teresa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-Reyes]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora-Montoya]]></surname>
<given-names><![CDATA[Cristina Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-Osuna]]></surname>
<given-names><![CDATA[José Augusto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez-Fernández]]></surname>
<given-names><![CDATA[Danyel Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centenario Hospital Miguel Hidalgo  ]]></institution>
<addr-line><![CDATA[Aguascalientes ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centenario Hospital Miguel Hidalgo Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Aguascalientes ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Tercer Milenio Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Aguascalientes ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad de Guadalajara  ]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad Autónoma de Aguascalientes  ]]></institution>
<addr-line><![CDATA[Aguascalientes ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>44</volume>
<numero>3</numero>
<fpage>131</fpage>
<lpage>135</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992022000300131&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992022000300131&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992022000300131&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La incidencia de pancreatitis aguda (PA) está aumentando hasta en 0.7 hospitalizaciones por 1,000 habitantes en los EE. UU. En 80% de los pacientes, la PA es leve y autolimitada, pero hasta 20% de los pacientes puede presentar un curso necrotizante grave, responsable de una morbilidad sustancial y una tasa de mortalidad de hasta 27%. La principal causa de muerte es la infección de la necrosis, que se asocia con un mal pronóstico con una mortalidad de 15 a 39%. Hasta hace muy poco, el estándar de oro para el tratamiento de la necrosis infectada solía ser la necrosectomía quirúrgica mediante laparotomía. Este procedimiento proporciona un acceso amplio a la necrosis infectada, pero es muy invasivo y se asocia con tasas de morbilidad de 34 a 95% y una mortalidad de 11 a 39%. Los métodos alternativos implican principalmente el desbridamiento mediante abordajes retroperitoneales, laparoscópicos, endoscópicos o combinaciones de éstos. Comparten el objetivo común de evitar la laparotomía y en conjunto se conocen como &#8220;necrosectomía por mínima invasión&#8221;. Estas técnicas continúan evolucionando y sometiéndose a refinamiento. Hasta la fecha no hay pruebas o ensayos aleatorizados que comparen estas técnicas con la necrosectomía &#8220;abierta&#8221; tradicional, o lo que es igualmente importante, que comparen las diferentes técnicas de necrosectomía por mínima invasión entre sí. Esto representa un problema para los cirujanos que tratan a pacientes con necrosis pancreática, ya que necesitan consultar la evidencia disponible para guiar la selección de su tratamiento. Este caso proporciona una descripción general, pero concisa de un abordaje por mínima invasión con especial referencia en la técnica y el resultado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The incidence of acute pancreatitis (AP) is increasing, up to 0.7 hospitalizations per 1,000 inhabitants in the U.S. In 80% of patients, AP is mild and self-limited, but up to 20% of patients may have a severe necrotizing course, responsible for substantial morbidity and a mortality rate of up to 27%. The main cause of death is necrosis infection, which is associated with a poor prognosis with a mortality of 15 to 39%. Until very recently, the gold standard for treating infected necrosis used to be surgical necrosectomy by laparotomy. This procedure provides wide access to infected necrosis but is highly invasive and is associated with morbidity rates of 34 to 95% and mortality rates of 11 to 39%. Alternative methods primarily involve debridement using retroperitoneal, laparoscopic, endoscopic, or combinations of these. They share the common goal of avoiding laparotomy and together are known as &#8220;minimally invasive necrosectomy&#8221;. These techniques continue to evolve and undergo refinement. To date there is no evidence or randomized trials comparing these techniques with traditional &#8220;open&#8221; necrosectomy or, equally important, comparing different minimally invasive necrosectomy techniques with each other. This presents a problem for surgeons dealing with patients with pancreatic necrosis as they need to consult the available evidence to guide the selection of their treatment. This case provides a concise but general description of a minimally invasive approach with special reference to technique and outcome.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[pancreatitis]]></kwd>
<kwd lng="es"><![CDATA[derivación cistogástrica]]></kwd>
<kwd lng="es"><![CDATA[mínima invasión]]></kwd>
<kwd lng="en"><![CDATA[pancreatitis]]></kwd>
<kwd lng="en"><![CDATA[cystogastric bypass]]></kwd>
<kwd lng="en"><![CDATA[minimally invasive]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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