<?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>S2444-64832020000600664</article-id>
<article-id pub-id-type="doi">10.24875/end.m20000312</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Niveles de bilirrubina, fosfatasa alcalina y dilatación de la vía biliar como criterios diagnóstico de coledocolitiasis en pacientes sometidos a CPRE en un periodo de 2 años en el Hospital Central Sur de Alta Especialidad. Una alternativa a la Resonancia Magnética]]></article-title>
<article-title xml:lang="en"><![CDATA[Bilirubin, alkaline phosphatase and bile duct dilation levels as diagnostic criteria for choledocholithiasis in patients undergoing ERCP over a 2-year period at Hospital Central Sur de Alta Especialidad. An alternative to MRI]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Buensuceso-Conde]]></surname>
<given-names><![CDATA[Nubia A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mata-Quintero]]></surname>
<given-names><![CDATA[Carlos J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valencia-Romero]]></surname>
<given-names><![CDATA[José M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bello-Guerrero]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Flandes-Aguilar]]></surname>
<given-names><![CDATA[Ingrid E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Petróleos Mexicanos Hospital Central Norte ]]></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>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2020</year>
</pub-date>
<volume>32</volume>
<fpage>664</fpage>
<lpage>672</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832020000600664&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832020000600664&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832020000600664&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Determinar los niveles de bilirrubina total, fosfatasa alcalina y dilatación de la vía biliar en el ultrasonido inicial, en los pacientes con el diagnóstico definitivo de coledocolitiasis por CPRE en el periodo de enero del 2015 a diciembre del 2017.  Diseño: Mediante estadística analítica o inferencial, se analizarán las variables con IBM SPSS Statistics, Version 23.0. La sensibilidad, especificidad, valor predictivo positivo y negativo se calcularon para la combinación potencial predictora (bilirrubina, fosfatasa alcalina y dilatación de la vía biliar).  Métodos: Se utilizó el Sistema Integral de Administración Hospitalaria de PEMEX y base datos de endoscopia seleccionando a los pacientes a quienes se le realizo colangiopancreatografía retrógrada endoscópica y resonancia magnética por sospecha de coledocolitiasis en el periodo comprendido entre enero del 2015 y diciembre del 2017.  Resultados: La elevación de fosfatasa alcalina, bilirrubina total y dilatación de la vía biliar extrahepática tienen en conjunto una sensibilidad del 34% y una especificidad del 75%; con un valor predictivo positivo de 83% y un valor predictivo negativo de 24%.  Conclusiones: La elevación de bilirrubina total + dilatación de la vía biliar por ultrasonido + elevación de fosfatasa alcalina en conjunto, tienen una buena especificidad y valor predictivo positivo para diagnosticar coledocolitiasis. Esta combinación puede ser útil ya que detecta al 83% de los pacientes que realmente tendrán coledocolitiasis; sobre todo en sitios donde no se cuenta con otro método sofisticado de diagnóstico o como prueba inicial para determinar si requiere estudios de extensión. Una desventaja fue que no se pudo comparar la resonancia con los resultados de CPRE.]]></p></abstract>
</article-meta>
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