<?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>S1405-00992018000100017</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Tratamiento paliativo en el cáncer de esófago y cardias]]></article-title>
<article-title xml:lang="en"><![CDATA[Palliative treatment for esophageal and cardiac cancers]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrera Ortega]]></surname>
<given-names><![CDATA[Juan Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mederos Curbelo]]></surname>
<given-names><![CDATA[Orestes Noel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castellanos González]]></surname>
<given-names><![CDATA[Juan Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero Díaz]]></surname>
<given-names><![CDATA[Carlos Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz González]]></surname>
<given-names><![CDATA[Pablo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz Caloca]]></surname>
<given-names><![CDATA[Genaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario &#8220;Comandante Manuel Fajardo&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Universitario &#8220;Comandante Manuel Fajardo&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Universitario &#8220;Comandante Manuel Fajardo&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Universitario &#8220;Comandante Manuel Fajardo&#8221;  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2018</year>
</pub-date>
<volume>40</volume>
<numero>1</numero>
<fpage>17</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992018000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992018000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992018000100017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción  En el cáncer de esófago, más de 75% de los procedimientos a realizar son medidas paliativas, por lo que se establece un dilema ético en la forma de solucionar el problema fundamental: la vía de alimentación.  Objetivo  Revisar la experiencia del Hospital Universitario &#8220;Comandante Manuel Fajardo&#8221; en el tratamiento paliativo de los enfermos con cáncer de esófago avanzado.  Métodos  Se estudiaron 127 enfermos con cáncer de esófago y cardias avanzado a los que se les realizó tratamiento paliativo, atendidos desde 1995 hasta 2016. Éstos constituyeron todo el universo y la muestra del estudio.  Resultados  La localización del tumor predominó en el tercio inferior del esófago y cardias (53.54 %), seguido por el tercio medio y superior. Las prótesis esofágicas fueron utilizadas en 115 enfermos, cuatro industriales metálicas autoexpansibles y el resto plásticas rígidas (tres industriales tipo Heering y 108 construidas de forma artesanal). Se realizaron nueve derivaciones, siete esofagogastroplastías tubulares retroesternales, dos esofagogastrostomías y, en tres pacientes, ostomías abdominales. El alcohol absoluto fue utilizado en 20 enfermos como paso previo para poner la prótesis. Se presentaron 12 complicaciones con las prótesis esofágicas (9.44%), con menor porcentaje en las artesanales (8.33%). No se registraron neumonías espirativas ni mortalidad quirúrgica; se logró la alimentación oral en 97.64% de los enfermos, con mayor supervivencia en las derivaciones con esofagogastroplastía tubular isoperistáltica.  Conclusiones  En pacientes con tumores no resecables de esófago y cardias, debe tratarse de ofertar la mejor calidad de vida con un tratamiento paliativo que elimine las ostomías abdominales; por tanto, las prótesis, el alcohol absoluto y las derivaciones son opciones de tratamiento paliativo que ofrecen una solución ética al conflicto de estos enfermos, con un ahorro económico significativo con el uso de prótesis artesanales.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction  More than 75% of the procedures performed in esophageal cancer are palliative measures; there is an ethical dilemma on how to solve the fundamental problem, which is the feeding and nutrition of the patient. Due to the fact of non-availability of esophageal prosthesis, as an alternative means we construct prosthesis with the use of other materials.  Objective  To demonstrate the experience in the attention of patients with advanced esophageal and cardial cancer at the &#8220;Manuel Fajardo&#8221; University Hospital.  Methods  We present 127 patients with advanced esophageal and cardial cancer, all of whom received palliative treatment during the period from 1995 to 2016 at the &#8220;Manuel Fajardo&#8221; University Hospital, therefore constituting the universe of the study.  Results In 53.54% of the cases, the tumors were predominantly localized in the third inferior portion of the esophagus and the cardias, followed by the middle third and upper third portions. Esophageal prosthesis were used in 115 patients; four were industrial self-expanding metallic prosthesis and the rest were rigid plastic ones, of which three were industrial (Heering) and 108 were handmade. Nine bypasses were carried out, as well as seven retrosternal tubular esophagogastroplasties, two esophagogastrostomies and three abdominal ostomies. Absolute alcohol was used in 20 patients before placing the prosthesis. Twelve patients had complications with the placing of the esophageal prosthesis (9.44%), with a smaller percentage among the handmade ones (8.33%); neither aspirative pneumonia nor surgical mortality occurred. Oral feeding was achieved in 97.64 % of the patients, and we observed greater life expectancy in those with bypass with isoperistaltic tubular esophagogastroplasty.  Conclusions In patients with unresectable or non-operative tumor of the esophagus and cardias, we should offer the best quality of life with a palliative treatment that excludes abdominal stomas. The construction of Teflon prosthesis, the use of absolute alcohol and bypasses are options of palliative treatment that provide an ethical solution to the conflict of these patients, with significant savings when crafting handmade prosthesis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cirugía paliativa]]></kwd>
<kwd lng="es"><![CDATA[cáncer de esófago]]></kwd>
<kwd lng="es"><![CDATA[prótesis]]></kwd>
<kwd lng="es"><![CDATA[derivaciones]]></kwd>
<kwd lng="en"><![CDATA[Palliative surgery]]></kwd>
<kwd lng="en"><![CDATA[esophageal cancer]]></kwd>
<kwd lng="en"><![CDATA[prosthesis]]></kwd>
<kwd lng="en"><![CDATA[bypass]]></kwd>
</kwd-group>
</article-meta>
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