<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2019000700048</article-id>
<article-id pub-id-type="doi">10.24875/ciru.19000710</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Obstrucción intestinal por cápsula endoscópica en un paciente con enfermedad de Crohn]]></article-title>
<article-title xml:lang="en"><![CDATA[Bowel obstruction due to video capsule endoscopy in a patient with Crohn&#8217;s disease]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guevara-Morales]]></surname>
<given-names><![CDATA[Guillermo R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castellanos-Juárez]]></surname>
<given-names><![CDATA[Juan C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional de Veracruz Servicio de Cirugía General]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado Hospital Regional de Veracruz Servicio de Coloproctología]]></institution>
<addr-line><![CDATA[Veracruz ]]></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>87</volume>
<fpage>48</fpage>
<lpage>52</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2019000700048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2019000700048&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2019000700048&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La retención de la cápsula endoscópica (CE) es una complicación grave y provoca de forma excepcional obstrucción intestinal aguda en su presentación.  Caso clínico: Paciente masculino de 64 años, tratado previamente por gastroenterología por enfermedad de Crohn. Muestra buena respuesta inicial al tratamiento farmacológico por seis semanas, pero después refiere dolor y síntomas no explicados por la colonoscopia. Se realizó CE, con aparición a las 48 horas de cuadro de obstrucción intestinal, signos de respuesta inflamatoria sistémica e irritación peritoneal. Se practicó laparotomía exploradora más resección intestinal con anastomosis laterolateral mecánica y el informe de histopatología confirmó obstrucción de la luz intestinal por CE impactada en la zona de estenosis del íleon terminal. En el postoperatorio inmediato la evolución es buena. A las ocho semanas del procedimiento acude por fístula enterocutánea que tuvo buena respuesta al tratamiento conservador.  Conclusión: La tasa de retención de CE en la enfermedad de Crohn es de 5 a 6%; antes de programarla se recomienda realizar estudios de imagen para evaluar la permeabilidad de la luz intestinal, si bien los estudios negativos no excluyen la presencia de estenosis. En los casos en que esté indicada la resección intestinal, se recomienda que ésta sea amplia con anastomosis laterolateral mecánica para reducir el riesgo de recurrencia de la enfermedad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: The retention of the endoscopic capsule (EC) is a serious complication and exceptionally, acute intestinal obstruction is conditioned.  Clinical case: 64 years-old man, previously treated by gastroenterology for Crohn&#8217;s disease. With good initial response to pharmacological treatment for 6 weeks, subsequently with the onset of pain and symptoms not explained by colonoscopy. EC was performed, presenting at 48 hours bowel obstruction symptoms with data of systemic inflammatory response and peritoneal irritation. Exploratory laparotomy with bowel resection and side-to-side stapled anastomosis was performed, histopathology report confirmed obstruction of the bowel lumen due to impacted EC in ileal stenosis area. In the immediate postoperative period with good evolution. At 8 weeks of the procedure, he went for an enterocutaneous fistula, which had a good response to conservative treatment.  Conclusion: The rate of retention of CE in Crohn&#8217;s disease is 5-6%, prior to its use, it is recommended to perform imaging studies to evaluate the bowel permeability, however negative studies do not exclude the presence of stenosis. In cases where intestinal resection is indicated, it is recommended to be wide with side-to-side stapled anastomosis to reduce the risk of recurrence of the disease.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Obstrucción intestinal]]></kwd>
<kwd lng="es"><![CDATA[Cápsula endoscópica]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad de Crohn]]></kwd>
<kwd lng="en"><![CDATA[Bowel obstruction]]></kwd>
<kwd lng="en"><![CDATA[Capsule endoscopy]]></kwd>
<kwd lng="en"><![CDATA[Crohn&#8217;s disease]]></kwd>
</kwd-group>
</article-meta>
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<given-names><![CDATA[BG]]></given-names>
</name>
<name>
<surname><![CDATA[Keighly]]></surname>
<given-names><![CDATA[MRB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Wide-lumen stapled anastomosis vs convencional end-to-end anastomosis in the treatment of Crohn is disease]]></article-title>
<source><![CDATA[Dis Colon Rectum]]></source>
<year>2001</year>
<volume>44</volume>
<page-range>20-6</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
