<?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>S2444-64832019000600375</article-id>
<article-id pub-id-type="doi">10.24875/end.m19000129</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Esfinterotomía de precorte para canulación de la vía biliar difícil, reporte de 88 procedimientos realizados en el servicio de Endoscopia Gastrointestinal del Hospital General de México &#8220;Dr. Eduardo Liceaga&#8221;]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torreblanca-Sierra]]></surname>
<given-names><![CDATA[Luis Federico]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villar-Tapia]]></surname>
<given-names><![CDATA[Jorge Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oregel-Aguilar]]></surname>
<given-names><![CDATA[Viridiana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedroza-Chamorro]]></surname>
<given-names><![CDATA[Susana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Escoto-González]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gutierrez-Banda]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos-Grapain]]></surname>
<given-names><![CDATA[Santiago]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alzua-Pichardo]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bonilla-Ramos]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[León-Rojas]]></surname>
<given-names><![CDATA[Edgar de]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramirez]]></surname>
<given-names><![CDATA[Cinthia Laura]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ornelas-Escobedo]]></surname>
<given-names><![CDATA[Carlos Edwin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galvis-García]]></surname>
<given-names><![CDATA[Elymir Soraya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdes-Lias]]></surname>
<given-names><![CDATA[Rosario]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zavala-Castillo]]></surname>
<given-names><![CDATA[Julio César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de México &#8220;Dr. Eduardo Liceaga&#8221; Servicio de Endoscopía Gastrointestinal ]]></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>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>31</volume>
<fpage>375</fpage>
<lpage>381</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832019000600375&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832019000600375&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832019000600375&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La esfinterotomía de precorte es la técnica en la cual se realiza la incisión de la papila, utilizada para el abordaje de la vía biliar difícil, y con la cual se logra acceder hasta en el 80% de estos casos. El dispositivo más ampliamente usado para esto en el esfinterotomo de precorte.  Objetivo: Reportar nuestra experiencia en el Hospital General de México &#8220;Dr. Eduardo Liceaga&#8221; en cuanto a indicaciones, porcentaje de éxito y características del paciente sometido a esfinterotomía de precorte.  Material y métodos: Se analizó de modo descriptivo y retrospectivo, pacientes a quienes se realizó esfinterotomia de precorte para canulación de la vía biliar compleja, en el período comprendido de junio de 2014 a mayo de 2019. Se excluyeron aquellos que no contaban con expediente completo y aquellos a quienes no se les realiza esfinterotomia precorte.  Resultados: Se incluyeron 88 pacientes, de ambos sexos, con edades entre los 11 a 92 años de edad, siendo el rango mayor entre los 50 a 59 años. La coledocolitiasis fue el diagnóstico más frecuente, previo a la CPRE con 55 casos (62.5%), al igual que el diagnóstico posterior a la misma con 35 casos (39.7%), se determinó un 84.1%. de éxito para canular vía biliar compleja, en el número de casos analizados. Como complicación se presentaron 5 casos (5.6%) de sangrado al momento del precorte y ningún caso de mortalidad secundaria a esta técnica.  Conclusiones: La esfinterotomia de precorte es una técnica adecuada, segura y reproducible, que nos permite accesar a la vía biliar de canulación compleja, con la que se logra el éxito en más del 80% de los casos y con baja morbi-mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: The precut sphincterotomy is the technique in which the incision of the papilla is made to approach the difficult bile duct, and with which access is achieved in up to 80% of these cases. The most widely used device for this is precut sphincterotome.  Objective: Report the experience in the Hospital General de México &#8220;Dr. Eduardo Liceaga&#8221; in terms of indications, percentage of success and characteristics of the patient undergoing precut sphincterotomy.  Material and methods: Patients who underwent precut sphincterotomy for canulation of the complex biliary tract, were retrospectively analyzed in the period from June 2014 to May 2019. Those who did not have a complete file were excluded.  Results: 88 patients were included, of both sexes, from 11 to 92 years of age, being a range of 50 to 59 years the most numerous. The choledocholithiasis was the most common diagnosis prior to ERCP with 55 cases (62.5%), as well as the subsequent diagnosis with 35 cases (39.7%), with a success rate of 84.1%. As a complication there were 5 (5.6%) cases of bleeding at the time of precut, and no case of mortality secondary to this technique.  Conclusions: Precut sphincterotomy is an adequate technique to access the bile duct of difficult cannulation, with which success is achieved in more than 80% of cases and with low morbidity and mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Esfinterotomia de precorte]]></kwd>
<kwd lng="es"><![CDATA[Vía biliar dificil]]></kwd>
<kwd lng="es"><![CDATA[CPRE]]></kwd>
<kwd lng="en"><![CDATA[Precut sphincterotomy]]></kwd>
<kwd lng="en"><![CDATA[Difficult bile duct]]></kwd>
<kwd lng="en"><![CDATA[ERCP]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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