<?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>S2444-64832019000600482</article-id>
<article-id pub-id-type="doi">10.24875/end.m19000155</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Colangiopancreatografía endoscópica en el adulto mayor experiencia en la Unidad de Endoscopia del Hospital Juárez de México]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montoya-Pérez]]></surname>
<given-names><![CDATA[Brenda Ivette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Manrique]]></surname>
<given-names><![CDATA[Martín Antonio]]></given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chávez-García]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerna-Cardona]]></surname>
<given-names><![CDATA[Jony]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez-Castello]]></surname>
<given-names><![CDATA[Rafael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Corona]]></surname>
<given-names><![CDATA[Teófilo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Galindo]]></surname>
<given-names><![CDATA[María Guadalupe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jaramillo-Vargas]]></surname>
<given-names><![CDATA[Gabriela Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Molina-Rodríguez]]></surname>
<given-names><![CDATA[José Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos Raudry]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Juárez de México Servicio de Endoscopia 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>482</fpage>
<lpage>487</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832019000600482&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832019000600482&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832019000600482&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: actualmente la población sobrevive a una edad avanzada, la Organización Mundial de la Salud hace se refiere como adultos mayores a personas de 60 años de edad, y como ancianas a quienes alcanzan los 80. A medida que la población envejece, la patología biliopancreática aumenta. El síndrome ictérico obstructivo es la principal indicación para realizar colangiografía endoscópica (CPE) en adultos mayores. El éxito para la CPE en este grupo es del 88%. Las complicaciones relacionadas a la CPE van del 5 al 10%, se pueden categorizar como no específicas (relacionadas con la sedación y comorbilidades) y específicas (propias del procedimiento como pancreatitis, hemorragia, perforación, colangitis); la edad y comorbilidades aumentan la frecuencia de las primeras y no repercuten en las segundas, por lo que la CPE se considera segura y efectiva para el tratamiento de la enfermedad pancreatobiliar en adultos mayores y ancianos.  Objetivo: Describir la experiencia en CPE en este grupo etario en el Servicio de Endoscopia del Hospital Juárez de México.  Material y métodos: Se revisaron los expedientes de pacientes de 60 años de edad y mayores sometidos a CPE en el Servicio de Endoscopia del Hospital Juárez de México en el periodo comprendido entre enero y diciembre de 2018.  Resultados: Se incluyeron 52 pacientes a quienes se les realizó CPE, 43 (82.6%) fueron adultos mayores y 9 (17.3%) ancianos, respecto al género, la mitad de los pacientes fueron hombres y la mitad mujeres; 50% de los pacientes presentaron comorbilidades, predominando la hipertensión arterial sistémica en el 80.77% (21 pacientes); 11 pacientes fueron sometidos a más de un procedimiento, realizándose un total de 65 CPE. La principal indicación para realizar la CPE, fue síndrome ictérico en estudio en 16 procedimientos (24.6%). El procedimiento endoscópico más frecuente fue esfinterotomía en 32 CPE (50.7%), el diagnóstico endoscópico más común fue estenosis de vía biliar probablemente maligna en 26 procedimientos (40%). La colangiopancreatografía endoscópica resulto exitosa en 80% de los pacientes, en solo 4 pacientes (7.6%) se presentaron complicaciones y efectos adversos, todos relacionados al procedimiento, estos fueron; en 2 pacientes (3.07%) pancreatitis leve pos CPE y en los otros 2 (3.07%) hemorragia leve; la mortalidad fue de 0 pacientes.  Conclusiones: En el Servicio de Endoscopia del Hospital Juárez de México las indicaciones, contraindicaciones, y complicaciones relacionadas al procedimiento, son similares para adultos mayores que para pacientes jóvenes por lo que la edad avanzada no es una limitante]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Currently the population survives at an advanced age, the World Health Organization refers as elderly adults to people 60 years of age, and as old those who reach 80 years. As the population ages, the biliopancreatic pathology increases. Icteric obstructive syndrome is the principal indication for performing endoscopic cholangiographypancreatography (ECP) in elderly adults. The success for EC in the elderly is 88%. The complications related to ECP range from 5 to 10% and can be categorized as non-specific (associated to sedation and comorbidities) and specific (related to the procedure itself such as pancreatitis, perforation, hemorrhage, cholangitis); age and comorbidities increase the frequency of &#8220;no specific&#8221;, while they do not affect specific complications, so ECP is considered safe and effective for the treatment of pancreatobiliar disease in elderly and old people.  Objective: Describe the experience in EC in this age group in the Endoscopy department of Hospital Juárez de México.  Material and methods: We analyzed the files of patients of 60 years and older who underwent EC at the Endoscopy department of Hospital Juárez de México in the period between January and December of 2018.  Results: We included 52 patients who underwent ECP, 43 (82.6%) were elderly and 9 (17.3%) old patients; with respect to gender, half of the patients were men and half were women; 50% of the patients presented comorbidities, predominantly systemic arterial hypertension in 80.77% (21 patients); 11 patients underwent more than one procedure, with a total of 65 ECPs. The main indication to perform ECP, was icteric syndrome under study in 16 procedures (24.6%). The most frequent endoscopic procedure was sphincterotomy in 32 ECP (50.7%), the most common endoscopic diagnosis was biliary stenosis probably malignant in 26 procedures (40%). The endoscopic cholangiopancreatography was successful in 80% of the patients, in only 4 patients (7.6%) there were complications and adverse effects, all related to the procedure, these were; in 2 patients (3.07%) mild pancreatitis post-ECP and in the other 2 (3.07%) mild hemorrhage; the mortality was 0 patients.  Conclusions: In the Endoscopy Department of Hospital Juárez de México, the indications, contraindications, and complications related to the procedure are similar for elderly and young patients, so advanced age is not a limitation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colangiografía endoscópica]]></kwd>
<kwd lng="es"><![CDATA[Adultos mayores]]></kwd>
<kwd lng="es"><![CDATA[Seguridad y eficacia]]></kwd>
<kwd lng="en"><![CDATA[Endoscopic cholangiopancreatography]]></kwd>
<kwd lng="en"><![CDATA[Elderly patients]]></kwd>
<kwd lng="en"><![CDATA[Safety and eficacy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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