<?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>1137-6627</journal-id>
<journal-title><![CDATA[Anales del Sistema Sanitario de Navarra]]></journal-title>
<abbrev-journal-title><![CDATA[Anales Sis San Navarra]]></abbrev-journal-title>
<issn>1137-6627</issn>
<publisher>
<publisher-name><![CDATA[Gobierno de Navarra. Departamento de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1137-66272017000100145</article-id>
<article-id pub-id-type="doi">10.23938/assn.0014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perforaciones post colangiopancreatografía endoscópica retrógrada (CPRE). Manejo quirúrgico]]></article-title>
<article-title xml:lang="en"><![CDATA[Perforations following endoscopic retrograde cholangiopancreatography (ERCP)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mateo Retuerta]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaveli Díaz]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Goikoetxea Urdiain]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sainz Villacampa]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sara Ongay]]></surname>
<given-names><![CDATA[M.J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Íñigo Noain]]></surname>
<given-names><![CDATA[J.J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Complejo Hospitalario de Navarra Área de Cirugía General ]]></institution>
<addr-line><![CDATA[Pamplona ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2017</year>
</pub-date>
<volume>40</volume>
<numero>1</numero>
<fpage>145</fpage>
<lpage>151</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1137-66272017000100145&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1137-66272017000100145&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1137-66272017000100145&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La colangiografía endoscópica retrógrada (CPRE) asociada a esfinterotomía es un procedimiento útil ampliamente utilizado en casos de coledocolitiasis y obstrucción de la vía biliar. A pesar de tratarse de una prueba segura, existe el riesgo de complicaciones tales como la pancreatitis, la hemorragia o la perforación. La perforación duodenal post CPRE es un hecho poco común pero de graves consecuencias de no ser tratado precozmente. El mecanismo de lesión, el lugar y extensión de la perforación así como la clínica y los hallazgos radiográficos guiarán el manejo del paciente, que debe ser individualizado y en constante reevaluación. Su mortalidad se relaciona de manera estrecha con el retraso diagnóstico y terapéutico. En aquellos en los que se decida una actitud conservadora, se mantendrá una vigilancia estrecha ante la posibilidad de empeoramiento clínico y cambio en su manejo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Endoscopic retrograde cholangiopancreatography (ERCP) associated with sphincterotomy is a useful procedure that is widely used in cases of choledocholithiasis and bile duct obstruction. In spite of being a safe test, there is a risk of complications like pancreatitis, haemorrhaging or perforation. Post-ERCP duodenal perforation is a rare event but has serious consequences if it is not treated early. The lesion mechanism, the place and extension of the perforation, as well as the clinical picture and radiographic findings will guide patient management, which must be individualised and constantly reevaluated. Its mortality is closely related to diagnostic and therapeutic delay. In those cases where a conservative attitude is adopted, close vigilance will be maintained facing the possibility of a worsening of the clinical picture and a change in its management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Perforación intestinal]]></kwd>
<kwd lng="es"><![CDATA[Perforación duodenal]]></kwd>
<kwd lng="es"><![CDATA[Colangiopancreatografía]]></kwd>
<kwd lng="es"><![CDATA[Endoscopia retrógrada]]></kwd>
<kwd lng="en"><![CDATA[Intestinal perforation]]></kwd>
<kwd lng="en"><![CDATA[Duodenal perforation]]></kwd>
<kwd lng="en"><![CDATA[Cholangiopancreatography]]></kwd>
<kwd lng="en"><![CDATA[Retrograde endoscopy]]></kwd>
</kwd-group>
</article-meta>
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