<?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>0120-9957</journal-id>
<journal-title><![CDATA[Revista colombiana de Gastroenterología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Col Gastroenterol]]></abbrev-journal-title>
<issn>0120-9957</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Gastroenterología  ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-99572018000100074</article-id>
<article-id pub-id-type="doi">10.22516/25007440.235</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Terapia de rescate en perforación de vía biliar con stent metálico autoexpandible totalmente cubierto posterior a falla en el manejo conservador: reporte de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Case Report of Rescue Therapy for Bile Duct Perforation using Fully Covered Self-Expanding Metal Stent after Failure of Conservative Management]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tovar F]]></surname>
<given-names><![CDATA[Germán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mendoza S]]></surname>
<given-names><![CDATA[Jairo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velandia C]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López L]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Autónoma de Bucaramanga  ]]></institution>
<addr-line><![CDATA[Floridablanca Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,FOSCAL  ]]></institution>
<addr-line><![CDATA[Floridablanca Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,FOSCAL  ]]></institution>
<addr-line><![CDATA[Floridablanca Santander]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,FOSCAL  ]]></institution>
<addr-line><![CDATA[Floridablanca Santander]]></addr-line>
<country>Colombia</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>33</volume>
<numero>1</numero>
<fpage>74</fpage>
<lpage>79</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-99572018000100074&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-99572018000100074&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-99572018000100074&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Las complicaciones de la colangiopancreatografía retrógrada endoscópica (CPRE) ocurren entre el 5% y 10% de los pacientes, de los cuales menos del 1% sufre perforaciones. El uso de stents metálicos autoexpandibles totalmente cubiertos para el cierre de perforaciones no complicadas se ha convertido en una estrategia opcional y segura para el manejo inicial de estos pacientes, así como una terapia de rescate para quienes el manejo conservativo ha fallado. Presentamos el caso de una paciente de 73 años con coledocolitiasis residual que fue sometida a una CPRE terapéutica con esfinterotomía y remoción de los cálculos. 12 horas después de la intervención, consultó al servicio de urgencias donde se confirmó una perforación de la vía biliar tipo II secundaria a esfinterotomía. Ulteriormente, se ofreció un manejo conservador con retiro de la ingesta oral, terapia con inhibidor de la bomba de protones, antibióticos, evaluación quirúrgica y observación médica. Sin embargo, ante la falla del manejo no quirúrgico, se consideró la colocación del stent metálico autoexpandible totalmente cubierto como terapia de rescate con evolución satisfactoria en el postoperatorio y salida 8 días después de la colocación del stent.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Complications occur in 5% to 10% of patients who undergo endoscopic retrograde cholangiopancreatography (ERCP), but less than 1% suffer perforations. The use of fully covered self-expanding metal stents (SEMS) to close uncomplicated perforations has become a safe optional strategy for initial management of these patients, as well as for rescue therapy when conservative management has failed. We present the case of a 73-year-old patient with residual choledocholithiasis who underwent therapeutic ERCP with sphincterotomy and stone removal. Twelve hours after the intervention, the patient returned to the emergency department where a biliary tract type II perforation secondary to sphincterotomy was confirmed. Subsequent conservative management included suspension of oral feeding, administration of proton pump inhibitors and antibiotics, surgical evaluation and medical observation. Failure of non-surgical management led to consideration of placement of a fully covered SEMS as rescue therapy. The patient&#8217;s postoperative evolution was with satisfactory, and she was discharged eight days after stent placement.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Vía biliar]]></kwd>
<kwd lng="es"><![CDATA[perforación intestinal]]></kwd>
<kwd lng="es"><![CDATA[colangiopancreatografía retrógrada endoscópica, postoperatorio]]></kwd>
<kwd lng="en"><![CDATA[Biliary tract]]></kwd>
<kwd lng="en"><![CDATA[intestinal perforation]]></kwd>
<kwd lng="en"><![CDATA[endoscopic retrograde cholangiopancreatography]]></kwd>
<kwd lng="en"><![CDATA[postoperative]]></kwd>
</kwd-group>
</article-meta>
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