<?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>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822018000100111</article-id>
<article-id pub-id-type="doi">10.30944/20117582.53</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Pancreatoduodenectomía de urgencia: Whipple o no Whipple, esa es la cuestión]]></article-title>
<article-title xml:lang="en"><![CDATA[Emergency pancreatoduodenectomy: Whipple or no Whipple, that is the question]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernal]]></surname>
<given-names><![CDATA[Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[Sebastián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pedraza]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cabrera]]></surname>
<given-names><![CDATA[Luis Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad El Bosque Fundación Salud Bosque Cirugía general]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad El Bosque  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad El Bosque  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></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>111</fpage>
<lpage>118</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822018000100111&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822018000100111&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822018000100111&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  La pancreatoduodenectomía, u operación de Whipple, fue descrita por Codivilla en 1898 como tratamiento para el cáncer de la cola del páncreas. Con aportes posteriores se ha perfeccionado la técnica, lo cual ha permitido su aplicación en diferentes circunstancias y ha contribuido a la supervivencia de muchos pacientes. Sin embargo, su uso poco frecuente y las dificultades para practicarla, hacen complicado decidir si se utiliza o no la técnica de Whipple.  Caso clínico.  Se presenta y analiza el caso de un paciente que ingresó a urgencias por un trauma penetrante de abdomen con una grave lesión pancreatoduodenal; se le practicó de urgencia una operación de Whipple en el servicio de cirugía general de una institución de tercer nivel de Bogotá, y se obtuvieron resultados satisfactorios. Además, se hace una revisión exhaustiva de la literatura científica.  Discusión y conclusiones. La pancreatoduodenectomía de urgencia es una cirugía compleja que supone un reto quirúrgico, en el cual se deben tener en cuenta el estado hemodinámico, el estado ácido-base y la presencia o ausencia de coagulopatía, a la hora de adoptar una conducta definitiva.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Pancreaticoduodenectomy is a procedure first described by Codivilla in 1898 for the management of pancreatic cancer. With subsequent contributions the technique has been perfected allowing its application in other contexts leading to the survival of many patients. However, the low demand for the procedure and the difficulties in doing so makes the decision of whether to take or not to take the patient to a Whipple surgery a very complex matter.  Case report:  We present the case of a patient who arrived at the emergency room with penetrating abdominal trauma with pancreaticoduodenal injury in whom the Whipple procedure was performed urgently by the general surgery service at a third level of care institution in Bogotá, Colombia, with excellent results.  Discussion and conclusions:  Emergency pancreatoduodenectomy is a complex procedure that represents a surgical challenge in which the hemodynamic state, the acid base balance and the presence of coagulopathy need to be considered when assuming some definitive conduct. A comprehensive review of the scientific literature is presented.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[páncreas]]></kwd>
<kwd lng="es"><![CDATA[duodeno]]></kwd>
<kwd lng="es"><![CDATA[traumatismos abdominales]]></kwd>
<kwd lng="es"><![CDATA[heridas penetrantes]]></kwd>
<kwd lng="es"><![CDATA[pancreaticoduodenectomía]]></kwd>
<kwd lng="en"><![CDATA[Pancreas]]></kwd>
<kwd lng="en"><![CDATA[Duodenum]]></kwd>
<kwd lng="en"><![CDATA[Abdominal Injuries]]></kwd>
<kwd lng="en"><![CDATA[Wounds, Penetrating]]></kwd>
<kwd lng="en"><![CDATA[Pancreaticoduodenectomy.]]></kwd>
</kwd-group>
</article-meta>
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