<?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>S2011-75822025000100169</article-id>
<article-id pub-id-type="doi">10.30944/20117582.2451</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Síndrome de Wilkie - ¿El estómago dilatado cambia algo?]]></article-title>
<article-title xml:lang="en"><![CDATA[Wilkie syndrome - Does a dilated stomach change anything?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Anaya]]></surname>
<given-names><![CDATA[Nafer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávila]]></surname>
<given-names><![CDATA[Fredy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica La Colina Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Bogotá, D.C. ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica La Colina Servicio de Gastroenterología ]]></institution>
<addr-line><![CDATA[Bogotá, D.C. ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2025</year>
</pub-date>
<volume>40</volume>
<numero>1</numero>
<fpage>169</fpage>
<lpage>175</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822025000100169&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822025000100169&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822025000100169&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  El síndrome de pinza mesentérica corresponde a una compresión extrínseca de la tercera porción del duodeno, secundario a la disminución del ángulo aorto-mesentérico, que generalmente sucede después de un período de desnutrición proteico-calórica aguda.  Caso clínico.  Se presenta el caso de un hombre de 20 años, quien posterior a un cambio a dieta &#8220;vegana&#8221; y un régimen de ejercicio excesivo, desarrolló dolor en epigastrio asociado a distensión abdominal.  Resultados.  Se realizó una tomografía computarizada en la que se documentaron la disminución del ángulo aorto-mesentérico y la disminución en la distancia entre estas dos estructuras.  Conclusiones.  Dada la baja frecuencia de casos de esta patología, no existe consenso acerca de cuál es la mejor opción de tratamiento. Tampoco se sabe si existe algún papel para la gastrectomía cuando el estómago está dilatado. No hay suficiente evidencia que permita asegurar que el estómago y el duodeno dilatados retornan a su tamaño previo. Así mismo, hay incertidumbre acerca de las implicaciones que tiene el aire en la vena porta para estos casos. El caso traído a consideración permite afirmar que la mejor terapia inicial es el soporte nutricional; en estos casos el estómago retorna a su tamaño inicial una vez corregida la compresión extrínseca, así como desaparece el aire en la vena porta.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction.  Mesenteric pinch syndrome corresponds to an extrinsic compression of the third portion of the duodenum, secondary to a decrease in the aorto-mesenteric angle, which generally occurs after a period of acute protein-caloric malnutrition.  Clinical case.  A case of 20-year-old male is presented, who after a change to a vegan diet and an excessive exercise regimen, develops with epigastric pain associated with abdominal distention.  Results.  A computed tomography was performed in which the decrease in the aorto-mesenteric angle and the decrease in the distance between these two structures were documented.  Conclusions.  Due to the low frequency of this disease, there is no consensus about what is the best treatment option. It is also known if there is any role for gastrectomy when the stomach is dilated. There is not enough evidence to ensure that the dilated stomach and duodenum return to their previous size. Likewise, there is no certainty about the implications that air in the portal vein has for these cases. The case brought into consideration allows us to affirm that the best initial management is nutritional support. In these cases, the stomach returns to its initial size once the extrinsic compression is corrected, just as the air disappears in the portal vein.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[arteria mesentérica superior]]></kwd>
<kwd lng="es"><![CDATA[síndrome de la arteria mesentérica superior]]></kwd>
<kwd lng="es"><![CDATA[dilatación gástrica]]></kwd>
<kwd lng="es"><![CDATA[obstrucción duodenal]]></kwd>
<kwd lng="es"><![CDATA[vena porta]]></kwd>
<kwd lng="es"><![CDATA[dolor abdominal]]></kwd>
<kwd lng="en"><![CDATA[superior mesenteric artery]]></kwd>
<kwd lng="en"><![CDATA[superior mesenteric artery syndrome]]></kwd>
<kwd lng="en"><![CDATA[gastric dilatation]]></kwd>
<kwd lng="en"><![CDATA[duodenal obstruction]]></kwd>
<kwd lng="en"><![CDATA[portal vein]]></kwd>
<kwd lng="en"><![CDATA[abdominal pain]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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