<?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>1025-0255</journal-id>
<journal-title><![CDATA[Revista Archivo Médico de Camagüey]]></journal-title>
<abbrev-journal-title><![CDATA[Arch méd Camagüey]]></abbrev-journal-title>
<issn>1025-0255</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Camagüey]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1025-02552022000100027</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Supervivencia postrasplante hepático en receptores con complicaciones biliares]]></article-title>
<article-title xml:lang="en"><![CDATA[Survival after liver transplantation in recipients with biliary complications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moret-Vara]]></surname>
<given-names><![CDATA[Sheyla]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Samada-Suárez]]></surname>
<given-names><![CDATA[Marcia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chao-González]]></surname>
<given-names><![CDATA[Lissette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Perera]]></surname>
<given-names><![CDATA[Julio César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valenzuela-Aguilera]]></surname>
<given-names><![CDATA[Kenia Yunarkis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barroso-Márquez]]></surname>
<given-names><![CDATA[Lisset]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencia Médicas Centro de Investigaciones Médico Quirúrgica Servicio de Trasplante Hepático]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencia Médicas Centro de Investigaciones Médico Quirúrgicas Servicio de Gastroenterología]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2022</year>
</pub-date>
<volume>26</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1025-02552022000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1025-02552022000100027&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1025-02552022000100027&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Las complicaciones relacionadas con la anastomosis biliar son reconocidas como la primera causa de morbilidad postrasplante hepático y pueden repercutir de manera negativa en la supervivencia de los pacientes.  Objetivo:  Evaluar el comportamiento de la supervivencia a largo plazo en los pacientes con complicaciones biliares postrasplante.  Métodos:  Se realizó un estudio observacional, longitudinal y retrospectivo en 152 pacientes con trasplante hepático entre 1999 y 2019. Se excluyeron: pacientes con supervivencia menor de 72 horas, retrasplantes y pacientes con trombosis de la arteria hepática. Las variables estudiadas fueron edad y sexo de los receptores, causa pretrasplante, escala Model for End Stage Liver Desease, usada a nivel mundial para determinar el estado de la enfermedad hepática y asignar órganos a los candidatos a trasplante, técnica de anastomosis biliar, tipo de complicación biliar, tiempo de aparición y terapéutica empleada. Las variables categóricas se relacionaron mediante la prueba estadística chi cuadrado y prueba exacta de Fisher, con diferencias significativas cuando p&lt; 0,05; en el estudio de las variables cuantitativas se aplicó la prueba t - Student y para el análisis de la supervivencia se utilizaron curvas de Kaplan-Meier.  Resultados: Se relacionaron de forma significativa con la presencia de complicación biliar, una puntuación mayor de la escala de valores de Model for End Stage Liver Desease (p=0,008) y la técnica de anastomosis término-terminal (p=0,039). Predominaron las complicaciones biliares precoces y la estenosis anastomótica. El tratamiento por colangiopancreatografía retrógrada endoscópica fue el más empleado. Los pacientes con complicación biliar tuvieron una media de supervivencia de 10,9 años (IC del 95 % 8,75-13,19), mientras que los pacientes sin ésta, tuvieron una media de nueve años (IC del 95 % 7,03-10,98); no existió diferencia significativa (p=0,24).  Conclusiones: Las complicaciones biliares constituyeron una causa importante de morbilidad postrasplante, pero sin afectar la supervivencia de los pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Complications related to biliary anastomosis are recognized as the first cause of post-liver transplantation morbidity and can negatively affect patient survival.  Objective:  To evaluate the behavior of long-term survival in patients with post-transplant biliary complications.  Methods:  An observational, longitudinal, and retrospective study was carried out in 152 patients with liver transplantation between 1999-2019, the following were excluded: patients with survival less than 72 hours, retransplants and patients with hepatic artery thrombosis. The variables studied were age and sex of the recipients, pre-transplant etiology, MELD index (Model for End Stage Liver Desease), biliary anastomosis technique, type of biliary complication, time of onset and treatment used. The categorical variables were related using the Chi square statistical test and Fisher's exact test, with significant differences when p &lt;0.05; In the study of quantitative variables, the T-Student test was applied and Kaplan - Meier curves were used for survival analysis.  Results:  They were significantly related to the presence of biliary complication, a higher MELD index score (p = 0.008) and the end-to-end anastomosis technique (p = 0.039). Early biliary complications (66.7%) and anastomotic stenosis (58.7%) predominated. Treatment by endoscopic retrograde cholangiopancreatography (ERCP) was the most used (68.2%). Patients with biliary complications had a mean survival of 10.9 years (95% CI 8.75-13.19), while patients without it had a mean of 9 years (95% CI 7.03 -10.98); there was no significant difference (p = 0.24).  Conclusions:  Biliary complications were an important cause of post-transplant morbidity, but without affecting patient survival.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[TRASPLANTE DE HÍGADO]]></kwd>
<kwd lng="es"><![CDATA[ENFERMEDADES DE LAS VÍAS BILIARES/complicaciones]]></kwd>
<kwd lng="es"><![CDATA[SUPERVIVENCIA]]></kwd>
<kwd lng="es"><![CDATA[ANASTOMOSIS QUIRÚRGICA]]></kwd>
<kwd lng="es"><![CDATA[MORBILIDAD]]></kwd>
<kwd lng="en"><![CDATA[LIVER TRANSPLANTATION]]></kwd>
<kwd lng="en"><![CDATA[BILIARY TRACT DISEASES/ complications]]></kwd>
<kwd lng="en"><![CDATA[SURVIVAL]]></kwd>
<kwd lng="en"><![CDATA[SURGICAL ANASTOMOSIS]]></kwd>
<kwd lng="en"><![CDATA[MORBIDITY]]></kwd>
</kwd-group>
</article-meta>
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