<?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>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932022000300007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Morbilidad y mortalidad por isquemia mesentérica aguda en el Hospital Universitario &#8220;Arnaldo Milián Castro&#8221;]]></article-title>
<article-title xml:lang="en"><![CDATA[Mobility and Mortality for Acute Mesenteric Ischemia in &#8220;Arnaldo Milián Castro&#8221; University Hospital]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Moreira]]></surname>
<given-names><![CDATA[Oslanyer Anael]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado Santana]]></surname>
<given-names><![CDATA[Cynthia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Villa Clara Hospital Docente Clínico Quirúrgico &#8220;Arnaldo Milián Castro&#8221; ]]></institution>
<addr-line><![CDATA[ Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>61</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932022000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932022000300007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932022000300007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La isquemia mesentérica aguda es la condición clínica que aparece cuando el flujo sanguíneo del territorio mesentérico resulta insuficiente para satisfacer los requerimientos del intestino.  Objetivo:  Caracterizar la morbilidad y mortalidad de los pacientes con isquemia mesentérica aguda.  Métodos: Se realizó un estudio observacional, descriptivo, transversal, en el Servicio de cirugía del Hospital Universitario &#8220;Arnaldo Milián Castro&#8221; de Santa Clara, Villa Clara desde enero del 2016 hasta diciembre del 2020. La muestra quedó constituida por 119 pacientes que cumplieron los criterios de inclusión y exclusión.  Resultados:  De los 119 pacientes que presentaron isquemia mesentérica aguda, predominaron pacientes con factores de riesgo mayores de 65 años 97 (81,5 %), femeninos 61 (51,3 %), fumadores 52 (43,7 %), con hipertensión arterial 84 (70,6 %), cardiopatía isquémica 57 (47,9 %), diabetes mellitus 31 (26,1 %) y enfermedad arterial periférica 20 (16,8 %). Predominó el tratamiento quirúrgico: la laparotomía exploratoria y cierre 55 (46,3 %). Las complicaciones más frecuentes encontradas: el fallo múltiple de órganos 25 (25,7 %) en los pacientes fallecidos. En los hallazgos necrológicos predominó la trombosis arterioesclerótica de la arteria mesentérica superior.  Conclusiones: La isquemia mesentérica resulta frecuente en pacientes con factores de riesgo como son la edad mayor de 65 años, el sexo femenino, el hábito tóxico del tabaquismo y las enfermedades crónicas no transmisibles tales como la hipertensión arterial, cardiopatía isquémica y la diabetes mellitus. El tratamiento más realizado es el quirúrgico (la laparotomía y el cierre). En la mayoría de las necropsias realizadas la trombosis de la arteria mesentérica superior es el mayor hallazgo en los informes necrológicos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Acute mesenteric ischemia is the clinical condition that appears when the blood flow of the mesenteric area becomes insufficient to meet intestinal requirements.  Objective: To characterize the morbidity and mortality of patients with acute mesenteric ischemia.  Methods: An observational, descriptive and cross-sectional study was carried out in the surgery service of Arnaldo Milián Castro University Hospital of Santa Clara City, Villa Clara Province, Cuba, from January 2016 to December 2020. The sample consisted of 119 patients who met the inclusion and exclusion criteria.  Results:  Of the 119 patients who presented acute mesenteric ischemia, patients with risk factors predominated: older than 65 years (97; 81.5 %), female (61; 51.3 %), smokers (52; 43.7 %), with arterial hypertension (84; 70.6 %), ischemic heart disease (57; 47.9 %), diabetes mellitus (31; 26.1 %), and peripheral arterial disease (20; 16.8 %). Surgical management predominated: exploratory laparotomy and closure (55; 46.3 %). The most frequent complications were multiple organ failure (25; 25.7 %) in the deceased patients. Among the necropsy findings, arteriosclerotic thrombosis of the superior mesenteric artery predominated.  Conclusions:  Mesenteric ischemia is frequent in patients with risk factors such as age over 65 years, the female sex, the toxic habit of smoking; as well as chronic noncommunicable diseases such as arterial hypertension, ischemic heart disease and diabetes mellitus. The most commonly performed procedure is surgery (laparotomy and closure). In most of the performed necropsies, thrombosis of the superior mesenteric artery is the main finding according to the necrology reports.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[isquemia mesentérica aguda]]></kwd>
<kwd lng="es"><![CDATA[tratamiento]]></kwd>
<kwd lng="es"><![CDATA[complicaciones]]></kwd>
<kwd lng="en"><![CDATA[acute mesenteric ischemia]]></kwd>
<kwd lng="en"><![CDATA[management]]></kwd>
<kwd lng="en"><![CDATA[complications]]></kwd>
</kwd-group>
</article-meta>
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