<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942019000500671</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hemorroides, ligadura con banda elástica, una alternativa de tratamiento]]></article-title>
<article-title xml:lang="en"><![CDATA[Hemorrhoids, elastic band ligation, an alternative of treatment]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Padrón Acosta]]></surname>
<given-names><![CDATA[Nielvis Deisy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ameneiro Hernández]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Ciencias Médicas de Pinar del Río Hospital General Docente Abel Santamaría Cuadrado ]]></institution>
<addr-line><![CDATA[Pinar del Río ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>10</month>
<year>2019</year>
</pub-date>
<volume>23</volume>
<numero>5</numero>
<fpage>671</fpage>
<lpage>678</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942019000500671&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942019000500671&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942019000500671&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la ligadura con banda elástica es un procedimiento efectivo y de bajo costo, para el manejo de hemorroides que se realiza de forma ambulatoria. Sus complicaciones cuando se presentan, son habitualmente leves.  Objetivo:  evaluar la efectividad terapéutica y la eficiencia económica del uso de las ligaduras de hemorroides con bandas elásticas en el tratamiento de las hemorroides y de los prolapsos mucosos y la fabricación de las bandas elásticas.  Métodos: se realizó un estudio clínico y endoscópico de todos los pacientes de ambos sexos que fueron atendidos en la consulta de Gastroenterología con el diagnóstico de síndrome hemorroidal basado en el método de ligadura de hemorroides por bandas elásticas (N=40). Se añadió al estudio del costo del método de ligadura para comparar, con la técnica quirúrgica y demostrar el ahorro de recursos con el primero.  Resultados:  la ligadura de hemorroides con bandas elástica, es un método seguro y eficaz. Esta técnica ofrece grandes ventajas sociales y económicas para el paciente y la institución.  Conclusiones:  la ligaduras de hemorroides es un método sencillo, seguro, cómodo y eficaz, la posibilidad de la realización ambulatoria de esta técnica ofreció grandes ventajas sociales, económicas tanto para el paciente como para el hospital, la utilización de esta técnica en los prolapsos mucosos , la fabricación de las bandas redunda en un gran ahorro económico , la generalización de este método a todos los hospitales del país, implicaría sustitución de importaciones y consumo de medicamentos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  elastic band ligation is an effective, low-cost hemorrhoid management procedure that is performed on an outpatient basis. Complications are usually mild.  Objective:  to evaluate the therapeutic effectiveness and economic efficiency of the use of hemorrhoid band ligation with elastic bands in the treatment of hemorrhoids and mucosal prolapses and the manufacture of elastic bands.  Methods:  a clinical and endoscopic study was performed on all patients of both genders who attended the gastroenterology consultation with the diagnosis of hemorrhoid syndrome based on the method of ligation of hemorrhoids by elastic bands (N=40). The cost of the ligation method was added to the study in order to compare it with the surgical technique and to demonstrate the saving of resources with its application.  Results:  ligation of hemorrhoids with elastic bands is a safe and effective method. This technique offers great social and economic advantages for the patient and the institution.  Conclusions:  hemorrhoid ligation is a simple, safe, comfortable and effective method, the possibility of performing this technique on an outpatient basis offered great social, economic advantages for both the patient and the hospital, the use of this technique in mucosal prolapses, the manufacture of bands results in great economic savings, the generalization of this method to all hospitals in the country, would involve the substitution of imported goods and the intake of medications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[HEMORROIDES/fisiopatología]]></kwd>
<kwd lng="es"><![CDATA[COMPLICACIONES]]></kwd>
<kwd lng="es"><![CDATA[TRATAMIENTO]]></kwd>
<kwd lng="es"><![CDATA[ADULTO]]></kwd>
<kwd lng="en"><![CDATA[HEMORRHOIDS/physiopathology]]></kwd>
<kwd lng="en"><![CDATA[COMPLICATIONS]]></kwd>
<kwd lng="en"><![CDATA[TREATMENT]]></kwd>
<kwd lng="en"><![CDATA[ADULT]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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