<?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>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2022000400639</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Caracterización de pacientes con hepatopatías crónicas de etiología alcohólica mediante ecografía Doppler. Cienfuegos, 2020]]></article-title>
<article-title xml:lang="en"><![CDATA[Characterization of patients with chronic liver disease of alcoholic etiology by Doppler ultrasound. Cienfuegos, 2020]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valladares Valle]]></surname>
<given-names><![CDATA[Masleidy]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moya Cardoso]]></surname>
<given-names><![CDATA[Lariagna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villafuerte Delgado]]></surname>
<given-names><![CDATA[Dianarelys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernández Azpiri]]></surname>
<given-names><![CDATA[Rubén Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Valladares]]></surname>
<given-names><![CDATA[Liam Lain]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vasallo López]]></surname>
<given-names><![CDATA[Claudia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General Universitario Dr. Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Cienfuegos  ]]></institution>
<addr-line><![CDATA[Cienfuegos ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>20</volume>
<numero>4</numero>
<fpage>639</fpage>
<lpage>646</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2022000400639&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2022000400639&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2022000400639&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento las hepatopatías crónicas constituyen enfermedades frecuentes a nivel mundial. La cirrosis hepática, cuya etiología más frecuente es el alcoholismo, representa el final de las lesiones hepáticas difusas crónicas y progresivas.  Objetivo  caracterizar los pacientes con hepatopatías crónicas alcohólicas mediante ecografía Doppler.  Métodos  se realizó un estudio descriptivo, de serie de casos, en 36 pacientes con diagnóstico clínico endoscópico y/o laparoscópico hepatopatías crónicas de etiología alcohólica, en el Hospital General Universitario Dr. Gustavo Aldereguía Lima, de Cienfuegos, en el período comprendido de enero a diciembre de 2020. Además de la edad y el sexo, se analizaron variables ecográficas según ecografía bidimensional (modo B) y Doppler.  Resultados  tuvieron mayor representatividad los pacientes masculinos y fue más numeroso el grupo etario de 42 a 51 años. El hígado y el bazo fueron de tamaño normal en la mayoría de los casos (44,5 % y 58,4 %, respectivamente). El hígado mostró ecoestructura predominantemente heterogénea (27,7 %) y nodular (58,4 %). Atendiendo al calibre de la porta extrahepática y de la vena esplénica, predominó la normalidad, ambas con 58,4 %. La ascitis, el derrame pleural y la circulación colateral no mostraron una frecuencia alta. Prevaleció la dirección de flujo hepatopedal (72,3 %) y velocidad de la porta normal (77,8 %).  Conclusión  en pacientes con hepatopatías crónicas de etiología alcohólica resulta de vital importancia la atención médica oportuna. La ecografía Doppler complementa la información morfológica aportada por la ecografía convencional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Background  chronic liver diseases are frequent diseases worldwide. Liver cirrhosis, whose most frequent etiology is alcoholism, represents the end of chronic and progressive diffuse liver lesions.  Objective  to characterize patients with chronic alcoholic liver disease by Doppler ultrasound.  Methods  a descriptive case series study was carried out in 36 patients with clinical endoscopic and/or laparoscopic diagnosis of chronic hepatopathies of alcoholic etiology, at the Dr. Gustavo Aldereguía Lima General University Hospital, Cienfuegos, from January to December 2020. In addition to age and sex, ultrasound variables were analyzed according to two-dimensional ultrasound (B-mode) and Doppler.  Results  male patients were more representative and the age group from 42 to 51 years old was more numerous. The liver and spleen were of normal size in most cases (44.5% and 58.4%, respectively). The liver showed predominantly heterogeneous (27.7%) and nodular (58.4%) echostructure. Considering the caliber of the extrahepatic portal vein and the splenic vein, normality prevailed, both with 58.4%. Ascites, pleural effusion and collateral circulation did not show a high frequency. Hepatopedal flow direction (72.3%) and normal portal vein velocity (77.8%) prevailed.  Conclusion in patients with chronic liver diseases of alcoholic etiology, timely medical care is of vital importance. Doppler ultrasound complements the morphological information provided by conventional ultrasound.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Ultrasonografía doppler]]></kwd>
<kwd lng="es"><![CDATA[hepatopatías alcohólicas]]></kwd>
<kwd lng="es"><![CDATA[hipertensión portal]]></kwd>
<kwd lng="en"><![CDATA[Ultrasonography, Doppler]]></kwd>
<kwd lng="en"><![CDATA[liver diseases, alcoholic]]></kwd>
<kwd lng="en"><![CDATA[hypertension, portal]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Calderón]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Ascanio]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Yarinsueca]]></surname>
<given-names><![CDATA[PR.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Características clínicas y complicaciones de la cirrosis hepática en una población de altura]]></article-title>
<source><![CDATA[Horiz Méd]]></source>
<year>2020</year>
<volume>20</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Malta]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<source><![CDATA[Hepatopatías crónica por ultrasonografía en el Hospital León Becerra de Milagro en el año 2015-2016]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Ecuador ]]></publisher-loc>
<publisher-name><![CDATA[Universidad de Guayaquil]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Corrales]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Hernández]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vanterpool]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rangel]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Villar]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio descriptivo de pacientes con cirrosis hepática de etiología viral, en la provincia de Matanzas]]></article-title>
<source><![CDATA[Rev Méd Electrón]]></source>
<year>2021</year>
<volume>43</volume>
<numero>2</numero>
<issue>2</issue>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arias]]></surname>
<given-names><![CDATA[GY.]]></given-names>
</name>
</person-group>
<source><![CDATA[Cirrosis Hepática secundaria a Alcoholismo Crónico]]></source>
<year>2016</year>
<publisher-loc><![CDATA[Ecuador, Universidad Técnica de Ambato ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Berland]]></surname>
<given-names><![CDATA[NJ]]></given-names>
</name>
<name>
<surname><![CDATA[Parrilla]]></surname>
<given-names><![CDATA[ME.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasonido Doppler dúplex y color en el estudio de los pacientes con hepatopatías crónicas]]></article-title>
<source><![CDATA[Rev Cubana Med]]></source>
<year>2010</year>
<volume>49</volume>
<numero>4</numero>
<issue>4</issue>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mendilahaxon]]></surname>
<given-names><![CDATA[ER]]></given-names>
</name>
<name>
<surname><![CDATA[Medina]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
<name>
<surname><![CDATA[Moré]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cáceres]]></surname>
<given-names><![CDATA[LÁ.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Relación clínico, endoscópica y sonográfica en pacientes con cirrosis hepática]]></article-title>
<source><![CDATA[Acta Médica del Centro]]></source>
<year>2018</year>
<volume>12</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alempijevic]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Zec]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Nikolic]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Veljkovic]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Stojanovic]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Matovic]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Doppler ultrasonography combined with transient elastography improves the non-invasive assessment of fibrosis in patients with chronic liver diseases]]></article-title>
<source><![CDATA[Med Ultrason]]></source>
<year>2017</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>7-15</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bataller]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cabezas]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Aller]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Ventura]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Abad]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Albillos]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedad hepática por alcohol. Guías de práctica clínica. Documento de consenso auspiciado por la AEEH.]]></article-title>
<source><![CDATA[Gastroenterología y Hepatología]]></source>
<year>2019</year>
<volume>42</volume>
<numero>10</numero>
<issue>10</issue>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[CX]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[KW]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Noninvasive analysis of portal pressure by contrast-enhanced sonography in patients with cirrhosis]]></article-title>
<collab>Wang L and Xu JM</collab>
<source><![CDATA[J Ultrasound Med]]></source>
<year>2011</year>
<volume>30</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>205-11</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosales]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Simón]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Nieves]]></surname>
<given-names><![CDATA[JD.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasonografía vascular en pacientes con hepatopatías crónicas de causa desconocida]]></article-title>
<source><![CDATA[MEDISAN]]></source>
<year>2015</year>
<volume>19</volume>
<numero>6</numero>
<issue>6</issue>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Macías]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Rendón]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valoración ecográfica del estado de la hepatopatía crónica]]></article-title>
<source><![CDATA[Rev Esp Ecogr Dig]]></source>
<year>2014</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez]]></surname>
<given-names><![CDATA[IM]]></given-names>
</name>
<name>
<surname><![CDATA[Vegas]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Domínguez Tristanchoa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[GuerreroGarcía]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Rico López]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Utilidad y fiabilidad de la ecografía clínica abdominal en medicina familiar: hígado, vías biliares y páncreas.]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2018</year>
<volume>50</volume>
<numero>5</numero>
<issue>5</issue>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
