{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T13:17:41Z","timestamp":1747228661075,"version":"3.40.5"},"reference-count":0,"publisher":"Sociedad Argentina de Gastroenterologia","issue":"3","license":[{"start":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T00:00:00Z","timestamp":1696032000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACTA"],"abstract":"<jats:p>Presentamos el caso de un paciente con antecedente de adenocarcinoma irresecable de p\u00e1ncreas que requiri\u00f3 cirug\u00eda de derivaci\u00f3n biliodigestiva con reconstrucci\u00f3n en Y de Roux. Debido a la presencia de cavernomatosis portal y de episodios recurrentes de hemorragia digestiva alta se realiz\u00f3 una cirug\u00eda de devascularizaci\u00f3n g\u00e1strica. Luego del 5 a\u00f1os el paciente present\u00f3 un episodio de hemorragia digestiva alta. En la videoendoscop\u00eda alta se evidenci\u00f3 un vaso visible en la gastroenteroanastomosis, se coloc\u00f3 un clip hemost\u00e1tico y ces\u00f3 el sangrado. A los 5 d\u00edas el paciente present\u00f3 un nuevo episodio de hematemesis con un paro cardiorespiratorio. Luego de la reanimaci\u00f3n avanzada se realiz\u00f3 una nueva videoendosco\u00eda digestiva alta en la que se observ\u00f3, sobre la curvatura mayor g\u00e1strica, un \u00e1rea de mucosa congestiva, friable, con dep\u00f3sitos de fibrina y sangrado profuso en napa que se interpret\u00f3 como gastropat\u00eda isqu\u00e9mica. Esta zona hab\u00eda sido evaluada en la endoscopia previa y presentaba caracter\u00edsticas normales. Se realiz\u00f3 tratamiento endosc\u00f3pico con polvo hemost\u00e1tico TC-325 (Hemospray\u00ae, Cook) y ces\u00f3 el sangrado. El paciente evolucion\u00f3 favorablemente luego del tratamiento aplicado.<\/jats:p>","DOI":"10.52787\/agl.v53i3.310","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T19:56:08Z","timestamp":1718999768000},"page":"320-323","source":"Crossref","is-referenced-by-count":0,"title":["Uso de Hemospray\u00ae en la hemorragia digestiva alta por isquemia g\u00e1strica"],"prefix":"10.52787","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7046-7798","authenticated-orcid":false,"given":"Manuel Alejandro","family":"Mahler","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3318-8391","authenticated-orcid":false,"given":"Florencia","family":"Soldano Malvar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom\u00e1s Manuel","family":"P\u00e9rez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Eduardo","family":"Pizzala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebasti\u00e1n","family":"Dur\u00e1n","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda del Pilar","family":"Mancini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Gim\u00e9nez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dante","family":"Manazzoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1907-0805","authenticated-orcid":false,"given":"V\u00edctor Hugo","family":"Abecia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariano","family":"Marcolongo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"30608","published-online":{"date-parts":[[2023,9,30]]},"container-title":["Acta Gastroenterol\u00f3gica Latinoamericana"],"original-title":[],"link":[{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/310\/682","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/310\/680","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/310\/680","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T19:56:09Z","timestamp":1718999769000},"score":1,"resource":{"primary":{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/view\/310"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,30]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,9,30]]}},"URL":"https:\/\/doi.org\/10.52787\/agl.v53i3.310","relation":{},"ISSN":["2469-1119"],"issn-type":[{"type":"print","value":"2469-1119"}],"subject":[],"published":{"date-parts":[[2023,9,30]]}}}