{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T00:53:38Z","timestamp":1755219218955,"version":"3.43.0"},"reference-count":0,"publisher":"Sociedad Argentina de Gastroenterologia","issue":"2","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"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>Introducci\u00f3n. La informaci\u00f3n sobre morbimortalidad tras una gastrectom\u00eda subtotal o total es limitada en pa\u00edses en v\u00edas de desarrollo, especialmente ante el cambio epidemiol\u00f3gico del c\u00e1ncer g\u00e1strico.\nObjetivo. Identificar factores asociados a morbimortalidad en pacientes con c\u00e1ncer g\u00e1strico operados con intenci\u00f3n curativa en un centro oncol\u00f3gico de Ecuador.\nMateriales y m\u00e9todos. Estudio de cohorte hist\u00f3rica realizado en el Instituto Oncol\u00f3gico Nacional \u201cDr. Juan Tanca Marengo\u201d (Guayaquil, 2019-2021). Se incluyeron adenocarcinomas g\u00e1stricos operados con intenci\u00f3n curativa. Se evaluaron eventos adversos y mortalidad (30, 90 d\u00edas y global). Se estimaron factores asociados mediante regresi\u00f3n log\u00edstica.\nResultados. Se incluyeron 111 pacientes (87 gastrectom\u00eda subtotal, 24 total). Hubo \u2265 1 evento adverso en 15,4% (subtotal) y 17,9% (total). La mortalidad a 30, 90 d\u00edas y global tras la gastrectom\u00eda subtotal fue, respectivamente, del 1,1%, 2,3% y 34,5%; tras la total fue de 0%, 4,2% y 54,2%, respectivamente. La presencia de eventos adversos se asoci\u00f3 con tumor Bormann III\/IV (OR 9.6; IC95% 1,8 \u2013 79,7; p = 0,0175) y una mayor estancia hospitalaria (OR 2,3; IC95% 1,4 \u2013 5.1; p &lt; 0,001). La mortalidad se asoci\u00f3 con Bormann III\/IV (p = 0,0038) y dehiscencia gastro-duodenal (p = 0,0383).\n Conclusi\u00f3n. Las tasas de morbimortalidad a 90 d\u00edas fueron menores a lo reportado en otras series. Bormann III\/IV y dehiscencia gastroduodenal fueron factores asociados a mayor mortalidad.<\/jats:p>","DOI":"10.52787\/agl.v55i2.498","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T17:18:13Z","timestamp":1751303893000},"page":"136-147","source":"Crossref","is-referenced-by-count":0,"title":["Morbimortalidad posgastrectom\u00eda abierta subtotal versus total por c\u00e1ncer de est\u00f3mago con intenci\u00f3n curativa: hallazgos en una cohorte hist\u00f3rica de un centro oncol\u00f3gico"],"prefix":"10.52787","volume":"55","author":[{"given":"Jes\u00fas","family":"Chang-Hermida","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8203-6848","authenticated-orcid":false,"given":"Fernando","family":"Mi\u00f1\u00e1n-Arana","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arantza Gabriela","family":"Carriel-Mendoza","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5112-618X","authenticated-orcid":false,"given":"Leonardo","family":"Aveiga-Cede\u00f1o","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8853-0847","authenticated-orcid":false,"given":"Miguel","family":"Puga-Tejada","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"30608","published-online":{"date-parts":[[2025,6,30]]},"container-title":["Acta Gastroenterol\u00f3gica Latinoamericana"],"original-title":[],"link":[{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/498\/859","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/498\/870","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/498\/870","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,6]],"date-time":"2025-08-06T21:56:55Z","timestamp":1754517415000},"score":1,"resource":{"primary":{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/view\/498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,30]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2025,6,30]]}},"URL":"https:\/\/doi.org\/10.52787\/agl.v55i2.498","relation":{},"ISSN":["2469-1119"],"issn-type":[{"type":"print","value":"2469-1119"}],"subject":[],"published":{"date-parts":[[2025,6,30]]}}}