<?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>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Cir. Parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202018000300008</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2018.diciembre.8-11</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[MORBIMORTALIDAD DE LA ACALASIA EN EL HOSPITAL NACIONAL DE ITAUGUÁ EN ELAÑO 2.013 - 2.016]]></article-title>
<article-title xml:lang="en"><![CDATA[MORBIMORTALITY OF THE ACALASIA IN THE NATIONAL HOSPITAL OF ITAUGUÁ 2013 - 2016]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez García]]></surname>
<given-names><![CDATA[Fabio Derlis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez Sotomayor]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Nacional de Itauguá Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Itauguá ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>42</volume>
<numero>3</numero>
<fpage>8</fpage>
<lpage>11</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202018000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202018000300008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202018000300008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Este trabajo se basa en investigaciones observacionales retrospectivas y prospectivas realizadas en 35 pacientes internados e intervenidos en nuestro servicio, desde junio de 2.013 a mayo de 2.016, teniendo en cuenta motivos de consulta, tiempo de evolución, estado nutricional de ingreso, preparación preoperatoria, conducta quirúrgica y evolución post operatoria hasta un periodo de 30 días posteriores al alta.  Objetivo : Evaluar la evolución post operatoria de los 35 pacientes, considerando estadío de la enfermedad y técnica utilizada.  Diseño: observacional retrospectivo y prospectivo, corte transverso.  Material y Método : Se somete a estudio 35 pacientes con acalasia, intervenidos quirúrgicamente con técnicas variadas, la mayoría con procedimientos laparoscópicos, evaluando la morbilidad y mortalidad pre intra y postoperatoria hasta los 30 días posteriores al alta.  Resultados : Se realiza comparaciones utilizando métodos estadísticos. Se observó predominio amplio de hombres sobre mujeres, con una edad promedio de 50 años, siendo el motivo principal de consulta la disfagia, con una duración de los síntomas, en promedio de 3 años, siendo el menor de 7 meses y el de mayor, 45 años. El método quirúrgico utilizado fue a predominio del laparoscópico. Hubo 2 pacientes con necesidad de esofagectomía total, por evolución de la enfermedad y graduación, requiriendo cuidados intensivos en el post operatorio inmediato, 1 paciente con perforación esofágica y 1 con fístula posterior. Además, 1 paciente con diagnóstico posterior de adenocarcinoma de tercio medio, estadio III, en 2 años, incluidos dentro del periodo de la investigación, habiendo una sola mortalidad operatoria.  Conclusión : Los procedimientos laparoscópicos fueron técnicas de elección, siendo la preferida la técnica de Heller con parche de Dor, con una muy baja morbilidad y una mortalidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Summary This work is based on retrospective and prospective observational studies carried out on 35 patients admitted and intervened in our service, from June 2013 to May 2016, taking in to account reasons for consultation, time of evolution, nutritional status of admission, preoperative preparation, behavior surgery and postoperative evolution up to a period of 30 days after discharge.  Objective : To evaluate the postoperative. evolution of the 35 patients, considering the stage of the disease and the technique used.  Design : retrospective and prospective observational, transverse cut.  Material and Method : A total of 35 patients with achalasia underwent surgery with various techniques, most of them with laparoscopic procedures, evaluating morbidity and mortality pre and postoperatively up to 30 days after discharge.  Results : Comparisons are made using statistical methods. A large predominance of men over women was observed, with an average age of 50 years, being the main reason for consultation the dysphagia, with a duration of symptoms, on average of 3 years, being less than 7 months and the highest, 45 years. The surgical method used was predominantly laparoscopic. There were 2 patients in need of total esophagectomy, due to evolution of the disease and graduation, requiring intensive care in the immediate postoperative period, 1 patient with esophageal perforation and 1 patient with a posterior fistula. In addition, 1 patient with a subsequent diagnosis of adenocarcinoma of the middle third, stage III, in 2 years, included with in the period of the investigation, having only one operative mortality.  Conclusion : La paroscopic procedures were the techniques of choice, the preferred technique being Heller with Dor patch, with a very low morbidity and one mortality.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Acalasia]]></kwd>
<kwd lng="es"><![CDATA[Parche de Dor]]></kwd>
<kwd lng="en"><![CDATA[Achalasia]]></kwd>
<kwd lng="en"><![CDATA[Dorpatch]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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