<?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[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>S2307-04202020000100016</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2020.abril.16-18</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Manejo quirúrgico de la acalasia esofágica en el Hospital Central del IPS durante el periodo enero 2016 a diciembre 2018]]></article-title>
<article-title xml:lang="en"><![CDATA[Surgical management of the esophageal achalasia in the IPS Central Hospital from january 2016 to december 2018]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montiel-Roa]]></surname>
<given-names><![CDATA[Arnaldo José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas-Franco]]></surname>
<given-names><![CDATA[Brenda Margarita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dragotto-Galván]]></surname>
<given-names><![CDATA[Antonella]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mora-Garbini]]></surname>
<given-names><![CDATA[Sergio David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Central del Instituto de Previsión Social Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>44</volume>
<numero>1</numero>
<fpage>16</fpage>
<lpage>18</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202020000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202020000100016&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202020000100016&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Objetivo:  Describir la experiencia del manejo quirúrgico de la acalasia esofágica en el Servicio de Cirugía General del Hospital Central del IPS en el periodo enero 2016-diciembre 2018.  Material y Métodos: Estudio descriptivo retrospectivo de corte transversal de 26 fichas operatorias de pacientes con diagnóstico de Acalasia quienes requirieron intervención quirúrgica en nuestro servicio en el periodo enero 2016- diciembre 2018. Resultados: Se observó que el método quirúrgico más utilizado fue a predominio del laparoscópico, siendo la técnica de Heller-dor el procedimiento de elección.Hubo una sola complicación posoperatoria: la fistula esofágica. La mortalidad de la serie en este periodo asociada a intervención quirúrgica fue nula.  Discusión: El tratamiento quirúrgico cumple con los objetivos de lograr alivio de la disfagia, con una mejoría significativa de la deglución, normalizar la condición nutricional y mejorar la calidad de vida del paciente. La cirugía laparoscópica logra resultados comparables a la cirugía convencional y agrega las ventajas de los procedimientos mínimamente invasivos.  Conclusión: La miotomía de Heller modificada por laparoscopia con funduplicatura parcial es la técnica preferida para el manejo de la acalasia, con la cual es posible obtener un adecuado control de los síntomas y satisfacción a largo plazo en rangos aceptables.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Objective:  To describe the experience of the surgical management of esophageal achalasia in the General Surgery Service of the IPS Central Hospital during the period January 2016-December 2018.  Material and Methods:  Retrospective cross-sectional descriptive study of 26 operative files of patients with diagnosis of achalasia who required surgical intervention in our service in the period January 2016- December 2018.  Results:  It was observed that the most used surgical method was predominantly laparoscopic, with Heller-dor's technique being the procedure of choice. There was only one postoperative complication: the esophageal fistula. The mortality of the series in this period associated with surgical intervention was nil.  Discussion:  The surgical treatment meets the objectives of achieving relief of dysphagia, with a significant improvement in swallowing, normalize the nutritional condition and improve the patient's quality of life. Laparoscopic surgery achieves results comparable to conventional surgery and adds the advantages of minimally invasive procedures.  Conclusion:  Heller myotomy modified by partial fundoplication laparoscopy is the preferred technique for the management of achalasia, with which it is possible to obtain adequate control of symptoms and long-term satisfaction in acceptable ranges.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[acalasia,cirugía laparoscópica]]></kwd>
<kwd lng="es"><![CDATA[miotomia de Heller]]></kwd>
<kwd lng="en"><![CDATA[achalasia]]></kwd>
<kwd lng="en"><![CDATA[laparoscopic surgery]]></kwd>
<kwd lng="en"><![CDATA[Heller's myotomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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