<?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>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822024000600854</article-id>
<article-id pub-id-type="doi">10.30944/20117582.2707</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Eficacia y seguridad de la dilatación esofágica endoscópica en un centro de referencia en Colombia: Un estudio de cohorte retrospectiva]]></article-title>
<article-title xml:lang="en"><![CDATA[Efficacy and safety of endoscopic esophageal dilation at a reference center in Colombia: A retrospective cohort study]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bolívar-Sáenz]]></surname>
<given-names><![CDATA[Dínimo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lara-Espinosa]]></surname>
<given-names><![CDATA[Daniela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Staffelbach]]></surname>
<given-names><![CDATA[Olenka]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lozano-Suárez]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Clínica Colsubsidio 94  ]]></institution>
<addr-line><![CDATA[Bogotá, D.C. ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Organización Gaster SAS  ]]></institution>
<addr-line><![CDATA[Bogotá, D.C. ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2024</year>
</pub-date>
<volume>39</volume>
<numero>6</numero>
<fpage>854</fpage>
<lpage>861</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822024000600854&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822024000600854&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822024000600854&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  La dilatación endoscópica es una opción terapéutica eficaz en el tratamiento de estenosis y trastornos motores del esófago. Para su realización es esencial conocer la etiología y la anatomía de la lesión y tener experiencia clínica; estos factores determinan la indicación y el desarrollo del procedimiento. El objetivo del presente estudio fue reportar la experiencia en el manejo de pacientes con estenosis esofágica en un centro de referencia de enfermedades digestivas, en Bogotá, D.C., Colombia.  Métodos.  Se realizó un estudio descriptivo, de cohorte retrospectiva, en el que se evaluaron los pacientes llevados a dilatación esofágica por el Servicio de Gastroenterología, desde enero de 2021 hasta junio de 2023. Se incluyeron todos los pacientes mayores de 18 años con estenosis esofágica de cualquier etiología o acalasia.  Resultados.  Se identificaron 27 pacientes, 92,6 % hombres. La etiología más prevalente fue la estenosis por cirugía previa (40,7 %), seguida de acalasia (29,6 %), reflujo gastroesofágico (18,5 %) y enfermedades inflamatorias (11,1 %). La regla &#8220;del tres&#8221; fue utilizada con seguridad en las estenosis postquirúrgicas y pépticas. La mayoría de las dilataciones (81,5 %) fueron exitosas y se presentó una única complicación de perforación esofágica.  Conclusión.  La dilatación endoscópica es un procedimiento seguro para el tratamiento de la estenosis esofágica y la acalasia. La correcta indicación del procedimiento, el tipo de estenosis, la elección adecuada del dilatador y la experiencia del profesional son aspectos cruciales para la efectividad de esta técnica y para la detección y manejo de las posibles complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction.  Endoscopic esophageal dilation is an effective therapeutic option for the treatment of esophagus strictures and motor disorders. To perform it, it is essential to know the etiology and anatomy of the injury and to have clinical experience. These factors determine the indication and development of the procedure. The objective of this study was to report the experience in the management of patients with esophageal stricture at a reference center institution for digestive diseases in Bogotá, D.C., Colombia.  Methods.  A descriptive, retrospective cohort study was carried out, in which patients undergoing esophageal dilation by the Gastroenterology Service were evaluated, from January 2021 to June 2023. All patients over 18 years of age with esophageal stenosis of any etiology and achalasia were included.  Results.  27 patients were identified, 92.6% men. The most prevalent etiology was post-surgical stenosis (40.7%), followed by achalasia (29.6%), gastroesophageal reflux disease (18.5%), and inflammatory diseases (11.1%). The &#8216;rule of three&#8217; was safely used in postsurgical and peptic strictures. The majority of the dilations (81.5%) were successful and a single complication of esophageal perforation occurred.  Conclusion.  Endoscopic dilation is a safe procedure for the treatment of esophageal stenosis and achalasia. Correct procedure indication, type of stenosis, appropriate choice of dilator and professional expertise are crucial aspects for the effectiveness of this technique and for the detection and management of potential complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedades del esófago]]></kwd>
<kwd lng="es"><![CDATA[estenosis esofágica]]></kwd>
<kwd lng="es"><![CDATA[acalasia del esófago]]></kwd>
<kwd lng="es"><![CDATA[endoscopia del sistema digestivo]]></kwd>
<kwd lng="es"><![CDATA[dilatación]]></kwd>
<kwd lng="es"><![CDATA[anastomosis quirúrgica]]></kwd>
<kwd lng="en"><![CDATA[esophageal diseases]]></kwd>
<kwd lng="en"><![CDATA[esophageal stenosis]]></kwd>
<kwd lng="en"><![CDATA[esophageal achalasia]]></kwd>
<kwd lng="en"><![CDATA[digestive system endoscopy]]></kwd>
<kwd lng="en"><![CDATA[dilatation]]></kwd>
<kwd lng="en"><![CDATA[surgical anastomosis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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