<?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>0120-9957</journal-id>
<journal-title><![CDATA[Revista colombiana de Gastroenterología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. colomb. Gastroenterol.]]></abbrev-journal-title>
<issn>0120-9957</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Gastroenterología  ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-99572026000100078</article-id>
<article-id pub-id-type="doi">10.22516/25007440.1348</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Management of Benign Pyloric Syndrome through Endoscopic Ultrasound-Guided Gastroenterostomy: Case Report]]></article-title>
<article-title xml:lang="es"><![CDATA[Manejo del síndrome pilórico benigno por medio de gastroenteroanastomosis bajo ultrasonografía endoscópica: descripción de un caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Orozco]]></surname>
<given-names><![CDATA[Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-García]]></surname>
<given-names><![CDATA[Tatiana Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Plaza-Ricardo]]></surname>
<given-names><![CDATA[Pedro Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cerra-Ortegón]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Fernández de Castro]]></surname>
<given-names><![CDATA[Camila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Endomedical IPS  ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Libre  ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2026</year>
</pub-date>
<volume>41</volume>
<numero>1</numero>
<fpage>78</fpage>
<lpage>82</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-99572026000100078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-99572026000100078&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-99572026000100078&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Pyloric syndrome is a clinical condition characterized by epigastric abdominal pain and postprandial vomiting. Etiologies varies, most commonly including peptic ulcer disease and caustic injuries. The most frequent clinical manifestations include epigastric pain, vomiting, and weight loss. Standard management primarily involves dilation using stent placement, which is associated with high failure rates. Consequently, endoscopic gastroenterostomy has recently been implemented as an alternative therapeutic strategy, as illustrated in the present case.  Case Report: A case is reported involving a female patient presenting with epigastric abdominal pain and recurrent emetic episodes. Upper gastrointestinal endoscopy revealed complete pyloric obstruction. Initial endoscopic dilation was unsuccessful; therefore, endoscopic management was performed through endoscopic gastroenterostomy, resulting in low morbidity and restoration of intestinal transit within 72 hours.  Discussion: Pyloric syndrome has multiple etiologies, both malignant and benign, including complete pyloric obstruction, which produces symptoms such as epigastric pain, vomiting, and weight loss. The present report aims to highlight current management strategies based on endoscopic surgical approaches in order to reduce patient morbidity.  Conclusion: Pyloric syndrome is a complex pathology that predisposes patients to poor quality of life due to symptom burden and associated malnutrition. Endoscopic surgical management via gastroenterostomy currently demonstrates promising outcomes, including reduced hospital length of stay and lower morbidity.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  El síndrome pilórico es un síndrome clínico caracterizado por dolor abdominal epigástrico y vómitos posprandiales. La etiología varía, entre las entidades principales se encuentra la úlcera péptica y las lesiones cáusticas. Las características clínicas más comunes fueron dolor epigástrico, vómitos y pérdida de peso. El manejo principal es la dilatación por medio de stent, que tiene altas tasas de fracaso, por lo que actualmente se está implementando la realización de gastroenteroanastomosis endoscópica, como en el siguiente caso.  Reporte de caso:  Se reporta un caso en una paciente que cursa con dolor abdominal en el epigastrio, además de episodios eméticos, y se le diagnosticó obstrucción del píloro por medio de endoscopia de vías digestivas altas con obstrucción total, la cual fue llevada a dilatación endoscópica fallida, por lo que se realizó el manejo endoscópico por medio de una gastroenteroanastomosis endoscópica con baja morbilidad y recuperación del tránsito intestinal a las 72 horas.  Discusión:  El síndrome pilórico tiene diversas etiologías, tanto malignas como benignas, entre ellas la obstrucción total del píloro, que ocasiona síntomas como dolor epigástrico, vómitos y pérdida de peso. Lo que queremos dar a conocer es el manejo actual por medio de cirugía endoscópica para disminuir la morbilidad en los pacientes.  Conclusión:  El síndrome pilórico es una patología compleja que predispone a una baja calidad de vida por la sintomatología y el estado de desnutrición. El manejo quirúrgico endoscópico por medio de la gastroenteroanastomosis actualmente muestra resultados prometedores con menor estancia hospitalaria y menor morbilidad.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Pyloric stenosis]]></kwd>
<kwd lng="en"><![CDATA[hypertrophic pyloric stenosis]]></kwd>
<kwd lng="en"><![CDATA[natural orifice transluminal endoscopic surgery]]></kwd>
<kwd lng="en"><![CDATA[surgical anastomosis]]></kwd>
<kwd lng="es"><![CDATA[Estenosis pilórica]]></kwd>
<kwd lng="es"><![CDATA[estenosis hipertrófica del píloro]]></kwd>
<kwd lng="es"><![CDATA[cirugía endoscópica por orificios naturales]]></kwd>
<kwd lng="es"><![CDATA[anastomosis quirúrgica]]></kwd>
</kwd-group>
</article-meta>
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