{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,24]],"date-time":"2025-11-24T07:12:17Z","timestamp":1763968337576},"reference-count":0,"publisher":"Sociedad Chilena de Pediatria","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Chil Ped"],"abstract":"<jats:p>Introducci\u00f3n: La acalasia es el trastorno motor primario m\u00e1s frecuente del es\u00f3fago. Su incidencia reportada es baja, a\u00fan m\u00e1s en pacientes pedi\u00e1tricos. La miotom\u00eda de Heller laparosc\u00f3pica corresponde al est\u00e1ndar actual de tratamiento. Durante los \u00faltimos a\u00f1os la miotom\u00eda endosc\u00f3pica por v\u00eda oral (POEM) se ha posicionado como una alternativa terap\u00e9utica segura y tan efectiva como el Heller para la acalasia esof\u00e1gica. Objetivo: Describir la t\u00e9cnica de POEM y reportar el primer caso pedi\u00e1trico en nuestro pa\u00eds. Caso cl\u00ednico: Paciente de 11 a\u00f1os, previamente sano, que se present\u00f3 con disfagia il\u00f3gica progresiva y baja de peso. El estudio concluy\u00f3 una acalasia tipo II. Fue sometido a POEM y curs\u00f3 un postoperatorio sin incidentes. A un a\u00f1o de la intervenci\u00f3n se ha documentado resoluci\u00f3n de la sintomatolog\u00eda, seguimiento endosc\u00f3pico y manom\u00e9trico sin complicaciones. Conclusiones: El caso descrito corresponde al primer POEM en un paciente pedi\u00e1trico en nuestro pa\u00eds. La acalasia esof\u00e1gica es infrecuente en pediatr\u00eda y el POEM ha demostrado \u00e9xito cl\u00ednico y seguridad comparables a la miotom\u00eda de Heller laparosc\u00f3pica en el corto y mediano plazo. El seguimiento a largo plazo permitir\u00e1 determinar su rol definitivo en el tratamiento de pacientes pedi\u00e1tricos con acalasia esof\u00e1gica.<\/jats:p>","DOI":"10.32641\/rchped.v90i1.884","type":"journal-article","created":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T19:36:55Z","timestamp":1557257815000},"page":"88","source":"Crossref","is-referenced-by-count":3,"title":["Miotom\u00eda endosc\u00f3pica por v\u00eda oral (POEM) en un paciente pedi\u00e1trico para tratamiento de la acalasia esof\u00e1gica"],"prefix":"10.32641","volume":"90","author":[{"given":"Ricardo","family":"Mej\u00eda","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josefina","family":"S\u00e1ez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francisco","family":"Aranda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Carlos","family":"Pattillo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Fernando","family":"Vuletin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Gattini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Francisca","family":"Jaime","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allan","family":"Sharp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"17639","published-online":{"date-parts":[[2019,2,19]]},"container-title":["Revista Chilena de Pediatr\u00eda"],"original-title":[],"link":[{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/viewFile\/884\/958","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/viewFile\/884\/1097","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/viewFile\/884\/1097","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,4,12]],"date-time":"2021-04-12T18:27:33Z","timestamp":1618252053000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.revistachilenadepediatria.cl\/index.php\/rchped\/article\/view\/884"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,19]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,2,19]]}},"URL":"https:\/\/doi.org\/10.32641\/rchped.v90i1.884","relation":{},"ISSN":["0370-4106","0370-4106"],"issn-type":[{"value":"0370-4106","type":"electronic"},{"value":"0370-4106","type":"print"}],"subject":[],"published":{"date-parts":[[2019,2,19]]}}}