{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T02:45:14Z","timestamp":1782873914097,"version":"3.54.5"},"reference-count":0,"publisher":"Sociedad Argentina de Gastroenterologia","issue":"2","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ACTA"],"abstract":"<jats:p>Introducci\u00f3n. La ingesta de sustancias c\u00e1usticas en los ni\u00f1os puede producir lesiones esofagog\u00e1stricas con secuelas significativas, particularmente estenosis esof\u00e1gica. La endoscopia digestiva alta temprana permite graduar la lesi\u00f3n seg\u00fan la clasificaci\u00f3n endosc\u00f3pica de Zargar y orientar el seguimiento.\nObjetivo. Describir el perfil endosc\u00f3pico y terap\u00e9utico de pacientes pedi\u00e1tricos con ingesta de c\u00e1usticos atendidos entre 2018 y 2024 en un hospital pedi\u00e1trico de referencia.\n Material y m\u00e9todos. Estudio observacional, retrospectivo y descriptivo. Se incluyeron pacientes menores de 14 a\u00f1os sometidos a videoendoscopia digestiva alta de urgencia por sospecha o confirmaci\u00f3n cl\u00ednica de ingesta de c\u00e1usticos (enero de 2018 a diciembre de 2024). Las lesiones se clasificaron seg\u00fan la clasificaci\u00f3n endosc\u00f3pica de Zargar (0, I, IIa, IIb, III). Se registraron el compromiso g\u00e1strico y la necesidad de tratamiento (dilataciones, inyecci\u00f3n de triamcinolona intralesional o cirug\u00eda).\nResultados. Se analizaron 161 pacientes (edad media: 3 a\u00f1os; 65,8% varones). En la endoscopia inicial no se evidenciaron lesiones en 60 (37,3%), se observ\u00f3 Zargar I en 39 (24,2%), Zargar II en 53 (32,9%) y Zargar III en 9 (5,6%). En 25 casos (15,5%) se registr\u00f3 gastritis, principalmente en lesiones Zargar II\u2013III. Requirieron dilataciones esof\u00e1gicas 32 pacientes (19,8%): 25\/53 (47,2%) con lesiones Zargar II y 7\/9 (77,8%) con Zargar III. Se identificaron 5 pacientes (3,1%) con estenosis refractaria (intervalos \u226421 d\u00edas). Quince pacientes recibieron triamcinolona intralesional, aunque no se observ\u00f3 un beneficio concluyente en la reducci\u00f3n del n\u00famero de dilataciones. Dos pacientes (1,2%) requirieron tratamiento quir\u00fargico (ascenso g\u00e1strico).\n Conclusiones. En esta serie, las lesiones Zargar II fueron las m\u00e1s frecuentes entre las lesiones significativas y se asociaron a una proporci\u00f3n relevante de dilataciones. La estratificaci\u00f3n endosc\u00f3pica temprana permite anticipar la necesidad de intervenci\u00f3n y seguimiento. En nuestra experiencia, la triamcinolona intralesional no mostr\u00f3 un beneficio concluyente.<\/jats:p>","DOI":"10.52787\/agl.v56i2.629","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T02:05:14Z","timestamp":1782871514000},"page":"226-231","source":"Crossref","is-referenced-by-count":0,"title":["Perfil endosc\u00f3pico y terap\u00e9utico de pacientes pedi\u00e1tricos con ingesta de c\u00e1usticos: experiencia de 7 a\u00f1os en un hospital pedi\u00e1trico de alta complejidad"],"prefix":"10.52787","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4964-6577","authenticated-orcid":false,"given":"Karina","family":"Arco","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1652-1947","authenticated-orcid":false,"given":"Wilma","family":"Geraige","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariana","family":"Torres","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3471-5170","authenticated-orcid":false,"given":"Paula","family":"Roitman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1552-9077","authenticated-orcid":false,"given":"Romina","family":"Miranda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30608","published-online":{"date-parts":[[2026,6,30]]},"container-title":["Acta Gastroenterol\u00f3gica Latinoamericana"],"original-title":[],"link":[{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/629\/980","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/629\/996","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/download\/629\/996","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T02:05:14Z","timestamp":1782871514000},"score":1,"resource":{"primary":{"URL":"https:\/\/actaojs.org.ar\/ojs\/index.php\/acta\/article\/view\/629"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,30]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,6,30]]}},"URL":"https:\/\/doi.org\/10.52787\/agl.v56i2.629","relation":{},"ISSN":["2469-1119"],"issn-type":[{"value":"2469-1119","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,30]]}}}