<?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>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272022000400747</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Acalasia esofágica. Informe de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Esophageal achalasia. Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Cardoso]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suárez Herrera]]></surname>
<given-names><![CDATA[José Amadys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes Medina]]></surname>
<given-names><![CDATA[Eugenio Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arencibia Mendoza]]></surname>
<given-names><![CDATA[Oreime]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Unidad Municipal de Higiene y Epidemiología  ]]></institution>
<addr-line><![CDATA[Manicaragua Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Provincial Clínico Quirúrgico Universitario &#8220;Arnaldo Milián Castro&#8221;  ]]></institution>
<addr-line><![CDATA[Santa Clara Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Policlínico &#8220;50 Aniversario&#8221;  ]]></institution>
<addr-line><![CDATA[Manicaragua Villa Clara]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>16</volume>
<numero>4</numero>
<fpage>747</fpage>
<lpage>752</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272022000400747&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272022000400747&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272022000400747&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el término acalasia esofágica se refiere a una limitación en el vaciamiento del bolo alimenticio a nivel esofágico asociado a un fallo en la relajación.  Información del paciente:  se trata de un paciente masculino, de 13 años de edad, que acudió a la consulta por disfagia a los sólidos que progresó a los líquidos, a la regurgitación de saliva y a alimentos blandos, con pérdida progresiva de peso. Se le realizó un rayos X de esófago, estómago y duodeno que mostró dilatación del esófago, con terminación en forma de &#8220;punta de lápiz&#8221; a nivel de la unión esofagogástrica y una manometría esofágica que reveló un cuerpo esofágico en el que no existe peristaltismo normal, con contracciones incoordinadas o simultáneas (o ambas), repetitivas, multipicos de amplitud normal, no propulsivas; se planteó como diagnóstico la existencia de acalasia esofágica de tipo vigorosa.  Conclusiones:  a pesar de tratarse de una enfermedad poco frecuente es importante que los Especialistas en Pediatría y en Cirugía tengan en consideración esta enfermedad en el diagnóstico diferencial de todo paciente que tenga disfagia, regurgitación y pérdida de peso.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the term esophageal achalasia refers to a limitation in the emptying of the food bolus at the esophageal level associated with a failure in relaxation.  Case report:  this is a male patient, 13 years old, who came to the clinic for dysphagia to solids that progressed to liquids, saliva regurgitation and soft foods, with progressive weight loss. An X-ray of the esophagus, stomach, and duodenum was performed, which showed dilation of the esophagus, with a "pencil point" termination at the level of the esophagogastric junction, and an esophageal manometry that revealed an esophageal body in which there is no normal peristalsis, with uncoordinated or simultaneous (or both), repetitive, multipeak contractions of normal amplitude, not propulsive; the existence of vigorous-type esophageal achalasia was proposed as a diagnosis.  Conclusions:  despite being a rare disease, it is important that specialists in Pediatrics and Surgery take this disease into consideration in the differential diagnosis of all patients with dysphagia, regurgitation and weight loss.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[acalasia del esófago]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico]]></kwd>
<kwd lng="es"><![CDATA[terapéutica]]></kwd>
<kwd lng="en"><![CDATA[esophageal achalasia]]></kwd>
<kwd lng="en"><![CDATA[diagnosis]]></kwd>
<kwd lng="en"><![CDATA[therapeutics]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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