<?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>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2020000600726</article-id>
<article-id pub-id-type="doi">10.24875/ciru.20001653</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Estado nutricional de niños con estenosis esofágica secundaria a quemadura por cáusticos, alimentados por gastrostomía en el Hospital Civil de Guadalajara]]></article-title>
<article-title xml:lang="en"><![CDATA[Nutritional status of children with esophageal stenosis secondary to burns by caustics, with gastrostomy management in the Civil Hospital of Guadalajara]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cornejo-Villa]]></surname>
<given-names><![CDATA[Martha del R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres-Rojas]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto-Blanquel]]></surname>
<given-names><![CDATA[María A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto-Mancilla]]></surname>
<given-names><![CDATA[Juan L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Civil de Guadalajara Fray Antonio Alcalde Departamento Institucional de Nutrición Clínica y Cirugía Pediátrica ]]></institution>
<addr-line><![CDATA[Guadalajara ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>88</volume>
<numero>6</numero>
<fpage>726</fpage>
<lpage>731</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2020000600726&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2020000600726&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2020000600726&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La ingestión de cáusticos constituye un problema grave en la edad pediátrica que puede ocasionar lesiones en el esófago que imposibiliten la alimentación vía oral. La nutrición por gastrostomía resulta una vía segura para garantizar una evolución adecuada del estado nutricional, así como favorecer el crecimiento y el desarrollo del paciente.  Objetivo: Evaluar el estado nutricional de niños con estenosis esofágica secundaria a ingestión de cáusticos, posterior a 6 meses de la colocación de gastrostomía como vía de alimentación.  Método: Estudio descriptivo, longitudinal, ambispectivo, con una muestra de 20 pacientes. El estado nutricional previo y posterior a la colocación de gastrostomía se obtuvo mediante mediciones antropométricas e índices pediátricos. Análisis estadístico: t de Student.  Resultados: Los índices antropométricos de peso para la edad (P/E) e índice de masa corporal para la edad (IMC/E) reflejan una mejoría estadísticamente significativa en el estado nutricional a lo largo de 6 meses de tratamiento con gastrostomía, no siendo así para la talla para la edad (T/E).  Conclusiones: El estado nutricional evoluciona adecuadamente a partir del manejo con gastrostomía en estos pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: The ingestion of caustic substances constitutes a serious problem in the pediatric age that can cause injuries in the esophagus that may require oral feeding. Gastrostomy nutrition is a safe way to guarantee an adequate evolution of the nutritional status, as well patient's growth and development.  Objective: To evaluate the nutritional status of children with esophageal stenosis, secondary to caustic ingestion, after 6 months of gastrostomy placement as a feeding route.  Method: A descriptive, longitudinal ambispective study was carried out, with a sample of 20 patients. Nutritional status before and after gastrostomy placement; was obtained through anthropometric measurements and pediatric indexes. Statistical analysis: t-test.  Results: The anthropometric indexes of W/A and BMI/A reflect a statistically significant improvement in nutritional status over 6 months of gastrostomy treatment, but not for H/A.  Conclusion: The nutritional status evolves adequately from gastrostomy management in these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáustico]]></kwd>
<kwd lng="es"><![CDATA[Estado nutricional]]></kwd>
<kwd lng="es"><![CDATA[Estenosis esofágica]]></kwd>
<kwd lng="es"><![CDATA[Gastrostomía]]></kwd>
<kwd lng="en"><![CDATA[Caustic]]></kwd>
<kwd lng="en"><![CDATA[Nutritional status]]></kwd>
<kwd lng="en"><![CDATA[Esophageal stenosis]]></kwd>
<kwd lng="en"><![CDATA[Gastrostomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<collab>Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial</collab>
<source><![CDATA[Otorrinolaringología]]></source>
<year>2011</year>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Médica Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Viswanatha]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Esophagus anatomy]]></article-title>
<source><![CDATA[Medscape]]></source>
<year>2015</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mencías]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Intoxicación por cáusticos]]></article-title>
<source><![CDATA[An Sist Sanit Navarra]]></source>
<year>2003</year>
<volume>26</volume>
<page-range>191-207</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Millar]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Cox]]></surname>
<given-names><![CDATA[SG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caustic injury of the oesophagus]]></article-title>
<source><![CDATA[Pediatr Surg Int]]></source>
<year>2011</year>
<volume>31</volume>
<page-range>111-21</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>Asociación Española de Pediatría</collab>
<source><![CDATA[Protocolos de gastroenterología, hepatología y nutrición]]></source>
<year>2011</year>
<edition>2a ed</edition>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Ergón]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kurowski]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Kay]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caustic ingestions and foreign bodies ingestions in pediatric patients]]></article-title>
<source><![CDATA[Pediatr Clin North Am]]></source>
<year>2017</year>
<volume>64</volume>
<page-range>507-24</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Contini]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Scarpignato]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caustic injury of the upper gastrointestinal tract:a comprehensive review]]></article-title>
<source><![CDATA[World J Gastoenterol]]></source>
<year>2013</year>
<volume>19</volume>
<page-range>3918-30</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Montoro]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
</person-group>
<collab>Asociación Española de Gastroenterología. Esofagitis por cáusticos</collab>
<source><![CDATA[Gastroenterología y hepatología:problemas comunes en la práctica clínica]]></source>
<year>2011</year>
<edition>2a ed</edition>
<page-range>221-8</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Jarpyo]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Zargar]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Kochhar]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mehta]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Mehta]]></surname>
<given-names><![CDATA[SK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The role of fiberoptic endoscopy in the management of corrosive ingestion and modified endoscopic classification of burns]]></article-title>
<source><![CDATA[Gastrointest Endosc]]></source>
<year>1991</year>
<volume>37</volume>
<page-range>165-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Donatone]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Urgencias endoscópicas digestivas en pediatría]]></article-title>
<source><![CDATA[Rev Med Clin Condes]]></source>
<year>2009</year>
<volume>20</volume>
<page-range>869-77</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estenosis esofágica por ingestión de sustancias cáusticas]]></article-title>
<source><![CDATA[Rev Cub Cir]]></source>
<year>2007</year>
<volume>46</volume>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pedrón]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Benlloch]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Navas-López]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez-López]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Redencillas-Ferrero]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno-Villares]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Documento de consenso SENPE/SEGHNP/ANECIPN/SECP sobre vías de acceso en nutrición enteral pediátrica]]></article-title>
<source><![CDATA[Nutr Hosp]]></source>
<year>2011</year>
<volume>26</volume>
<page-range>1-15</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parra-Gámez]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Reyes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Escobar]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La desnutrición y sus consecuencias sobre el metabolismo intermedio]]></article-title>
<source><![CDATA[Rev Fac Med UNAM]]></source>
<year>2003</year>
<volume>46</volume>
<page-range>32-6</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Toussaint]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[García-Aranda]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Desnutrición energético-proteínica]]></source>
<year>2015</year>
<edition>3a ed</edition>
<page-range>263-96</page-range><publisher-loc><![CDATA[Ciudad de México ]]></publisher-loc>
<publisher-name><![CDATA[Médica Panamericana]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<source><![CDATA[Instituto Nacional de Estadística y Geografía]]></source>
<year></year>
<publisher-loc><![CDATA[México ]]></publisher-loc>
<publisher-name><![CDATA[Estadísticas de mortalidad]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez-Ramírez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Larrosa-Haro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vásquez-Garibay]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Macías-Rosales]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Socio-demographic factors associated with caustic substance ingestion in children and adolescents]]></article-title>
<source><![CDATA[Inter J Ped Otorhinolaryngol]]></source>
<year>2012</year>
<volume>76</volume>
<page-range>253-6</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera-Dommarco]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Shamah-Levy]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Villalpando-Hernández]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cuevas-Nasu]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<collab>Encuesta Nacional de Salud y Nutrición 2012</collab>
<source><![CDATA[Resultados nacionales]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Cuernavaca, México ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Nacional de Salud Pública]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sánchez-Ramírez]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Larrosa-Haro]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vásquez-Garibay]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Rodríguez-Anguiano]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[Cámara-López]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nutritional status in children with esophageal stenosis and dysphagia associated with caustic ingestion]]></article-title>
<source><![CDATA[Nutr Hosp]]></source>
<year>2016</year>
<volume>33</volume>
<page-range>26-30</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
