<?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>S2444-054X2025000200012</article-id>
<article-id pub-id-type="doi">10.24875/ciru.25000022</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La disfunción autonómica en la enfermedad por reflujo gastroesofágico. El eje neurogastro-cardiaco: ¿amigo o enemigo?]]></article-title>
<article-title xml:lang="en"><![CDATA[Autonomic dysfunction in gastroesophageal reflux disease. The neurogastro-cardiac axis: friend or foe?]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sobrino-Cossío]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cossío-Aranda]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galvis-García]]></surname>
<given-names><![CDATA[Elymir S.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mateos-Pérez]]></surname>
<given-names><![CDATA[Gualberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teramoto-Matsubara]]></surname>
<given-names><![CDATA[Óscar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Hermosillo]]></surname>
<given-names><![CDATA[Jesús A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alvarenga]]></surname>
<given-names><![CDATA[Juan C. López]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Azizoglu]]></surname>
<given-names><![CDATA[Mustafa]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Remes-Troche]]></surname>
<given-names><![CDATA[José M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles del Pedregal Departamento de Gastroenterología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Avanzado en Endoscopia y Estudios Funcionales Unidad Gástrica ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles del Pedregal Departamento de Cardiología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General de México Dr. Eduardo Liceaga Departamento de Gastroenterología y Consulta Externa ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Médico ABC Departamento de Gastroenterología ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto Nacional de Cardiología. Ciudad de México Clínica de Disautonomías ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Edimburg, Texas, Estados Unidos de América University of Texas Rio Grande Valley ]]></institution>
<addr-line><![CDATA[Istanbul ]]></addr-line>
<country>Turkey</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Esenyurt Necmi Kadioglu State Hospital Deparment of Pediatric Surgery ]]></institution>
<addr-line><![CDATA[Istanbul ]]></addr-line>
<country>Turkey</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Health Sciences Institute, Istinye University Department of Stem Cell and Tissue Enginering ]]></institution>
<addr-line><![CDATA[Istanbul ]]></addr-line>
<country>Turkey</country>
</aff>
<aff id="A10">
<institution><![CDATA[,Universidad Veracruzana Instituto de Investigaciones Médico-Biológicas ]]></institution>
<addr-line><![CDATA[Veracruz ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>2</numero>
<fpage>211</fpage>
<lpage>220</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000200012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La enfermedad por reflujo gastroesofágico (ERGE) es una condición compleja y altamente prevalente. El deterioro de la comunicación intestino-cerebro está asociado a la disfunción autonómica. La modulación del sistema nervioso autónomo controla las funciones gastrointestinales. En la ERGE se han reportado una disminución del tono vagal (actividad parasimpática) y un aumento de la actividad simpática, con el equilibrio autónomo desplazado hacia el sistema simpático. Los cuestionarios clínicos y la medición de la variabilidad de la frecuencia cardiaca, método no invasor, pueden ser útiles en los pacientes con ERGE para detectar la disfunción autonómica. La restauración de la actividad del sistema parasimpático (principalmente neuromodulación), con la subsecuente mejoría de la actividad parasimpática, disminuirá la intensidad de los síntomas autonómicos y de la ERGE, mejorando la calidad de vida.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Gastroesophageal reflux disease (GERD) is a complex and highly prevalent entity. Impaired gut-brain communication is associated with autonomic dysfunction. Modulation of the autonomic nervous system controls gastrointestinal functions. In GERD, a decrease in vagal tone (parasympathetic activity) and an increase in sympathetic activity with autonomic balance shifted towards the sympathetic system have been reported. Clinical questionnaires and non-invasive measurement of heart rate variability may be useful in patients with GERD to detect autonomic dysfunction. Restoration of parasympathetic system activity (mainly neuromodulation), with subsequent improvement of parasympathetic activity, will reduce the intensity of autonomic symptoms and GERD, improving quality of life.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Sistema nervioso autónomo]]></kwd>
<kwd lng="es"><![CDATA[Variabilidad de la frecuencia cardíaca]]></kwd>
<kwd lng="es"><![CDATA[Enfermedad por reflujo gastroesofágico]]></kwd>
<kwd lng="es"><![CDATA[Disfunción autonómica]]></kwd>
<kwd lng="en"><![CDATA[Autonomic nervous system]]></kwd>
<kwd lng="en"><![CDATA[Heart rate variability]]></kwd>
<kwd lng="en"><![CDATA[Gastroesophageal reflux disease]]></kwd>
<kwd lng="en"><![CDATA[Autonomic disfunction]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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