<?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>2444-6483</journal-id>
<journal-title><![CDATA[Endoscopia]]></journal-title>
<abbrev-journal-title><![CDATA[Endoscopia]]></abbrev-journal-title>
<issn>2444-6483</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Endoscopia Gastrointestinal A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-64832025000100033</article-id>
<article-id pub-id-type="doi">10.24875/end.24000019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Perforación esofágica, uso de prótesis esofágica: reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Esophageal perforation, use of esophageal prosthesis: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés-Juárez]]></surname>
<given-names><![CDATA[Katya]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Ballesteros]]></surname>
<given-names><![CDATA[Eduardo J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Bello]]></surname>
<given-names><![CDATA[Samuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Espinosa-González]]></surname>
<given-names><![CDATA[José M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arizpe-Bravo]]></surname>
<given-names><![CDATA[Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Campos-Lara]]></surname>
<given-names><![CDATA[Jorge P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Puebla Departamento de Gastroenterología ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Ángeles Puebla Departamento de Medicina Interna ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Puebla Departamento de Endoscopia ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Ángeles Puebla Departamento de Anestesiología y Medicina Crítica ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital Ángeles Puebla Departamento de Radiología ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>37</volume>
<numero>1</numero>
<fpage>33</fpage>
<lpage>36</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-64832025000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-64832025000100033&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-64832025000100033&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La perforación esofágica es una urgencia médico-quirúrgica con alta mortalidad, que suele presentarse con síntomas atípicos en hasta el 50% de los casos, lo que complica su diagnóstico. Entre las causas destacan el síndrome de Boerhaave, complicaciones iatrogénicas por dilataciones, posterior a miotomía endoscópica peroral o colangiopancreatografía retrógrada endoscópica. El manejo temprano es crucial para reducir la mortalidad, que puede alcanzar hasta el 60%. Presentamos el caso de un hombre de 70 años que sufrió una perforación esofágica tras episodios de emesis intensa durante la preparación para una colonoscopia. Al ingreso, presentaba empiema, neumomediastino y fuga esofágica. Se colocó una prótesis esofágica autoexpandible, completamente cubierta y fijada con hemoclips. Sin embargo, la prótesis migró tras ocho semanas, una complicación común que afecta hasta el 38% de los casos, siendo retirada endoscópicamente. La colocación de prótesis esofágicas es un tratamiento eficaz para las perforaciones del tracto gastrointestinal superior, con tasas de éxito que oscilan entre el 81 y el 87%. Una intervención temprana, junto con un enfoque multidisciplinario, es clave para mejorar el pronóstico y reducir la necesidad de reintervenciones en estos pacientes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Esophageal perforation is a medical-surgical emergency with a high mortality rate, which usually presents atypical symptoms in up to 50% of cases. Its causes include Boerhaave syndrome, iatrogenic complications due to dilation, after a peroral endoscopic myotomy or endoscopic retrograde cholangiopancreatography. Its early management is crucial to reduce mortality, which can reach up to 60%. In this case, we present a 70-year-old man who suffered an esophageal perforation after episodes of intense vomiting during his preparation for a colonoscopy. On admission, he presented empyema, pneumomediastinum and an esophageal leak. A self-expanding esophageal stent fully covered was placed and secured with hemoclips. However, the stent migrated after eight weeks, a common complication affecting up to 38% of cases, being removed endoscopically. Esophageal stent placement is an effective treatment for upper gastrointestinal perforations, with a success rate ranging from 81 to 87%. Early intervention, along with a multidisciplinary approach, is key to improving outcomes and reducing the need for reinterventions in these patients.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Perforación esofágica]]></kwd>
<kwd lng="es"><![CDATA[Endoscopia superior]]></kwd>
<kwd lng="es"><![CDATA[Prótesis esofágica]]></kwd>
<kwd lng="es"><![CDATA[Migración protésica]]></kwd>
<kwd lng="en"><![CDATA[Esophageal perforation]]></kwd>
<kwd lng="en"><![CDATA[Upper endoscopy]]></kwd>
<kwd lng="en"><![CDATA[Esophageal stent]]></kwd>
<kwd lng="en"><![CDATA[Stent migration]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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