<?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>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032022000100017</article-id>
<article-id pub-id-type="doi">10.35366/103551</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[ERGE persistente o recidivante luego de cirugía antirreflujo, síntomas que llevan a la reintervención en un hospital privado de la Ciudad de México]]></article-title>
<article-title xml:lang="en"><![CDATA[Persistent or recurrent GERD after antireflux surgery, symptoms leading to reoperation in a private hospital in Mexico City]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lara Ruiz]]></surname>
<given-names><![CDATA[Rodolfo Iván]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Anzures]]></surname>
<given-names><![CDATA[Itzel Alejandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chirino Romo]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Angeles Pedregal  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Angeles Pedregal Hospital Angeles Pedregal ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Angeles Pedregal  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>20</volume>
<numero>1</numero>
<fpage>17</fpage>
<lpage>23</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032022000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032022000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032022000100017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: La persistencia o recidiva de síntomas posteriores a cirugía antirreflujo se asocian al estudio y abordaje inicial deficientes, fallas en la técnica quirúrgica y factores de riesgo propios del paciente. Con el objetivo de describir los síntomas que llevan a una nueva intervención, tiempo desde el primer procedimiento, técnica empleada y características de los casos, se realizó una revisión sistemática retrospectiva de 100 expedientes clínicos sometidos a reintervención de cirugía antirreflujo durante los últimos cuatro años en el Hospital Angeles Pedregal en la Ciudad de México. Se encontraron casos con hasta tres reintervenciones, los resultados mostraron que pirosis (65%), regurgitación (58%) y epigastralgia (28%) fueron los síntomas más frecuentes. El factor de riesgo aislado más importante fue la obesidad (23%). Más de 50% se reintervinieron dentro de los primeros 10 años, siendo el deslizamiento de la funduplicatura el mecanismo de falla más común (71%). Si bien los resultados coinciden en gran medida con la literatura, la comparación sistemática de los casos con dos o más cirugías como en nuestra muestra ha sido reportada en pocos estudios en la era laparoscópica, por lo que el presente trabajo contribuye al análisis de casos con múltiples tratamientos quirúrgicos antirreflujo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: The persistence or recurrence of symptoms after antireflux surgery is associated with poor study and initial approach, failures in surgical technique and risk factors specific to the patient. In order to describe the symptoms that lead to a new intervention, time since the first procedure, the technique used and the characteristics of the patients, a retrospective systematic review of 100 clinical records of cases undergoing reintervention of antirreflux surgery during the last four years was carried out in Angeles Pedregal Hospital in Mexico City. Cases with up to three previous surgeries were found, the results showed that heartburn (65%), regurgitation (58%) and epigastric pain (28%) were the most frequent symptoms. The most important isolated risk factor was obesity (23%). More than 50% underwent reoperation within the first 10 years, with slippage of the fundoplication being the most common failure mechanism (71%). Although the results largely coincide with the literature, the systematic comparison of cases with two or more surgeries as in our sample has been reported in few studies in the laparoscopic era, so the present work contributes to the analysis of cases with multiple anti-reflux surgical treatments.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Funduplicatura]]></kwd>
<kwd lng="es"><![CDATA[recurrencia]]></kwd>
<kwd lng="es"><![CDATA[reoperación]]></kwd>
<kwd lng="es"><![CDATA[falla terapéutica]]></kwd>
<kwd lng="es"><![CDATA[complicaciones postquirúrgicas]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="en"><![CDATA[Fundoplication]]></kwd>
<kwd lng="en"><![CDATA[recurrence]]></kwd>
<kwd lng="en"><![CDATA[reoperation]]></kwd>
<kwd lng="en"><![CDATA[treatment failure]]></kwd>
<kwd lng="en"><![CDATA[postoperative complications]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
</kwd-group>
</article-meta>
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