Congenital esophageal stenosis diagnosed in an infant at 9 month of age

Italian Journal of Pediatrics
F SavinoA Barabino


Esophageal stenosis is a relatively uncommon condition in pediatrics and requires an accurate diagnostic approach. Here we report the case of a 9-month old female infant who presented intermittent vomiting, dysphagia and refusal of solid foods starting after weaning. She was treated for gastroesophageal reflux. At first, radiological investigation suggested achalasia, while esophagoscopy revelaed a severe congenital esophageal stenosis at the distal third of the esophagus. She underwent four endoscopic balloon dilatations that then allowed her to swallow solid food with intermittent mild dysphagia. After 17 months of esomeprazole treatment off therapy impedance-pH monitoring was normal. At 29 months of follow-up the child is asymptomatic and eats without problems.Infants with dysphagia and refusal of solid foods may have undiagnosed medical conditions that need treatment. Many disorders can cause esophageal luminal stricture; in the pediatric age the most common are peptic or congenital. Careful assessment with endoscopy is needed to diagnose these conditions early and referral to a pediatric gastroenterologic unit may be necessary.


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Sep 3, 2004·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·S P Setty, M W Harrison
May 22, 2008·Journal of Pediatric Gastroenterology and Nutrition·Mark A GilgerMarta Illueca
Nov 22, 2008·Clinical Pediatrics·Jane E Prasse, George E Kikano
Apr 21, 2010·Pediatric Surgery International·Douglas W JonesArnold G Coran
Oct 27, 2010·Journal of Pediatric Gastroenterology and Nutrition·Christine Waasdorp HurtadoRobert E Kramer
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Apr 30, 2013·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·O Wallner, B Wallner
Nov 18, 2014·Journal of Emergencies, Trauma, and Shock·Sara FuentesAndrés Gómez
Oct 1, 2015·Journal of Pediatric Gastroenterology and Nutrition·Mark A GilgerMarta Illueca

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