Endoscopic management for congenital esophageal stenosis: A systematic review

World Journal of Gastrointestinal Endoscopy
Keita TeruiHideo Yoshida

Abstract

Congenital esophageal stenosis (CES) is an extremely rare malformation, and standard treatment have not been completely established. By years of clinical research, evidence has been accumulated. We conducted systematic review to assess outcomes of the treatment for CES, especially the role of endoscopic modalities. A total of 144 literatures were screened and reviewed. CES was categorized in fibromuscular thickening, tracheobronchial remnants (TBR) and membranous web, and the frequency was 54%, 30% and 16%, respectively. Therapeutic option includes surgery and dilatation, and surgery tends to be reserved for ineffective dilatation. An essential point is that dilatation for TBR type of CES has low success rate and high rate of perforation. TBR can be distinguished by using endoscopic ultrasonography (EUS). Overall success rate of dilatation for CES with or without case selection by using EUS was 90% and 29%, respectively. Overall rate of perforation with or without case selection was 7% and 24%, respectively. By case selection using EUS, high success rate with low rate of perforation could be achieved. In conclusion, endoscopic dilatation has been established as a primary therapy for CES except TBR type. Repetitive dilatation wi...Continue Reading

Citations

Aug 8, 2015·Journal of Pediatric Gastroenterology and Nutrition·Siba Prosad Paul, Dharamveer Basude
Dec 1, 2015·Gastrointestinal Endoscopy Clinics of North America·Arathi Lakhole, Quin Y Liu
Jul 30, 2016·Pediatric Surgery International·Kazuki YokotaKosuke Chiba
Dec 28, 2018·Veterinary Radiology & Ultrasound : the Official Journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·Matthew A KopkeRichard K Burchell
Jun 27, 2019·The Korean Journal of Thoracic and Cardiovascular Surgery·Yuhao Wu, Chun Wu
Sep 19, 2019·The New England Journal of Medicine·Carlo Di LorenzoRicard Masia
Jan 3, 2021·NeoReviews·Jillian TaylorVilmaris Quinones Cardona
Nov 7, 2021·Pediatric Surgery International·Sarah BraungartDavid John Wilkinson

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