Endoscopic management of congenital esophageal stenosis

Journal of Pediatric Surgery
Erminia RomeoLuigi Dall'Oglio

Abstract

Congenital esophageal stenosis (CES) is a rare malformation. Endoscopic dilations represent a therapeutic option. This study retrospectively evaluated the efficacy and safety of a conservative treatment of CES. Patients diagnosed with CES since 1980 by a barium study or endoscopy were reviewed. Endoscopic ultrasonography (Olympus UM-3R-20-MHz radial miniprobe, Olympus Corporation, Tokyo, Japan), available from 2001, allowed for the differential diagnosis of tracheobronchial remnants (TBR) and fibromuscular hypertrophy (FMH) CES. All children underwent conservative treatment by endoscopic dilations (hydrostatic and Savary). Forty-seven patients (20 men) had CES. Fifteen were associated with esophageal atresia; and 8, with Down syndrome. Mean age at the diagnosis was 28.3 months (range, 1 day to 146 months). Symptoms were solid food refusal, regurgitation, vomiting, and dysphagia. Congenital esophageal stenosis was located in the distal esophagus. Endoscopic ultrasonography demonstrated TBR and FMH in 6 patients. One hundred forty-eight dilations in 47 patients were performed. The stenosis healed in 45 (95.7%). Complications were 5 (10.6%) esophageal perforations, hydrostatic (3/32, or 9.3%), and Savary (2/116, or 1.7%). At follo...Continue Reading

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Citations

Feb 27, 2013·Der Pathologe·E BruderW A Meier-Ruge
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Jan 23, 2020·Asian Journal of Endoscopic Surgery·Kyoko MochizukiHidehito Usui
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Jan 25, 2012·Journal of Pediatric Gastroenterology and Nutrition·Luigi Dall'Oglio, Paola De Angelis
Mar 1, 2017·Asian Journal of Endoscopic Surgery·Ryuta SakaTakaharu Oue
Aug 7, 2021·Current Opinion in Pediatrics·Giulia AngelinoLuigi Dall'Oglio

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