Management and clinical outcomes of congenital esophageal stenosis in pediatric patients: Experience of a tertiary referral center.

Journal of Pediatric Surgery
Şeref Selçuk Kılıç, Hilmi Serdar İskit


This study aimed to retrospectively investigate congenital esophageal stenosis (CES) cases managed at our institution using a non-aggressive strategy based on a step-up approach from esophageal balloon dilatations to surgery. Patients' charts with CES managed in a tertiary pediatric surgery department were retrospectively evaluated. Demographic characteristics, clinical features, pH-monitoring, imaging, and esophagoscopy results were recorded together with their treatments and outcomes. Nineteen patients, confirmed with radiologic and endoscopic investigations, were managed. Complete symptom resolution was achieved in 14 patients by a median of five (2-15) recurrent esophageal balloon dilatations lasting for 7.5 (2-108) months. Two more patients, after 7 and 15 dilatations, had mild dysphagia, not interfering with their daily living. One patient, in whom the initial dilatation attempt with 3 atm was unsuccessful, and two patients with persistent symptoms and growth retardation despite ongoing dilatation treatment, underwent surgery. After 48 (12-132) months of follow-up, 17 patients were symptom-free. Conservative treatment with esophageal balloon dilatations is an efficient and reliable modality that can be used as a first-lin...Continue Reading


Apr 1, 1991·Journal of Pediatric Surgery·I R NeilsonJ M Laberge
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Jan 31, 2002·Journal of Pediatric Surgery·Shigeru TakamizawaToshihiro Muraji
Dec 17, 2002·Journal of Pediatric Surgery·Noriaki UsuiAkira Okada
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Aug 10, 2004·Journal of Pediatric Surgery·Lu-Lu ZhaoWen-Ming Hsu
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May 28, 2011·Journal of Pediatric Surgery·Erminia RomeoLuigi Dall'oglio
Dec 3, 2013·Orphanet Journal of Rare Diseases·Laurent MichaudFrédéric Gottrand
Jan 23, 2014·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·F McCannC Faure
Mar 20, 2015·World Journal of Gastrointestinal Endoscopy·Keita TeruiHideo Yoshida
May 30, 2017·Seminars in Pediatric Surgery·A Francois Trappey, Shinjiro Hirose

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