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Peptic esophageal stricture in children
M Bosheva1, N Chatalbashev, M Pechilkova
1Department of Pediatrics, Higher Medical Institute, Plovdiv, Bulgaria.
Folia Medica
|June 18, 1999
Summary
Peptic esophageal stricture in children, a complication of GERD, often requires surgical intervention. Nissen fundoplication is the preferred treatment, offering complete recovery without complications.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Gastroesophageal Reflux Disease (GERD)
Background:
- Peptic esophageal stricture affects 5% of children with GERD.
- Diagnosis relies on clinical symptoms, esophagoscopy, pH-metry, and X-ray.
- Initial medical or bougienage treatments often fail.
Observation:
- Six pediatric cases of peptic esophageal stricture were reviewed.
- Patients presented with vomiting, hematemesis, and anemia.
- Nissen fundoplication was performed after failed conservative treatments.
Findings:
- All surgically treated patients achieved complete recovery.
- No postoperative complications were observed in the Nissen fundoplication group.
Implications:
- Nissen fundoplication is the treatment of choice for pediatric peptic strictures.
- Conservative management shows poor results.
- Effective surgical intervention ensures positive patient outcomes.