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[Congenital oesophageal stenosis due to tracheobronchial remnants]
W Pumberger1, W Geissler, E Horcher
1Klinische Abteilung für Kinderchirurgie der Universität Wien.
Insights
Congenital esophageal stenosis (CES) caused by tracheobronchial remnants can be successfully treated with surgical resection and anastomosis. Early diagnosis is key when other esophageal conditions are ruled out.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Thoracic Surgery
Context:
- Congenital esophageal stenosis (CES) is a rare condition.
- Tracheobronchial remnants are an uncommon cause of CES.
- Feeding difficulties in infants can indicate esophageal issues.
Purpose:
- To present the authors' experience with CES due to tracheobronchial remnants.
- To highlight the diagnostic criteria and successful surgical management of CES.
- To emphasize the importance of considering CES in infants with feeding problems.
Summary:
- Three pediatric patients with CES caused by tracheobronchial remnants underwent limited resection and primary anastomosis.
- Surgical intervention yielded good clinical outcomes for all patients.
- Diagnostic workup included contrast studies, endoscopy, pH monitoring, and manometry.
Impact:
- This study contributes to understanding CES management.
- Successful surgical outcomes suggest this approach is effective.
- Highlights the importance of early diagnosis and intervention for CES.
Abstract:
This paper presents the authors' experience with congenital oesophageal stenosis (= CES) in three patients who had CES due to tracheobronchial remnants. Difficulties with feeding started at 6-9 months of age, which corresponded with the introduction of solids. Contrast studies showed stenosis at the junction of the mid and distal thirds of the oesophagus. Limited resection of the oesophageal stenosis and primary anastomosis was performed in all three patients with good results. CES should be suspected if all other causes of oesophageal stenosis have been excluded by upper gastrointestinal examinations, endoscopy, oesophageal pH monitoring and oesophageal manometry.