[An unusual esophageal stenosis]

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Medical Case Reports

Background:

• Esophageal atresia (EA) is a congenital anomaly requiring surgical repair.
• Vogt type IIIb esophageal atresia involves a gap between esophageal segments.
• Post-operative complications can include esophageal stenosis.

Observation:

• A child with a history of EA type Vogt IIIb presented with acute dysphagia two years after initial surgery.
• Endoscopic examination revealed esophageal stenosis attributed to a mucosal strangulating bridge.
• The patient underwent successful endoscopic removal of the obstructing mucosal bridge.

Findings:

• Endoscopic removal of the mucosal bridge effectively treated the esophageal stenosis.
• Post-procedure follow-up at six months showed a negative endoscopic picture, indicating resolution of the stenosis.
• This case highlights a rare complication of EA repair and its successful endoscopic management.

Implications:

• Endoscopic intervention is a viable treatment for post-operative esophageal stenosis in children.
• Early diagnosis and endoscopic management can prevent long-term morbidity associated with esophageal strictures.
• This case contributes to the understanding of managing complex esophageal atresia sequelae.