Congenital esophageal stenosis

Area of Science:

• Pediatric Surgery
• Gastroenterology
• Medical Diagnostics

Background:

• Congenital esophageal stenosis (CES) is a rare congenital anomaly affecting the esophagus.
• CES typically presents in infancy but can be diagnosed later in life.
• Early diagnosis is crucial for effective management and preventing complications.

Observation:

• Two cases of CES in infants are presented.
• Case 1: A one-month-old male infant with swallowing difficulties and recurrent pneumonias.
• Case 2: An 18-month-old male infant with complete esophageal obstruction requiring a feeding gastrostomy.

Findings:

• Diagnosis in Case 1 was confirmed via fluoroscopic esophagogram and endoscopy.
• Simple esophageal dilatation successfully treated Case 1, resolving symptoms.
• Case 2 required surgical intervention with resection and end-to-end anastomosis, with a successful outcome.

Implications:

• CES can be effectively managed with timely and appropriate interventions.
• Minimally invasive techniques like dilation may be sufficient for less severe cases.
• Surgical options provide a viable solution for complete esophageal obstruction in CES.
• These cases highlight the importance of recognizing CES in infants presenting with feeding and respiratory issues.