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[Endoscopic treatment of children with esophagus stenoses of different etiology]

M P Korolev, S V Gol'bits, A P Ivanov

    Vestnik Khirurgii Imeni I. I. Grekova
    |July 11, 2012
    PubMed

    Insights

    Pediatric endoscopic treatment effectively resolves esophageal stenosis in children. This includes various causes like caustic, peptic, and congenital obstructions, even in young children or complex cases.

    Area of Science:

    • Pediatric Gastroenterology
    • Interventional Endoscopy
    • Pediatric Surgery

    Background:

    • Esophageal stenosis in children presents diverse etiologies, including caustic, peptic, anastomotic, and congenital obstructions.
    • Pediatric endoscopy is increasingly utilized for both diagnostic and therapeutic interventions.

    Observation:

    • A study analyzed 25 pediatric cases of esophageal stenosis aged 1.6 to 15 years.
    • The etiologies encompassed caustic, peptic, anastomotic, and congenital obstructions.

    Findings:

    • Endoscopic treatment using mechanical dilators with guidewire and balloon dilators was successful in all 25 patients.
    • Factors such as age under 2 years, prior complications, or subtotal stenosis were not absolute contraindications.

    Implications:

    • Endoscopic therapy offers a safe and effective treatment modality for pediatric esophageal stenosis.
    • This approach expands treatment options for even complex pediatric esophageal obstruction cases.

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