Related Experiment Video
Updated: May 2, 2026
04:53
Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
55.2K
Peptic oesophageal stricture in children: management problems
Mohamed Zouari1, Houda Kamoun, Habib Bouthour
1Department of Pediatric Surgery, Habib Thameur Hospital, Tunis, Tunisia.
African Journal of Paediatric Surgery : AJPS
|March 21, 2014
Summary
Peptic oesophageal stricture (PES) in children with gastroesophageal reflux disease (GERD) often requires multiple dilations and antireflux surgery. Early, effective treatment improves outcomes for this serious condition.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Surgery
Background:
- Peptic oesophageal stricture (PES) is a severe complication of pediatric gastroesophageal reflux disease (GERD).
- Treatment options for PES remain debated, including dilation and surgical interventions.
Purpose of the Study:
- To report the clinical experience with 11 children diagnosed with GERD and PES.
- To evaluate the effectiveness of dilation and antireflux surgery for pediatric PES.
Main Methods:
- Retrospective review of clinical data from 11 children with PES.
- Analysis of interventions including esophageal dilation and antireflux surgery.
Main Results:
- Dysphagia was the primary symptom in all 11 patients.
- Hiatal hernia was present in 82% of cases; strictures were mostly in the lower esophagus.
- Patients underwent a median of four dilations, with all receiving antireflux surgery; long-term follow-up showed sustained improvement in most.
Conclusions:
- GERD-complicated PES is a significant pediatric condition requiring prompt management.
- Effective, early treatment of both the stricture and GERD is crucial for improving patient prognosis.
Related Concept Videos
01:26Esophageal Strictures-II: Clinical Features and Management
1.1K
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
1.1K
01:30Esophageal Strictures-I: Introduction
1.3K
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
1.3K
01:28Esophageal Perforation-II: Clinical Manifestations and Management
1.1K
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
1.1K
01:21Barrett Esophagus-II: Clinical Manifestations and Management
1.8K
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
1.8K
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
1.1K
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
1.1K
01:11Pyloric Obstruction
40
Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
40