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Management of long segment congenital esophageal stenosis: A novel technique

Vishesh Jain1, Devendra Kumar Yadav1, Shilpa Sharma1

  • 1Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Journal of Indian Association of Pediatric Surgeons
|July 2, 2016
PubMed

Insights

Congenital esophageal stenosis (CES) in children can cause dysphagia. Modified stricturoplasty offers a successful surgical option for long-segment CES, improving patient outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Congenital Abnormalities

Background:

  • Congenital esophageal stenosis (CES) is a rare condition causing difficulty swallowing in children.
  • Diagnosis is typically confirmed via esophagogram.
  • Surgical options for CES with tracheobronchial remnants (TBR) include resection and anastomosis, myectomy, or cartilage enucleation, which are not ideal for long stenotic segments.

Observation:

  • A 5-year-old boy presented with congenital esophageal stenosis.
  • The patient's condition involved a long segment of stenosis, making standard surgical procedures unsuitable.

Findings:

  • The patient was successfully managed using a modified stricturoplasty technique.
  • This innovative approach addressed the long-segment stenosis effectively.

Implications:

  • Modified stricturoplasty presents a viable alternative for managing long-segment CES.
  • This technique may improve surgical outcomes for children with complex esophageal conditions.
  • Further research into modified stricturoplasty for CES is warranted.

Keywords:
Esophageal stenosisesophageal stricturetracheobronchial remnants

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