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Thoracoscopic resection of congenital esophageal stenosis

Ryuta Saka1,2, Hiroomi Okuyama1,2, Takashi Sasaki1

  • 1Department of Pediatric Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.

Asian Journal of Endoscopic Surgery
|March 1, 2017
PubMed

Insights

Congenital esophageal stenosis (CES) in infants can be treated with thoracoscopic resection, avoiding dilatation complications. This surgical approach offers a promising alternative for CES management, leading to successful feeding outcomes.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Thoracic Surgery

Background:

  • Congenital esophageal stenosis (CES) is a rare condition in infants, presenting with feeding difficulties like dysphagia and failure to thrive.
  • Current first-line treatment, esophageal dilatation, carries a significant risk of complications such as perforation and mediastinitis.

Observation:

  • This report details two infant cases of CES managed with thoracoscopic resection, bypassing the need for initial dilatation.
  • Both infants demonstrated successful recovery without stenosis recurrence post-surgery.

Findings:

  • Thoracoscopic resection facilitated early resumption of solid food intake in both cases.
  • One infant required subsequent fundoplication due to postoperative gastroesophageal reflux, a known potential complication.

Implications:

  • Thoracoscopic resection emerges as a potentially safer and effective alternative treatment for congenital esophageal stenosis.
  • This minimally invasive approach may reduce the morbidity associated with traditional dilatation methods in infants with CES.

Keywords:
Congenital esophageal stenosis (CES)gastroesophageal refluxthoracoscopy

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