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Published on: January 13, 2026
Esophageal stents in children: Bridge to surgical repair
Bethany J Slater1, Ashwin Pimpalwar1, David Wesson1
1Division of Pediatric Surgery, Michael E Debakey Department of Surgery, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas, USA.
Insights
Esophageal stents aided in managing complex pediatric airway-esophageal issues, acting as a crucial bridge to surgery for fistulas and leaks. However, complications like migration and erosion occurred in stricture cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Thoracic Surgery
Background:
- Complex esophageal conditions in children, including strictures, leaks, and fistulas, present significant management challenges.
- Conventional treatments are often insufficient for severe or refractory cases, necessitating advanced interventions.
Purpose of the Study:
- To evaluate the efficacy and role of esophageal stents in managing complex pediatric esophageal anomalies.
- To assess the outcomes and complications associated with esophageal stent placement in pediatric patients.
Main Methods:
- Retrospective case series involving three pediatric patients with refractory esophageal conditions.
- Utilized esophageal stents as a therapeutic or bridging intervention prior to definitive surgical repair.
Main Results:
- Esophageal stents facilitated extubation in a child with a tracheo-esophageal-pleural fistula and resolved pulmonary infection in another with an esophago-bronchial fistula, both preceding surgery.
- The third patient, treated for esophageal stricture, experienced stent-related complications including migration, esophageal erosion, and fistula formation.
Conclusions:
- Esophageal stents can be a valuable tool in the management of complex pediatric esophageal problems, particularly as a bridge to definitive surgical repair.
- Careful patient selection and monitoring are essential due to the potential for significant complications, such as migration and erosion.
Abstract:
Management of complex esophageal problems in children is challenging. We report our experience with the use of esophageal stents in three children with esophageal strictures, leaks, or airway-esophageal fistulae refractory to conventional treatment. The stent played a key role in allowing extubation of a child with a large tracheo-esophageal-pleural fistula and in the resolution of pulmonary infection in a child with esophago-bronchial fistula, both followed by surgery. In the third child, with stricture, stents were complicated with migration, esophageal erosion, and esophago-bronchial fistula. In our experience, esophageal stents were useful mainly as a bridge to definitive surgical repair.
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