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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Stent for the management of Esophagic Stenosis by caustics in pediatry

Claudia Liliana Losada G1, Hardenson Rodríguez G2, Vanessa Valenzuela P2

  • 1Hospital Infantil San Vicente Fundación, Medellin, Colombia.

Andes Pediatrica : Revista Chilena De Pediatria
|September 3, 2021
PubMed

Insights

Recurrent esophageal strictures in children after caustic ingestion can be challenging. Silicone-coated metallic stents offer a promising alternative treatment for these difficult cases.

Area of Science:

  • Pediatric Gastroenterology
  • Interventional Endoscopy

Background:

  • Esophageal stricture is a severe complication of caustic ingestion in children.
  • Recurrent or refractory strictures may not respond to traditional dilation therapies.

Observation:

  • A 6-year-old boy with caustic ingestion developed Zargar grade IIIA esophagitis and gastric ulceration.
  • Progressive esophageal lumen narrowing necessitated serial dilations.
  • Punctal stenosis developed, indicating the need for advanced intervention.

Findings:

  • Two silicone-coated metallic stents were successfully placed in the esophagus.
  • The stents were maintained for 4 months.
  • No new episodes of stenosis were observed post-intervention.

Implications:

  • Silicone-coated metallic stents represent a viable treatment option for pediatric recurrent esophageal strictures.
  • This approach may prevent further complications and improve outcomes in refractory cases.
  • Further research into stent management for pediatric caustic ingestion injuries is warranted.
Abstract

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