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Fluoroscopy-guided balloon dilatation of benign esophageal strictures in children: 11-year experience

Guven Kahriman1, Cenk Hosgecin2, Nevzat Herdem3

  • 1Department of Radiology, Erciyes University, Gevher Nesibe Hospital, 38039, Kayseri, Turkey.

Pediatric Radiology
|January 31, 2022
PubMed

Insights

Fluoroscopy-guided balloon dilatation effectively treats pediatric esophageal strictures. This minimally invasive procedure offers a high success rate with a low complication risk for children.

Area of Science:

  • Pediatric Gastroenterology
  • Interventional Radiology
  • Pediatric Surgery

Background:

  • Esophageal strictures present a significant clinical challenge in pediatric patients.
  • Current treatment options for pediatric esophageal strictures can be difficult and invasive.

Purpose of the Study:

  • To assess the efficacy and safety of fluoroscopy-guided balloon dilatation for benign pediatric esophageal strictures.
  • To establish safe balloon diameter parameters for pediatric esophageal dilatation.

Main Methods:

  • Retrospective review of medical records for children treated between February 2008 and July 2019.
  • Analysis of demographic data, procedural details, balloon sizes, success rates, complications, and follow-up.
  • Technical success defined by absence of balloon waist; clinical success by no re-intervention within 1 year.

Main Results:

  • 375 dilatations in 116 pediatric patients (mean age 4.3 years) demonstrated technical success.
  • Clinical success rate was 34% per procedure and 85% per patient.
  • Low complication rate of 0.5% per procedure, with a 0.25% perforation rate.

Conclusions:

  • Fluoroscopy-guided balloon dilatation is a safe and effective treatment for benign esophageal strictures in children.
  • The procedure demonstrates a high patient-based success rate and minimal complications.
  • This method provides a reliable therapeutic option for pediatric esophageal strictures.
Abstract

Keywords:
Balloon dilatationChildrenEsophagusFluoroscopyStricture

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