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Esophageal Dilation in Children: A State of the Art Review

Abdul R Shahein1, Amornluck Krasaelap2, Kenneth Ng3

  • 1From the Division of Pediatric Gastroenterology, Hepatology and Nutrition, St. Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA.

Journal of Pediatric Gastroenterology and Nutrition
|September 19, 2022
PubMed

Insights

Pediatric esophageal stricture treatments are advancing with new technologies. This review covers improved safety and novel methods for complex cases in children.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Surgery

Background:

  • Esophageal strictures in children can be complex and difficult to treat.
  • Management requires multidisciplinary expertise from pediatric and adult specialists.

Purpose of the Study:

  • To summarize advancements in safety and technology for pediatric esophageal dilation.
  • To review treatments for complex and refractory esophageal strictures in children.

Main Methods:

  • Literature review of recent innovations in esophageal dilation for pediatric patients.
  • Analysis of techniques including triamcinolone injection, electro-incisional therapy, mitomycin-C, stent placement, functional lumen imaging probe (FLIP) dilation, and endoscopic vacuum-assisted closure (EVAC).

Main Results:

  • Newer endoscopic techniques offer improved safety profiles for managing pediatric esophageal strictures.
  • Specific therapies like triamcinolone injections and EVAC show promise for refractory cases.
  • FLIP-assisted dilation provides objective measurements for precise dilation.

Conclusions:

  • The landscape of pediatric esophageal stricture management is evolving with technological progress.
  • A combination of advanced endoscopic techniques can effectively treat complex and refractory cases in children.
  • Continued research is essential to further refine these pediatric treatment strategies.

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