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Endoscopic Management of Congenital Esophageal Defects and Associated Comorbidities

Jessica L Yasuda1, Michael A Manfredi2

  • 1Division of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA.

Gastrointestinal Endoscopy Clinics of North America
|March 22, 2023
PubMed

Insights

Endoscopists manage congenital esophageal defects like atresia and strictures. This review details endoscopic treatments for complications such as strictures, fistulas, and perforations, emphasizing surveillance for esophagitis.

Area of Science:

  • Gastroenterology
  • Pediatric Surgery
  • Endoscopic Medicine

Background:

  • Congenital esophageal defects require specialized management.
  • Endoscopic interventions are crucial for addressing associated comorbidities.

Purpose of the Study:

  • To review the endoscopic management of congenital esophageal defects.
  • To highlight techniques for strictures, fistulas, and perforations.
  • To emphasize the importance of endoscopic surveillance for esophagitis and Barrett's esophagus.

Main Methods:

  • Review of current endoscopic techniques for esophageal stricture management.
  • Discussion of dilation, steroid injection, stenting, and incisional therapy.
  • Emphasis on surveillance protocols for mucosal pathology.

Main Results:

  • Endoscopic therapies offer effective management for anastomotic strictures and other complications.
  • Surveillance identifies and manages esophagitis and precancerous lesions like Barrett's esophagus.
  • Minimally invasive endoscopic approaches are vital for patient care.

Conclusions:

  • Endoscopic management is central to treating congenital esophageal defects and their complications.
  • Regular endoscopic surveillance is essential for preventing long-term sequelae.
  • This approach improves outcomes for patients with these rare conditions.

Keywords:
Congenital esophageal strictureDilationEsophageal atresiaEsophagitisSurveillance

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