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A Child with an Esophageal Web Treated with Functional Lumen Imaging Probe
Brenna Hohl1, Brett Hoskins2, Kenneth Ng2
1From the Department of Medicine, Campbell University School of Osteopathic Medicine, Lillington, NC.
JPGN Reports
|May 18, 2023
Summary
A pediatric patient with an esophageal web, a congenital narrowing, experienced vomiting. Treatment with Endoluminal Functional Lumen Imaging Probe (EndoFLIP) and balloon dilation successfully resolved symptoms, allowing weight gain.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Motility Disorders
- Congenital Anomalies
Background:
- Esophageal webs are congenital anomalies causing dysphagia and vomiting in infants.
- Congenital esophageal stenosis can lead to significant feeding difficulties and failure to thrive.
- Endoluminal Functional Lumen Imaging Probe (EndoFLIP) and controlled radial expansion (CRE) balloon dilation are advanced endoscopic techniques.
Observation:
- A 14-month-old male presented with persistent vomiting after consuming liquids or solids.
- Imaging confirmed the presence of an esophageal web, a form of congenital esophageal stenosis.
- The patient exhibited symptoms consistent with significant upper gastrointestinal obstruction.
Findings:
- The patient underwent successful treatment using a combination of EndoFLIP and CRE balloon dilation.
- A subsequent EndoFLIP and EsoFLIP dilation procedure 1 month later further improved the condition.
- Following treatment, the patient's vomiting resolved, and he achieved successful weight gain.
Implications:
- This case highlights the successful application of EndoFLIP and EsoFLIP in managing pediatric esophageal webs.
- Endoscopic dilation offers a minimally invasive therapeutic option for congenital esophageal stenosis.
- These findings suggest a promising role for advanced endoscopic techniques in pediatric gastroenterology.
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