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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
PubMed

Insights

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.

Keywords:
EndoFLIPEsoFLIPdilationesophageal webpediatricsstricture

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